[b3] skenario b blok 14
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LAPORAN TUTORIAL
SKENARIO B BLOK 14
Disusun Oleh: KELOMPOK 3
Dwi Andari Maharani !41"14!1!14#
Tia O$idi%a !41"14!1!1
'ah(ud) I*a*i Muha**ad !41"14!1!1+#
K*s, M, Te*id%(a Kurnia R, !41"14!1!1-#
Di.) /a0a%eru* !41"14!1!1#
Muha**ad Ra*2ie !41"14!1!1#
N)alia Arisand( !41"14!1!4"#
Aud( Andana R)sidi !41"14!1!4
KM S(ari5 A2har !41"14!1!4#
Rina N)i%riani !41"14!1!"#
A0i Muha**ad I67al !41"14!1!4#
As(ria 8)ssadania !41"14!1!!1#
M, Shula$sana Mani$a* !41114!1!
Tutor: dr. Fifi Julianti, Sp.PA
FAKULTAS KEDOKTERAN UNIVERSITAS SRIWIJAYA
TAHUN AJARAN 2013/2014
DA/TAR ISI
0
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KATA PEN9ANTAR,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "
KE9IATAN TUTORIAL,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 3
SKENARIO,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 4
KLARI/IKASI ISTILA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 4
IDENTI/IKASI MASALA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, &
ANALISIS MASALA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, &
KERAN9KA KONSEP,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 3!
TOPIK PEMBELA;ARAN,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 31
SINTESIS,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 31
KESIMPULAN,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 4
DA/TAR PUSTAKA,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 4
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KATA PEN9ANTAR
Pu0i s(u$ur $a*i ha%ur$an $e
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KE9IATAN TUTORIAL
Tu%)r : dr, /i5i ;ulian%i? S
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SKEA!"#
Tn, D? +& %ahun? di7awa $e ruan= =awa% darura% RSM )leh $eluar=an(a $arena %ida$
sadar se0a$ 3 0a* (an= lalu, Menuru% $eluar=an(a?
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1, Tn, D? +& %ahun? di7awa $e ruan= =awa% darura% RSM )leh $eluar=an(a $arena %ida$
sadar se0a$ 3 0a* (an= lalu, Menuru% $eluar=an(a? se7elu* %ida$ sadar? TN, D *erasa
din=in 7er$erin=a%? 0an%un= 7erde7ar>de7ar? 7adan le*as dan *erasa .e*as? se%elah
*inu* )7a% se7elu* *a$an de7ar? 7adan le*as dan *erasa .e*as? se%elah
*inu* )7a% se7elu* *a$an
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Pada $eadaan
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K)ndisi hi
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7erlan0u%
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Se*a$in la*a
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i
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sehin==a$adar=lu$)sadarahan=sur$e*a*
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=lu$)sa 7aru di$eluar$an *elalui urin 7ila =lu$)sa darah sudah .u$u< %in==i, Selain
i%u? $arena *e$anis*e haus %er=an==u seirin= den=an
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Serin= dise7u% insulin secretagogues, $er0an(a *eran=san= se$resi insulin
dari =ranul>=ranul sel 7e%a lan=erhans
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D)sis delalu harus di*ulai den=an d)sis rendah (an= $e*udian dinai$$an se.ara
7er%aha E5e$ hi
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Pen==unaan =li7en$la*id da
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• )lipiida : deria%e *e%al dari =li7en$la*id (an= 3 $ali le7ih le*ah dari
=li7en$la*ida,
• K+-2annel *lo-ker 3repa)linida# : *en.e%us$an
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dala* 0arin=an in%ers%i%ial dala* sis%e* sara5 sara5 di dala* s(s%e*
sara5 %erse7u%,
Oleh $arena i%u? 0i$a 0u*lah =lu$)sa (an= di su
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2. Dia*7il 1 7uah %es% s%ri< dari ial dan sisi
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1, Ker0a insulin a$an le7ih la*a 7ila
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7ara%?
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7ara%an :
1#, Pen=hasilan
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• Menin=$a%n(a
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• De5isiensi end)$rin : $)r%is)l? =r)w%h h)r*)ne? =lu.a=)n? dan esel B :sar.)*a? %u*)r adren)$)r%i$al? he
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0u=a le7ih a$%i5 saa% 7era$%ii%as sehari>hari? *isaln(a den=an *e*ilih
*en==una$an %an==a dari hal (an= da
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• Bila
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3, Neur)
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Dia7e%es da
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T#P"K PE(BELAJA!A
A, Dia7e%es Melli%us Ti
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*enin=$a%$an risi$) sese)ran= un%u$ *enderi%a dia7e%es *eli%us %i5a$%)r risi$) *a()r sese)ran= un%u$ *enderi%a
dia7e%es %i
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Kadar =lu$)sa darah (an= %ida$ %er$)n%r)l
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Sara5 (an=
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Saa% ini (an=
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O7a% 7i=uanides *e*
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7, N(eri )%)%
., Su$ar 7erna5as
d, N(eri
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O7a% ini se.ara susunan $i*iawi 7er7eda den=an sul5)n(lurea? na*un
.ara $er0an(a sa*a, O7a% ini *en(e7a7$an
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O7a% ini 7ai$ se$ali disera< 7ila di*inu* 7ersa*a den=an *a$anan?
dan %ida$ *en(e7a7$an hi
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(an= %ersedia dala* %i=a $e*asan? (ai%u *en=andun=
*e%5)r*in@=li7en.la*ide &!! *=@& *=? &!! *=@",& *=? dan "&!
*=@1,"& *=,
Dala* wa$%u de$a% a$an 7eredar
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KLASI/IKASI IPO9LIKEMIA
i
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3, Asu&! *= 7ila %ida$ ada $)n%ra indi$asi# a%au in0e$si =lu$a=)n
1 *= in%ra*us$ular, Ke.e
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0a*, D)sis awal de$sa*e%as)n 1! *= 7)lus dilan0u%$an " *=
se%ia< + 0a*, Pasien %e%a< *enda
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/ar*a$)dina*i$
Penurunan $adar =lu$)sa darah (an= %er0adi se%elah & *=@hari? d)sis *a$si*al "! *=@hari,
In%era$si )7a%
O7a% (an= da
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dan 14! *=@dl =ula darah sewa$%u#, Na*un? .Manfaat : 1# S$rinin= dan dia=n)sis dia7e%es *eli%us DM#?
*=@dL?
Seru* usia &>+ %ahun : +>1!! *=@dL?
Seru* usia & hari>1 %ahun : &!>! *=@dL?
S/ dewasa : 4!>-! *=@dL?
S/ 7a(i ana$>ana$ : +!>! *=@dL?
Transuda% : 3!>4! *=@dL
&"P#TES"S
Tn, D? +& %ahun? dala* $eadaan $)*a *en=ida< DM %i
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KES"(P=LA
Tn, D *en=ala*i $)*a $arena hi
"&-,
/)wler M;, (1-3
Kau$)nen KM?Ran%ala M? Pe%%ila,J? (nninen M, Seere h(