penanganan shock resusitasi jantug paru
TRANSCRIPT
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PENANGANAN SHOCK RESUSITASI JANTUG PARU (RJP) SOP OBAT
EMERGENCY/RESUSITASI
BAB I
PENDAHULUAN
A. Latar Belaka!
B"GELS ata# $ala% &a'aa I$e*a $*keal $e!a Pertl!a Perta%a
Pa$a Ga+at Dar#rat (PPGD) a$ala' era!ka*a #a'a"#a'a ,erta%a -a! $a,at
$*lak#ka ,a$a k$** !a+at $ar#rat $ala% ra!ka %e-ela%atka ,a*e $ar*
ke%at*a.
D* l#ar e!er* PPGD ** e&ear-a #$a' &a-ak $*aarka ,a$a ra!"ra!
a+a% ata# ra!"ra! a+a% k'## a%# e,ert*-a 'al ** %a*' a!at
ara! $*keta'#* le' %a-arakat I$e*a.Melal#* art*kel ** a-a *!* e$*k*t %e%,erkealka PPGD ke,a$a ,e%&a0a
ekal*a.
Pr**, Uta%a
Pr**, Uta%a PPGD a$ala' %e-ela%atka ,a*e $ar* ke%at*a ,a$a
k$** !a+at $ar#rat. Ke%#$*a 1l1 $ala% PPGD a$ala' 2T*%e Sa3*! * L*4e
Sa3*!5 $ala% art*a &a'+a el#r#' t*$aka -a! $*lak#ka ,a$a aat k$**
!a+at $ar#rat 'ar#la' &ear"&ear e4ekt*4 $a e1*e karea ,a$a k$**
teret ,a*e $a,at ke'*la!a -a+a $ala% '*t#!a %e*t aa ( 'et* a4a
ela%a 6"7 %e*t $a,at %e!ak*&atka ke%at*a).
It*la' re#*ta* ata# rea*%a* $* $ala% ka%#"ka%# $*art*ka e&a!a*
%e!'*$#,ka ke%&al* ata# %e%&er* '*$#, &ar#. Dala% art* l#a re#*ta*
%er#,aka e!ala &et#k #a'a %e$* -a! $*lak#ka ter'a$a, %ereka -a!
&era$a $ala% kea$aa !a+at ata# kr*t* #t#k %e0e!a' ke%at*a. Ke%at*a $*
$ala% kl**k $*art*ka e&a!a* '*la!-a kea$ara $a e%#a re8ek $*erta*
&er'et*-a ,era4aa $a ,ere$ara $ara' -a! *re3er*&el. Ole' karea *t#
re#*ta* %er#,aka e!ala #a'a #t#k %e!e%&al*ka 4#!* *te% ,era4aa
,ere$ara $ara' $a ara4 -a! ter'et* ata# ter!a!!# e$e%*ka* r#,a e'*!!a
4#!*-a $a,at &er'et* e+akt#"+akt# a!ar ke%&al* %ea$* r%al e,ert*
e%#la. Karea-a t*%lla' *t*la' 2Car$* 9 P#%ar- 9 Re#0*tat*5 (CPR) -a!
$ala% &a'aa I$e*a %ea$* Re#*ta* Jat#! Par# (RJP)
BAB II
PEMBAHASAN
I. PENANGANAN SHOCK
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A. De1** S'0k
S'0k a$ala' kea$aa $*%aa tera$* ke!a!ala *rk#la* $ara' ,er*4er/te,* -a!
%e-el#r#' e'*!!a al*ra $ara' ke ar*!a ,er*4er t*$ak %e%a$a* #t#k
%e#a! '*$#,
B. Pre$#r
Per*a,a
Alat :
;. Te*%ete
6. D*,a&le ,#*t
7. Ka#la 3ea
. Naala ,r! ata# %aker &eerta la!
?. A% &a!
C. Ma0a%"Ma0a% S'0k
;. S'0k '*,3le%*k
6. S'0k kar$*!e*k
7. S'0k 3a%tr
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$. Kek#ra!a ,e%a#ka 0a*ra
6. S'0k Kar$*!e*k (3l#%e $ara' 0#k#,)
a. Ke!a!ala 3etr*k#ler
&. Ga!!#a *ra%a at#!
