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Algorithm Kel 3

1. The document provides an algorithm for treating septic shock that includes administering IV fluids, oxygen, antibiotics, and monitoring vital signs. 2. If certain criteria are not met like blood pressure, urine output, oxygen saturation, or central venous pressure, it recommends further interventions like additional IV fluids, vasopressors, or blood transfusions. 3. The goal is to stabilize the patient within 6 hours by meeting targets for blood pressure, urine output, oxygen levels, and central venous pressure and then continue treatment as an inpatient.

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190 views1 page

Algorithm Kel 3

1. The document provides an algorithm for treating septic shock that includes administering IV fluids, oxygen, antibiotics, and monitoring vital signs. 2. If certain criteria are not met like blood pressure, urine output, oxygen saturation, or central venous pressure, it recommends further interventions like additional IV fluids, vasopressors, or blood transfusions. 3. The goal is to stabilize the patient within 6 hours by meeting targets for blood pressure, urine output, oxygen levels, and central venous pressure and then continue treatment as an inpatient.

Uploaded by

Anonymous 5zeOnd1
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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ALGORITMA SYOK SEPTIK

 ABCs, IV, O2
Suspect Infeksi:
1. Pneumonia  Test:
2. Infeksi Kulit 1. Chest X-Ray Oleh Kelompok 3:
3. UTI 2. Kultur Darah
4. Meningitis 3. Urinalisis & Kultur 1. Winda Husnatul Setiani (006)
5. Infeksi Abdomen Urin
4. Tes Malaria 2. Suci Arthayani (007)
6. Infeksi Penggunaan
Kateter 5. Tes HIV jika >1 tahun 3. Adelia Indriani (013)
7. Penyakit Flu/ Virus/ 6. FBC, RFTs, LFTs,
PT/PTT
4. Adellia Putri (033)
Jamur
+ 5. Levy Ernawati (034)
FBC: Full Blood Count
2 atau lebih tanda-tanda
RFTs: Renal Function Tests
SIRS: LFTs: Liver Function Tests;
1. HR>90 PT/PTT: Prothrombin
2. SBP<90 Time/Partial
3. MAP< 65 Thromboplastin
4. Suhu <36◦C atau >38◦C Time
5. RR>20

SIRS: Systemic Inflamatory


Response Syndrome IVF: 2 Bolus NS atau LR
selama 1 jam

Diberikan Antibiotik
dan dikontrol rutin

Yes IVF: Memberikan kembali 1


SBP <90 Bolus NS atau LR, dan observasi
apakah ada oedem paru
No

Kesulitan Yes Pasang Ventilasi dan


Bernapas (SaO2 Lakukan Tes BGA
<93%)
Berikan dopamine 5
No Pasang CVC
Yes Yes mcg/kg/mnt lalu
MAP <65 (Central Venous CVP >8
naikkan menjadi 5 q
Catheter)
10 mnt
No

Berikan NS atau LR

No hingga CVP mencapai


No
Yes antara 8-12

Seluruh masalah sudah


teratasi, jika: Yes
1. Semua Tahap dilakukan
dalam <6 jam, dengan: MAP >65
 MAP >65 (or SBP >90)
Berikan Transfusi
 Urine Output >0,5 No
Hemoglobin ≥9 Berikan Steroid (100 No
cc/kh/jam
mg HC IV) jika pasien
 CVP 8-12
 SaO2 ≥93% resistant terhadap
dopamine

Yes

Di rawat Inap: Kestler, Andrew., et al. 2013. The development of an emergency sepsis care algorithm in
ICU, Bangsal Botswana. African Journal of Emergency Medicine (2013) 3, 116–123.
http://dx.doi.org/10.1016/j.afjem.2013.03.006
Dellinger, R. Phillip., et al. 2013. Surviving Sepsis Campaign: International Guidelines for
Management of Severe Sepsis and Septic Shock: 2012. Society of Critical Care
Medicine and the European Society of Intensive Care Medicine.
DOI:10.1097/CCM.0b013e31827e83af

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