How to deal with unconscious?
Posted on October 20, 2009
Filed Under Coma | Leave a Comment
Diabetic coma, you may have two cases: one to make because of the treatment medication is not enough or the patient is also suffering from other diseases, so that blood sugar coma caused by a sharp increase, called high blood sugar coma, diabetic ketoacidosis, such as when the caused by the hyperosmolar coma, etc.; 2 diabetes is due to the process of excessive use of hypoglycemic agents, such as the use of insulin overdose coma occurs, also known as low blood sugar coma.
Two kinds of unconscious identification, simple terms is a low blood sugar coma common muscle relaxants, the temperature drops and the smooth breathing, skin moisture, breathing without special odor; and high blood sugar coma patient, then see the deep and rapid breathing, thirst, dry skin and lips, exhaled gases are sweet like “apple” smell. In short, both the final diagnosis should rely on laboratory tests.
【Aid measures】
1, first identify the nature of unconscious distinction between high blood sugar coma or hypoglycemic coma;
2, if the patient is still conscious awareness, and can swallow, then low blood sugar coma for the most effective way is to enable patients to drink sweet water or eat candy, sweet pastries and the like, while for high blood sugar coma and effective way is to drink salt of tea or a low-salt tomato juices;
3, if the patient has lost consciousness, the patient should be flat, unlock the collar to ensure the airway;
4, when the moment is difficult to determine the reason for coma patients with diabetes and not to take any measures, because high blood sugar and low blood sugar coma for two kinds of causes governing law is the exact opposite;
5, the patient quickly regained consciousness, or if you can not remain unconscious, it must be immediately sent to the hospital.
【Nursing】
1 diabetes patients in coma, if not rescued in time, is likely to have life-threatening, health care workers and their families must always observe the patient’s condition changes;
2, remember the patient’s access to the amount of liquid such as water volume or fluid volume, urine output, etc.;
3, when the patient out of danger, regained consciousness, it should be actively treated diabetes, regulate diet, rational use of insulin, so that the body metabolism to normal, to avoid the recurrence of diabetic coma;
4, diabetes is a chronic disease requiring long-term treatment, patients and their families have to address the concern, establish confidence, learn about diabetes knowledge, a great benefit to patients;
5, for the prevention of the event, diabetics should always carry marked “diabetes” and other words of the cards, and cards can also be recorded on a number of treatment methods and patient name, address and so on, so that when a sudden loss of consciousness for the others and doctors refer to .
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