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    DC Shock: DR Buyung Span DR Ruddi Span

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    tebehidayatullah
    1. The document provides instructions for administering DC shock using defibrillator paddles. It explains how to position the paddles on the chest and set the correct joule level for defibrillation. 2. The steps for defibrillation include turning on the defibrillator, positioning the paddles on the chest, charging to 360 joules, clearing everyone from the patient before shocking, and pressing the paddle buttons to deliver the shock. 3. The document also lists indications for defibrillation and synchronized shock, and provides guidelines for defibrillation strategies and medications for cardiac arrest due to VF or VT.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    DC Shock: DR Buyung Span DR Ruddi Span

    Uploaded by

    tebehidayatullah
    24 views12 pages
    1. The document provides instructions for administering DC shock using defibrillator paddles. It explains how to position the paddles on the chest and set the correct joule level for defibrillation. 2. The steps for defibrillation include turning on the defibrillator, positioning the paddles on the chest, charging to 360 joules, clearing everyone from the patient before shocking, and pressing the paddle buttons to deliver the shock. 3. The document also lists indications for defibrillation and synchronized shock, and provides guidelines for defibrillation strategies and medications for cardiac arrest due to VF or VT.

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    5_6118365175838933005.ppt

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    1. The document provides instructions for administering DC shock using defibrillator paddles. It explains how to position the paddles on the chest and set the correct joule level for defibrillation. 2. The steps for defibrillation include turning on the defibrillator, positioning the paddles on the chest, charging to 360 joules, clearing everyone from the patient before shocking, and pressing the paddle buttons to deliver the shock. 3. The document also lists indications for defibrillation and synchronized shock, and provides guidelines for defibrillation strategies and medications for cardiac arrest due to VF or VT.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    24 views12 pages

    DC Shock: DR Buyung Span DR Ruddi Span

    Uploaded by

    tebehidayatullah
    1. The document provides instructions for administering DC shock using defibrillator paddles. It explains how to position the paddles on the chest and set the correct joule level for defibrillation. 2. The steps for defibrillation include turning on the defibrillator, positioning the paddles on the chest, charging to 360 joules, clearing everyone from the patient before shocking, and pressing the paddle buttons to deliver the shock. 3. The document also lists indications for defibrillation and synchronized shock, and provides guidelines for defibrillation strategies and medications for cardiac arrest due to VF or VT.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 12

    DC SHOCK

    Dr Buyung SpAn
    Dr Ruddi SpAn
    DC shock
    Oles dulu paddles
    dengan jelly ECG tipis
    rata, baru kemudian :

    1. Switch ON
    Pasang paddles pada posisi
    apex dan parasternal sternum
    (boleh terbalik)

    apex
    2. Charge 360 Joules DC shock
    (Non-synchronized)
    Ucapkan dengan keras :
    Awas semua lepas dari pasien!
    nafas buatan berhenti dulu
    bawah bebas,
    samping bebas,
    atas bebas, sternum
    saya bebas!
    3. Shock!! apex apex
    (tekan dua tombol paddles bersama)
    Lepas paddles dari dada,
    lanjutkan chest compression.
    4. Segera pijat jantung lagi 2 menit
    baru raba lagi/ baca lagi ECG
    Position
    of the paddles electrodes
    on thorax of an infant sternum

    apex

    Size of paddle electrode


    - 4.5 cm diameter for infants and small children
    - 8-12 cm diameter larger children
    Jelly kurang rata, menekan paddles kurang kuat - luka bakar
    INDICATIONS

    Defibrillation (Non-Synchronized DC Shock):


    VF
    Pulseless VT
    Recommended joule: 360 J

    7
    INDICATIONS

    Synchronized DC Shock (Only with unstable


    hemodynamic):

    AF
    Atrial Flutter start with 50 J
    SVT

    VT with pulse
    start with 100 J
    (despite of
    Infant and Children: 2
    medication) J/kg

    8
    DO NOT SHOCK!!!
    Asystole
    Pulseless Electrical Activity
    Bradicardia
    Heart Block
    Stable hemodynamic with AF, Atrial Flutter, SVT, &
    VT with pulse

    9
    VF / pulseless VT

    1). a single shock


    Biphasic 150-200 Joule
    Defibrilation strategy Monophasic 360 Joule
    CPR 30 : 2
    2 MINUTES, 30 : 2

    NO Check ECG
    YES
    Check pulse

    2). a single shock ROSC


    Biphasic 150-360
    Joule Recovery of
    2 MINUTES, 30 : 2 Spontaneous
    Monophasic 360 Joule
    Circulation
    Adrenaline
    VF/ VT
    Intubasi : as soon as possible, without stop CPR Pijat >100x/menit
    Nafas 8-10x/menit

    Cardiac adrenalin adrenalin


    arrest VF / VT
    2 menit 2 menit

    2 menit 2 menit
    CPR -1 Amiodaron
    a single shock a single shock a single shock a single shock
    30 : 2 a single shock
    CPR-2 CPR-3 CPR-4 CPR-6
    CPR-5
    CALL adrenalin
    FOR Amiodaron is the first choice
    HELP 300 mg, bolus. Repeated 150 mg
    Adrenaline: 1 mg, iv,
    for reccurrent VT/VF. Followed by
    PASANG repeated every 3-5
    900 mg infusion over 24 hours
    MONITOR minutes
    LIDOCAIN. Do not exceed
    a total dose of 3 mg/kg,
    Evaluasi CPR : tiap 2 menit during the first hour.
    TERIMA KASIH

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