Download - SYOK
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PENATALAKSANAAN SYOK ANAFALTIK
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PANDAHULAN
◦ Syok anafilatik Reaksi anafilaksi Keadaan gewat derurat Reaksi antigan – antibodi yang dipertantai IgE
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Ingat : Waktu untuk diagnosis sangat pendek Tujuan utama :
◦ Ventilasi adekuat◦ Sirkulasi adekuat
PENATALAKSAN
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Dibagi 3
1. Tindakan segeraa. hentikan prosedurb. penderita tidur telentang, kaki naik
30 derajad
- penderita sadar / tidak sadar
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Sadar
Jaga ABC Berikan adrenalin 0,3-0,5 mg SC/IM/IV Anak = 0,01 mg/kgBB Boleh diulang 5 – 10 menit Aminofilin 5 mg/kgBB ± 20 menit lanjutkan
0,4 – 0,9 mg/kgBB/jam 02 100% Kristaloid / koloid sesuai kebutuhan Intubasi bila perlu
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Tidak sadar
- airway tripple airway manuever
- breathing bila henti nafas
a. nafas buatan 2 x
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B. Raba nadi karotis
TERABA TAK TERABA
BERNAFAS - O2 100%
- OBSERVARSI KETAT
TAK BERNAFAS :- NAFAS BUATAN
12 X/MENIT- INTUBASI
RJP15 : 2 (ACLS )ADRENALIN 1
MGDC SHOCK
CIRCULATION
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2. Terapi suportif
a. Keseimbangan cairan dan elektrolitb. 02 100%c. Kertikosteroidd. Antihistamin e. Nebulizer f. Observasi minimal 4 jamg. Bila perlu MAST
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3. Tindakan lanjutan
a. Penting untuk mengetahui penyebab dan mencegah kejadian ulang
b. bila perlu sensitisasi