ASUHAN

KEPERAWATAN
DIABETES
MELITUS +
ULKUS
Nama Kelompok :
1.Wahyuni Nafisah ( 2020080001 )
2.Lilyana Arista Nur. C ( 2020080003 )
3.Dwiyky Hizbul Aulia ( 2020080004 )
4.Noviya Yuni Astari ( 2020080005 )
5.Desy Askhawati ( 2020080007 )

Dosen pengampu Istirohah, S.Kep.,Ns.,M.Kep

2
 Diabetes Melitus ?
Merupakan sekumpulan gangguan metabolik yang ditandai dengan
peningkatan kadar glukosa darah (hiperglikemia) akibat kerusakan
pada sekresi insulin, kerja insulin atau keduanya (Smelzel dan Bare,
2015).

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Definisi
Diabetes melitus (DM) adalah penyakit kronik yang terjadi ketika
pankreas tidak cukup dalam memproduksi insulin atau ketika
tubuh tidak efisien menggunakan insulin itu sendiri. Insulin adalah
hormon yang mengatur kadar gula darah. Hiperglikemia atau
kenaikan kadar gula darah adalah efek yang tidak terkontrol dari
diabetes dan dalam waktu panjang dapat terjadi kerusakan yang
serius pada beberapa sistem tubuh, khususnya pada pembuluh
darah jantung (penyakit jantung koroner), mata (dapat terjadi
kebutaan), ginjal (dapat terjadi gagal ginjal) (WHO, 2011)
Anatomi
Fisiologi
Menurut Gongzaga. B (2010), pankreas terletak melintang dibagian atas bdomen
dibelakang glaster didalam ruang retroperitonial, Menurut Gongzaga Pankreas terdiri
dari 2 jaringan utama yaitu:
a. Asinus yang menyekresi getah pencernaan ke duodenum.
b. Pulau langerhans
Pada manusia mengandung tiga jenis sel utama yaitu sel alfa, eta dan delta
{ Sel beta mengekresi insulin, sel alfa mengekresi glukagon, dan sel-sel
delta mengekresi somatostatin.}
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 “
Fisiologi pankreas
Pankreas disebut sebagai organ rangkap, mempunyai 2 fungsi yaitu sebagai
kelenjer eksokrin dan kelenjer endokrin. Fungsi eksokrin menghasilkan sekret
yang mengandung enzim yang dapat menghidrolisis protein, lemak, dan
karbohidrat, sedangkan endokrin menghasilkan hormon insulin dan glukagon
yang memegang peranan penting pada metabolisme karbohidrat. Kelenjr
pankreas dalam mengatur metabolisme glukosa dalam tubuh berupa hormon-
hormon yang disekresikan oleh sel-sel di pulau langerhans. hormon yang
merendahkan kadar glukosa darah yaitu insulin dan hormon yang dapat
meningkatkan glukosa darah yaitu glukagon.
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Next

A. Pulau Langerhans
Pulau langerhans mengandung 3 jenis sel utama yakni sel-alfa, sel
Beta dan sel delta. Sel beta mencakup kira kira 60% dari semua sel
terletak terutama ditengah setiap pulau dan mensekresikan insulin
B. Hormon Insulin
Sekresi insulin diatur oleh glukosa darah dan asam amino yang
memegang perasomatostati perangsang adalah glukosa darah. Kadar
glukosa darah 80-90 mg/ml. (Gongzaga, 2010)

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Next
Efek utama insulin terhadap metabolisme karbohidrat :
✓ Menambah kecepatan metabolisme glukosa
✓ Mengurangi kosentrasi gula darah
✓ Menambah penyimpanan glukosa ke jaringan
C. Glukagon
Glukagon adalah suatu hormon yang disekresikan oleh sel-sel alfa pulau langerhans
fungsi terpenting adalah meningkatkan kosentrasi glukosa dalam darah. (Biologi
Gongzaga, 2010) Menurut Smelzer 2015, Diabetes melitus disebabkan oleh rusaknya
sebagian kecil dari sel-sel beta dari pulau langerhans pada pankreas yang berfungsi
menghasilkan insulin, akibatnya kekurangan insulin.

8
 Etiologi
1. Diabetes Melitus tergantung insulin (DM TIPE I)
a. Genetik
b. Imunologi
c. Lingkungan
2. Diabetes melitus tidak tergantung insulin (DM TIPE II)
Menurut Smeltzel 2015. Mekanisme yang tepat yang menyebabkan resistensi insulin dan
gangguan sekresi insulin pada diabetes tipe II masih belum diketahui. Faktor genetik
memegang peranan dalam proses terjadinya resistensi insulin.
Faktor-faktor resiko :
✓ Usia (resistensi insulin cenderung meningkat pada usia di atas 65 Th)
✓ Obesitas
✓ Riwayat keluarga
9
A picture is worth a thousand words

A complex idea can be conveyed

with just a single still image, namely
making it possible to absorb large
amounts of data quickly.

