miercuri, 19 noiembrie 2014

Come metabolice

COMA DIABETICA SI COMA HIPOGLICEMICA(come de origine extracraniana)

COMA DIABETICA
COMA HIPOGLICEMICA
Cauze:-nerespectarea dietei
           -doza insuf de insulina
           -diferite infectii,tulb gastro-intestinale
           -boli intercurente
Cauze:-alimentare insuficienta
            -supradozare de insulina
            -eforturi fizice mari
Debut:-lent-mai multe zile
Debut:brusc,sau la cateva ore dupa adm insulinei
Evolutia simptomelor:-poliurie
                                    -polidipsie
                                    -uscaciunea gurii
                                    -greata,varsaturi
                                    -astenie,somnolenta,coma
                                    -resp Kussmaul
Evolutia simptomelor-anxietate,neliniste
                                   -transpiratii,palpitatii
                                   -senzatie de foame
                                   -cefalee,diplopie
                                   -dezorientare psihica
                                   -agitatie psihomotorie
                                   -convulsii tonico-cronice
                                   -pierderea cunostintei
Stare clinica:-tegumente uscate,hiperemie
                     -limba uscata,crapata
                     -hT.A
                     -hipo si areflexia
                     -halena acetonica-dezhidratare
Stare clinica:-tegument palid,umed
                     -T.A normala sau crescuta
                     -pupile dilatate
                     -reflexe osteoteninoase accentuate
                     -Babinschi pozitiv bilateral

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