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Endocrine Emergencies - Coggle Diagram
Endocrine Emergencies
Diabetes Mellitus Type 1
Treatments: Insulin pump, Finger pic
Pertinent assesment finidings: will by polyuria (need to pee alot), polydipsia (need to drink a lot), polyphagia (need to eat alot), weight loss, fatigue.
Path.: immunse system produces antibodies against the beta cells of the pancreas. "insulin is key to the door"
Other: Kussmaul respirations present after body relys to burn fat rather than glucose and ketones begin to increase. DKA will present if production continues. (S/S: ab. pain, body aches, nausea, vomit, AMS)
Diabetes Mellitus Type 2
Path: due to resistance of insulin at cell level. The body will produce more insulin to make up for the high levels of glucose. As time goes on the response is not enough leaving the glucose level to contiune to increase.
Treatments: Common med for DM2 are glipizde, glyburide, metformin, pioglitazone, exenatide, sitagliptin
Pertinent assesment: Discovered at yearly medical exams. Some findings may be recurrent infections, change in vision, numbness in the feet
Hyperglycemia
Pertinent Assesment: Polyuria, polydispia, polyphasia, blurred vision, fruity odor, nausea/vomit,AMS
Treatments: supportive care
Path: blood glucose is high due to incapability of regulationg levels. HHNS will present
Hypoglycemia
Pertient finding: shallow/rapid respiration, Pale/moist/clamy skin signs, diaphoretic, dizzy, lethargic, normal-low BP, AMS, Anxious, seizures
Treatment: gluecose if patient is consious and able
Path: blood glucose is low
Seizures
Pertinent findings: may be due to hypoglycemia
Path:epsiode of abnormal electrical actiuvty in the brain that is disturbed
Treatment: O2, transport, DO NOT ATTEMT TO PLACE ANYTHING IN MOUTH
AMS
Pertinetn findings: AEIOU- TIPS (may cause hypoglycemia)
Treatment:Airway clear, prepared to possibly suction, transport
Path: may be caused by complication of diabetes, posing, infection, head injury, decreased perfusion in the brain
Sickle Cell Disease
Path: inheartied blood disorder that affects RBC. Blood will appear in a C like sickle shape
Treatment: pain management, transport, suportive care
Pertienent findings: PT will most likely expereicne Anemia, gallstones, jaundice, slpenic dysfunction, vascular occlusion with ischemia
Hemophilia
Pertinent findings: long term joint problems, bleeding in brain, thrombosis
Treatment: supportive care
Path: have the decreased ability to create a clot after an injury
DVT
Findings: had a past joint replacement, travelers
Treatment: IV meds (by ALS), anticoagulation, compression stocking, blood thinning meds
Path: clot that occurs in PT with recent injury/surgery after sitting for a long period of time
Anemia
Findings:pulse ox may indicate lack of O2
Treatment: O2
Path: low numuber of RBC (lack of iron)
Thrombophilia
Findings:general term for diffren conditions
Path: body creates major clogging/blockage issues