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Pa Tho Physiology - Type 1 Diabetes (Hanieyah Guro)
Pa Tho Physiology - Type 1 Diabetes (Hanieyah Guro)
Pa Tho Physiology - Type 1 Diabetes (Hanieyah Guro)
Slurred speech, Impaired coordination, Emotional changes Irrational or combative behavior Double vision Drowsiness CNS Symptoms: (Severe) Disoriented behavior Seizures Difficulty arousing from Sleep Loss of consciousness
Idiopathic
LEGEND
Etiologic Factors Drug Therapy Surgical Management Diagnostic Test Nursing Diagnosis
Chronic Complications
Pramlintide (Symlin)
Insulin Therapy Decreased utilization of glucose by muscle, fat and liver Fatigue r/t decreased metabolic energy production
HbA1c Test (>8%) FBG Test (>126 mg/dl) OGT Test (>200 mg/dl)
Polyphagia
Cell Starvation
Hyperglycemia
Increased Lipolysis
Proteolysis
Increased Gluconeogenesis
Increased Glycolysis
Glucose production Glucosuria Urinalysis Ketone: (+) Glucose: (+5) Yeast Infections Increased susceptibility to infection Osmotic Diuresis Increased clotting tendency
HbA1c formation
Increased VLDL
O2 is less readily released to the periphery Thrombosis Polyuria Hyponatremia Hypokalemia Hypochloremia Dry mucous membrane Poor skin turgor Dry, scaly skin Thin, brittle hair & nails Polydipsia Fatigue Increase Temperature
Acidosis
Deposition of collagen in blood vessels Serum Test Glucose: >300 mg/dl Ketones: (+) pH: >7.35 HCO3: <15mEq/L Na+: low K+ : low BUN: >20 mg/dl Creatinine: >1.5 mg/dl Urine Ketones: (+)
Impaired sin integrity r/t dehydration Hyperthermia r/t decreased body fluids Decreased cardiac output r/t decreased blood volume
Cataract
Polyneuropathy
Blurred Vision
Hyperosmolarity/Hyperviscosity
Hypovolemia
Ischemia
RAAS Mechanism
Hypertension
Impairement of cell lymphocytes Blindness Loss of glomerulos Increased susceptibility to infection Ris for infection r/t decreased leukocyte function
Hypoxia
Ineffective tissue perfusion r/t decreased arterial flow/ less readily release of O2 to the periphery
Anaerobic metabolism
cell necrosis
Lactic Acid production Acute pain r/t increased lactic acid production
gangrene MACROANGIOPATHY
ESRD
Debridement Renal Artery Stenosis Cerebrovascular Disease Coronary Artery Disease Peripheral Vascular Disease
Myocardial Infarction
DEATH
Presented by: HANIEYAH GRANDE GURO