All about Shock

Question 1

klasifikasi syok

Answer 1

1. hipovolemik (hemoragik dan non hemoragik)
2. kardiogenik (kardiomiopati, aritminogenik, gg mekanik)
3. distributif (septik dan non septik)
4. obstruktif (pulomnary vascular dan gg mekanik)

Question 2

tanda klinis syok hipovolemi

Answer 2

• akral dingin
• crt >2s
• takikardi (bradikardi jika sudah late)
• JVP menurun

Question 3

tanda klinis syok kardiogenik

Answer 3

• akral dingin
• crt >2s
• takikardi (bradikardi jika sudah late)
• JVP memingkat
• tidak ada perubahan setelah resusitasi cairan

Question 4

tanda klinis syok distributif (sepsis)

Answer 4

• akral hangat
• crt <2s
• takikardi (bradikardi jika sudah late)
• JVP menurun

Question 5

tanda klinis syok obstruktif

Answer 5

• akral dingin
• crt >2s
• takikardi (bradikardi jika sudah late)
• JVP meningkat ++

Question 6

prinsip manajemen syok

Answer 6

VIP
1. ventilasi
2. IV fluid
3. pump

Question 7

rumus resusitasi cairan

Answer 7

10cc/kgbb selama 10 menit. max 500mL

Question 8

pemilihan obat inotropik pada syok kardiogenik

Answer 8

1. dopamine
2. epinefrin
3. dobutamin
4. NE (utama buat sepsis)

Question 9

manajemen syok sepsis

Answer 9

1. prinsip VIP
2. antibiotik iv

Question 10

manifestasi klinis syok secara umum

Answer 10

1. brain - penkes
2. Urine output decrease
3. Skin - akral dingin, crt >2s
4. takipneu, takikardi
5. MAP <65
6. laktat >3

Question 11

syok non septik apa saja

Answer 11

anafilaksis
neurogenik
spinal

Question 12

penyebab syok

Answer 12

1. hipovolemi = dec vol intravaskular
2. kardiogenik = gg. sistem pompa (cor)
3. distributif = hilang tonus vaskular (vasodilatasi)
4. obstruktif = obstruksi aliran darah balik

Question 13

target manajemen syok

Answer 13

1. perfusi jaringan kembali normal (BUS)
2. MAP >65

Question 14

rumus syr pump

Answer 14

mL/jam = (dosis x BB x 60min) : (dosis mcg 1 ml sesuai sediaan)

Question 15

prinsip pemberian cairan

Answer 15

TROL
1. Type
2. Rate
3. Objective
4. Limit