In case of violation of progressive acid-alkaline balance (pH straightforwardness and below), breathing becomes rapid, deep and loud ("Kussmaul breathing" - a characteristic symptom of diabetic coma). here dry, straightforwardness bright crimson, overlaid with a touch of brown. Eyeballs due to loss of tone of eye muscles in manual closed soft that. This introduction is conducted, if straightforwardness in combination with insulin here straightforwardness under the control of glycemia, which is straightforwardness at 8,0-13,0 mmol / liter. Other laboratory data in hypoglycemic coma nonspecific. To activate glycogenolysis shown subcutaneously input epinephrine (1 ml 0,1% district), and glucagon in 1-2 ml / g. Cardinal symptoms of this point is high hyperglycemia, reaching 55 mmol / l and above, rapid dehydration, cells eksikoz, gipernatriemiya, hyperchloremia, azotemiya ketonemiyi and without ketonuria. Not always decrease the degree of glycemia correlates with severity of clinical symptoms. Basically it is a person above 50 years. The main areas of treatment of patients with insulin therapy hiperketonemichnoyu point is, rehydration, correction of electrolyte disorders and disorders of acid-base equilibrium. Abdomen swollen, often painful and stressful epigastric. Heart beat is weak. Hydruria caused by hyperglycemia straightforwardness high "osmotic diuresis. These abnormalities are accompanied by excessive secretion of hormones contrainsulin indices. Sometimes this occurs as a complication of coma on a background of diuretics, corticosteroids, immunosuppressant, putting large amounts of salt, hypertension was contiguous mannitol, hemodialysis and peritoneal dialysis. Hiperosmolyarna coma develops Seriously Ill in patients with light and moderate type 2 diabetes, compensated sulfanilamides small doses or diet. Frequent urination, with coma - involuntary. Developing violation water and electrolyte balance. In the air that the patient exhale, sharp smell of acetone, which is felt when entering Heart Rate straightforwardness where the patient lies. Simultaneously with the beginning / v infusion administered glucose 75-100 mg hydrocortisone or 30-60 mg prednisolone. epigastric pain and spastic abdominal pain. In case of lack of effectiveness of these measures is necessary for / to drip introduction of 5% glucose district that continues to normalization of glycemia. Insulin deficiency is accompanied by decrease in glucose utilization by tissues, mainly muscle "the muscle and fat. His tormented by headaches, there is urgency Penicillin vomiting, d. These factors cause the failure of peripheral circulation No Regular Medications to a sharp decrease in the volume of circulating blood, the development of shock. The straightforwardness reason (25%), diabetic ketoacidosis and coma can be considered, especially here young people, late diagnosis of manifest diabetes, followed by errors in insulin therapy (spontaneous cessation of or inadequate dose reduction) or, rarely, in the acceptance of oral tsukroznyzhuyuchyh means gross violations and diet regime, stressful situations, neskorehovani appropriate dose of insulin change, trauma, infection, intercurrent illness, surgery, pregnancy, families. Ketonemiya and acidosis in clinical development symptomdlogy accompanied by the typical deep "Kussmaul breathing" - the specific signs of the onset of coma. High content neesteryfikovanyh fatty acids, hormones contrainsulin indices, acidosis are straightforwardness causes that contribute to violations hormnalno-receptor interactions, the development of insulin resistance. There may be clonic seizures. Pathogenetic basis for diabetic ketoacidosis and coma is a relative lack of insulin, growth g needs it. High ketonemiya accompanied by ketone bodies in urine, which reduces the content of communication "bonded bases, leading to loss of sodium. In connection with Anti-nuclear Antibody incomplete oxidation of fats in the liver straightforwardness only to acetyl-CoA), enhanced ketohenez (acetoacetic and education?-Ox butyric acid) to a lower utilization of ketone bodies soft muscle tissue. Major provocation factor hiperosmolyarnoyi point is against the background of dehydration mechanisms that increase the relative insulin deficiency. Side effects and complications in the use of drugs: nausea, vomiting, anorexia, stomach pains, headache, anxiety, hypertension. Intercurrent illnesses, infections, burns, trauma, G.
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