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Kelompok B5

Tutor : dr.Rini

Mutiara Khalida (04111401013)
Imam Arief Winarta (04111401018)
Charisma Tiara Ramadhani (04111401023)
Lia Mahdi Agustiani (04111401027)
Robby Juniandha (04111401034)
Beby Yohaningsih Hasanah (04111401045)
Maya Rentina (04111401055)
Arie Wahyudi Wijaya (04111401071)
Rahnowi Pradesta (04111401086)
Prabashini Ramani (04111401093)
Kirubhashini Ellanggoven (04111401100)


Skenario Kasus
Mrs B,50 years old,is a house wife. She was brought to the
emergency room of mohd.Hoesin Hospital by his family due to
short breath since 7 hours ago. She has been suffered from type 2
DM for 5 years and consumed OAD irregular. Ten days ago she
had a wound at the right foot and doesnt heal until now.
Yesterday she got fever and his wound became swollen. She also
felt nauseous ,epigastric pain ,very thirsty ,and fatigue. She
refused to eat since yesterday According to her family she started
to be disoriented since 7 hours ago.
Physical examination :
Height : 150 cm & BW : 70 kg ; delirious state
BP : 95/50 mm/Hg; PR: 110x/menit
Labolatory Results :
Random Blood glucose : 529 mg/dl
Leucocyte : 21.000/mm
3

Urinary ketone : +++
According to the examination Mrs B suffered from
Diabetic Ketoacidosis due to Uncontrolled hyperglicemia
and infection.

Klarifikasi Istilah
TShort of breath :Pernafasan dangkal
ype 2 DM : Diabetes Mellitus Tak Tergantung Insulin
(DMTTI)
OAD : Oral Antidiabetik , tablet oral untuk
menurunkan glukosa darah
Wound : Kerusakan yang biasanya terbatas pada
yang disebabkan Oleh tindakan-tindakan fisik dengan
terputusnya kontinuitas normal suatu struktur.
Fever :Peningkatan suhu tubuh diatas normal
Nauseous :Berkenaan dengan atau menimbulkan
mual
Epigastric pain : Nyeri regio epigastric

lanjutan
Disoriented : Kesadaran yang menurun
Kusmaul Repiration : Pernapasan Kussmaul adalah
nafas dalam yang abnormal bisa cepat, normal atau
lambat, dan sering ditemukan pada penderita asidosis.
Pernapasan ini merupakan salah satu bentuk
hiperventilasi.
Delirious State :keadaan seperti sempoyongan
Acetone Odor : Bau aseton
Diabetic Ketoacidosis : Komplikasi metabolik akibat
diabetes
Hyperglicemia : Kadar glukosa yang tinggi
Infection :invasi dan pembiakan
mikroorganisme di jaringan tubuh



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