ASUHAN

KEGAWATDARUR
ATAN NEONATUS
HIPOGLIKEMIA
Dosen Pengampu: Ajeng Hendianti, SST., M.Keb
 Topic

Definisi Etiologi Patofisiologi

Hipoglikemia Hipoglikemia Hipoglikemia

Penatalaksanaan
Gejala Pemeriksaan
Bagi Bayi
Hipoglikemia Penunjuang
Hipoglikemua
 Definisi Hipoglikemia

* *
Kadar glukosa di bawah 40 mg/dL
Suatu penurunan abnormal kadar setelah kelahiran berlaku untuk seluruh
gula darah atau kondisi bayi baru lahir atau pembacaan strip
ketidaknormalan kadar glukosa reagen oxidasi glukosa
serum yang rendah. di bawah 45 mg/dL yang
dikonfirmasi dengan uji glukose darah.
 Etiologi Hipoglikemia
Kelainan yang dapat menyebabkan pemakaian glukosa berlebihan yaitu :

Defek pada produksi

Hiperinsulinemia energi alternatif
Dapat menyebabkan pemakaian Dapat mengganggu penggunaan
glukosa secara berlebihan akibat lemak sebagai energi, sehingga
rangsangan dari pengambilan tubuh sangat tergantung pada glukosa
glukosa oleh otot.

Defek pada Sepsis atau penyakit

pelepasan glukosa dengan hipermetabolik
(siklus krebs) Terjadi akibat
Jarang terjadi. termasuk hipertiroid
proses pembentukan ATP darı
oksidasi glukosa yang terganggu
 Etiologi Hipoglikemia
Kelainan yang dapat menyebabkan pemakaian glukosa berlebihan yaitu :

Simpanan glukosa Kelainan

yang tidak adekuat Hormonal
(Premature, hipoglikemia ketotik dan Diakibatkan oleh hormon pertumbuhan
malnutrisi). Sering menjadi penyebab dan kortisol yang berperan pada proses
hipoglikemia. pembentukan energi alternative dan
merangsang dari produksi glukosat

Kelainan pada Toksin dan penyakit

produksi glukosa di lain (etanol salisilat,
hepar
Produksi glukosa yang menurun malaria)
dapat terjadi melalui beberapa defek
termasuk blockade pada pelepasan
dan sintesa glukosa atau blockade
glukoneogenesis.
 Patofisiologi Hipoglikemia

Metabolisme Glukosa pada

Sistem Endokrin
Janin

*. *.
 Gejala Hipoglikemia pada Neonatus dan Bayi

5.
1. Iritabilitas Hipotoni
2. Tremor 6.
Takipnea
3. Kesulitan 7. Sianosis
makan 8. Apnea
4. Letargi
 Pemeriksaan Penunjang Hipoglikemia

* Sistem Endokrin

Bayi yang memiliki resiko harus Pemeriksaan lain yang dapat

dilakukan pemeriksaan kadar
glukosa darah. Kadar glukosa darah
dapat diukur dengan menggunakan
glukometer
dilakukan adalah pemeriksaan
serum terhadap kadar insulin kortisol,
hormon pertumbuhan, elektrolit darah,
ses fual hati dan pemeriksaan formal
gula darah puasa (OCTD)
 Mother and Baby Infographics

Baby
Skin to Skin
Mercury is the closest
Weight
Venus has a beautiful
planet to the Sun in the name, but is also hot,
Solar System even hotter than Mercury

Lactancy Baby Wash

Saturn is a gas giant, Despite being red, Mars is
composed mostly of a very cold place full of
hydrogen and helium iron oxide dust
 Mother and Baby Infographics

Weighing Sleeping Bathing Eating Learning

Jupiter is the Despite being Saturn is a gas Neptune is the Mercury is the
biggest planet red, Mars is a giant and has farthest planet closest planet to
of them all very cold place several rings from the Sun the Sun
 Mother and Baby Infographics

