PENATALAKSANAAN KETOASIDOSIS DIABETIK (KAD)

Abstract

Diabetic Ketoasidosis (DKA) is metabolic disturbance disorder that be signed by trias hyperglycemia, acidosis, and
ketosis, which one of very serious acute metabolic complication of diabetes mellitus. In Indonesia the incidence was not so
high compare than the western countries, but the mortality is still high. In young age the mortality can be prevented by early
diagnosis, rational and prompt treatment according to it!s pathophysiology. Succesfull of DKA treatment needs correction of
dehidration, hyperglycemia, acidosis, and electrolyte disturbance, identiÞ cation of comorbid precipitation factor, and the most
important one was continue monitoring. The treatment were adequate of ß uid therapy, sufÞ cient insulin theraphy, therapy of
potassium, bicarbonate, phosphat, magnesium, hyperchloremic condition, and antibiotic administration according to indication.
The important one was also awarness for therapy complications so that the therapy not to make worsening condition of the
patients.