Rute Pemberian Glukosa untuk Pertolongan Pertama Hipoglikemia

Oleh :

dr.Eduward Thendiono, SpPD,Finasim,IDF-Fellow

Rute pemberian glukosa untuk pertolongan pertama hipoglikemia dapat dilakukan secara enteral ataupun intravena. Tujuan utama tata laksana hipoglikemia adalah untuk mendeteksi dan menangani kadar gula darah rendah sesegera mungkin.

Pedoman medis saat ini merekomendasikan pemberian glukosa rute enteral, khususnya rute oral, pada pasien hipoglikemia dengan kesadaran yang masih baik. Pemberian glukosa intravena direkomendasikan pada pasien hipoglikemia dengan penurunan kesadaran (hipoglikemia berat) karena risiko aspirasi jalan napas jika diberikan per oral.[1-4]

Pada situasi pertolongan pertama kasus hipoglikemia, pemberian glukosa melalui rute intravena sering menemui hambatan baik dalam hal akses intravena maupun ketersediaan larutan infus dekstrosa. Oleh karena itu, pemberian glukosa melalui rute enteral lebih sesuai untuk diterapkan pada situasi pertolongan pertama. Pemberian glukosa melalui rute enteral dapat dilakukan per oral, sublingual, buccal, dan kombinasi oral-buccal.[5]

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

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