MANAJEMEN HIPERGLIKEMIA PADA PASIEN DIABETES MELITUS TIPE II DENGAN KETIDAKSTABILAN KADAR GLUKOSA DARAH DI IGD RS TK II MOH RIDWAN MEURAKSA JAKARTA TIMUR

CHRISTIANTY, RACHEL (2025) MANAJEMEN HIPERGLIKEMIA PADA PASIEN DIABETES MELITUS TIPE II DENGAN KETIDAKSTABILAN KADAR GLUKOSA DARAH DI IGD RS TK II MOH RIDWAN MEURAKSA JAKARTA TIMUR. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Latar belakang: Hiperglikemia adalah suatu keadaan dimana terjadi penningkatan kadar glukosa darah melebihi ambang batas normal yang biasanya hal ini dialami oleh pasien Diabetes Melitus Tipe II dan bisa mengakibatkan komplikasi akut maupun kronis jika penanganannya tidak benar. Instabilitas kadar glukosa darah menjadi suatu permasalahan keperawatan utama yang sering ditemukan di Instalasi Gawat Darurat (IGD). Studi kasus ini Bertujuan: untuk mendeskripsikan penanganan hiperglikemia pada pasien Diabetes Melitus Tipe II dengan ketidakstabilan kadar glukosa darah di IGD RS TK II Moh Ridwan Meuraksa Jakarta Timur. Metode: menggunakan pendekatan yang bersifat deskriptif melalui studi kasus pada pasien penderita hiperglikemia. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, serta dokumentasi rekam medis. Intervensi keperawatan meliputi pemantauan kadar glukosa darah secara berkala, memberi terapi insulin sesuai indikasi medis, pengaturan cairan intravena, edukasi kesehatan, serta kolaborasi dengan tim medis. Hasil: menunjukkan bahwa manajemen hiperglikemia yang cepat dan terintegrasi di IGD mampu membantu menstabilkan kadar glukosa darah pasien serta mengantisipasi adanya komplikasi lanjutan. Kesimpulannya, penatalaksanaan hiperglikemia yang tepat, komprehensif, dan kolaboratif sangat penting dalam meningkatkan kondisi klinis pasien Diabetes Melitus Tipe II di IGD. Kata Kunci : Hiperglikemia, Diabetes Melitus Tipe II, Ketidakstabilan Glukosa Darah, Manajemen Keperawatan, IGD / Background: Patients with Type II Diabetes Mellitus frequently experience hyperglycemia, a disease marked by increased blood glucose levels above normal. Acute and long-term problems could result from improper management. One of the most common nursing issues in the Emergency Department (ED) is unstable blood glucose levels. The purpose of this case study is to explain how patients with Type II Diabetes Mellitus who have fluctuating blood glucose levels in the TK II Moh Emergency Department are managed for hyperglycemia. East Jakarta's Ridwan Meuraksa Hospital. Methods: This study examined a patient with hyperglycemia using a case study methodology and a descriptive design. Interviews, observations, physical examinations, and documentation of medical records were used to gather data. Nursing interventions included regular monitoring of blood glucose levels, administration of insulin therapy according to medical indications, intravenous fluid management, health education, and collaboration with the medical team. Results: The findings showed that prompt and integrated hyperglycemia management in the Emergency Department was effective in stabilizing the patient’s blood glucose levels and preventing further complications. Conclusion: Appropriate, comprehensive, and collaborative management of hyperglycemia plays a crucial role in improving the clinical condition of patients with Type II Diabetes Mellitus in the Emergency Department. Keywords : Hiperglikemia, Diabetes Melitus Tipe II, Ketidakstabilan Glukosa Darah, Manajemen Keperawatan, IGD

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