Prevention and treatment of diabetes four kinds of coma
Posted on November 15, 2009
Filed Under Ketoacidosis | Leave a Comment
In the course of treatment of diabetes may be due to loss of life of governance or administration errors occur improper conditioning coma Diabetic ketoacidosis, non-ketotic hyperosmolar diabetic coma, lactic acidosis, coma, diabetes, low blood sugar coma four kinds of acute critical illness, If a timely rescue, there will be fear for their lives.
Diabetic ketoacidosis coma was due to a serious lack of insulin, so that accelerated lipolysis, fatty acid oxidation in the liver produced a substantial increase in ketone bodies, leading to ketone bodies accumulate, there ketoacidosis. On this basis, coma, and is called diabetic ketoacidosis coma. Particularly prevalent in the sudden interruption of insulin-treated diabetic patients and without any treatment of newly diagnosed diabetes. Zheng Jian polydipsia, polyuria, Shenpi, fatigue, torpid intake, Oue, shallow breathing deepened to speed up then slow down, breath can be a rotten apple, dizziness, headache, or even shock, drowsiness, coma. Rehydration therapy to the use of insulin to correct electrolyte disorders and acid-base balance mainly.
Non-ketotic hyperosmolar diabetic coma diabetic patients is a serious infection, trauma, blood or peritoneal dialysis, the use of diuretics, or adrenal cortical hormone process, appears to severe high blood sugar, blood hyperosmolar state, dehydration, coma for clinical characteristics of the disease. Zheng Jian heat polydipsia, polydipsia and polyuria, Shenpi fatigue, Oue torpid intake, skin dry, reduce flexibility, dry tongue, sunken eyeballs, blood pressure fall in the performance of even the dehydration and shock, shallow respiration rate, heart rate, brain dazed, limbs, convulsions, trance consciousness, disorientation, irritability, or apathy or even coma, grand mal epileptic, hemiplegia aphasia, hemianopia, or nystagmus, pathologic reflex positives. Therapy to a rapid and massive rehydration, the use of insulin, to maintain water and electrolyte and acid-base balance, mainly infection prevention and control.
Diabetic coma lactic acidosis of diabetic patients with lactic acidosis is common in combined heart, lung, liver and kidney in patients with severe disease incorrectly used biguanide drug phenformin cases. Phenformin increase of sugar such as anaerobic glycolysis to lactate production increase, while the increase in the number of lactic acid than the liver and muscle uptake and renal excretion limit occurs when the lactic acidosis. Zheng Jian, nausea, vomiting, abdominal pain, abdominal distention, malaise, fatigue, breathing deepened to speed up gradually in a coma. Ling and other hypoglycemic therapy to disable can cause lactic acidosis drugs, the use of insulin, 5% sodium bicarbonate injection, infection control, to correct dehydration and shock, diuresis row of acid to correct water and electrolyte disorders, oxygen, potassium and, if necessary When the root of dialysis with the non-lactic acid blood or peritoneal dialysis solution-based.
Low blood sugar coma diabetic diet diabetic patients seen in excessive insulin doses excessive, inappropriate use of oral hypoglycemic agents such circumstances. Zheng Jian hunger, fatigue, dizziness, headache, cold sweat dripping, palpitation shortness of breath, tachycardia, nausea, vomiting, blurred vision, whole body shivering, and even mental confusion, abnormal behavior, lethargy coma, limb convulsions and death. Low blood sugar may be issued in the daytime can also be made at night. At night in a sleep state of low blood sugar episodes will provide the patient awakened from a dream, accompanied by cold sweat dripping, irritability, tachycardia. If hypoglycemia-like, it is timely monitoring of blood glucose, as soon as possible into the dessert, candy, fruit, biscuits, snacks, bread and other sugary foods, and promptly to the hospital for infusion of glucose, oxygen, blood glucose, blood pressure, heart rate, respiration, body temperature monitoring, observing consciousness changes, and appropriate treatment, to avoid accidents.
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