Anda di halaman 1dari 5
Penatalaksanacin, Hiporahitemia Hipogli kenaia ~ ehilags ecerng — fenggurcaan insn don O10 ge a bee ‘sihentenica + dg ange bret ted gin 75 Menpehebban login prrien Wala lagu Reonyet, \togiitenia Abelomrye , Roryotst gnyal bahay ati Gambaran Hunt Thsion —Wpoglitenia Aopat Keqecti > gamaran Minis 3. Bila leipdgitemia Hast terlalo erat + 7mgide Nansaagen cmp = Rasa Lapeer berebinan - ot > Gemetiran ~ Nod ope = Rerkemrgat 2. baat Go 4 <4 mpl — Gyala Marogitopeit = fouranan Faaclaron + apati, somaten hone Stag oracy Dm yy Dun erodaronye dutta GD dawn — koma Hipogiitenia ~ Fey Knap 3. Hipogitenia mutlak 2 tiegitenia ap Wa ade gyele + GD S7oryla 5 gyda foal sence vamun 60> pomp v cal orang dy OY Viezan7 s09-4m, Roman brn wena’ 00 stb bie gp manuncilhen Segre Haein & paren we = Bia bony gota Spats +00 -€ 7 mgldh 4. Vpegitnis erat * Manca guypls neurmgitoges + GOS 7 eyldt ~ Taye: gyote + © 4 rgiat Kegauatdaniratan & Hipodlikernia Wage aca ini ya!!! ae Pethatkan ma Feuangan ~ Pasion Baek gedar + Gute Renee gitopentt- (outiar bn <4 wg/at D anton gula 2 2-3 fendet gl, perwen, tee mnie @ Seot Wea wenudston ferrell bitogitovia lanena datlon — ot pertathan Cann Kia deat ty v © waual pacen Wigngitemin dam 2. te, Raman faien Merpurst wsutin Formers — fti penrehabrya Inka ign ¥ Kero hat achig in bees weit dan so pct 46 dom + Maat pecan Wpoyitenia 1-3 — Mitek sin Yi tvtam + ada Giveicd mpuri Mase tan = fom , ae pone Heat Aaa 2% gam v eee tetas sun tut faust Abestan Fepe re09 febclum maton poy —+ fondion fm 8 ington 6 Jodten gimeiril werpdi eg D Ga bin bas renpunbten deere A tw ae — angen, bitecia 5. Katte a 2. Uh. dam Romaian j “Taye eadaran® 9 We gam foweien Bia etaderan alum cme —? wlan fem. GD dan ang anlton. Bagaimana Y Kadi bila 6D tide bite bolus, wait wonyedi Ho vg fae wey an Yarana tayet Kis wempertanantun 60 Lampe 200- Bagaimang bila Srdah 200 , Svdah aati 2 bel dan elm sodar gage? + Jangan until 4 Picton fenpeleabryn Wal lain! QD Bm sedah 3% SoBe eckme 401 — Ting belum fedat [> bch arnt. Widetation lao my ep gm [ Stems 1s gem CO Fenteron aye} fw Wen dargan Dexamcrson 10% vb | oman Yeon @ dane Kemudlan thant 2m. feta poten, da yh aMteton ep) + Fan de 1h toot iy mont (4 Jon) & eons Aeaidsion sda Gerd beye Pajory 6=lhgor = Meakonyn dibernn Cay C yom 4 Math dak fadae !? Gai Penyehobs loin!” Koreplitasi = Gute, woutay C Keenan ela 7 wondae) + Bi pacen pin Het Ha aici — cogs Mend Stale i reunlogings, My iq — Perhattan Hinds + Ge GD reqeral! igogitens aoe Catve 7 fener Hipeegi Femi ~ Kegan ipagiitonia ditatrton emergency !!? Bia paven divi 3. Koma Reasons (00) 2. Koma Wipergitemia Non fete Crttow) Todi wengobaben fersrang emetqoncy ipurgitemia Yuhen nya de edor 6D. yang Ci pi ma eal sh gombaem His ai abar. Tldek tice megatten henpm 8° 6. DEA CDisbetie Ketoaridony) Bagainonts weryan srring Wdoaidhey? 1 Hpuritenia 7 62 3 Am mpi 3. Aeidora PH 738 3. Ketone bende etm di uri. abu tates ato fatiet di doh. div Rena aor tecperant Fetigarye. —? area orig ado dopa tad gn 04 gd geet Dany faepacon 1 Menai Feds Metanicne HAD dan FHON Mekanisme KAD dan KHONK ee fale | ‘omens © Bia Uipoting Ramey hebat Kad inggy ak berlnyet fe 1 tebondorts 4 Dan yy baat kad adalah fentghetnn potestns © dia tipoting tomy Wat Kejed? stingy Sak beaggt Fe bebondbrts 4 Dan yy beet Keds adalah feninghtan potetns » Tapa gitageclos — atan teed pacar prin Yo bulcsihan beigaryn senghayTion Utiissi Ploduby — funersban gion yy beturang ghten TA ports TA i te Glee “ay at A gideneaqenss — Yryagenis ag 6 gpa: ® Jat Vin yerton itv ih banyak prleaion — wate 5 ype aden fore Wipecermoler avere adarrn Sarggion & (aK dipca Fat fol coat a mergalo broke) © Kelow Viptis nym ry Wericbiban Ate chan ower Faves, Namun Via prokolct hestevinan dorgan pelon priests prokin = dan hops Fome Rarer Won bf Mowigatsi bein KHONK + Proses: hari— minggu * Gejala hiperglikemia : 3° + Penurunan berat badan, mual, muntah, dehidrasi KAD + Proses: <24h + Gejala hiperglikemia: 3° + Penurunan berat