Mercury Venus
Mercury is the closest It’s the second planet
planet to the Sun from the Sun

Saturn Mars
It’s composed mostly of Despite being red, Mars is
hydrogen and helium actually a cold place

Jupiter Earth
It’s the biggest planet in It’s the planet where we
the Solar System all live on
 Mother and Baby Infographics

Venus Earth Mercury Saturn

Venus is the Earth is the Mercury is the It’s composed of
second planet planet where we smallest planet hydrogen and
from the Sun all live on of them all also of helium
 Mother and Baby Infographics

Listen him Comfort him Breastfeed him

Venus is the second Earth is the planet where Mercury is the closest
planet from the Sun we all live on planet to the Sun

Sleep him again Control him Feed him

It’s the biggest planet in Despite being red, Mars is It’s composed mostly of
the Solar System actually a cold place hydrogen and helium
 Mother and Baby Infographics

Mercury
Mercury is the
closest planet to
the Sun

Saturn Jupiter
It’s composed It’s the biggest
mostly of hydrogen planet in the entire
and helium Solar System
 Mother and Baby Infographics

65% 90% 40% 20%

Venus Earth Mercury Saturn

Venus is the Earth is the Mercury is the It’s composed of
second planet planet where we smallest planet hydrogen and
from the Sun all live on of them all also of helium
 Mother and Baby Infographics

Mercury Venus
Mercury is the closest It’s the second planet
planet to the Sun from the Sun

Saturn Mars
It’s composed mostly of Despite being red, Mars is
hydrogen and helium actually a cold place

Jupiter Earth
It’s the biggest planet in It’s the planet where we
the Solar System all live on now
 Mother and Baby Infographics

Fruits & Vegetables

25% Mars is a very cold place

Cereals
30% Earth is where we live on

Milk
45%
100% Mercury is the closest to the Sun

Paps
65% Venus has a beautiful name
 Mother and Baby Infographics

Mercury Venus
Mercury is the closest Venus has a beautiful
planet to the Sun in the name, but is also hot,
Solar System even hotter than Mercury

Saturn Mars
Saturn is a gas giant, Despite being red, Mars is
composed mostly of a very cold place full of
hydrogen and helium iron oxide dust
 Mother and Baby Infographics

Mercury
Saturn
Jupiter
Venus
Mars
Earth
 Mother and Baby Infographics

Jupiter Mars Saturn Neptune

Jupiter is the fifth Mars is the fourth It’s a gas giant with an Neptune is the eighth
planet from the Sun planet from the Sun average radius of and farthest known
and the biggest in the and, despite being red, about nine times that planet from the Sun.
Solar System it’s a cold place on planet Earth It’s an ice giant
 Mother and Baby Infographics

Mercury Venus
Mercury is the closest Venus has a beautiful
planet to the Sun in the name, but is also hot,
Solar System even hotter than Mercury

Saturn Mars
Saturn is a gas giant, Despite being red, Mars is
composed mostly of a very cold place full of
hydrogen and helium iron oxide dust
 Mother and Baby Infographics

2 Months Despite being red, Mars is a very cold place

It is the ringed one. It is composed of hydrogen and helium 4 Months

6 Months It’s a gas giant and the biggest one in the Solar System

Mercury is the closest planet to the Sun 9 Months

 Mother and Baby Infographics

40 % 20 %

Mercury Venus
Mercury is the closest It’s the second planet
planet to the Sun from the Sun

30 % 10 %

Saturn Mars
It’s composed mostly of Despite being red, Mars is
hydrogen and helium actually a cold place
 Mother and Baby Infographics

100% 45% 40%

Diapers Cradle Lull the Baby
Venus is the Earth is the Mercury is the
second planet planet where we smallest planet
from the Sun all live on of them all
 Mother and Baby Infographics

