RDS MANAJEMEN

DETEKSI DINI DAN MANAJEMEN GANGGUAN NAPAS PADA NEONATUS SEBAGAI APLIKASI P O N E K (PELAYANAN OBSTETRI NEONATAL EMERGENCY KOMPREHENSIF) M.Sholeh Kosim Sub Bagian Perinatologi SMF/Bagian Ilmu Kesehatan Anak RSUP Dr. Kariadi/ FK UNDIP Semarang

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pendahuluan

Deteksi dini ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pelayanan Kesehatan Kontinum dan Komprehensip Level Komunitas Level Puskesmas Level RS.Rujukan Dasar Level RS.Rujukan Lanjut/Pusat PONED PONEK

Pelayanan obstetrik neonatal emergensi komprehensif (PONEK ) ,[object Object],[object Object],[object Object]

A plikasi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pengertian ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Takipnea dan distress respirasi ,[object Object],[object Object],[object Object],[object Object],[object Object]

Menyingkirkan penyakit jantung ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Tes hiperoksia

[object Object],[object Object],Tes hiperoksia ( 2 )

[object Object],[object Object],[object Object],Ekokardiografi mungkin dapat memberi jawaban kepastian, namun perlu waktu Tes hiperoksia (3)

Tabel 1. Faktor risiko terjadi gangguan napas Sumber : Jackson MR ,[object Object],[object Object],[object Object],Neonatal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Persalinan ,[object Object],[object Object],[object Object],[object Object],Fetal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Maternal Risiko Masa

Penyebab ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Penyebab Penyebab

Pulmoner maupun non pulmoner ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],X FOTO DADA : PENTING

Tabel 2. Diagnosis banding Distres respirasi pada neonatus Sumber : Hermansen C L ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Menurut PONEK : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gawat Napas Yang Umum Pada Neonatus

Pemeriksaan penunjang Deteksi hipoksemia, terapi oksigen Oximeter nadi ( Pulse oxymeter ) Curiga meningitis Pungsi lumbal Lekositosis, bakteriemia, anemia,polisitemia, trombositopenia Darah lengkap termasuk hitung jenis Curiga hipoglikemia Kadar glukosa darah Untuk menilai keasaman darah atau status asam basa Analisis Gas Darah Bakteriemia, tidak begitu menolong oleh karena hasil baru didapatkan > 48 jam Kultur darah Mencari kausa Foto toraks dada Indikasi Pemeriksaan

Manajemen Umum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Manajemen Umum (2)

[object Object],[object Object],[object Object],Manajemen Umum (3)

[object Object],[object Object],[object Object],[object Object],Manajemen Umum (Pedoman lain )

Manajemen khusus ,[object Object],[object Object],[object Object],[object Object]

Manajemen khusus menurut Protokol PONEK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TTN atau Takipnea Sementara pada Neonatus (TTN)

Hyaline Membrane Disease ( Penyakit Membran Hialin ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hyaline Membrane Disease ( Penyakit Membran Hialin )

Sindrom Aspirasi Mekonium ( 1 ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Manajemen pernapasan : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sindrom Aspirasi Mekonium (2)

Indikasi rujuk ke NICU atau konsultasi ,[object Object],[object Object],[object Object]

Bantuan napas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indikasi CPAP ,[object Object],[object Object],[object Object]

Pengertian CPAP ,[object Object],[object Object]

Alat yang digunakan untuk CPAP ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Indikasi Ventilator mekanik

RDS MANAJEMEN

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RDS MANAJEMEN