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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

    1

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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(