pr emergency 1

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 Homework Dedy Santoso I11110005

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PR Emergency 1

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HomeworkDedy Santoso I11110005Akut Respiratory Distres SyndromKeadaan dimana paru gagal untuk mendapatkan oksigen dan/atau mengeluarkan karbon dioksida yang adekuat

Type I: keadaan dimana PaO2 < 60 mmHgType II: keadaan dimana PaCO2 < 55 mmHg dengan atau tanpa kekurangan oksigenasiCauses of Respiratory DistresHypoxiaPulmonary embolismPneumoniaPneumothoraksAsthmaSevere AnaemiaHigh AltitudeCO PoisoningHypercapniaDecreased Central Respiratory DriveDrugsHead InjuryCentral Nervous system lesionsMetabolic AlkalosisAirway ObstructionAsthmaCOPD Thoracic cage AbnormalitiesMorbid ObesityChest traumaKyphoscoliosisNeurological / Neuromuscular Abnormalties Myasthenia GravisGBSCervical/ High Thoracic InjuryThe Aims of Management of Akut Respiratory DistresConfirm diagnosis of Respiratory Failure and Determine the cause. Provide supportive measures to treat respiratory failure.Treat the underlying cause of respiratory failure.

Supportive Measures to Treat Respiratory FailurePlace the patient in the resucitation roomMonitoring: ECG, Vital Signs, and Pulse Oximetry.Secure airway for airway protection and/ or ventilationGive suplemental OxygenPerform an early arterial blood gas test to determine the type and severity of respiratory failure.Pathophysiology CHF

The Heart Sound

Additional Heart Sound

Treatment of Heart FailureIdentifi cation and correction of the underlying condition causing heart failure.Eliminatinf of th acute precipitating cause of symtomsManagement of heart failure symptoms- Treatment of pulmonary and systemic vascular congestion- Measures to increase forward cardiac output and perfusion of vital organsModulation of the neurohormonal respone to prevent ventricular remodelingProlongation of long term survival.