Summary
Sumario Complicaciones aguda de la Diabetes
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Se describe el diagnostico, fisiopatologia, manejo basico de la cetoacidosis diabetica, la hiperglucemia hiperosmolar, la hipolglucemia y la hierlglucemia aislada.
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RESUMENESDEBIBLIOGRAFIA:
-Manual de medicina interna. calculos, scores y abordajes. 2da EDICIO
, DEFINICION:
Trastorno metabolico agudo, secundario a la deficiencia abso
insulinica, independientemente de su concentracion.
La CAD es el resultado de la interaccion de tre
HIPERGLUCEMIAS ACID
CAD
CETOSIS
Es importante tener presente que cada una de estas variables poseen
FACTORES DESENCADENANTES
Infecciones
Omision/uso inadecuado de la insulina
Diabetes de reciente comienzo
, SIGNOS/SINTOMAS DE CAD
SIGNOS FISIOPA
Deshidratacion Diuresis os
Hiperventilacion Ac. m
(Resp. Kussmaull)
Taquicardoa/hipotension Deshidrat
piel caliente y seca Acidosis (
Disminucion de la conciencia alteracion osm
fetor cetosico Hiper
poliuria/polidipsia Hiperglucemia
astenia Desh
perdida de peso Catabolismo
anorexia Cet
nauseas/vomitos/dolor abdominal Cetonemia, estasia g
calambres musculares Deficit
Las complicaciones agudas hiperglucemicas pueden manifestars
eso es importante diferenciar la CAD de la SHH (Sme hiperglu
Cabe destacar que un tercio de los ptes con CAD pueden presen
A fines clinicos, los examenes complementarios, ayudaran a
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