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  • Estimasi Jumlah Perdarahan Dan Syok Yudianto 2017

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    Mocco Ppumum
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    1. The document discusses classification of postpartum hemorrhage based on estimated blood loss, associated signs and symptoms, and appropriate actions. Blood loss of 500-1000ml is considered class 1 and requires close monitoring and fluid therapy. 2. It presents the Modified Early Obstetric Warning Scoring system (MEOWS) used to assess patients' vital signs and level of consciousness to detect deterioration. Scores are categorized as green, yellow, orange, or red to guide necessary actions and monitoring frequency. 3. Pathways are outlined for the management of abnormal MEOWS scores, with code blue activation for red scores indicating critical condition and urgent intervention needed. Orange scores require active treatment and review

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    Estimasi Jumlah Perdarahan dan Syok Yudianto 2017

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    1. The document discusses classification of postpartum hemorrhage based on estimated blood loss, associated signs and symptoms, and appropriate actions. Blood loss of 500-1000ml is considered class 1 and requires close monitoring and fluid therapy. 2. It presents the Modified Early Obstetric Warning Scoring system (MEOWS) used to assess patients' vital signs and level of consciousness to detect deterioration. Scores are categorized as green, yellow, orange, or red to guide necessary actions and monitoring frequency. 3. Pathways are outlined for the management of abnormal MEOWS scores, with code blue activation for red scores indicating critical condition and urgent intervention needed. Orange scores require active treatment and review

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    11 views9 pages

    Estimasi Jumlah Perdarahan Dan Syok Yudianto 2017

    Uploaded by

    Mocco Ppumum
    1. The document discusses classification of postpartum hemorrhage based on estimated blood loss, associated signs and symptoms, and appropriate actions. Blood loss of 500-1000ml is considered class 1 and requires close monitoring and fluid therapy. 2. It presents the Modified Early Obstetric Warning Scoring system (MEOWS) used to assess patients' vital signs and level of consciousness to detect deterioration. Scores are categorized as green, yellow, orange, or red to guide necessary actions and monitoring frequency. 3. Pathways are outlined for the management of abnormal MEOWS scores, with code blue activation for red scores indicating critical condition and urgent intervention needed. Orange scores require active treatment and review

    Copyright:

    © All Rights Reserved
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    of 9

    Kegawatdaruratan Obstetri :

    Perdarahan Pascapersalinan
    PRAKIRAAN JUMLAH PERDARAHAN
    Klasifikasi Syok Hipovolemik-Prakiraan Volume darah Dewasa
    (70mL/kgBB) Hamil T3-Postpartum (100 mL/kgBB)- Cara Benedet
    Prakiraan Persentasi
    Klasifikasi Perdarahan Tanda dan Gejala Klinis Action
    (ml) Perdarahan (%)
    0 (normal) < 500 < 10 Tidak ada
    Garis Waspada
    Perlu pengawasan ketat dan
    1 500–1000 < 15 Minimal Terapi cairan infus
    Garis Bertindak
    ↑ pulse rate
    2 1200–1500 20–25 Nadi halus Terapi cairan infus dan
    ↓ diuresis uterotonika
    ↑ prernapasan
    hipotensi postural
    hipotensi
    3 1800–2100 30–35 takikardia Manajemen aktif dan
    akral dingin agresif
    takipnu
    Manajemen aktik kritikal
    4 > 2400 > 40 Syok (risiko 50% mortalitas bila
    tidak ditatalaksana aktif)

    Benedetti T. Obstetric haemorrhage. In Gabbe SG, Niebyl JR, Simpson JL, eds. A Pocket Companion to Obstetrics, 4th edn. New York: Churchill Livingstone,
    2002:Ch 17. In: B-Lynch C, Keith LG, Lalonde AB, Karoshi M, editors. A Textbook of Postpartum Hemorrhage-A comprehensive guide to evaluation,
    management and surgical intervention. Dumfriesshire: Sapiens Publishing; 2007. p. 35-44.
    Modified Early Obstetric Warning Scoring system
    (MEOWS) chart from the Liverpool Women’s Hospital
    Score 3 2 1 0 1 2 3
    Pulse ≤ 40 41- 51-100 101- 111- > 130
    50 110 129
    RR ≤8 9-14 15-20 21-29 > 30
    Temp ≤ 35.0 35.1- 37.3- ≥ 38
    37.2 37.9
    CNS Confused Alert Respo Respo Unresp
    nse to nse to onsive
    Voice Pain
    Systo BP ≤ 70 71-80 81- 101-199 ≥ 200
    100

    Upadhyay K. Risk management and medicolegal issues related to postpartum haemorrhage. Best Practice & Research Clinical Obstetrics and
    Gynaecology 2008;22(6):1149-69
    Modified Early Obstetric Warning Scoring system (MEOWS)

    Upadhyay K. Risk management and medicolegal issues related to postpartum haemorrhage. Best Practice & Research Clinical Obstetrics and
    Gynaecology 2008;22(6):1149-69
    1. Aktivasi
    Pemantauan
    NEWSS Pasien Dewasa
    3 2 1 0 1 2 3
    Pernapasan/ <8 8 9-17 18-20 21-29 >30
    menit
    Nadi/ menit <40 40-50 51-100 101-110 111-129 >130
    Tekanan darah <70 71-80 81-100 101-159 160-199 200-220 >220
    Sistolik
    Tingkat Coma Stupor Somnolen Compos Apatis Delirium
    Kesadaran Mentis

    Suhu Tubuh <35oC 35.05-36oC 36.05- 38.05- >38.5oC


    38.oC 38.5oC

    Hijau Kuning Orange Merah


    0-1 2-3 4-5 >6
    PJ
    Aktivasi Kaji Ulang
    Merah Code Blue
    DPJP Ruangan
    Kontinu
    Perawat

    Perbaikan PJ Kaji Ulang


    Oranye Tatalaksana
    DPJP
    Ruangan tiap 1 jam

    PJ Kaji Ulang
    Kuning Asesmen ulang
    Ruangan tiap 2 Jam

    Kaji ulang
    Hijau Pasien dalam keadaan stabil Setiap
    Shif
    Pathway for the management of abnormal Modified Early
    Obstetric Warning Scoring system (MEOWS) scores

    Upadhyay K. Risk management and medicolegal issues related to postpartum haemorrhage. Best Practice & Research Clinical Obstetrics and
    Gynaecology 2008;22(6):1149-69

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