0. I4ark %*kar$
$. Pe#%t'rak e%&l# ,ar#
e. Ta%,a$e at#!
7. a$*lata* '0k
a. Se,* (e,* '0k)
&. Itk*ka* &at (aa1lakt*k '0k)
0. Tra#%a ere&ral (e#r!e*k '0k)
E. Geala"Geala U%#% S'0k
;. Pe#r#a kea$ara/!el*a'
6. H*,te* tekaa *tl*k %%'!
7. H*,te* ,er*4er k#l*t tera&a $*!* le%&a& a$* ke0*l $a 0e,at
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Ta$a kl**: ,e#r#a kea$ara $el*r*#%/a!*ta* '*,te* tak*kar$* a4a
0e,at $a
$ala% l*!#r* a*$* %eta&l*k.
G. Pe$%a A+al Pea!aa S'0k
;. Keal* %a0a% '0k $a ,e-e&a&-a
6. Lak#ka t*$aka a+al ,ea!aa '0k e0ara #%#% $e!a e!era
7. Krek* ,e-e&a&-a &*la %e%#!k*ka
H. t*$aka ,ea!aa '0k ,a$a #%#%-a
;. Pe$er*ta $*terleta!ka $e!a kak* $*t*!!*ka
6. Be&aka ala a4a
7. Ber* 6 ="> lter/%e*t
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II. RESUSITASI JANTUG PARU (RJP)
A. De1**
Re#*ta* at#! ,ar# %er#,aka #a'a -a! $*lak#ka #t#k %e!e%&al*ka
4#!* ,era4aa $a ata# *rk#la* ,a$a 'et* a4a (re,*ratr- arret) $a ata#
'et* at#! (0ar$*a0 arret) ,a$a ra! $*%aa 4#!* teret !a!al ttal le'
#at# e&a& -a! %e%#!k*ka #t#k '*$#, r%al ela#t-a &*la ke$#a 4#!*
teret &ekera ke%&al*.
B. Pe!aara re#*ta* at#! ,ar# (RJP) $*&a!* $ala% 7 4ae -a*t# :
;. Bat#a H*$#, Daar (BDH).
6. Bat#a H*$#, La#t (BHL).
7. Bat#a H*$#, Ja!ka La%a.
la!ka' $e!a %e!!#aka '#r#4 a&a$
Fae I : #t#k k*!ea* $ar#rat ter$*r* $ar* :
;) A*r+a- Ctrl : ,e!#aaa ala a4a.
6) Breat'*! S#,,rt : 3et*la* &at#a $a k*!e ,ar# $ar#rat.
7) C*r0#lat* S#,,rt : ,e!eala t*$ak a$a-a $e-#t a$* $a ,e!a$aa
*rk#la*
ata $e!a k%,re* at#! ,e!'et*a ,er$ara'a $a ,** #t#k
-k.
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Fae II : #t#k %e%#la* *rk#la* ,ta ter$*r* $ar* :
) F*&r*llat* Treat%et : &*aa-a $e!a -k l*tr*k ($e1&r*la*).
Fae III : #t#k ,e!ellaa *te*4 ,a0a re#*ta* ter$*r* $ar* :
?) Ga#!*! : %eet#ka $a %e%&er* tera,* ,e-e&a& ke%at*a $a %e*la*
ea#'
%aa ,a*e $a,at $*ela%atka.
) H#%a Metat* : SSP $*'ara,ka ,#l*' $e!a t*$aka re#*ta* tak -a!
&ar# $a
) Ite*3e Care : re#*ta* a!ka ,aa!.
;. Fae I (Bat#a H*$#, Daar)
B*la tera$* a4a ,r*%er at#! ter# $a,at %e%%,a $ara' ela%a
&e&era,a %e*t $a *a O6 -a! &era$a $ala% ,ar# $ara' aka ter# &ere$ar ke
tak $a r!a 3*tal la*. Pea!aa $** ,a$a kr&a $e!a 'et* a4a ata#
#%&ata ala a4a $a,at %e0e!a' 'et* at#!. B*la tera$* 'et* at#!