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Want big impact? Use big image.

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Use diagrams to explain your ideas

Lorem Ipsum

Lorem Ipsum Lorem Ipsum

Lorem Ipsum Lorem Ipsum Lorem Ipsum Lorem Ipsum

12
And tables to compare data

A B C

Yellow 10 20 7

Blue 30 15 10

Orange 5 24 16

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 Maps

our office

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Find more maps at slidescarnival.com/extra-free-resources-icons-and-maps
89,526,124
Whoa! That’s a big number, aren’t you proud?

15
89,526,124$
That’s a lot of money

185,244 users
And a lot of users

100%
Total success!
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Our process is easy
Vestibulum congue
tempus
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Let’s review some concepts

Yellow Blue Red

Is the color of gold, butter and ripe Is the colour of the clear sky and the deep Is the color of blood, and because of this
lemons. In the spectrum of visible light, sea. It is located between violet and green it has historically been associated with
yellow is found between green and on the optical spectrum. sacrifice, danger and courage.
orange.

Yellow Blue Red

Is the color of gold, butter and ripe Is the colour of the clear sky and the deep Is the color of blood, and because of this
lemons. In the spectrum of visible light, sea. It is located between violet and green it has historically been associated with
yellow is found between green and on the optical spectrum. sacrifice, danger and courage.
orange.

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4000

3000

2000

1000

You can insert graphs from Excel or Google Sheets

19
Mobile project
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app or software projects
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Tablet project
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Desktop project
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Thanks! Any questions?
You can find me at
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Credits

Special thanks to all the people who made and released

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This presentation uses the following typographies:

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2.
Extra Resources
For Business Plans, Marketing Plans, Project
Proposals, Lessons, etc
Timeline

Blue is the colour of the Yellow is the color of Blue is the colour of the
clear sky and the deep Red is the colour of Black is the color of gold, butter and ripe White is the color of milk clear sky and the deep
sea danger and courage ebony and of outer space lemons and fresh snow sea

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Yellow is the color of White is the color of milk Blue is the colour of the Red is the colour of Black is the color of Yellow is the color
gold, butter and ripe and fresh snow clear sky and the deep danger and courage ebony and of outer space of gold, butter and
lemons sea ripe lemons

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Roadmap

Blue is the colour of the Red is the colour of danger Black is the color of ebony
clear sky and the deep sea and courage and of outer space

1 3 5

2 4 6

Yellow is the color of gold, White is the color of milk Blue is the colour of the
butter and ripe lemons and fresh snow clear sky and the deep sea

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Gantt chart
Week 1 Week 2

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Task 1

Task 2 ◆

Task 3

Task 4 ◆

Task 5 ◆

Task 6

Task 7

Task 8

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SWOT Analysis

STRENGTHS WEAKNESSES
Blue is the colour of the Yellow is the color of
clear sky and the deep sea gold, butter and ripe
lemons

Black is the color of ebony White is the color of milk

and of outer space and fresh snow
OPPORTUNITIES THREATS

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Business Model Canvas

Key Partners Key Activities Value Propositions Customer Relationships Customer Segments
Insert your content Insert your content Insert your content Insert your content Insert your content

Key Resources Channels

Insert your content Insert your content

Cost Structure Revenue Streams

Insert your content Insert your content

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Funnel

AWARENESS Insert your content

DISCOVERY Insert your content

EVALUATION Insert your content

INTENT Insert your content

PURCHASE Insert your content

LOYALTY Insert your content

32
Team Presentation

Imani Jackson Marcos Galán Ixchel Valdía Nils Årud

JOB TITLE JOB TITLE JOB TITLE JOB TITLE
Blue is the colour of the clear Blue is the colour of the clear Blue is the colour of the clear Blue is the colour of the clear
sky and the deep sea sky and the deep sea sky and the deep sea sky and the deep sea

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 Competitor Matrix
HIGH VALUE 2

Competitor
Compet
itor
Our company

Competitor

HIGH VALUE 1
LOW VALUE 1

Competitor

Competitor Competitor

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LOW VALUE 2
Weekly Planner
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

09:00 - 09:45 Task Task Task Task Task Task Task

10:00 - 10:45 Task Task Task Task Task Task Task

11:00 - 11:45 Task Task Task Task Task Task Task

12:00 - 13:15 ✔ Free time ✔ Free time ✔ Free time ✔ Free time ✔ Free time ✔ Free time ✔ Free time

13:30 - 14:15 Task Task Task Task Task Task Task

14:30 - 15:15 Task Task Task Task Task Task Task

15:30 - 16:15 Task Task Task Task Task Task Task

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