obat2-kardiovaskuler-dan-diuritik.ppt

Upload: youstiana-dwi-rusita

Post on 23-Feb-2018

218 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/24/2019 OBAT2-KARDIOVASKULER-dan-DIURITIK.ppt

    1/33

    HENIK TRI RAHAYU,S.Kep.Ns

  • 7/24/2019 OBAT2-KARDIOVASKULER-dan-DIURITIK.ppt

    2/33

    Review... Anatomi cor..

  • 7/24/2019 OBAT2-KARDIOVASKULER-dan-DIURITIK.ppt

    3/33

    Aliran darah

  • 7/24/2019 OBAT2-KARDIOVASKULER-dan-DIURITIK.ppt

    4/33

    COP is the amount o !lood pumped !" ea#h$entri#le durin% a %i$en period.

    COP in a restin% adult is a!out & ' (mnt !ut $aries%reatl" dependin% on the meta!oli# needs o the

    !od".COP ) stro*e $olume + HR

    Stro*e $olume is the amount o !lood ee#ted perheart!eat. The a$era%e restin% stro*e $olume is

    a!out - m', and the heart rate is / to 0 !eatsper

    minute 1!pm2. Cardia# output #an !e a3e#ted !"#han%es in either

    stro*e $olume or heart rate.

  • 7/24/2019 OBAT2-KARDIOVASKULER-dan-DIURITIK.ppt

    5/33

    OBAT2 GANGGUAN JANTUNG

    4'IKOSI5A 6ANTUN4

    ANTI AN4INA

    ANTIARIT7IA

  • 7/24/2019 OBAT2-KARDIOVASKULER-dan-DIURITIK.ppt

    6/33

    GLIKOSIDA JANTUNG

    5i%italis

    Ut* men%o!ati pa"ah antun%

    *e%a%alan memompa6i*a me*anisme*ompensasin"a%%l dan arin%anperier , paru8

    men%alamipem!endun%an

    pa"ahantun%

    *on%esti (CH9

  • 7/24/2019 OBAT2-KARDIOVASKULER-dan-DIURITIK.ppt

    7/33

    Kegunaan digitai! "g

    ain#Ut* memper!ai*i atrial fbrilasi

    aritmia antun% d% *ontra*simio*ardium atrium "% #epat dan td*ter*oordinasi

    Ut* memper!ai*i utter atrial aritmia antun% d% *ontra*si "% #epat

    8:; den"ut(menit

  • 7/24/2019 OBAT2-KARDIOVASKULER-dan-DIURITIK.ppt

    8/33

    $ara %er&a #

    7en%ham!at pompa natrium: *alium me Ca intraseluler *ontra*sisera!ut mio*ard le!ih eesien

    5i%italis memp. ; *hasiat pd mio*ardp>lam!at den"ut 2

    ;. 5romotropi* ne%ati 1me: hantaran sel8

    antun%2

  • 7/24/2019 OBAT2-KARDIOVASKULER-dan-DIURITIK.ppt

    9/33

    Kontraktilitas

    miokard

    Me- edema

    me ekskresi cairan

    kerja jantung

    me COP, me- preload,

    memperbaiki aliran darah perifer & ginjal

    Me- retensi cairan di

    paru & ekstremitas

  • 7/24/2019 OBAT2-KARDIOVASKULER-dan-DIURITIK.ppt

    10/33

    9arma*o*ineti* ? arma*odinami*

    E9EK TERAPEUTIK

    7e@ *ontra*si antun%7e@ sir*ulasi

    7e@ perusi arin%an

    5i%o*sin