,r*%er O6 t*$ak &ere$ar $a O6 -a! ter*a $ala% r!a 3*tal aka 'a&* $ala%&e&era,a $et*k. Het* at#! $a,at $*erta* $e!a 4e%ea l*tr*k &er*k#t :
1&r*la* 4etr*k#lar tak'*kar$*a 4etr*k#lar a*tl 3etr*k#lar ata# $**a*
elektr%eka*.
Pe*la*a ta'a,a BHD a!at ,et*!. T*$aka re#*ta* %el*,#t* ,**
,e%kaa ala a4a ata $a k%,re* $a$a l#ar $*lak#ka kala# %e%a!
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&et#l $*t#'ka. I* $*tet#ka ,e*la*a -a! te,at. Set*a, la!ka' ABC RJP
$*%#la* $e!a ,eet#a t*$ak a$a re, t*$ak a$a a4a $a t*$ak a$a a$*.
Pa$a kr&a -a! t*&a" t*&a kla, kea$ara 'ar# e!era $*tet#ka
$e!a t*$aka !0a!a ata# ter*ak -a! ter$*r* $ar* %e!!0a!ka kr&a
$e!a le%t $a %e%a!!*l kera.
B*la t*$ak $*#%,a* ta!!a,a 'e$ak-a kr&a $*letakka $ala% ,**
terleta! $a ABC BHD 'e$ak-a $*lak#ka. Se%etara *t# %*tala' ,ertl!a
$a &*la %#!k* akt*1taka *te% ,ela-aa %e$* $ar#rat.
; . A*r+a- (Jala Na4a)
S#%&ata ala a4a le' l*$a' -a! %e#t#,* $*$*! ,ter*r 4ar*! a$ala'
%er#,aka ,erala -a! er*! t*%l ,a$a ,a*e -a! t*$ak a$ar $e!a
,** terleta!. Re#*ta* t*$ak aka &er'a*l &*la #%&ata t*$ak $*ata*. T*!a0ara tela' $*a#rka #t#k %ea!a a!ar ala a4a teta, terka -a*t# $e!a
%et$e ekte* ke,ala a!kat le'er %et$e ekte* ke,ala a!kat $a!# $a
%et$e a!kat $a!# $r! %a$*la $*%aa %et$e a!kat $a!# $r!
%a$*la le&*' e4ekt*4 $ala% %e%ka ala a4a ata $ar*,a$a a!kat le'er.
Pe$r!a %a$*la aa ta,a ekte* ke,ala #!a %er#,aka %et$e ,al*!
a%a #t#k %e%el*'ara ala a4a ata teta, terka ,a$a ,a*e $e!a
$#!aa ,ata' t#la! le'er. B*la kr&a -a! t*$ak a$ar &era4a ,ta $a
a$ek#at $e!a t*$ak a$a *a* kr&a e&a*k-a $*letakka $ala% ,**
%ata, #t#k %e0e!a' a,*ra*. B*la t*$ak $*keta'#* ata# $*0#r*!a* a$a tra#%a
ke,ala $a le'er kr&a 'a-a $*!erakka ata# $*,*$a'ka &*la %e%a! %#tlak
$*,erl#ka karea !erak -a! t*$ak &et#l $a,at %e!ak*&atka ,aral** ,a$a
kr&a $e!a 0e$era le'er. D*** tek*k $r! %a$*la ta,a ekte* ke,ala
%er#,aka 0ara -a! ,al*! a%a #t#k %e%ka ala a4a &*la $e!a **
&el#% &er'a*l $a,at $*lak#ka e$*k*t ekte* ke,ala.
6. Breat'*! (Pera4aa)
Setela' ala a4a terka ,el! 'e$ak-a e!era %e*la* a,aka' ,a*e
$a,at &era4a ,ta ata# t*$ak. I* $a,at $*lak#ka $e!a %e$e!arka!erak a4a ,a$a $a$a kr&a. B*la ,era4aa ,ta t*$ak t*%l ke%&al*
$*,erl#ka 3et*la* ata.
