Abstract :
Pendahuluan : Diabetes Melitus merupakan sekumpulan gangguan metabolik
yang ditandai dengan peningkatan kadar glukosa darah akibat kerusakan pada
sekresi insulin, pada penderita Diabetes, mengalami gangguan keseimbangan
antara transportasi gula kedalam sel yang disimpan dihati dan gula yang
dikeluarkan dihati. Angka kejadian pada penderita Diabetes Melitus Tipe ll DI
RSU UKI Jakarta sejumlah 2.126 pasien (87%). Tujuan : Karya Tulis Ilmiah ini
adalah untuk memperoleh pengalaman dalam melaksanakan asuhan keperawatan
gawat darurat pada pasien diabetes melitus tipe ll dengan tindakan primary dan
secondary survey (Airway, Breathing, Circulation, Disability, Exposure) dan
secondary survey (Anamnesa dan Head to Toe) di IGD RSU UKI Jakarta. Metode
: yang diambil adalah wawancara , pemeriksaan fisik dan studi dokumentasi.
Hasil : yang didapatkan dalam pengumpulan studi kasus diperoleh melalui
observasi kajian melalui tahap proses asuhan keperawatan meliputi pengkajian,
diagnosa keperawatan, perencanaan keperawatan dan evaluasi keperawatan sesuai
dengan primary survey serta secondary survey.Kesimpulan : permasalahan
resiko ketidakstabilan kadar glukosa darah dan Kerusakan Integritas kulit yang
memerlukan perhatian khusus perawat dalam penanganannya.
Kata Kunci : diabetes melitus Tipe II, gawat darurat. / Introduction Diabetes Melitus is a group of metabolic disorders
characterized by increased blood glucose levels due to damage to insulin
secretion. Diabetes sufferers experience a balance disorder between sugar
transport into cells stored in the liver and sugar released in the liver. The
incidence of type II Diabetes Melitus at UKI General Hospital Jakarta is
2,126 patients (87%). Purpose : This sclentific paper is to gain experience
in carrying out emergency nursing care for type II Diabetes melitus
patients with primary and secondary surveys ( Airway, Breathing,
Circulation, Disability, Exsposure) and secondary surveys (Anamnesis and
Head to Toe) in the ER RSU UKI Jakarta. The methods used are physical
examination interviews and documentation studies. Results : The results
obtained in the collection of case studies were obtained through
observational studies through the stages of the nursing care process
including assesment, nusring diagnoses, nursing planning and nursing
evaluation in accordance with the primary survey and secondary survey.
Conclusion : is that there is a risk of unstable blood glucose levels and
damage to skin integrity perfusion that requires special attention from
nursing in handling it.
Keywords: Diabetes melitus Tipe II , emergency department