badan, ‘mual, muntah, dehidrasi + Penurunan kesadaran ‘*Turgor kulit menurun | « Penurunan kesadaran + Kussmaul + Turgor kulit menurun + Nyeri perut + Tanda fokal neurologi! Kejang nt on = HAO te binvaryn agat pean — Yarann aidehuli ds his Waal duly. emung., wala mate 4 Mureal gupla hipergitonia —* 8B, mal, murah, denideas ¥ Nyt pout + Fucmoul <— Petar Keadaran — fata KONE proesme stan lebiln Law lagi (Hat - mine). Seng etal dy fuk recy /Hyeng fortor Rencesr FAD dan How = Tea sulin yg tak qgrtral ings’ Gung) ~ Yy leinym + panbeeattic. ick Nickart, CvA,, Dw te I, eryhertan femberon niin L Inger cond Hegre i pv waryaston eoron tenbaragtair — ylawasi y berger — Got — erasers = Beat'an 3g dapat velan Got berttopertd, Rand agen ingetoranatit (Adecamin dam terbuline) ¥ + Matanza (Hex hpogttem’ taai dibeiban Hidrokertisom dan dena: + Tord (HCC) bat Waactens + dobstanin Ly orion fungal 75 tye 2 Abert vation + wenden Nulbnye gute dara — KO Vriteria Dragnoti AD 4 EitOWE Kriteria Diagnostik KAD dan KHONK y= Seumeverse >250mg/a >280me/>250mg/e1_>e00ne/ sew 25730 TooweT = 1000 Vinetoore face rte awe CS areas) |S I Ee sae Verse Vrntle == Vratle0 ome, maoner — | >10 oa v2 anata Mortatsane | Aer At /onay Soren Spore Sete onli ante corns peeeecstne Soest ania sees fada FAD Karena Pada tote Bale leu Us ~ Koon wm goa andors Prins Penateatvannan Hrs per gitemia: 1. Tompi Cairo, Ueto insu) © fareng orm cicsis 2. bard & “Yarn da bette ornate divrens —+ menghoryit fan WE eum 3. Fordbsi elainan ata - Bate Karena Pit yang fundak dan pert ditch 4. Reaghotan Wingo dagan_innatin "tak bleh deyan ono Uni tego cepat “thet aching yun” (Wovempid tw video) 5. Abst Paktor Percent = UnRe Infor miokard 6 dengan wanimbukan byte Prowtel Pepatalatianaan fap dan FtoNE 1 Ge gula Fapiter dan Yao dara /urtn une weytonfimar’ behwa aderya lnpergitent dan fem / etme 2. Mul dg Caicary — — Nek 097 1 Llggm LW) L We open ain pte? + Taro lagi 1 quo bagi L Tethatthen Salve deideasi = Fasten (aban facdiogeni- got! lorena cron hare tee teherat = Nema Wikir fetdioge syst? sow Verena bai dla Aipet diction don 21 gece wit. + mh ~ Seat Suda bers ian Brcluasi um Nat Feiaw He adn dg tat acehidms sesewrang 45 Natl 0.417. bys ag bebe alaleh wee 0,464 3. Remberian (edn = Bester ertawa Vali witout IV Ort U/ige8 v Wok BESO, > henrh bolus Io un ’ ida Whur bnew latvton aap Mulai dy On U/tgpetY) L alge BB soby, bars mule ds, 5 unite Laat GO tudo ditt, 00 + awe musi gn IumpaiWpogitowin- 1 brags ferggenean nodin 00F - on U/tg/hr W. 4 -Rotasum / tau = Fatana dia ornate pes ditvres ~ Tap ba 733 - Bo wig = fa Adehct pong 5. Menilai Kputyhan rersitan prt dab. + dike > sa milg/L 4 Tidak — besten Ua KL fehonpa = PH dark trun — Liarbonat u/ 4 Nomen al faba ens oy eryalaran A ele dy 2 ult 5 unt Lectonbargan tin adalah Bb dan fader 6D waht tae ie aru GD 4 5-79 5 JAC Pade femberan ferrin — Mate usin dipertahanton v hi ga paste. pergoleman taleo CD ang MAN 40 Hy» Famer funn “TD —+ tute di pothantan ‘ bm elve boun tgs 9. Hi petthantan 4 Tam telga tans ba?! wa ates S53 megle gue = Bar vonat Filo Pencelos ? Poses pees feieaya aad liga mmokard Baan det fire Pmoteret, sulin, hak dalam pombertan iim ank You. rp SO unt sain shor stig dalam 48 NAC 0.9% (syrage pum maa Recepatn DRIP CRITICAL TLL, 25 e/hm, ‘ce 6am. ka penarsnan + 0D» 75mq/dl—:tarakan dons inetn 05 c/a 0050-75 mg/dl perabanan duis insti = 0D Prandi dan asl uma kebutvban 24 jam : dss insulin selama 6 far 4~ x1, Kebuan incl pton 80% x ee 10) = has 2 (SON rani og 3 dan SO se) 2 jun scbelu af ip tsi, ols asl bas sea! abun, ‘ek faim pr 6am. Mork Kt dala 200 NaCl 0925 abl dalam Jar ea ke 35 mmol/L 40. 33-45. 2089 K45-sSmmoy. 109 K>55 mmol/L es cn «250 mg/h gntins dengan 05% 60 «100 mg/h stop tsa Ni: (Dera untak protokol KAD, KHONK, critical epson tae deka (trpsang NGT) dal pri dose krakl la paten take Mak adekuat (per oral atu nuts), bern dengan desis kore sebaal bert €0<100 —:insuln tidak dberkan (60 100-200 :dosisveap 160200300543 609300245

Anda mungkin juga menyukai