Ut#k %elak#ka 3et*la* %#l#t ke %#l#t ,el! 'e$ak-a %e%,erta'aka
ke,ala $a le'er kr&a $ala% ala' at# *ka, -a! tela' $*etka $*ata $a
%e%e0et '*$#! kr&a $e!a at# ta!a ata# $#a kal* 3et*la* $ala%.
Ke%#$*a e!era ra&a $e-#t a$* kart* ata# 4e%ral*. B*la *a teta, 'et* a4a
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teta,* %a*' %e%,#-a* $e-#t a$* $*&er*ka 3et*la* -a! $ala% e&ear
%l a%,a* ;6 %l et*a, = $et*k.
B*la $e-#t a$* kart* t*$ak tera&a $#a kal* 3et*la* $ala% 'ar# $*&er*ka
e#$a' t*a, ;= k%,re* $a$a ,a$a re#*ta* -a! $*lak#ka le' era!
,el! $a at# 3et*la* $ala% e#$a' t*a, = k%,re* $a$a ,a$a -a!$*lak#ka le' 6 ,el!. Ta$a 3et*la* ata -a! a$ek#at a$ala' $a$a
kr&a -a! terl*'at a*k t#r# $e!a a%,l*t#$ -a! 0#k#, a$a #$ara kel#ar
%elal#* '*$#! $a %#l#t kr&a ela%a re,*ra* e&a!a* ta%&a'a ela%a
,e%&er*a 3et*la* ,a$a kr&a ,el! $a,at %eraaka ta'aa $a
,e!e%&a!a ,ar# kr&a ket*ka $***.
Pa$a &e&era,a ,a*e 3et*la* %#l#t ke '*$#! %#!k* le&*' e4ekt*4 $ar*,a$a
4et*la* %#l#t ke %#l#t. et*la* %#l#t ke t%a 'e$ak-a $*lak#ka ,a$a ,a*e
$e!a traket%*. B*la 3et*la* %#l#t ke %#l#t ata# %#l#t ke '*$#! t*$ak
&er'a*l &a*k +ala#,# ala a4a tela' $*0&a $*ka 4ar*! kr&a 'ar#
$*,er*ka #t#k %el*'at a,aka' a$a ekre* ata# &e$a a*!.
Pa$a t*$aka ar* %e-a,# kr&a 'e$ak-a $*!#l*!ka ,a$a ala' at# **-a.
Se#$a' $e!a ,aka %e%ka %#l#t kr&a $e!a at# ta!a %e%e!a!
l*$a' $a ra'a!-a ,el! %e%a#kka ar* tel##k $a ar* te!a' ta!a
-a! la* ke$ala% at# ** %#l#t kr&a $ala% at# !eraka %e-a,#. B*la
t*$aka ** !a!al #t#k %e!el#arka &e$a a*! 'e$ak-a $*keraka
'etaka a&$%e ata# 'etaka $a$a e'*!!a tekaa #$ara $ala% a&$%e
%e*!kat $a aka %e$r! &e$a #t#k kel#ar.
Hetaka $a$a $*lak#ka ,a$a kr&a -a! terleta! tek*k ** a%a $e!a
k%,re* $a$a l#ar. Ur#ta -a! $*a#rka a$ala':
;. Ber*ka > a%,a* ; kal* 'etaka a&$%e.
6. B#ka %#l#t $a lak#ka a,#a ar*.
7. Re,** ,a*e ka ala a4a $a 0&a &er* 3et*la* ata $a,at
$*lak#ka
$e!a #ke.
B*la e#$a' $*lak#ka !erak tr*,el (ekte* ke,ala ka %#l#t $a $r!
%a$*la) ,e%&er*'a %#l#t $a 4ar*! ter-ata %a*' a$a #%&ata alaa4a $a,at $*0&a ,e%aa!a ,*,a ala a4a. B*la $e!a ** &el#% &er'a*l
,erl# $*lak#ka *t#&a* trak'eal. B*la t*$ak %#!k* ata# t*$ak $a,at $*lak#ka
*t#&a* trak'eal e&a!a* alterat*4-a a$ala' kr*kt%* ata# 4#!* %e%&rae
kr*kt*r*$ $e!a ar#% &erl#%e &ear (%*al $e!a ka#la *tra3ea ;< G). B*la
%a*' a$a #%&ata $* &rk'# %aka ,erl# t*$aka ,e!el#ara &e$a a*!
