Escolar Documentos
Profissional Documentos
Cultura Documentos
Nama
Alamat
Jabatan
Riwayat Pendidikan:
- Dokter Umum, FK-USU Medan,1979
- Dokter Spesialis I Paru, FK-UI Jakarta, 1990
- Dokter Spesialis II Paru, Konsultan Asma/PPOK, Dewan Penilai Keahlian PDPI
Pusat, 1995
Pendidikan tambahan:
- Pelatihan Kanker Paru, TSUKAGUCHI Hospital, Kobe- Japan 1989
- Pelatihan PPOK, AMAGASAKI Hospital, Kobe- Japan 1990
- Pelatihan Respiratory Physiologi, JAPAN RESPIRATORY PHYSIOLOGIST
CLUB, Kyoto- Japan 1990
- Spirometry Training Course, Department of Respiratory Medicine,
National University Hospital Singapore, Singapore 1997
Respiratory Assessment
Airway
Open and Clear
Needs Intervention
Breathing
Inspection
Palpation
Percussion
Pulse Oximetry
Auscultation
Initial Assessment
Respiratory failure
Impairment in O2 uptake
Impairment
Impairment in CO2 elimination
Impairment
Both
LUNG
ACUTE RESPIRATORY FAILURE
OTHERS
Compounded by:
Inflammation/mucus production
HYPOXIA
ALTITUDE
HYPOVENTILATION
DIFFUSION ABNORMALITTY
RIGHT to LEFT SHUNT
VENTILATION-PERFUSION ABNORMALITY
ALTITUDE
INCREASE IN
ALTITUDE
HYPOVENTILATION
(DRUG OVERDOSE AND NEUROMUCULAR WEAKNESS)
PO2 AND
PCO2
DIFFUSION
ABNORMALITY
PNEUMONIE
PO2 and PCO2
ALVEOLUS IS PERFUSED
BUT NOT VENTILATED
(Extreme imbalance V/Q)
PO2
and
PCO2
Ventilation-Perfusion
Abnormality
( V/Q, 4/5 or 0.8 )
ASTHMA
COPD
EMBOLI
PO2
and
PCO2
Airway obstruction
COPD
Asthma
Heart failure
Restrictive defects
Pleural effusion
Pneumothorax
Infiltrative diseases
Atelectasis
Obesity
Abdominal distention of all types
Intertitial fibrosis of all types
DIAGNOSTIC
SUBJECTIVE
OBJECTIVE
Underlying disease
( CX examination )
Tachycardia
Hypotention
250 ml/minute
Oxygen
NORMAL CELLULAR AEROBIC RESPIRATION
Management
Acute respiratory failure
General management
( Improving the PaO2 )
Specific management
( Underlying disease )
THANK YOU
Arigato gozaimasu
Syafiuddin San : You are the Inspiring woman
Imah San
: You are the Wind beneath my wings
Arigato gozaimasu