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DIABETIC NEUROPATHY - Coggle Diagram
DIABETIC NEUROPATHY
Pathophysiology
Neuropathy is one of the long-term complications of diabetes.
persistant hyperglycemia leads to an accumulation of sorbitol and fructose in the nerves that causes damage
The result is reduced nerve conduction and demyelinization
Neuropathy can procede, accompany or follow the diagnosis of diabetes
Overtime,high blood glucose levels damage small blood vessels that supply nerves in the body
This stops essential nutrients reaching the nerves
As a result, the nerve fibres can become demaged and disappear
Drug therapy
give Capsaicin Zotraix which is cream applied on wound
Tricyclic antidepressants
Serotonin and non adrenalin uptake which wont affect the level of adrenalin in the blood.
Classifications
Sensory neuropathy
Autonomic Neuropathy
Hyperglycemia unawareness, confusion
Bowel incontinence, diarrhea
Autonomic neuropathy can affect all body parts
and fructose in the nerves that causes damage by an unkown machanism
Stocking glove neuropathy is loss of sensing.
On feet and hands caused by hyperglycemia leads to accumulation sorbitol
References
Lewis Medical Surgical Nursing, Chapter 48 section 10 page 1149 Diabetic neuropathy, SL LEWIS, L BUCHER, MM HEITKEMPER, MM HARDING, J KWONG, D ROBERTS.
Nursing interventions and health education
Dry wound with clean towel.g.
Patient must wear socks and Flexi shoes to promote blood flow .
Do wound plugging or irrigation when needed
Dress with stririle packs minimise infection
Do regular wound assessment and note change
Patient must wash wound daily with mild soap and warm water
Exercise legs by walking and doing Flexi excesise