Prinsip Terapi Cairan dan Elektrolit pada Ketoasidosis Diabetikum Anak
DOI:
https://doi.org/10.55175/cdk.v51i9.1078Kata Kunci:
Diabetes tipe 1, KAD anak, ketoasidosis diabetikum, terapi cairanAbstrak
Ketoasidosis diabetikum (KAD) adalah salah satu komplikasi pada pasien anak dengan diabetes tipe 1 dengan morbiditas dan mortalitas cukup tinggi. Cairan dan koreksi elektrolit merupakan komponen terpenting dari terapi KAD pada anak. Hidrasi dapat menurunkan hormon kontraregulasi, meningkatkan pembersihan glukosa pada ginjal, dan meningkatkan sensitivitas insulin. Tujuan pemberian cairan untuk mengisi cairan intravaskular, interstisial, dan intraseluler. Namun, sampai saat ini masih terjadi perdebatan mengingat risiko edema serebri atau bahkan edema paru.
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