Kegawatdaruratan Circulation Hiperglikemia dengan Adekuasi Kebutuhan Cairan dan Kepatuhan Diet pada Pasien Diabetes Melitus di IGD RS TK.II Moh.Ridwan Meuraksa Jakarta

Tampubolon, Firen Refnita (2022) Kegawatdaruratan Circulation Hiperglikemia dengan Adekuasi Kebutuhan Cairan dan Kepatuhan Diet pada Pasien Diabetes Melitus di IGD RS TK.II Moh.Ridwan Meuraksa Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Kegawatdaruratan pada diabetes melitus adalah suatu keadaan yang mengancam jiwa yang berkaitan dengan komplikasi akut diabetes melitus sehingga perlu mendapatkan penanganan segera. Tujuan : Melaksanakan asuhan keperawatan gawat darurat pada pasien diabetes melitus dengan tindakan primary survey, circulation dan secondary survey agar kadar glukosa dalam darah membaik, lelah atau lesu menurun, jumlah urine membaik. Metode : Metode hasil studi kasus menggunakan deskriptif dengan proses pendekatan asuhan keperawatan, tindakan kolaborasi pemberian terapi insulin, tindakan mandiri keperawatan dengan memonitor kadar glukosa dalam darah, memberikan posisi semo fowler, mengajarkan teknik relaksasi napas dalam, serta mengedukasikan tentang makanan diet pada pasien Diabetes Melitus. Hasil : Kadar glukosa dalam darah menurun, cemas berkurang, lelah atau lesu berkurang, serta pasien tampak rileks. Kesimpulan : Pentingnya perawat Instalasi Gawat Darurat dalam memberikan pelayanan dengan cepat, tanggap dan sigap. Sikap caring terhadap pasien untuk mengatasi kecemasan serta sikap empati terlebih menjadi pendengar yang baik dengan selalu memberikan support agar pasien selalu termotivasi unuk sembuh serta pemberian tindakan mandiri, serta kolaborasi tenaga kesehatan yang tepat untuk penanganan diabetes melitus teratasi.Kata Kunci : Kegawatdaruratan, Circulation, Hiperglikemia, Cairan, Diet, Diabetes Melitus, Caring./ Emergency in diabetes mellitus is a life-threatening condition associated with acute complications of diabetes mellitus so that it needs to get immediate treatment. Objective: Carry out emergency nursing care for diabetes mellitus patients with primary surveys, circulation and secondary surveys so that blood glucose levels improve, fatigue or lethargy decreases, the amount of urine improves. Methods: The case study method uses a descriptive approach with a nursing care approach, collaborative action in providing insulin therapy, independent nursing action by monitoring blood glucose levels, providing a semi-Fowler position, teaching deep breathing relaxation techniques, and educating about diet food in Diabetes Mellitus patients. Results: Decreased blood glucose levels, reduced anxiety, reduced fatigue or lethargy, and the patient seemed relaxed. Conclusion: The importance of nurses in the Emergency Room in providing services quickly, responsively and swiftly. Caring attitude towards patients to overcome anxiety and empathy, especially being a good listener by always providing support so that patients are always motivated to recover and providing independent action, as well as collaboration of appropriate health workers for the treatment of diabetes mellitus is resolved. Keywords : Emergency, Circulation, Hyperglycemia, Fluids, Diet, Diabetes Mellitus, Caring

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