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Journal : Jurnal Komplikasi Anestesi

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Terapi Pengganti Ginjal pada Sepsis disertai dengan Status Hiperosmolar Hiperglikemia dan Cedera Ginjal Akut Mutiara, Gunawan; Indriasari
Jurnal Komplikasi Anestesi Vol 8 No 1 (2021): Volume 8 Number 1 (2021)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v8i1.7491

Abstract

Acute kidney injury was a complication recently occurred in critical ill patients of ICU. A 64-years-old man came to emergency department with chief complain of lump originated at colli dextra accompanying with diffcult of breathing symptom. Patient was diagnosed with septic shock due to deep neck abcess complicated with AKI and uremic encephalopathy, diabetes mellitus type 2 with hyperosmolar hyperglycemia state. Patient was treated to manage dehydration, high blood glucose, and source control of infection, then patients was transferred to ICU with support of mechanical ventilator. The major problem of this patient were decrease of consciousness and diffculty in treating AKI stage because there were increase in serum ureum and creatinine level even though urine production was excessive. Patients condition was improved and could be extubated after performing renal replacement therapy on the sixth day. On patient with sepsis and AKI, renal replacement therapy was one of the modalities considered to support management in critically ill patients in ICU.
Co-Authors Achmad Pahrul Rodji Agustanhakri Andrameda Ardiansyah Arfiana Army Zaka Anwary, Army Zaka Asy’ari, Gilang Maulana CHANDRA PURNOMO ADJIE Darmiyanti, Lydia DEDY RAMADHAN Dwi Lestari Elvita Nora Susana Ezra Oktaliansah FAJAR RIVANI Ferianto Gali Pribadi Gita Puspa Artiani Gita Puspa Artiani, Gita Puspa Gumelar, Muhammad Dikdik Gunawan Mutiara, Gunawan Husin Indrijarso Lydia Darmiyanti M RIFQI BADRIANSYAH Mardiaman Martua Sihombing, Sahat Mirahati MUHAMMAD ARDIYAN DENYADI Muhammad Rifa'i Mumtaz Muthiah Ramadhani Putra Rahayu Rajagukguk, Lamser Riyan Prasetyo RIZKI HERWANSYAH Sahat Martua Sihombing Saputra Saudi Situmorang, Hendrik Kristian Susilo Yulianto, Susilo Taqwatomo TEGUH SIANTURI Yonas Prima Arga Rumbyarso YULIANI