$ar* &rk'# ata# tera,* &rk',a%e $e!a a%*,'*l* ata# a$real*.
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k%,re*
$a$a $a 3et*la*). Ja$* ;= kal* k%,re* $a 6 3et*la* 'ar# elea* %ak*%al
$ala% ;= $et*k. B*la a$a 6 ,el! k%,re* $a$a $*&er*ka le' at# ,el!
$e!a la# a%,a* ; kal*/ %e*t $a ,e%&er*a at# kal* 3et*la* $ala% ;
a%,a* ;= $et*k le' ,el! ke$#a e#$a' t*a, k%,re* kel*%a. Dala% at#
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%e*t %**%al 'ar# a$a > k%,re* $a$a $a ;6 3et*la*. Ja$* l*%a k%,re* $a
at# 3et*la* %ak*%al $ala% = $et*k.
K%,re* $a$a 'ar# $*lak#ka e0ara 'al# $a &er*ra%a. B*la $*lakka
$e!a &ear k%,re* $a$a l#ar $a,at %e!'a*lka tekaa *tl*k le&*' $ar*
; %%H! $a tekaa rata" rata
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ke%#$*a $a,at $*#la! t*a, ; %e*t $e!a $* = %E/ k! a%,a* t*%l
$e-#t
at#! ,ta ata# %at* at#!.
Pe!!#aa atr*#% &*kar&at t*$ak la!* $*a#rka ke0#al* ,a$a re#*ta* -a!
la%a
-a*t# ,a$a kr&a -a! $*&er* 3et*la* ata -a! la%a $a e1*e e&a& kala#
t*$ak
a*$* *trael#ler #tr# &erta%&a' $a t*$ak &erk#ra!. Peelaa #t#k
keae'a **
kala' 'al -a! &ar#. CO6 -a! t*$ak $*'a*lka $ar* ,e%e0a'a &*kar&at
e!era
%e-e&era!* %e%&ra el *ka CO6 t*$ak $*a!k#t le' re,*ra*.
7. EKG
Mel*,#t* 1&r*la* 3etr*k#ler a*tl 3etr*k#ler $a $**a* elektr %eka*.
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Or!a -a! ,al*! ter,e!ar#' le' ker#aka '*,ke%*k $a *ke%*k ela%a
'et* at#! a$ala' tak. Sat# $ar* l*%a ra! -a! ela%at $ar* 'et* at#!
%e%,#-a* $e1*t e#rl!*. B*la ,a*e teta, t*$ak a$ar 'e$ak-a $*lak#ka
#,a-a #t#k %e%el*'ara ,er4#* $a k*!ea* tak. T*$aka ** %el*,#t*
,e!!#aa a!e 3aakt*4 #t#k %e%el*'ara tekaa $ara' *te%*k -a! r%al
,e!!#aa ter*$ #t#k %e!#ra!* e%&a& tak $a ,e!!#aa $*#ret*k#t#k %e#r#ka tekaa *tra0ra*al. Ok*!e ta%&a'a 'e$ak-a $*&er*ka
$a '*,er3et*la* $eraa$ e$a! #!a %e%&at#.
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7. Sera! $kter %e!a%&*l al*' ta!!#! a+a& (&*la t*$ak a$a $kter
e&el#%-a).
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$***
te$a,at -ara4"-ara4 -! %e!at#r 4#!* 3*tal %a#*a (&era,a $e-#t at#!)
a. J*ka t*$ak a$a ta$a"ta$a teret %aka lak#kala' Hea$ T*lt a$ C'* L*4t.
C'* l*4t $*lak#ka $e!a 0ara %e!!#aka $#a ar* lal# %e!a!kat t#la! $a!#
(&a!*a $a!# -a! kera) ke ata. I* $*erta* $e!a %elak#ka Hea$ t*lt -a*t#
%ea'a ke,ala $a %e%,erta'aka ,** e,ert* 1!#re &er*k#t. I* $*lak#ka
#t#k %e%&e&aka ala a,a kr&a.
