Diabetic ketoacidosis nursing
Posted on February 2, 2010
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Diabetic ketoacidosis is an acute complication of diabetes mellitus, clinical care and to strengthen measures:
(1) the establishment of special care. Close observation of blood pressure, heart rate, respiration, body temperature, consciousness, blood glucose, urine volume, urine sugar, Ketone body, blood gas analysis and electrolytes. 0.5 ~ 2 hours for each measurement of blood pressure, respiration, pulse once; mind out of quantity; every 2 hours check urine sugar and Ketone body once, 2 to 4 hours once a check of blood glucose and electrolytes.
(Two) oxygen. Patients should pay attention to suction of the coma in order to maintain airway patency. Qin stand up to burp, to prevent bedsores and hypostatic pneumonia from occurring.
(3) gastric dilatation gastric intubation.
(4), urinary retention catheter were inserted.
(5) Also in the treatment of lowering blood glucose, should not be too hasty to add lye to avoid hypokalemia, hypoglycemia, low blood osmotic pressure and brain edema and other complications; right just stop infusion patients, subcutaneous injection of insulin at night before going to sleep should 4 ~ 8U, in order to prevent the next morning there ketone bodies.
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