MANAJEMEN HIPOKALEMIA PADA PASIEN DENGAN  KRISIS HIPERGLIKEMIA

Dewi Rachmawati

doi:10.35334/borticalth.v4i1.1950

MANAJEMEN HIPOKALEMIA PADA PASIEN DENGAN KRISIS HIPERGLIKEMIA

Dewi Rachmawati

Abstract

Krisis hiperglikemia merupakan salah satu kegawatdaruratan metabolik yang dapat menyebabkan kematian atau kecacatan. Komplikasi yang sering terjadi pada pasien krisis hiperglikemia adalah hipokalemia. Komplikasi ini merupakan kondisi life-threatening electrolyte abnormalitas yang berhubungan dengan cardiovascular emergency yangÂ berkontribusi terhadap terjadinya aritmia yang menggancam nyawa bahkan sampai kematian. Tujuan literatur ini mengetahui manajemen hipokalemia pada pasien dengan krisis hiperglikemia. Sumber literatur dari artikel elektronik seperti ScienceDirect, Pubmed, Cochrane Library dengan kriteria publikasi periode 2000-2016, pencarian menggunakan kata kunci management, hypokalemia, hyperglycemic, crises. Hasil penelusuran didapatkan 21 artikel tentang prevaleni, monitoring dan menajemen hypokalemia pada hiperglikemia, hanya 7 artikel yang memenuhi kriteria inklusi. Literatur review menunjukkan bahwa penanganan krisis hiperglikemia dengan pemberian insulin akan memperberat kondisi hipokalemia. Karena hipokalemia merupakan abnormalitas elektrolit yang mengancam nyawa maka diperlukan manajemen yang tepat pada pasien krisis hiperglikemia yang mengalami hipokalemia. Penatalaksanaan hipokalemia yang tepat dengan monitoring terus menerus oleh perawat akan mencegah terjadinya aritmia, cardiac aresst bahkan kematian pada penderita.

Keywords

Manajemen, hypokalemia, hiperglikemia

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References

Arora, Cheng, Wyler, & Menchine. (2012). Prevalence of Hypokalemia in ED Patients with Diabetic Ketoacidosis. American Journal of Emergency Medicine, 30, 481â€“484. doi: doi:10.1016/j.ajem.2011.01.002

Carlotti, George-Hyslop, Bohn, & Halperin. (2013). Hypokalemia during Treatment of Diabetic Ketoacidosis: Clinical Evidence for an Aldosterone-Like Action of Insulin. The Journal of Pediatratric, 163(1), 207-212. doi: doi.org/10.1016/j.jpeds.2013.01.007

Cherlene, Pedrick, & Harland. (2013). Hyperglycemic Crises: Managing Acute Complications of Diabetes. Texas: National Center of Continuing Education. Diakses https://nursece.com/pdfs/620_HyperglycemicCrisis.pdf

Choudhry, Rajeshwari, Gururaja, Prabhu, & Ravishankar. (2014). Retrospective Correlation of Fasting Glucose and Glycated Hemoglobin with Serum Electrolytes, Urea and Creatinine in Diabetic Patients. Asian Pacific Journal of Tropical Disease, 4, 5385-5388. doi: 10.1016/S2222-1808(14)60475-8

Circulation. (2005). Part 10.1: Life-Threatening Electrolyte Abnormalities. American Heart Association Journals, 4(2), 112. doi: 10.1161/CIRCULATIONAHA.105.166563

Connally. (2002). Critical Care Monitoring Considerations for The Diabetic Patient. Clinical Techniques in Small Animal Practice, 17(2), 73-78. doi: doe10.1053/svms.2002.33039

Dhatariya. (2014). Diabetic Ketoacidosis and Hyperosmolar Crisis in Adults. Medicine, 42(12), 723-726. DOI: https://doi.org/10.1016/j.mpmed.2014.09.012

Fadini, Kreutzenberg, Rigato, Brocco, Marchesan, Tiengo, & Avogaro. (2011). Characteristics and Outcomes of the Hyperglycemic Hyperosmolar Non-Ketotic Syndrome in a Cohort of 51 Consecutive Cases at a Single Center. Diabetes Research and Clinical Practice, 94, 172-179. doi:10.1016/j.diabres.2011.06.018

