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PEMBAHSANPENGERTIAN
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Choking pada bayi & anak
By ; Nurindarti
Causes of Breathing Emergencies
Choking Electric Shock Near Drowning Head Injuries Poisoning Asthma Severe Allergic Reactions
Anatomi jalan nafas Obstructed Airway (Choking)
PENYEBAB SUMBATAN JALAN NAPAS :
- BENDA ASING : SEKRET, DARAH DSB.
- LIDAH ( PANGKAL JATUH KE POSTERIOR).
- PEMBENGKAAN DARI PHARYNX, LARYNX
• ATAU
• EPIGLOTIS MIS : ACUT EPIGLOTIS , LARYNX
• OEDEMA.
Examples of Choking Hazards
First Aid on Emergency Nurse
• First Response– Know who to call– Know appropriate information to give dispatcher
• Provide care until EMS arrives– Check airway (A)– Check breathing (B)– Check circulation (C)
Airway
• A. head tilt• B. chin lift
AB
Sumbatan benda asing bayi sadar
1) Sandwich manuever2) Backblow 5x3) Chest trush 5x4) Periksa dengan buka
mulut jepitlidah angkat dagu (tongue jow lift)
5) Terlihat BA finger sweep
Airway Positioning
“Sniffing Position”In the child older than 2 years
Towel is placed under the head
Choking: Conscious Child or Adult
• Ask “Are you choking?” If child can’t make any sound, continue.• Stand behind child & place
your fist against stomach, just above navel. Grasp fist with other hand.• Give 5 quick upward
thrusts.• Continue until object is
coughed up or child becomes unconscious.
If child becomes unconscious, follow recommendations for unconscious child.
T19-3
Choking bayi tidak sadar
1. Chest trush 30 x2. Periksa benda dg
tounge jaw lift3. Apabila terlihat BA
finger sweep dg jari kelingking
4. Periksa nafas dg 3M
1. Chest trush 30 x2. Periksa benda dg
tounge jaw lift3. Apabila tidak terlihat
BA ventilasi 2x4. Periksa nafas dg 3M
Differences with Infants
• Open airway using one finger to lift chin.
T17-3
• Check pulse by placing 2-3 fingers on inside of upper arm, between elbow & shoulder. • Seal lips tightly
around mouth & NOSE to form a seal.
• Blow less to make chest rise & fall. Blow slowly & watch for chest to rise.
Rescue Breathing (Child)
1. Send someone to call EMS.2. Keep airway open. Pinch nose shut. Give 2
breaths.3. If air won’t go in, retilt head. Give 2 more breaths.4. Check pulse. If pulse, but no breathing, give
rescue breathing: 1 every 3 seconds.5. Check breathing and
pulse every minute.6. Continue as long as child
is not breathing or until help arrives.
7. If no pulse, give CPR.
T16-3
Open AIRWAY. Look, Listen & Feel for BREATH. IF child is NOT breathing:
Differences with Adults
• Give 1 breath every 5 seconds (about 12 per minute).
• May need to blow more air to make the chest rise and fall. Blow slowly and watch for the chest to rise.
T18-3
CPR: Children• When performing CPR on a child, modify your
technique as follows:– Perform CPR using only one hand,
and with less force.– Compress only 1 to 1.5 inches– Give 2 breath to 30 compressions
CPR: Infants
• When performing CPR on an infant:– Use only two fingers– Place them one finger below the
nipple line.– Compress 1/2 to 1 inch– Give 2 breath for every 30
compressions