Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Diabete coma

1,495 views

Published on

The Diabetic coma is one the most dangerous and again emergent case experienced during dental care delivery. Actually it mistreated and aggravated-diabetic cases resulting coma, that is categorized into Hypoglycemic coma, Diabetic ketoacidosis and Hyperosmolar coma.

Published in: Health & Medicine
  • Hello! Who wants to chat with me? Nu photos with me here http://bit.ly/helenswee
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Diabete coma

  1. 1. Definition Types of diabetic coma Causes of diabetic coma Signs and symptoms Management
  2. 2.  This a aggravated diabetic-resulting pathological condition leading to loss of conscious.  It is mainly due to impaired control of blood sugar levels.  It may progress to different organs like eyes, kidney, blood vessels and nerve tissues  diabetic coma is linked with severe and inadequately treated diabetic mellitus
  3. 3. Three types are linked to diabetic coma:  diabetic ketoacidosis coma  Hyperosomolar coma  Hypoglycaemic coma
  4. 4.  This is also normally known as insulin dependent diabetic mellitus-IDDM  It yield in the accumulation of ketone build- ups due to insulin deficiency which then raise the acidity of the blood  It is linked to both types of diabetics i.e. type I & type II
  5. 5. 1. Absolute lack of insulin- linked to type 1 diabetic 2. Relative Lack of Insulin i. Acute illness • Infection or other inflammatory process • Myocardial infarction • Stroke • Trauma
  6. 6. ii. Endocrinopathies: Anti-Insulin Hormone Excess iii. Drugs  Steroids  Calcium channel blockers  Pentamidine  Beta-blocking agents  Dilantin  Alcohol
  7. 7. SIGNS  Polyuria  Polydipsia  Weakness  Lethargy  Myalgia  Headache  Anorexia  Nausea  Vomiting  Abdominal pain  Breathlessness SYMPTOMS  Hyperpnoea  Hypothermia  Acetone breath  Acidotic breathing  Dyspnea  Acute abdomen  Dehydration  Hyporeflexia  Hypotonia  Coma
  8. 8. This is due to the dehydration and the exaggerated increase in blood glucose level The increase in blood glucose level may be due to:  forgotten diabetic medications or insulin Sugary food and fluids intake Some diseases like flu and pneumonia
  9. 9.  This coma is due to low blood glucose level usually less than 3.5 mmol/l  It occurs in the diabetic patients who are on insulin and certain other diabetics medication like sulphonylureas:  Takes extra dose Exercise strenuously without taking extra food Misses a meal (starvation) Drinks too much alcohol
  10. 10.  Dull headache  Fatigue  Inordinate thirst  Epigastric pain  Nausea  Vomiting  Parched lips •Flushed face, and sunken eyes. •The temperature usually rises and then falls. •The systolic blood pressure drops, and circulatory collapse may occur.
  11. 11.  Sweats  Weakness  Heart palpitation  Intense hunger  Confusion, drowsiness, altered behavior especially when the blood glucose drops down.
  12. 12.  Medical history  Physical examination – the person may be wearing an emergency bracelet identifying their medical condition  Blood tests – including tests for glucose and ketone levels
  13. 13.  DKA is treated by  Intravenous fluid  Insulin and potassium administration  Hyperosmolar diabetics can be corrected by  Intravenous fluids  Insulin, potassium and sodium infused as soon as possible.  Hypoglycemic diabetic: glucagon to reverse the action of insulin or glucose administration is urgent
  14. 14.  The preventive measures are to often : ¥ Take care of your meal ¥ Check your ketones when your blood sugar is high ¥ Keep an eye on your blood sugar level ¥ Take your medication as directed with your physician ¥ Drink alcohol with caution ¥ Physical exercises
  15. 15.  http://medical- dictionary.thefreedictionary.com/diabetic+coma  www.betterhealth.vic.gov.au, Copyright © 1999/2015 State ofVictoria.  Fishbein HA, Palumbo PJ: Acute metabolic complications in diabetics. In diabetics in America. National diabetics Data Group, National Institutes of Health, 1995;p.283-291 (NIH publ. No.95-1468).  Kitabchi AE et al. Management of hyperglycemic crises in patients with diabetics. diabetics Care 2001;24: 241- 269.

×