&. J*ka a$a ta$a"ta$a teret %aka &eral*'la' ke &a!*a ata ,a*e e,*t
ke,ala ,a*e $e!a ,a'a #a'aka a!ar ke,ala-a t*$ak &er!erak"!erak la!*
(*%&*l*a*) $a lak#kala' Ja+ T'r#t
Geraka ** $*lak#ka #t#k %e!'*$ar* a$a-a 0e$era le&*' la#t ,a$a t#la!
&elaka! &a!*a le'er ,a*e.
6. Sa%&*l %elak#ka a ata# & $* ata lak#ka la' ,e%er*kaa k$** A*r+a-
(ala a,a) $a Breat'*! (Pera,aa) ,a*e. Met$e ,e!e0eka
%e!!#aka %et$e Lk L*te a$ Feel
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Lk : L*'at a,aka' a$a !eraka $a$a (!eraka &era,a) a,aka' !eraka
teret *%etr*
L*te : De!arka a,aka' a$a #ara a4a r%al $a a,aka' a$a #ara a4a
ta%&a'a -a!
a&r%al (&*a t*%l karea a$a 'a%&ata e&a!*a)
7. Je*"e* #ara a4a ta%&a'a karea 'a%&ata e&a!*a ala a4a :
a. Sr*! : #ara e,ert* !rk k$** ** %ea$aka a$a-a ket#a
ala a,a
&a!*a ata le' &e$a ,a$at *ka ter$e!ar #ara ** %aka lak#kala'
,e!e0eka
la!#! $e!a 0ara 0r"1!er #t#k %e%ka %#l#t (%e!!#aka 6 ar*
-a*t# * ar* $a ar* tel##k ta!a -a! $*!#aka #t#k 0'* l*4t ta$* * ar*
%e$r! ra'a! ata ke ata tel##k %eeka ra'a! &a+a' ke &a+a').L*'atla' a,aka' a$a &e$a -a! %e-a!k#t $* te!!rka kr&a (e!: !*!* ,al#
$ll). P*$a'ka &e$a teret
&. Gar!l*! : #ara e,ert* &erk#%#r k$** ** tera$* karea a$a ket#a
-a! $*e&a&ka le' 0a*ra (e!: $ara') %aka lak#kala' 0r"1!er(e,ert* $*
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ata) lal# lak#kala' 1!er"+ee, (e#a* a%a-a %e!!#aka 6 ar* -a!
#$a' $*&al#t $e!a ka* #t#k 2%e-a,#5 r!!a %#l#t $ar* 0a*ra"0a*ra).
Cr+*! : #ara $e!a a$a t*!!* &*aa-a $*e&aka karea ,e%&e!kaka
(e$e%a) ,a$a trakea #t#k ,ertl!a ,erta%a teta, lak#ka %ae#3er 'ea$ t*lt
a$ 0'* l*4t ata# a+ t'r#t aa
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Feel : Raaka $e!a ,*,* ,e%er*ka a,aka' a$a 'a+a a,a $ar* kr&a
=. J*ka ter-ata ,a*e %a*' &era4a %aka '*t#!la' &era,a 4rek#e*
,era,aa ,a*e *t# $ala% ; %e*t (Pera,aa r%al a$ala' ;6 "6 kal*
,er%e*t)
>. J*ka 4rek#e* a4a r%al ,ata# ter# k$** ,a*e $e!a teta,%elak#ka Lk L*te a$ Feel
?. J*ka 4rek#e* a4a ;6"6 kal* ,er%e*t &er*ka a4a &at#a ($eta*l
teta! a4a &at#a $*&a+a')
. J*ka ,a*e %e!ala%* 'et* a4a &er*ka a4a ata ($eta*l teta! a4a
ata $*&a+a')
. Setela' $*&er*ka a4a ata %aka lak#kala' ,e!e0eka a$* 0art*
-a! terletak $* le'er (0ekla' $e!a 6 ar* letakka ar* $* tla $* te!a'
te!!rka lal# !erakka la' ar* ke a%,*! a%,a* ter'a%&at le' tt le'er(ter0le*$%at*$e#) raakala' $e-#t a$* 0art* ela%a ; $et*k.
