Pathways Chf.doc

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PATHWAY CHF (CONGESTI HEART FAILURE) / GAGAL JANTUNG

Kelainan otot jantung

Aterosklerosis

HT

Peradangan & peny. Miokardium degeneratif

G3 metabolisme

Kontraktilitas Ventrikel kiri gagal memompa darah yg datg darri paru

Forward failure

Backward failure

Stroke volume Renal flow

Tekanan akhir ventrikel kiri

Cardiac output /CO Tek. drh

ADH

RAA Retensi Na

kelelahan Aktivitas

Bendungan atr.ium kiri

Peningkatan volume intravaskuler

Intoleransi aktivitas

Bendungan & tek. Vena pulmo

Edema paru Tek.diastol akhir ventr kiri meningkat

Capillary refill

Perubh.perfusi jar

Cairan mengalir dari kapiler paru ke alveoli Penumpukan cairan di alveoli

Pembuangan sisa katabolisme

Retensi cairan

Sekresi Aldosteron

Tek.atr kiri

Perfusi jar

Ekstrimitas dingin

Penimbunan cairan Pola nafas tdk efektif

dispnue

Pembesaran vena hepar

Edema ekstrimitas bwh

Tek vena porta mningkat

Tek.atrium kanan

Edema rongga mata Cairan trdorong ke rongga abdomen

Bendungan atrium kanan Tek. pd vena sistemik

Ascites

hepatomegali

Nyeri akut

G3 keseimb cairn: vol cairan >

Mual

Nutrisi kurang dari keb tbh

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