Fowler. (2009). Hyperglycemic Crisis in Adults: Pathophysiology, Presentation, Pitfalls, and Prevention. Clinical Diabetes, 27(1), 19-23. doi: https://doi.org/10.2337/diaclin.27.1.19

Glossop, Stanworth, & Whiteside. (2012). Controversies and Pitfalls in the Management of Hyperglycaemic Crises in Critically ill Diabetic Patients. Trends in Anaesthesia and Critical Care, 2, 10-14. doi:10.1016/j.tacc.2011.10.002

Goguen, & Gilbert. (2013). Hyperglycemic Emergencies in Adults. Canadian Journal of Diabetes, 37, 572-576. doi: http://dx.doi.org/10.1016/j.jcjd.2013.01.023

Gouveia, C. F, & Chowdhury, T.(2013). Managing Hyperglycaemic Emergencies: an illustrative Case and Review of Recent British Guidelines. Clinical Medicine (London, England), 13(2), 160â€“2. doi:10.7861/clinmedicine.13-2-160

Huang, Kuo, Shu-Chun, Chien, Lin, Hung-Jung, Guo, Chen, Wei-Lung, . . . Su, Shih-Bin. (2013). Predicting the Hyperglycemic Crisis Death (PHD) Score: a New Decision Rule for Emergency and Critical Care. American Journal of Emergency Medicine, 31, 830-834. doi: http://dx.doi.org/10.1016/j.ajem.2013.02.010

Kitabchi, Umpierrez, Murphy, & Kreisberg. (2006). Hyperglycemic Crises in Adult Patients With Diabetes. Diabetes Care, 29(2), 2739-2749. doi: DOI: 10.2337/dc06-9916

Kjeldsen. (2010). Hypokalemia and Sudden Cardiac Death. Experimental & Clinical Cardiology, 15(4), e96-e99. Diakses di https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016067/pdf/ecc15e096.pdf

Liamis, Liberopoulos, Barkas, & Elisaf. (2014). Diabetes Mellitus and Electrolyte Disorders. World Journal of Clinical Cases, 2(10), 488-496. DOI: 10.12998/wjcc.v2.i10.488

McNaughton, Wesley, Self, & Slovis. (2011). Diabetes in the Emergency Department: Acute Care of Diabetes Patients. Clinical Diabetes, 29(2), 51-59. DOI: https://doi.org/10.2337/diaclin.29.2.51

Nanette, & Catherine. (2010). Glucose and Electrolyte Disorders General Medical Care: Emergent Medical Care (Vol. 3). Philadelpia: Mosby Elsevier.

Ness-Otunnu, & Hack. (2013). Hyperglycemic Crisis. The Journal of Emergency Medicine, 45(5), 797-805. doi: http://dx.doi.org/10.1016/j.jemermed.2013.03.040

Nyenwe, & Kitabchi. (2011). Evidence-based Management of Hyperglycemic Emergencies in Diabetes Mellitus. Diabetes Research and Clinical Practice, 94, 340-351. doi: doi:10.1016/j.diabres.2011.09.012

Omrani, Afkhamizadeh, & Kitabchi. (2005). Hyperglycemic Crises in Diabetic Patients. International Journal of Endocrinology and Metabolism, 1, 52-61. Diakses http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.900.5078&rep=rep1&type=pdf

Pollock, & Funk. (2013). Acute Diabetes Management Adult Patients With Hyperglycemic Crises and Hypoglycemia. AACN Advanced Critical Care, 24 (3), 314 - 324. DOI: 10.1097/NCI.0b013e31829b7d38

Quality & Patient Safety Committee, (2014). Clinical Policies, Procedures & Guidelines. Rhw.

Vishnu, VY; Kattadimmal, A; Rao, S; Kdhiravan, T. (2014). Sporadic Hypokalemic Paralysis Caused by osmotic Diuresis in Diabetes Mellitus. Journal of Clinical Neuroscience, 21, 1267-1268. doi: 10.1016/j.jocn.2013.10.024.

Westerberg. (2013). Diabetic Ketoacidosis: Evaluation and Treatment. American Academy of Family Physicians, 87(5), 337-346. Diakses dari https://www.aafp.org/afp/2013/0301/p337.pdf

DOI: https://doi.org/10.35334/borticalth.v4i1.1950