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f
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• Peralatan intubasi:
– Laringoskop dengan daun lurus no. 0 (kurangbulan) dan no. 1 (cukup bulan)
– Lampu cadangan dan baterei untuk laringoskop
– Pipa ET berbagai ukuran
– Stilet
– Gunting
– Plester
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Lahir
•Cukup bulan?•Air ketuban jernih?•Bernapas atau menangis?•Tonus otot baik?
•Hangatkan•Posisikan, bersihkan jalan napas (bila perlu)•Keringkan, rangsang, posisikan kembali
Apneu atau
FJ < 100
Berikan VTP
Perawatan rutin:• Berikan kehangatan• Bersihkan jalan napas• Keringkan• Nilai warna kulit
FJ < 60
Berikan VTP danKompresi dada
Berikan epinefrin
FJ > 60
Ya
Tidak
Perawatan observasi
Perawatan Pascaresusitasi
•Evaluasi pernapasan, frekuensi jantung, danwarna kulit
Beri tambahan O2
Sianosis menetap
FJ < 60
30 dtk
30 dtk
30 dtk
Napas baik
Bernapas, FJ>100, tapi Sianosis
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Lahir
•Cukup bulan?•Air ketuban jernih?•Bernapas atau menangis?•Tonus otot baik?
•Hangatkan•Posisikan, bersihkan jalan napas (bila perlu)•Keringkan, rangsang, posisikan kembali
Tidak
•Evaluasi pernapasan, frekuensi jantung, danwarna kulit
30 dtk
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• Cara menghitung: dalam 6 dtk, dikalikan 10
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Lahir
•Cukup bulan?•Air ketuban jernih?•Bernapas atau menangis?•Tonus otot baik?
•Hangatkan•Posisikan, bersihkan jalan napas (bila perlu)•Keringkan, rangsang, posisikan kembali
Apneu atau
FJ < 100
Berikan VTP
Tidak
•Evaluasi pernapasan, frekuensi jantung, danwarna kulit
Beri tambahan O2
Bernapas, FJ>100, tapi Sianosis
Sianosis menetap
30 dtk
30 dtk
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Teknik
E-C clamp
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Lahir
•Cukup bulan?•Air ketuban jernih?•Bernapas atau menangis?•Tonus otot baik?
•Hangatkan•Posisikan, bersihkan jalan napas (bila perlu)•Keringkan, rangsang, posisikan kembali
Apneu atau
FJ < 100
Berikan VTP
FJ < 60
Berikan VTP danKompresi dada
FJ > 60
Tidak
•Evaluasi pernapasan, frekuensi jantung, danwarna kulit
Beri tambahan O2
Sianosis menetap
30 dtk
30 dtk
30 dtk
Bernapas, FJ>100, tapi Sianosis
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• Kecepatan: 120 siklus (30 ventilasi dan 90 kompresi dada)/menit
• Ventilasi:kompresi = 1:3
• Letak, kedalaman tangan harus tepat
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• 1/3 bagian bawah sternum
• Pertengahan antara xyphoid dan garis imajinerantara 2 putting susu
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Sumber: Reusitasi Neonatus dari American Academy of Pediatrics
