Académique Documents
Professionnel Documents
Culture Documents
Moderator
dr. Ceva Pitoyo, Sp.PD, K-P, KIC
SINKOP
Sinkop
Definitions
10Antono, Dono. Dalam: Irawan C. Pitoyo C, Rinaldi I. Imels Basic II. Jakarta: Departemen Ilmu Penyakit Dalam Fakultas
Kedokteran Universitas Indonesia – Rumah Sakit Cipto Mangunkusumo; 2018; h 183 – 187
1 Setiyohadi B, Subekti I. Pemeriksaan Fisis Umum dan Kulit. Dalam: Setiati S, Alwi I, Sudoyo AW, Simadibrata M, Setiyohadi B,
Syam AF, editor. Buku Ajar Ilmu Penyakit Dalam Jilid I, Edisi ke-6. Jakarta: Interna Publishing; 2014: h. 130.
Patofisiologi dan Klasifikasi
HYPOVOLEMIC
Hemorrhagic
• Trauma
• Gastrointestinal
• Retroperitoneal
Fluid depletion (nonhemorrhagic)
• External fluid loss
- Dehydration
- Vomiting
- Diarrhea
- Polyuria
• Interstitial fluid redistribution
- Thermal injury
- Trauma
- Anaphylaxis
Distributif + + +/-
Kardiogenik - - +
Obstruktif +/- +/- +/-
Syok Hipovolemik
Management of
Hypovolaemic Shock
Skor Daldiyono
• Perfusion Targets
– Urine Output >0.5 ml/kg/h
– Lactate of less than 2 mmol/L
– Resolving base deficit
– Central Venous Oxymetry level 70-80%
– CRT <4s
– Cilinical impression of improved skin perfusion and peripheral
pulses
• Invasive Measurment Targets
– Cardiac Index of >2,5 L/min/m3
– Pulmonary artery occlusion pressure of >15 mmHg
– Echocardiogram assesment of LV end diastolic volume and CO
– Mixed venous oximetry of 70-75%
11 Garret. Shock Overview : Textbook of Adult Emergency Medicine. ameron, et all. 2009. Churchill Livingstone.
Syok Kardiogenik
Syok Kardiogenik