Manajemen Perawatan Pasien Kritis dengan Ketoasidosis Diabetikum di ICU

  • Ahmad Yun Jufan Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)
  • Untung Widodo Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)
  • Wiramas Ikhsan Gafar Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)
Keywords: hyperglycemia, insulin, intensive care unit, diabetic ketoacidosis

Abstract

Diabetic ketoacidosis (DKA) is a syndrome of insulin deficiency and counterregulatory hormone excess
that causes excessive production of glucose and ketones, but their use is reduced, causing ketoacidosis and hyperglycemia. The purpose of this case report is to review the pathophysiology of DKA and the current management of DKA relevant to anesthesiologists, especially in intensive care unit (ICU) settings. DKA therapy includes adequate fluid requirements, restoration of metabolic consequences of insulin insufficiency, correction of electrolyte and acid-base imbalances, introduction of causes or triggers and treatment; and avoid complications. A better understanding of the pathophysiology of DKA and its aggressive and uniform approach to diagnosis and management has reduced mortality.

Author Biographies

Ahmad Yun Jufan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Untung Widodo, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Wiramas Ikhsan Gafar, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK UGM)

Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

Published
2019-03-01
How to Cite
Jufan, A. Y., Widodo, U., & Gafar, W. I. (2019). Manajemen Perawatan Pasien Kritis dengan Ketoasidosis Diabetikum di ICU. Jurnal Komplikasi Anestesi, 6(2), 29-39. https://doi.org/10.22146/jka.v6i2.7351