Mercury is the smallest

planet of them all Calm the baby 1

Saturn is a gas giant

and has rings Define routines 2

Jupiter is the biggest

planet of them all Give him a toy 3

Despite being red, Mars Don’t sleep with

is a cold place 4
him
 Mother and Baby Infographics

0-6 Months 6-12 Months 1-2 Years 2-3 Years 3-6 Years

Venus is the second Earth is the planet Mercury is the It’s composed of Neptune is very far
planet from the Sun where we live on smallest planet hydrogen and helium away from Earth
 Mother and Baby Infographics

Spending
Fast Rehabilitation Flexible Schedule Cancer Prevention
Venus is the second Earth is the planet
Reduction
Mercury is the smallest It’s composed of
planet from the Sun where we live on planet of them all hydrogen and helium
 Mother and Baby Infographics

Milk Paps
Venus is the Mercury is the
second planet smallest planet
from the Sun of them all

Cereals Fish
Earth is the It’s composed of
planet where we hydrogen and
all live on also of helium
 Mother and Baby Infographics

95% 80%
Bath Sleep
Venus has a beautiful Saturn is composed
name and is the second mostly of hydrogen and
planet from the Sun helium and has rings

50% 75%
Food Control
Jupiter is a gas giant Despite being red, Mars
and the biggest planet in is actually a cold place
the entire Solar System full of iron oxide dust
 Mother and Baby Infographics

55 % 45 %

Mercury Jupiter
Mercury is the closest Jupiter is a gas giant and
planet to the Sun and the the biggest planet in the
smallest of them all Solar System
 Mother and Baby Infographics

25%
Venus
Venus has a beautiful
name, but is also hot,
45 % even hotter than Mercury

Saturn
Saturn is a gas giant,
composed mostly of
hydrogen and helium 30 %
Mars
Despite being red, Mars is
To modify this graph, click on it, follow the link, a very cold place full of
change the data and paste the new graph here iron oxide dust
 Mother and Baby Infographics

0 Mercury
Mercury is the closest 60 %
1 planet to the Sun in the
Solar System

0 Venus
Venus has a beautiful 60 %
2 name, but is also hot,
even hotter than Mercury

0 Saturn
Saturn is a gas giant, 75 %
3 composed mostly of
hydrogen and helium
 Mother and Baby Infographics

Jan Feb Mar Apr May Jun

Mercury is the closest planet

1st Revision to the Sun

It’s composed mostly of

2nd Revision hydrogen and helium

It’s the biggest planet in the

3rd Revision Solar System

Despite being red, Mars is

4th Revision actually a cold place
 Mother and Baby Infographics

Mercury 15% 30% Neptune

Mercury is the closest Neptune is the farthest
planet to the Sun and the planet from the Sun and
smallest of them all the fourth-largest one

Mars 25% Earth

Despite being red, Mars is Earth is the third planet
very cold. The planet is from the Sun and the only
full of iron oxide dust that harbors life
30%
 Mother and Baby Infographics
Fast
Fast Weight Bleeding Cancer Spending
Rehabilitatio
Loss Reduction Prevention Reduction
Jupiter is the Despite being Saturn is a gas
n
Neptune is the Mercury is the
biggest planet red, Mars is a giant and has farthest planet closest planet to
of them all very cold place several rings from the Sun the Sun
Mother and Baby Infographics

10 % 25 %
Good Sleep
Colics
Posture
Saturn is composed Despite being red,
mostly of hydrogen Mars is actually a
and also helium very cold place

55 % 30%
Sleep Hour Diapering
Earth is the third Jupiter is a gas
planet from the giant and the
Sun. We live on it! biggest planet
 Mother and Baby Infographics

2022
JA FE MA AP MA JU
JUL
AU
SEP
OC NO DE First Vaccine
N B R R Y N G T V C You can enter your
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 Mother and Baby Infographics

Mercury
1st
Mercury is the smallest planet

Mars
2nd
Mars is red and a cold place

Jupiter
3rd
It’s the biggest of them all

Venus
4th
Venus is terribly hot