pemeriksaan spirometri
DESCRIPTION
PEMERIKSAAN SPIROMETRI. Departemen Pulmonologi dan Ilmu Kedokteran Respirasi FKUI – RS Persahabatan Jakarta. RESPIRASI. Ventilasi Difusi Perfusi. VENTILASI. Peristiwa masuk dan keluar udara ke dalam paru Inspirasi Ekspirasi. SPIROMETRI. - PowerPoint PPT PresentationTRANSCRIPT
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PEMERIKSAAN SPIROMETRI
Departemen Pulmonologi dan Ilmu Kedokteran Respirasi FKUI – RS
Persahabatan Jakarta
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RESPIRASI Ventilasi Difusi Perfusi
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VENTILASIPeristiwa masuk dan keluar udara ke dalam paru Inspirasi Ekspirasi
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SPIROMETRI
Alat untuk mengukur ventilasi yaitu mengukur volume statik dan volume dinamik paru
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VOLUME STATIK Volume tidal (VT) Volume Cadangan Inspirasi (VCI) Volume Cadangan Ekspirasi (VCE) Volume Residu (VR)
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VOLUME STATIK Kapasiti Vital (KV) Kapasiti Vital Paksa (KVP) Kapasiti Residu Fungsional (KRF) Kapasiti Paru Total (KPT)
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VOLUME DINAMIK Volume ekspirasi paksa detik pertama (VEP1) Maximal voluntary ventilation (MVV)
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INDIKASI PEMERIKSAAN
Setiap keluhan sesak Penderita asma stabil Penderita PPOK stabil Evaluasi penderita asma tiap tahun dan penderita PPOK tiap 6 bulan
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INDIKASI PEMERIKSAAN Penderita yang akan dianestesi umum Pemeriksaan berkala pekerja yang terpajan zat Pemeriksaan berkala pada perokok
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TUJUAN PEMERIKSAAN SPIROMETRI Menilai status faal paru
(normal, restriksi, obstruksi, campuran) Menilai manfaat pengobatan Memantau perjalanan penyakit Menentukan prognosis Menentukan toleransi tindakan bedah
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GANGGUAN VENTILASI
Restriksi : gangguan pengembangan paru
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ARDS
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PNEUMONIA
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ATELEKTASIS
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DESTROYED LOBE
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ABSES PARU
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BULLA
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BULLA
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TB MILIER
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NODUL PARU
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TUMOR PARU
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TUMOR PANCOAST
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PNEUMOTORAKS
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HIDROPNEUMOTORAKS
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GANGGUAN VENTILASI
Obstruksi : perlambatan aliran udara ekspirasi
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Obstruksi saluran napas pada asma
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ASMA BRONKIAL
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AsthmaNormal
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BRONKITIS KRONIKBRONKITIS KRONIK
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EMFISEMA
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EMFISEMA
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Normal Hyperinflation
Air trapping
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BRONKIEKTASIS
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BRONKIEKTASIS
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Bronkiektasis
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BRONKIEKTASIS
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BRONKIEKTASIS
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BRONKIEKTASIS
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BRONKIEKTASIS
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BRONKIEKTASIS
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TUMOR PARU
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TUMOR PARU
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Lung Cancer
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TUMOR DI SALURAN NAPAS
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GANGGUAN VENTILASI Restriksi : gangguan pengembangan paru
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RESTRIKSI KV < 80% nilai prediksi KVP < 80% nilai prediksi
Restriksi ringan 80% > KV < 50%
Restriksi sedang 50% > KV > 30%
Restriksi berat KV < 30%
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GANGGUAN VENTILASI
Obstruksi : perlambatan aliran udara ekspirasi
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OBSTRUKSI VEP1 < 80% nilai prediksi
VEP1 / KVP < 75%
Obstruksi ringan 75% > VEP1/KVP < 50%
Obstruksi sedang 50% > VEP1 / KVP > 30%
Obstruksi berat VEP1 / KVP < 30%
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PERSIAPAN PEMERIKSAAN FAAL PARU
Alat Teknisi Subjek
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PERSIAPAN ALAT
Kalibrasi minimal 1 kali seminggu
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PERSIAPAN TEKNISI
Terlatih Mengerti tujuan Dapat menilai hasil
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PERSIAPAN SUBJEK Mengerti tujuan pemeriksaan Bebas rokok minimal 2 jam Tidak boleh makan terlalu kenyang Berpakaian tidak ketat
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CARA PEMERIKSAAN Subjek berdiri / duduk Melakukan manuver setelah keadaan steady state Pemeriksaan dilakukan sampai didapat 3 hasil yang dapat diterima dan dua diantaranya reproduksibel
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ARUS PUNCAK EKSPIRASI
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PEMERIKSAAN SPIROMETRI
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PENILAIAN HASIL
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HASIL YANG DAPAT DITERIMA Permulaan uji harus baik Pemeriksaan selesai Waktu ekspirasi minimal 3 detik Grafik flow – volume mempunyai puncak
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REPRODUKSIBILITI~ Ditentukan setelah didapat 3 manuver yang dapat diterima ~ reproduksibiliti bila nilai terbesar perbedaannya kurang dari 5% atau kurang dari 100 ml untuk nilai KVP dan VEP1
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PEMERIKSAAN YANG TIDAK BAIK Permulaan ekspirasi ragu-ragu/ lambat Batuk selama ekspirasi Manuver valsava Ekspirasi tidak selesai
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PEMERIKSAAN YANG TIDAK BAIK Terdapat kebocoran Mouth piece tersumbat Meniup lebih dari 1 kali
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• Jumlah pemeriksaam maksimal adalah 8 kali
• Bila telah delapan kali tetapi belum didapat yang diharapkan, maka pemeriksaan diulang pada hari yang lain
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HASIL Normal KVP dan KV > 80% nilai prediksi VEP1 > 80% nilai prediksi VEP1 / KVP > 75%
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