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  • Triage Depkes AP

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    Triponia
    19 visualizzazioni23 pagine
    This document provides guidance on pediatric triage and assessment. It outlines the pediatric assessment triangle of appearance, breathing, and circulation. It describes how to assess the airway, breathing, circulation, disability, and exposure in children (the ABCDE approach). Vital signs like respiratory rate, heart rate, and blood pressure are reviewed according to age. The document also provides classifications for triage like stable, respiratory distress, shock, and respiratory and circulatory failure. Treatment approaches are suggested according to classification.

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    This document provides guidance on pediatric triage and assessment. It outlines the pediatric assessment triangle of appearance, breathing, and circulation. It describes how to assess the airway, breathing, circulation, disability, and exposure in children (the ABCDE approach). Vital signs like respiratory rate, heart rate, and blood pressure are reviewed according to age. The document also provides classifications for triage like stable, respiratory distress, shock, and respiratory and circulatory failure. Treatment approaches are suggested according to classification.

    Copyright:

    © All Rights Reserved
    Scarica in formato PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    19 visualizzazioni23 pagine

    Triage Depkes AP

    Caricato da

    Triponia
    This document provides guidance on pediatric triage and assessment. It outlines the pediatric assessment triangle of appearance, breathing, and circulation. It describes how to assess the airway, breathing, circulation, disability, and exposure in children (the ABCDE approach). Vital signs like respiratory rate, heart rate, and blood pressure are reviewed according to age. The document also provides classifications for triage like stable, respiratory distress, shock, and respiratory and circulatory failure. Treatment approaches are suggested according to classification.

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    di 23

    Triage

    Anak
    Antonius Pudjiadi

    s
    pa
    Na

    Pe
    na
    m

    aya
    Up

    pil
    an

    Pediatric Assessment Triangle

    Sirkulasi Kulit

    Penampilan

    Pe
    na
    m

    pil
    an

    Tonus
    Interactiveness
    Consolability
    Look/Gaze
    Speech/Cry

    Upaya Napas

    aya
    Up

    Suara napas abnormal

    s
    pa
    Na

    Posisi khusus
    Retraksi
    Napas cuping hidung

    Sirkulasi Kulit

    Pucat
    Mottled
    Sianosis
    Sirkulasi Kulit

    Syok

    Gawat Napas
    N

    Gangguan SSP/Metabolik

    Gagal Napas & Sirkulasi

    ABCDE
    Airway
    Breathing
    Circulation
    Disability
    Exposure

    Jalan Napas
    Bebas
    Dapat dipertahankan
    Perlu intubasi
    Tersumbat

    Pernapasan
    Frekuensi sesuai usia
    Upaya napas
    Keluar/masuk udara
    Warna kulit (sianosis)

    Frekuensi Napas Sesuai Usia


    Usia (tahun)

    Frekuensi Napas

    <1

    30-40

    1-5

    20-30

    5-12

    15-20

    >12

    10-15

    Sirkulasi
    Frekuensi nadi
    Perfusi
    - Kualitas nadi perifer
    - Perfusi kulit
    - Kesadaran
    Tekanan darah

    Frekuensi Nadi Sesuai Usia


    Usia (tahun)

    Frekuensi Nadi

    <1

    100-160

    1-5

    95-140

    5-12

    80-120

    >12

    60-100

    Tekanan Darah Sesuai Usia


    Usia (tahun)

    Tekanan Sistolik

    <1

    70-90

    1-5

    80-100

    5-12

    90-110

    >12

    100-120

    Tekanan Sistolik Minimal Sesuai Usia


    Usia

    Persentil 5Tekanan Sistolik (mmHg)

    0-1 bulan

    60

    >1 bulan-1 tahun

    70

    > 1 tahun

    70+(2x umur dalam tahun)

    Disability
    Kesadaran AVPU
    Fungsi batang otak
    Motorik
    - Kejang
    - Gerakan asimetris
    - Posture
    - Flasiditas

    CNS Level

    Pupil

    Oculocphalic

    Breathing

    Posture

    Thalamus

    Small, reactive

    Variable

    Cheyne-Stokes

    Normal

    Midbrain

    Mid position, fixed Absent

    Hyperventilation

    Decorticate

    Pons

    Pin-point, fixed

    Absent

    Rythmic pauses

    Decerebrate or
    flaccid

    Medulla

    Small, reactive

    Present

    Irregular

    Flaccid

    Exposure
    Ruam
    Hematoma
    Icterus
    dll.

    Klasikasi
    Stabil
    Disfungsi napas
    Gawat napas
    Gagal napas
    Syok
    Terkompensasi
    Tidak terkompensasi
    Gagal napas dan sirkulasi

    Stabil

    Pemeriksaan lebih lanjut diagnosis


    Pengobatan sesuai indikasi
    Pemantauan

    Disfungsi Napas
    Gawat Napas

    Biarkan dipangkuan
    Biarkan posisi nyaman
    Beri oksigen
    Puasakan

    Gagal Napas

    Pisahkan dari orang tua


    Pertahankan jalan napas
    Beri oksigen
    Bantuan ventilasi
    Puasa
    Pantau ketat
    Akses vaskular

    Syok
    Pertahankan jalan napas dan pernapasan
    Pasang akses vaskular cairan
    Pantau oksigenasi, perfusi
    Obat vasoaktif hanya bila volume cukup

    Gagal Napas dan Sirkulasi

    Pertahankan jalan napas dan pernapasan


    Nilai berulang-ulang
    Pasang akses vaskular

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