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;. J*ka t*$ak a$a $e-#t a$* %aka lak#kala' P*at Jat#!(1!#re D $a E 1!#re
F ,a$a &a-*) $**k#t* $e!a a4a ata(1!#re AB $a C)#la! a%,a* > kal*
*kl# ,*at at#!"a,a ata -a! $*ak'*r* $e!a ,*at at#!
;;. Cek la!* a$* kart* ($e!a %et$e e,ert* $*ata) ela%a ; $et*k *katera&a lak#ka Lk L*te a$ Feel (ke%&al* ke ,* ;;) la!*. *ka t*$ak tera&a
#la!* ,* %er ;?.
;6. P*at at#! $a a4a ata $*'et*ka *ka
a. Pel! kelela'a $a #$a' t*$ak k#at la!*
&. Pa*e #$a' %e##kka ta$a"ta$a ke%at*a (kak# %a-at)
0. Bat#a #$a' $at*!
$. Tera&a $e-#t a$* kart*
;7. Setela' &er'a*l %e!a%aka k$** $*ata ,er*kala' ta$a"ta$a '0k
,a$a ,a*e :
a. De-#t a$* ; kal* ,er %e*t
&. Tela,ak ta!a &aa' $*!* $a ,#0at
0. Ca,*larr- Re1ll T*%e 6 $et*k ( CRT $a,at $*,er*ka $e!a 0ara %eeka
##! k#k# ,a*e $! k#k# ,e%er*ka ela%a = $et*k lal# le,aka 0ek &era,a
la%a +akt# -! $*t#'ka a!ar +ara ##! k#k# %era' la!*)
;
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;=. Perta'aka ,** '0k a%,a* &at#a $ata! ata# ta$a"ta$a '0k
%e!'*la!
;>. J*ka a$a ,e$ara'a ,a$a ,a*e 0&a la' 'et*ka ,er$ara'a $e!a 0ara%eeka ata#
%e%&e&at l#ka (%e%&e&at a!a terlal# erat karea $a,at %e!ak*&atka
ar*!a -!
$*&e&at %at*)
;?. Setela' k$** ,a*e ta&*l teta, %*tr elal# k$** ,a*e $e!a Lk
L*te a$
Feel karea ,a*e e+akt#"+akt# $a,at %e%r#k e0ara t*&a"t*&a.
F. T*$ak La#ta RJP
;. Na4a Bat#a
Na4a Bat#a a$ala' a4a -a! $*&er*ka ke,a$a ,a*e #t#k %er%alka
4rek#e* a4a ,a*e -a! $* &a+a' r%al. M*al 4rek#e* a,a : > kal* ,er
%e*t %aka 'ar# $*&er* a4a &at#a $* ela et*a, a4a ,ta $*a e'*!!a
ttal a4a ,er%e*t-a %ea$* r%al (;6 kal*).
Pre$#r-a :
a. P**ka $*r* $* a%,*! ,a*e
&. Ja!a lak#ka ,era,aa %#t' t %#t' la!#! ta,* !#aka la' ka*
e&a!a*
,e%&ata atara %#l#t a$a $a ,a*e #t#k %e0e!a' ,e#lara ,e-ak*t6
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0. Sa%&*l teta, %elak#ka 0'* l*4t !#aka ta!a -! ta$* $*!#aka #t#k
'ea$ t*lt #t#k
%e#t#, '*$#! ,a*e (a!ar #$ara -! $*&er*ka t*$ak tera! le+at '*$#!).
$. Mata %e%,er'at*ka $a$a ,a*e
e. T#t#,*la' el#r#' %#l#t kr&a $e!a %#l#t ,el!
4. He%kala' a4a at# kal* ( ta$a *ka a4a -! $*&er*ka %a#k a$ala'
$a$a ,a*e
Me!e%&a!)
