LAPORAN PENDAHULUAN Hipoglikemia

LAPORAN PENDAHULUAN HIPOGLIKEMIA A.

DEFINISI Definisi kimiawi dari hip!"kemia ada"ah !"#ksa darah k#ran! dari $%$

m m"&"% wa"a#p#n !e'a"a dapa( (im)#" pada (in!ka( !#"a darah *an! "e)ih (in!!i. +.

KLASIFIKASI Hip!"ikemi Hip!"ikemiaa ak#( men#n'#kkan men#n'#kkan !e'a"a ,riad ,riad -hipp"e. -hipp"e. ,riad ,riad -hipp"e -hipp"e

me"ip#(i /. Ke"#ha Ke"#han n adan*a adan*a kadar kadar !"#ksa !"#ksa darah darah p"asma *an! *an! rendah. rendah. Ge'a"a Ge'a"a (nm (nm seper(i )erkerin!a(% 'an(#n! )erde)ar0de)ar% (remr% "apar. $. Kadar Kadar !"#ksa !"#ksa darah *an! rendah rendah 123 mm"&L mm"&L4. 4. Ge'a"a ne#r!" ne#r!"ik ikpen penik  ik  sepe seper(i r(i )in! )in!#n #n!% !% men!a men!an( n(#k #k%% s#"i( s#"i( )er) )er)i5a i5ara% ra% ink inkr rdi dina nasi% si% peri peri"ak "ak# #  )er)eda% !an!!#an 6is#a"% pares(esi% m#a" saki( kepa"a. 3. Hi"an!n*a Hi"an!n*a den!an den!an 5epa( ke"#ha ke"#han n ses#dah ses#dah ke"ainan ke"ainan )ikim )ikimia ia dikreksi. dikreksi. Hip!"ikemia '#!a dapa( di)edakan men'adi /. ,r#e ,r#e hip hip!" !"ik ikem emi% i% di(a di(and ndai ai den! den!an an kada kadarr !"#k !"#ks saa dara darah h sewak sewak(# (# 2 78 m!&d" $. Kma Kma hip!"ike hip!"ikemi% mi% di(and di(andai ai den!an den!an kadar kadar !"#ksa !"#ksa darah sewak(# sewak(# 2 38 m!&d" 3. Reak Reaksi si hip hip!" !"ik ikem emi% i% *ai( *ai(# # )i"a )i"a kada kadarr !"#k !"#ks saa darah darah se)e se)e"# "#mn mn*a *a naik naik%% kem#dian di)eri )a( hip!"ikemi dan m#n5#" (anda0(anda hip!"ikemia nam#n kadar !"#ksa darah nrma". 9. Reak( Reak(if if hip hip!" !"ike ikemi mi%% (im)# (im)#"" (and (anda0( a0(an anda da hip hip!" !"ik ikem emii 30: 30: 'am ses# ses#da dah h makan. +iasan*a mer#pakan (anda predia)e(ik a(a# (er'adi pada an!!(a ke"#ar!a *an! (erkena dia)e(es me"i(#s. ;.

E,IOLOGI E(i"!i hip!"ikemia pada dia)e(es me""i(#s 1DM4 /. Hip!" Hip!"ikem ikemia ia pada pada s(adi s(adi#m #m dini dini $. Hip!" Hip!"ikem ikemia ia da"am da"am ran!ka ran!ka pen! pen!)a )a(an (an DM a. Pen! Pen!!# !#na naan an Ins# Ins#"i "in n  ). Pen!!#naan S#"fn*"#rea S#"fn*"#rea 5. +a*i +a*i *an! *an! "ahir "ahir dari dari i)# pasien pasien DM 3. Hip!" Hip!"ikem ikemia ia *an! *an! (idak (idak )erkai(a )erkai(an n den!an den!an DM a. Hiperi Hiperins# ns#"in "inesm esmee a"imen( a"imen(er er pas5a pas5a !as(rek !as(rek(m (mii  ). Ins#"inma 5. Pen* Pen*ak aki( i( ha(i ha(i )era )era(( d. ,#mr ,#mr eks(ra pankrea(ik% pankrea(ik%fi)r fi)rsarkma sarkma%karsi %karsinma nma !in'a"

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e. Hip ippi(# pi(#i( i(ar aris ism m D.

MANIFES,ASI KL KLINIS Manifes(asi k"inis *an! me"ip#(i /. $. 3. 9. :. 7.