Pasien penderita DM selama 10 tahun, mengkonsumsi obat metformin insulin basal. Namun beberapa hari ini insulin habis dan hanya minum metformin saja. pemeriksaan TTV 80/60 mmhg, RR 30x/menit cepat dan dalam, HR 110x/menit, suhu afebris mucosa bibir kering. pemeriksaan lab didapatkan GDS 550 mg/dl, Kalium 2,5 dan Ph 7,2, dari UL didapatkan keton (+) dan glucosuria +3.
anatomy of the pancreas
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vascularity
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A. pancreaticoduodenalis S. A from A. gastroduodenalis,
A. pancreaticoduodenalis S P from A gastroduodenalis,
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Pancreatic histology
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part
exocrine
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Trypsin, lipase, and amylase enzymes
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Diagnosis
clinis
Poliuria, polydipsia, nausea and vomiting Kusmaul's breathing (deep and frequent), weakness, dehydration, hypotension to shock, disturbed consciousness until coma
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blood
Hyperglycemia more than 300 mg / dl (usually exceeding 500 mg / dl). Bicarbonate less than 20 mEd // l (and pH <7.35)
Ketoasidosis Diabeticum
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pathogenesis
catecholamines increase, experience stress due to lack of insulin
Hyperglicemia
Osmotic dieuresis
loss of fluid in cells
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uncontrolled lipolysis
FFA
ketogenesis in the liver
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