KETOASIDOSIS DIABETIKUM PDF

Transcript of Ketoasidosis Diabetikum. Pengantar Tahun , pasien rawat inap KAD rata-rata lama menginap hari. Kelalaian. Download Citation on ResearchGate | Gambaran Klinis Ketoasidosis Diabetikum Anak | Penelitian ini dilakukan untuk menggambarkan profil klinis ketoasidosis. Penelitian ini dilakukan untuk menggambarkan profil klinis ketoasidosis diabetikum pada anak. Data dikumpulkan dari rekam medik gambaran klinis pasien.

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The American journal of emergency medicine ; 5: Be extremely cautious to avoid cerebral edema during initiation of therapy.

Konseling psikologi dapat dianjurkan kepada pasien dan anggota kelurganya bila perubahan dosis insulin yang dilakukan dengan sengaja merupakan penyebab diabetes ketoasidosis. Selain itu, ketonuria dapat berlangsung lebih lama dari asidosis jaringan yang mendasarinya.

KAD (Ketoasidosis Diabetik) | Dokter Suvianto H L Blog

A copy of the license can be viewed at http: If desirable glucose reduction is not achieved in the first hour, an additional insulin bolus at 0.

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Bila insulin diganti dan asidosis teratasi kekurangan kalium terlihat l. In the absence of stressful situations, such as intravascular volume depletion or intercurrent illness, ketosis is usually mild 10 Retrieved 10 February Although total-body potassium is depleted, mild to moderate hyperkalemia frequently seen in patients with DKA is due to acidosis and insulinopenia.

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Keller U, Berger W. Ketoasiosis results have been reported recently in pediatric patients with DKA Thus, it was established that an intravenous loading dose of insulin would be beneficial regardless of the subsequent route of insulin administration during treatment. Acidosis and very high levels of free fatty acids could cause membrane instability and biomarker leakage. BMJ Clinical research ed.

Natural body buffers can buffer ketonemia in its early stages. Felig P, Wahren J.

Ketoasidosis Diabetikum by Sharon Simamora on Prezi

Berikan perawatan kulit dengan teratur, mesase daerah tulang yang tertekan, jaga kulit tetap kering tidak berkerut. Ketoasidosis diabetikum adalah merupakan trias dari fiabetikum, asidosis, dan ketosis yang terlihat terutama pada pasien dengan diabetes tipe Cerebral edema remains the most common cause of mortality, particularly in young children and adolescents.

Pantau berat badan setiap hari atau sesuai indikasi Rasional: Dhatariya KK, Vellanki P.

Deterioration of the level of consciousness in spite of improved metabolic state usually indicates the occurrence of cerebral edema.

These programs teach patients with diabetes how to test for urinary ketones and how to adjust their insulin regimen on sick days in order to avoid DKA.

Venous pH should be assessed every 2 hours until the pH rises to 7. Bila penderita mencapai stadium nefropati diabetik, didalam air ketoasidosls terdapat protein.

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Hyperchloremic acidosis is caused by the loss of large amounts of ketoanions, which are usually metabolized to bicarbonate during the evolution of DKA, and excess infusion of chloride containing fluids during treatment Neurological deterioration may lead to seizures, incontinence, pupillary changes, bradycardia, and respiratory arrest. Rapid and early correction of acidosis with sodium bicarbonate may worsen hypokalemia and cause paradoxical cellular acidosis.

You are commenting using your WordPress. Guidelines differ as to which dose to use when blood sugar levels start falling; some recommend reducing the dose of insulin once glucose falls below A bolus or priming dose of insulin has been used in a number of studies. The optimum pH for growth and pigment production was around 7. FFA, free fatty acid. The Memphis diabetes continuing care program. Management of adult diabetic ketoacidosis. Frequency of laboratory studies Blood tests for glucose should be performed hourly until patient is stable, then every 6 h.

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