Asuhan Keperawatan Gawat Darurat pada Pasien Diabetes Melitus Tipe II dengan Tindakan Primary dan Secondary Survey IGD RSU UKI Jakarta

Sitanggang, Drie Meises (2021) Asuhan Keperawatan Gawat Darurat pada Pasien Diabetes Melitus Tipe II dengan Tindakan Primary dan Secondary Survey IGD RSU UKI Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Pendahuluan : Diabetes Melitus merupakan sekumpulan gangguan metabolik yang ditandai dengan peningkatan kadar glukosa darah akibat kerusakan pada sekresi insulin, pada penderita Diabetes, mengalami gangguan keseimbangan antara transportasi gula kedalam sel yang disimpan dihati dan gula yang dikeluarkan dihati. Angka kejadian pada penderita Diabetes Melitus Tipe ll DI RSU UKI Jakarta sejumlah 2.126 pasien (87%). Tujuan : Karya Tulis Ilmiah ini adalah untuk memperoleh pengalaman dalam melaksanakan asuhan keperawatan gawat darurat pada pasien diabetes melitus tipe ll dengan tindakan primary dan secondary survey (Airway, Breathing, Circulation, Disability, Exposure) dan secondary survey (Anamnesa dan Head to Toe) di IGD RSU UKI Jakarta. Metode : yang diambil adalah wawancara , pemeriksaan fisik dan studi dokumentasi. Hasil : yang didapatkan dalam pengumpulan studi kasus diperoleh melalui observasi kajian melalui tahap proses asuhan keperawatan meliputi pengkajian, diagnosa keperawatan, perencanaan keperawatan dan evaluasi keperawatan sesuai dengan primary survey serta secondary survey.Kesimpulan : permasalahan resiko ketidakstabilan kadar glukosa darah dan Kerusakan Integritas kulit yang memerlukan perhatian khusus perawat dalam penanganannya. Kata Kunci : diabetes melitus Tipe II, gawat darurat. / Introduction Diabetes Melitus is a group of metabolic disorders characterized by increased blood glucose levels due to damage to insulin secretion. Diabetes sufferers experience a balance disorder between sugar transport into cells stored in the liver and sugar released in the liver. The incidence of type II Diabetes Melitus at UKI General Hospital Jakarta is 2,126 patients (87%). Purpose : This sclentific paper is to gain experience in carrying out emergency nursing care for type II Diabetes melitus patients with primary and secondary surveys ( Airway, Breathing, Circulation, Disability, Exsposure) and secondary surveys (Anamnesis and Head to Toe) in the ER RSU UKI Jakarta. The methods used are physical examination interviews and documentation studies. Results : The results obtained in the collection of case studies were obtained through observational studies through the stages of the nursing care process including assesment, nusring diagnoses, nursing planning and nursing evaluation in accordance with the primary survey and secondary survey. Conclusion : is that there is a risk of unstable blood glucose levels and damage to skin integrity perfusion that requires special attention from nursing in handling it. Keywords: Diabetes melitus Tipe II , emergency department

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