Endocrine Emergencies
Diabetes type 1
diabetes type 2
Symptomatic hypoglycemia
Symptomatic Hyperglycemia
polydipsia-An increase in fluid consumption
Polyuria-frequent urination
kussmaul respirations-Bodys attempt to reduce the acid level by releasing more carbon dioxide through the lungs.
Diabetic ketoacidosis-life threatening illness. Accompanied by abdominal pain, body aches, nausea, vomiting, and altered mental status
very little insulin production.
Common oral medication: Glipizide, Glyburide, Metformin, Pioglitazone, Exenatide, Sitagliptin
Hyperosmolar hyperglycemic nonketotic syndrome
Occurs
An acute emergency in which a patient's blood glucose levels drop and must be corrected swiftly.
Treatment-Oral glucose
Signs and symptoms- Hyperglycemia, altered mental status, drowsiness, lethargy, severe dehydration, thirst, dark urine, visual or sensory deficits, partial paralysis or muscle weakness, seizures.
Symptoms- recurrent infection, change in vision, numbness in the feet.
Occurs when the blood glucose levels are very high
common reasons change in routine in insulin administration, more insulin than necessary, patient not eating sufficient amount.
Signs and symptoms- normal to shallow respirations, pale, moist skin, diaphoresis, anxious, seizure, fainting, rapid changes in mental status.
No insulin production. Pt immune system destroys the ability of the pancreas to produce insulin
Treatment- Insulin,
Treatment- Insulin
resistance to the effects of insulin at cellular level.