Penatalaksanaan Syok Anafilatik.doc

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PENATALAKSANAAN SYOK ANAFILATIK

Reaksi Anafilatik?

HINDARKAN/HENTIKAN paparan alergen yang diketahui/dicurigai

CARI BANTUAN !

Evaluasi Airway, Breathing, Circulation

-

Bebaskan jalan nafas Berikan oksigen dengan sungkup muka 8-10 liter/menit (sesuai indikasi)

Baringkan pasien dengan posisi kaki lebih tinggi ± 300

-

Pasang Infus

Hubungi Dokter Anestesi bila diperlukan intubasi

Berikan suntikan Adrenalin/Epinephrin SC/IM : Anak 0,1 - 0,3 cc (maksimal 0,3 cc) Dewasa 0,3 – 0,5 cc (maksimal 0,5 cc)

Ulangi suntikan Adrenalin 10 – 15 menit (maksimal 3x pemberian), bila : -

Observasi keadaan pasien

PEMBERIAN KORTIKOSTEROID 1. Hidrokortison  Anak : 7-10 mg/Kg BB (IM)  Dewasa : 100-500 mg (IM) 2. Methylprednisolon  Anak : 50 mg (IV)  Dewasa : 125-250 mg (IM) 3. Dexamethason  Anak : 0,5 mg/Kg BB (IV)  Dewasa : 20 mg (IV)

SBP < 90 mmHg atau Nadi > 150 x/menit

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