Brief list diebetes millitis complication
-
Upload
mohammed-sediq -
Category
Documents
-
view
1.230 -
download
3
description
Transcript of Brief list diebetes millitis complication
![Page 1: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/1.jpg)
Acute complications of D.M
1) Hypoglycaemia.
2) D.K.A
3) H.N.C
4) L.A
![Page 2: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/2.jpg)
Cont.
Acute complications of diabetes are medical emergencies.
Both type1 and type2 diabetes can experience life threatening crises.
![Page 3: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/3.jpg)
HYPOGLYCAEMIA
DefinitionLowered blood glucose level
<2.5mg\dlMortality rate 2% to 4%
![Page 4: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/4.jpg)
Risk factors
1)Missed meal . 2)Unexpected exercise.
3)Alcohol . 4)Poorly designed insulin.5)Defective glucose counter regulation.6)Gastro paresis. 7)Addison's disease.8)Mal absorption. 9)Liver failure.
![Page 5: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/5.jpg)
C\P
1)Autonomic activation
2)Neuroglycopenic
![Page 6: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/6.jpg)
Morbidity
CNS…coma brain damage CVA TIACVS…cardiac arrhythmias MIEYE…vitreous hemorrhage worsening
retinopathy
![Page 7: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/7.jpg)
Investigations
RBS…BF…LFT…U\S
![Page 8: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/8.jpg)
Treatment
1)Oral glucose
2)IV dextrose
3)Glucagons
![Page 9: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/9.jpg)
D.K.A
DefinitionAbsolute insulin def, with hyperglycemia
>300mg\dl Lipolysis ..hyperketonaemia and
acidosis
![Page 10: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/10.jpg)
Risk factors
1) New cases
2) Infections
3) Surgery... trauma e.g. MI
4) Interruption of insulin administration
5) Emotional factors and stress
![Page 11: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/11.jpg)
C\P
1) Abdominal pain, nausea and vomiting
2) S\S of dehydration
3) Polyuria
4) Kussmaul respiration
![Page 12: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/12.jpg)
Investigations
1) Urine……glucosuria and ketonuria
2) Blood…...hyperglycaemia>300mg/dl
3) Serum electrolytes(Na, K, Ph,…)
4) AGB and PH
5) Plasma bicarbonate <12mmol/L
![Page 13: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/13.jpg)
Management
Correction of dehydrationCorrection of hyperglycemiaCorrection of electrolytes Treatment of infection
![Page 14: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/14.jpg)
Hyper osmolar Non Ketotic Coma
DefinitionRelative insulin def, +hyperglycemia
>600mg/dl ass. With increase serum osmolarity >310
mosm/LSever dehydration + stupor….coma
![Page 15: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/15.jpg)
Risk factors
1) Age
2) Dehydration
3) Acute illness
4) Cerebrovascular disease
5) Medications…steroids…thiazids
![Page 16: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/16.jpg)
C\P
S\S of sever dehydrationStupor……..Coma
![Page 17: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/17.jpg)
Investigation
1) Measurement of plasma osmolarity
2[Na] +2[k] + [glucose] + [urea]
N… (280 to 300)
2) RBS
3) Urine
![Page 18: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/18.jpg)
Treatment
Correct dehydrationCorrect hyperglycemiaCorrect electrolytes
![Page 19: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/19.jpg)
Lactic acidosis
DefinitionLactic acidemia >2mmol/L + acidosis
(PH<7.3) andWithout ketoacidosis maybe low keton
level
![Page 20: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/20.jpg)
Risk factors
1) Sex
2) Age
3) Hypoxia
4) Drugs
5) Acute illness
![Page 21: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/21.jpg)
C\P
• Similar to DKA
![Page 22: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/22.jpg)
Investigations
1) RBS
2) PH AND Bicarbonate levels
3) Lactic acid level
![Page 23: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/23.jpg)
Treatment
DehydrationsElectrolytes balanceCorrection of acidosisCorrection of hyperglycemia
![Page 24: Brief list diebetes millitis complication](https://reader033.fdocuments.us/reader033/viewer/2022051818/549c66b7b47959b7318b470c/html5/thumbnails/24.jpg)