ASUHAN KEPERAWATAN GAWAT DARURAT PADA PENDERITA KETOASIDOSIS DIABETIK DENGAN MASALAH KEPERAWATAN KETIDAKSTABILAN KADAR GLUKOSA DALAM DARAH



Amrullah, Fata Emillul (2025) ASUHAN KEPERAWATAN GAWAT DARURAT PADA PENDERITA KETOASIDOSIS DIABETIK DENGAN MASALAH KEPERAWATAN KETIDAKSTABILAN KADAR GLUKOSA DALAM DARAH. D3 thesis, Universitas Muhammadiyah Ponorogo.

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Abstract

Diabetic Ketoacidosis (DKA) is a complication of diabetes mellitus. Blood glucose instability is one of the primary nursing diagnoses in patients with Diabetic Ketoacidosis (DKA). Optimal nursing management of blood glucose fluctuations through both independent and collaborative nursing interventions is essential to anticipate the risk of persistent hyperglycemia. This case study aims to examine the implementation of nursing care for patients with DKA.
Nursing care for a patient with Diabetic Ketoacidosis experiencing blood glucose instability was carried out in the Emergency Unit and the Seruni Inpatient Ward of Dr. Harjono General Hospital Ponorogo over a four-day period, from June 10 to 13, 2025. The approach used in delivering this care followed the steps of the nursing process.
The initial assessment revealed that the patient experienced a decreased level of consciousness. Objectively, the patient appeared lethargic, with a weakened general condition, a GCS score of 6 (sopor), and supported by laboratory results indicating hyperglycemia at 555 mg/dL and positive ketone levels at 3. Nursing interventions included regular monitoring of blood glucose levels and providing education to the patient’s family regarding diabetes mellitus management. Evaluation of these interventions showed significant clinical improvement, marked by stabilized blood glucose levels, increased alertness, reduced drowsiness, and a decrease in complaints of fatigue and weakness.
The implementation of nursing care for patients with Diabetic Ketoacidosis experiencing blood glucose instability is expected to contribute as a reference for nursing practice, particularly in the management of patients with DKA and hyperglycemia.

Keywords : Diabetic Ketoacidosis, Glucose level instability

Item Type: Thesis (D3)
Uncontrolled Keywords: Keywords : Diabetic Ketoacidosis, Glucose level instability Kata Kunci : Ketoasidosis Diabetik, Ketidakstabilan Kadar Glukosa Darah
Subjects: R Medicine > RT Nursing
Divisions: Faculty of Health Sciences > Departement of Nursing D3
Depositing User: Emillul Fata Amrullah Emillul Fata Amrullah
Date Deposited: 10 Sep 2025 07:26
Last Modified: 28 Oct 2025 06:20
URI: https://eprints.umpo.ac.id/id/eprint/18152

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