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INTOKSIKASI YULIA CANDRA LESTARI START
YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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Yulia Candra Lestari 166070300111008 PSMK 2016 peminatan Emergency
INTRODUCTION My profil 2 3 Yulia Candra Lestari PSMK 2016 peminatan Emergency 4 5 6 7 8 9 10 11 12 13 14 15 16 17 YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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INTRODUCTION 2 3 4 5 6 7 VIDIO 8 9 10 11 12 13 14 15 16 17 YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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INTRODUCTION PENGERTIAN 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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PENGERTIAN PENGERTIAN
Merupakan kejadian makhluk hidup atau organisme yang kontak dengan zat/substansi/agen/racun, sehingga mempengaruhi fungsi organisme tersebut. HAL PENTING DOSIS RUTE DURASI ASSESMENT PENANGANAN YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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HAL PENTING PENGERTIAN HAL PENTING DOSIS RUTE DURASI ASSESMENT
Rute Exposure Dosis / Jumlah RUTE DURASI ASSESMENT PENANGANAN YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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DOSIS atau JUMLAH Dosis terkait manifestasi dan pengaruhnya terhadap tubuh PENGERTIAN HAL PENTING Jenis Substansi DOSIS Lama paparan RUTE DURASI ASSESMENT Jumlah Zat PENANGANAN Frekuensi paparan YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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Rute exposure PENGERTIAN INGESTI HAL PENTING DERMAL DOSIS RUTE DURASI
ASSESMENT INHALASI INJEKSI PENANGANAN Efektivitas khas Route of Exposure iv > menghirup > im > menelan > topikal YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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DURASI AKUT SUB-AKUT SUB-KRONIK KRONIK PENGERTIAN HAL PENTING DOSIS
< 24 jam biasanya 1 kali paparan DOSIS SUB-AKUT RUTE 1 bulan dosis berulang DURASI ASSESMENT SUB-KRONIK PENANGANAN 1-3 bulan dosis berulang KRONIK > 3 bulan dosis berulang YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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Intoxication assessment tool
PENGERTIAN SOBER INFLUENCED INTOXICATED Speech Coherent, cleer speach, normal tone/volume, may be talkative May be more talkative, opinionated and interrupts, may stumble over words, becoming loud, inappropriate language, jokes, comment Slurring, difficulty forming words, loud, repetitive, loses train of tought, nonsensical, unintelligible Coordination Coordinated, balanced, standing without help or support Slowed or delayed reaction, swagger or occasional staggers or sways Spills drinks, stumbles, trips, weaves, walks into objects, unable to stand un aided or sit straight Appearance Tidy, clear eyes, alert Vacant or blank expression, smell of alcohol on breath, may look untidy Bloodshot eyes, eyes glazed, inability to focus, tired, asleep, dishevelled Behaviour Behaving sensibly but may b e more relaxed Over friendly or withdrawn, inappropriate or risky actions, argumentative annoying, fading attention, increase consumption rate Seriously inappropriate action or language, aggressive, rude, belligerent, obnoxious behaviour affecting other customer Monitor and serve responsibly Intervene Deny and remove HAL PENTING DOSIS RUTE DURASI ASSESMENT PENANGANAN YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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PENANGANAN PENANGANAN PENGERTIAN HAL PENTING DOSIS RUTE DURASI
PRE- HOSPITAL RUTE PENANGANAN DURASI INTRA HOSPITAL ASSESMENT PENANGANAN YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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PRE HOSPITAL Stabilkan ABC Posisikan recovery
Pertimbangkan penggunaan antidot yang sesuai atau melakukan tindakan sesuai dengan advis RS Dapatkakan tablet atau bahan kimia atau bekas botol di lokasi kejadian Berikan charcoal (kecuali substansi organik dan alkohol) Jangan menginduksi muntah Amankan subtansi muntahan Hubungi RS 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 ILUSTRASI PENANGANAN YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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PENANGANAN PRE-HOSPITAL
INTRA HOSPITAL 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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INTRAHOSPITAL Resusitasi dan stabilisasi
2 3 Resusitasi dan stabilisasi Evaluasi klinis dan penentuan diagnosa Dekontaminasi Absorbsi racun dengan eleminasi Pemberian antidotum Pemberian perawatan suportif Disposisi 4 5 6 7 8 9 10 11 12 13 14 15 16 17 YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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Dekontaminasi Dekontaminasi mata dan kulit Dekontaminasi pernafasan
2 3 Dekontaminasi mata dan kulit Dekontaminasi pernafasan Dekontaminasi GI tract 4 5 6 7 8 9 10 11 12 13 14 15 16 17 YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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YULIA CANDRA LESTARI – 166070300111008 – PSMK UB 2016 - EMERGENCY
4 5 6 7 8 9 10 11 12 13 14 15 16 17 YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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DEKONTAMINASI FINISH 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 YULIA CANDRA LESTARI – – PSMK UB EMERGENCY YULIA CANDRA LESTARI – – PSMK UB EMERGENCY
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YULIA CANDRA LESTARI – 166070300111008 – PSMK UB 2016 - EMERGENCY
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