Daftar Diagnosa Terbaru
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Article No. 24479 | 15 Mar 2026
Klinis : A 73 year old lady presented to Accident & Emergency having had a fall followed by acute right hip pain and inability to weight bear with no other injuries. Past medical history included learning disability, osteoarthritis, hearing impairment, epilepsy and hypertension but no previous diagnosis of diabetes with a normal blood sugar on admission. She was independently mobile with the assistance of one carer for personal care and activities of daily living. Imaging showed she had a right intracapsular neck of femur fracture which was fixed the following day with a right hip hemiarthroplasty. Two days after surgery she had some vomiting, developed an acute kidney injury (AKI) an and later that night he her oxygen saturations dropped to 92% on 35% oxygen and she was initiated on treatment for aspiration pneumonia. She remained nil by mouth for high risk of recurrent aspiration pneumonia. Speech and language therapy (SALT) team input agreed with recommendation for NG tube insertion. The patients' serum sodium level was found to be moderately raised (154mmol/L) on venous blood gas (VBG) which prompted blood sugar testing and was found to be 24.8mmol/L. No previous diagnosis of diabetes had been made and the patient had nad no symptoms of diabetes but was clinical dehydrated on examination. examination. Serum urea was 11.1mmol/L and serum osmolality was calculated to be 343.9mOsm/kg and serum/urine ketones insignificant in absence of acidosis. She was commenced on treatment for HHS, as per local guidelines, and gradually responded. & HbA1c was found to be 55mmol/mol and a diagnosis of type 2 diabetes was made. Diabetes team input was provided, and the patient was commenced on regular insulin 3 days after diagnosis.
ICD-SDKI: SDKI
Diagnosa:
DIAGNOSE SDKI:
Kondisi: Risiko Ketidakstabilan Kadar Glukosa Darah
Kode SDKI: D.0010
Deskripsi Singkat: Risiko terjadinya variasi kadar glukosa darah di luar rentang normal.
Kode SLKI: L.07120
Deskripsi : Kadar glukosa darah dalam rentang normal.
Kode SIKI: I.01292
Deskripsi : Memonitor kadar glukosa darah.
Kondisi: Risiko Infeksi
Kode SDKI: D.0061
Deskripsi Singkat: Risiko meningkatnya kerentanan terhadap patogen yang dapat membahayakan kesehatan.
Kode SLKI: L.15001
Deskripsi : Bebas dari infeksi.
Kode SIKI: I.01225
Deskripsi : Memonitor tanda dan gejala infeksi.
Kondisi: Risiko Aspirasi
Kode SDKI: D.0013
Deskripsi Singkat: Risiko masuknya sekret oral, gastric, atau orofaringeal ke dalam jalan napas.
Kode SLKI: L.04001
Deskripsi : Bebas dari aspirasi.
Kode SIKI: I.01227
Deskripsi : Memonitor risiko aspirasi.
Kondisi: Nyeri Akut
Kode SDKI: D.0180
Deskripsi Singkat: Pengalaman sensorik dan emosional yang tidak menyenangkan akibat cedera jaringan aktual atau potensial, yang muncul tiba-tiba atau lambat, dengan intensitas ringan hingga berat, dan diperkirakan berakhir dalam waktu 3 bulan.
Kode SLKI: L.03001
Deskripsi : Kontrol nyeri.
Kode SIKI: I.08001
Deskripsi : Manajemen nyeri.
Kondisi: Defisit Perawatan Diri: Mandi, Berpakaian, Toileting, Makan
Kode SDKI: D.0160
Deskripsi Singkat: Ketidakmampuan untuk melakukan aktivitas mandi, berpakaian, toileting, dan makan secara mandiri.
Kode SLKI: L.09001
Deskripsi : Perawatan diri terpenuhi.
Kode SIKI: I.09001
Deskripsi : Bantuan perawatan diri.
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Article No. 24480 | 15 Mar 2026
Klinis : DS: - Ny. W mengatakan kadang merasa pusing memikirkan kondisi ekonomi. - Ny. W mengatakan sering merasa sedih karena sudah 1 tahun tidak bertemu cucunya. DO: - Penghasilan keluarga sekitar Rp1.500.000/bulan. - Ny. W tinggal hanya dengan satu anak karena suami dan dua anak lainnya bekerja di Jakarta.
ICD-SDKI: SDKI
Diagnosa:
DIAGNOSE SDKI: ```html