!. Le,aka ,e#t#, '*$#! $a a#'ka %#l#t eaat #t#k %e%&*arka
,a*e
%e!'e%ka a4a kel#ar (ek,*ra*)
'. Lak#ka la!* ,e%&er*a a4a e#a* $e!a ,er'*t#!a a!ar a4a ke%&al*
r%al
6. P*at Jat#!
P*at at#! a$ala' #a'a #t#k 2%e%aka5 at#! %e%%,aka $ara'
ke el#r#' t#' ,*at at#! $*lak#ka ,a$a kr&a $e!a a$* kart* -a!
t*$ak tera&a. P*at at#! &*aa-a $*,aa!ka $e!a a4a ata (e,ert*
$*elaka ,a$a al!rt*%a $* ata)
Pre$#r ,*at at#! :
a. P**ka $*r* $* a%,*! ,a*e
&. P**ka ta!a e,ert* !a%&ar $* 0eter 4 t'e 0'et ( te,at $*te!a'"
te!a' $a$a)
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0. P**ka ta!a te!ak l#r# kr&a e,ert* !a%&ar
$. Tekala' $a$a kr&a %e!!#aka tea!a -a! $*,erle' $ar* e$*
,a!!#l ('*, *t)
e. Tekala' $a$a k*ra"k*ra e$ala%
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!. Sat# et ,*at at#! $*lak#ka e#%la' 7 kal* tekaa #t#k %e%#$a'ka
%e!'*t#!
$a,at $*'*t#! $e!a 0ara %e!'*t#! e&a!a* &er*k#t :
;) Sat# D#a T*!a E%,atSATU
6) Sat# D#a T*!a E%,at DUA
7) Sat# D#a T*!a E%,at TIGA
) Sat# D#a T*!a E%,at ENAM
'. Pr**, ,*at at#! a$ala' :
;) P#' $ee,
6) P#' 'ar$
7) P#' 4at
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=. %e!ata* !a!al at#! k!et*4
B. O&at"O&at Re#*ta* Jat#!"Par# Da O&at"O&at Per&a*ka S*rk#la*
;. Ok*!e
6. %e*!katka TD : e,*e4r*/a$real* 3a,re* $,a%*e
7. %e*!katka $e-#t at#!/a$* (HR : Heart Rate) : atr,*e
. &at"&at #t#k IMA : %r1 *tr!l*er* a,*r* 1&r*l*
?. La*"la*
C. O&at Re#*ta* Jat#!"Par# (R,)
;. E,*e4r*/a$real*.
6. A%*$ar.
7. L*$ka*.
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,ak k*!e ke tak at#! $a alat"alat 3*tal la*-a a%&*l %e#!!#
,e!&ata la#ta. Bat#a '*$#, la#t $e!a ,e%&er*a &at"&ata #t#k
%e%,er,aa! '*$#, Re#*ta* $*lak#ka ,a$a : *4ark at#! 2ke0*l5 -a!
%e!ak*&atka 2ke%at*a l*tr*k5 era!a A$a%"Stke H*,k*a ak#t
kera0#a $a kele&*'a $* &at"&ata e!ata l*tr*k re8ek 3a!al erta
ke0elakaa la* -a! %a*' %e%&er*ka ,el#a! #t#k '*$#,. Re#*ta* t*$ak$*lak#ka ,a$a : ke%at*a r%al ta$*#% ter%*al #at# -a! tak $a,at
$*e%'ka.
Pea!aa $a t*$aka 0e,at ,a$a re#*ta* at#! ,ar# k'##-a
,a$a ke!a+ata kar$*3ak#ler a%at ,et*! #t#k %e-ele%atka '*$#, #t#k
*t# ,erl# ,e!eta'#a RJP -a! te,at $a &ear $ala% ,elakaaa-a.
DAFTAR PUSTAKA
E$*tr L-l* I%#$*at R Bala* Peer&*t FKUI Jakarta 'al : ;> ;.
S#atr* DR Re#*ta* Jat#! Par# E$*tr M#0'tar#$$* Ma-#r IDI
Jakarta
'al : ;7.
S*a'aa O Re#*ta* Jat#! Par# Otak Cer%* D#*a Ke$ktera E$**
K'## N.
'al : ;7?";6 ;6.
E%er!e0- Me$*0*e Ill#trate$ E$*tr T#-'* S#!*%t Take$a C'e%*0al
I$#tr*e ;=.
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