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    Hipoglikemia

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    RC Ria Chairul
    The document discusses hypoglycemia, including its signs and symptoms, classification based on blood glucose level, and treatment. Hypoglycemia is defined as a blood glucose level below 70 mg/dl and can cause neurogenic or neuroglycopenic symptoms. Treatment involves bolus doses of dextrose 40% based on blood glucose level, with the goal of achieving a level over 100 mg/dl and resolving clinical symptoms.

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    Hipoglikemia

    Uploaded by

    RC Ria Chairul
    169 views13 pages
    The document discusses hypoglycemia, including its signs and symptoms, classification based on blood glucose level, and treatment. Hypoglycemia is defined as a blood glucose level below 70 mg/dl and can cause neurogenic or neuroglycopenic symptoms. Treatment involves bolus doses of dextrose 40% based on blood glucose level, with the goal of achieving a level over 100 mg/dl and resolving clinical symptoms.

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    ria chairul

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    ppt hipoglikemia

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    The document discusses hypoglycemia, including its signs and symptoms, classification based on blood glucose level, and treatment. Hypoglycemia is defined as a blood glucose level below 70 mg/dl and can cause neurogenic or neuroglycopenic symptoms. Treatment involves bolus doses of dextrose 40% based on blood glucose level, with the goal of achieving a level over 100 mg/dl and resolving clinical symptoms.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    169 views13 pages

    Hipoglikemia

    Uploaded by

    RC Ria Chairul
    The document discusses hypoglycemia, including its signs and symptoms, classification based on blood glucose level, and treatment. Hypoglycemia is defined as a blood glucose level below 70 mg/dl and can cause neurogenic or neuroglycopenic symptoms. Treatment involves bolus doses of dextrose 40% based on blood glucose level, with the goal of achieving a level over 100 mg/dl and resolving clinical symptoms.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 13

    Hipoglikemia

     Hipoglikemia ditandai dengan menurunnya


    kadar glukosa darah < 70 mg/dl (<4.0
    mmol/L).
    1. Terdapat gejala-gejala hipoglikemia
    2. Kadar glukosa darah yang rendah
    3. Gejala berkurang dengan pengobatan
    Tanda Gejala
    Neurogenik Rasa lapar, berkeringat, Pucat, takikardia,
    (autonomic) gelisah, paresthesia, widened
    palpitasi, Tremulousness pulsepressure

    Neuroglikopenik Lemah, lesu, dizziness, Cortical-blindness,


    pusing, confusion, hipotermia,
    perubahan kejang, koma
    sikap, gangguan kognitif,
    pandangan kabur,
    diplopia
     Bila glukosa darah < 30 mg/dl, bolus 75 ml (3 vial)
    dextrose 40%
     Bila glukosa darah 30-60 mg/dl, bolus 50 ml (2
    vial) dextrose 40%
     Bila glukosa darah 60-70 mg/dl, bolus 25 ml (1
    vial) dextrose 40% setelah 15 menit pemberian
    bolus Dextrose 40% evaluasi ulang glukosa
    darah.
     Sasaran penanganan hipoglikemi adalah glukosa
    darah >100 mg/dl dan gejala klinis akibat
    hipoglikemi hilang.
    Klasifikasi GDS Dextrose 40%
    Berat < 30 mg/dl bolus 75 ml
    (3 vial)
    Sedang 30-60 mg/dl bolus 50 ml
    (2 vial)
    Ringan 60-70 mg/dl bolus 25 ml
    (1 vial)

    Cek 15 menit
    Blood glucose level should now be 4mmol/L or above.
    Give 20g of long acting carbohydrate e.g. two biscuits / slice of bread / 200-
    300ml milk/ next meal containing carbohydrate (give 40g if IM glucagon
    has been used)
    For patients with enteral feeding tube Give 20g quick acting
    carbohydrate via enteral tube e.g. 50-70ml Ensure Plus ®Juice or
    Fortijuice®. Check glucose after 10-15 minutes. Repeat up to three
    times until glucose > 4.0mmol/L. Refer to full guideline for further
    management
    DO NOT OMIT SUBSEQUENT DOSES OF INSULIN.
    CONTINUE REGULAR CAPILLARY BLOOD GLUCOSE
    MONITORING FOR 24 TO 48 HOURS.
    REVIEW INSULIN / ORAL HYPOGLYCAEMIC DOSES. GIVE
    HYPOGLYCAEMIA EDUCATION AND REFER TO DIABETES
    TEAM

    *GLUCAGON MAY TAKE UP TO 15 MINUTES TO WORK AND


    MAY BE INEFFECTIVE IN UNDERNOURISHED PATIENTS, IN
    SEVERE LIVER DISEASE AND IN REPEATED
    HYPOGLYCAEMIA CAUTION IN ORAL HYPOGLYCAEMIC
    AGENT- INDUCED HYPOGLYCAEMIA

    **IN PATIENTS WITH RENAL/CARDIAC DISEASE, USE


    INTRAVENOUS FLUIDS WITH CAUTION. AVOID FRUIT JUICE
    IN RENAL FAILURE
     Bila hipoglikemia belum teratasi, dipertimbangkan
    pemberian antagonis insulin spt: adrenalin, kortison dosis
    tinggi, atau glukagon 0,5-1 mg IV/ IM (bila penyebabnya
    insulin).
     Bila pasien belum sadar, GDs sekitar 200 mg/dL.
     Hidrokortison 100 mg/4 jam selama 12 jam atau
    deksametason 10 mg IV bolus dilanjutkan 2 mg tiap 6 jam
    & manitol 1,5 - 2 g/kgBB IV setiap 6-8 jam, cari penyebab
    lain penurunan kesadaran.
    Terimakasih

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