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Microvascular complication - Coggle Diagram
Microvascular complication
Defination
Are those long term complications that affects the small blood vessels
Pathophysiology
The underlying driver of microvascular disease is tissue hyperglycaemai
Microvascular disease tends to occur predominantly in tissue where glucose uptake is independent of insulin activity e.g kidney
The development of disease is a result of a combination of direct glucose mediated endothelial damage.
Oxidative stress due to super oxide overproductive, and production of of sorbitol and advanced glycation end product due to the prevailing state of hyperglycaemia
These metabolic injuries altered blood flow and changes in endothelial permeability, extra vascular protein deposition and coagulation resulting in organ dysfunction.
Nursing manangement
Emphasize adherence to check up appointments
Take medication as prescribed
Avoid smoking
Achieve normal blood lipid level
Checking blood pressure and blood glucose level at regular interval
Causes
Inflamation and injury of the arterial wall of the peripheral or coronary vascular system.
Risk factors
Hyperglycaemia
Nursing care plan
Monitor urine albumin to serum creatinine for renal failure
Assess the patient's current knowledge and understanding about a prescribed diet.
Asses the pattern of physical activity and avoid strenuous activities
Monitor the signs of hypoglycaemia and hyperglycaemia