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    Manifestasi Klinis: Pulse Deficit

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    Shaastie
    The document discusses acute limb ischemia, including: 1. The clinical manifestations include pulse deficit, pallor, paralysis, paresthesia, and poikilothermia. 2. Diagnosis involves physical examination of the extremities and assessment of pulses, color, temperature, and sensory and motor function as well as patient history and risk factors. 3. Management includes high-flow oxygen, IV heparin, conservative treatment for mild cases, and surgical interventions like embolectomy or bypass surgery for severe cases. Complications include a high mortality rate of around 20% and compartment syndrome. Prognosis is generally poor for limb function and survival.

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    Manifestasi Klinis: Pulse Deficit

    Uploaded by

    Shaastie
    18 views6 pages
    The document discusses acute limb ischemia, including: 1. The clinical manifestations include pulse deficit, pallor, paralysis, paresthesia, and poikilothermia. 2. Diagnosis involves physical examination of the extremities and assessment of pulses, color, temperature, and sensory and motor function as well as patient history and risk factors. 3. Management includes high-flow oxygen, IV heparin, conservative treatment for mild cases, and surgical interventions like embolectomy or bypass surgery for severe cases. Complications include a high mortality rate of around 20% and compartment syndrome. Prognosis is generally poor for limb function and survival.

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    The document discusses acute limb ischemia, including: 1. The clinical manifestations include pulse deficit, pallor, paralysis, paresthesia, and poikilothermia. 2. Diagnosis involves physical examination of the extremities and assessment of pulses, color, temperature, and sensory and motor function as well as patient history and risk factors. 3. Management includes high-flow oxygen, IV heparin, conservative treatment for mild cases, and surgical interventions like embolectomy or bypass surgery for severe cases. Complications include a high mortality rate of around 20% and compartment syndrome. Prognosis is generally poor for limb function and survival.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    18 views6 pages

    Manifestasi Klinis: Pulse Deficit

    Uploaded by

    Shaastie
    The document discusses acute limb ischemia, including: 1. The clinical manifestations include pulse deficit, pallor, paralysis, paresthesia, and poikilothermia. 2. Diagnosis involves physical examination of the extremities and assessment of pulses, color, temperature, and sensory and motor function as well as patient history and risk factors. 3. Management includes high-flow oxygen, IV heparin, conservative treatment for mild cases, and surgical interventions like embolectomy or bypass surgery for severe cases. Complications include a high mortality rate of around 20% and compartment syndrome. Prognosis is generally poor for limb function and survival.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 6

    Manifestasi Klinis

    Pulse deficit Pain

    Pallor 6P Paresthesia

    Paralysis Poikilothermia

    • Kasirajan K & Ouriel K. Current Options in the Diagnosis and Management of Acute Limb Ischemia. Progress in Cardiovascular NURSING. Winter 2002;17(1):26-34.
    Diagnosis

    PEMERIKSAAN FISIK
    ANAMNESIS - Bandingkan ekstremitas kanan dan kiri
    - Gejala yang muncul pada ekstremitas - Pulsasi
    - Faktor Risiko - Lokasi
    - Warna dan temperature
    - Fungsi sensoris dan motorik

    • Gunawan H, Isnanta R, Syafri Z & Hasan R. Iskemia Tungkai Akut. Indonesian Journal Chest & Critical Care Medicine. 2017;4(2):14-22.
    Management

    Initial Long Term


    Management Management
    • High-flow oxygen • Pengurangan mortality risk
    • IV Heparin cardiovascular
    • Olahraga teratur
    • Berhenti merokok
    • Antiplatelet : Aspirin / clopidogrel
    • Antikoagulasi : warfarin

    Conservative Management Surgical Intervention


    • Rutherford 1 & 2a : Heparin Rutherford 2b
    • Pemantauan APTT • Embolic : Embolectomy, Local
    intra-arterial Thrombolysis, &
    Bypass surgery
    • Thrombotic disease : Local
    intra-arterial thrombolysis,
    • TeachMe Surgery. 2020 March 31. Acute Limb Ischaemia. Angioplasty, Bypass surgery/
    https://teachmesurgery.com/vascular/peripheral/acute-ischaemia/[diakses 23 Agustus 2021].
    Diagnosis Banding

    • Chronic limb ischaemia


    • Acute DVT (Phlegmasia cerulea dolens)
    • Peripheral nerve compression

    • TeachMe Surgery. 2020 March 31. Acute Limb Ischaemia. https://teachmesurgery.com/vascular/peripheral/acute-ischaemia/[diakses 23 Agustus 2021].
    Komplikasi & Prognosis

    Komplikasi Prognosis
    - Mortality rate sekitar 20% - Memiliki prognosis yang buruk tidak hanya
    - Sindrom kompartemen untuk anggota tubuh tetapi juga untuk
    - Hiperkalemia kelangsungan hidup

    • TeachMe Surgery. 2020 March 31. Acute Limb Ischaemia. https://teachmesurgery.com/vascular/peripheral/acute-ischaemia/[diakses 23 Agustus 2021].
    • Obara H, Matsubara K, & Kitagawa Y. Acute Limb Ischemia. Annals of Vascular Diseases. 2018;11(4):443-48.
    KESIMPULAN

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