+ All Categories
Home > Documents > tewtewtew

tewtewtew

Date post: 02-Mar-2018
Category:
Upload: frankmalcov
View: 223 times
Download: 0 times
Share this document with a friend

of 9

Transcript
  • 7/26/2019 tewtewtew

    1/9

    crcirorut l6 iN(:Rr,t I

    Rr

    iN BoLt NtttABollcf,

    contolL,l

    rapid

    al

    gliccni.i

    .:ir d

    sc

    impN dd.izii:

    rdbonhllul in

    odrul

    monidtini

    DZ inn'lind

    dcpcndcnr

    $i

    insullno

    ncccsihnr

    M..1

    i.t l st.. ial n

    na

    h

    i

    llt tc.tut1l

    i

    i

    li..\trlo.Lt

    e hn

    ititi or

    lal

    icetu i.

    i.

    -

    in DZr

    deieirniniriLe se

    efecrucrd zilnic

    prprandirl

    5i

    pdnprrndirL

    (h

    2.rcdunr nrsli)

    rioidccdtcorii

    crincrcni'nenteneprdizurccareDodiicioranrlsidozclcdcin$Llini

    (in

    consccinr.

    alimcd.tio)i

    -

    cclptrLno

    ddi

    pc

    saiprifiinrl

    sc lisc

    ptulil

    lliccnic

    (lorfniniri

    ptupundiol, po$pmndr|

    in DZ2

    dcbnninirile

    se

    frc

    sirri,ntnal

    -

    prcidtulcdeinstrultsi i.tetermlnesineurgliccDiafolosindglucomortrl:

    pacientul

    csrc

    Ncrtizat

    ci

    tchnicr

    dclcmir.riiD.rrc\zria urtr

    in

    turcli. dc

    rDlrar:

    tiaci

    tocicntul

    oD rulhuliri dc

    vcdcrc

    (rclinoprric)

    dctcnrinarcr

    va

    li ti.uri d. un

    qio(inilorir$ruir

    sdu

    dc

    asislcnh nrcJi0ali.

    tcsie

    ddive

    (bdrdddc.

    $dpsui):

    -

    . cstDchl.at

    trmari.e:

    sc

    $erse

    peDtru

    a uscafodc

    bnEpielca

    (pcpiclcx

    uncdll

    nu

    sc

    rb

    .c.z.

    picrirun)i

    se hicapa

    larcnl la

    n

    ivclu

    I n ltinci

    talnng.:

    -

    se

    irerge

    prin

    ficib.i

    cuun

    hnpoDus.ari

    se

    loncui

    a d.u

    pictturi

    carc

    cslc

    dcpusi

    c(

    prccizlc prin

    rtingcrca

    capanrlui

    rdiv

    al

    -

    djn noncnrll

    dring.rii b.nd.lcrci cu

    pic

    uri de

    singcjncepe

    conofrchrea

    timputuir

    ficcare rip

    de baidelete

    reaotlle

    e\te

    insotii

    dc

    un

    pdocoldc

    lucru

    (pcntru

    cilirc

    ljzMla

  • 7/26/2019 tewtewtew

    2/9

    -

    lc$clc

    lrebuic

    sn

    tic

    nr

    lcancn

    dc

    vxlabiliraie,

    dara

    tiind

    insclhi

    Dc

    llrcon.....__......

    scortcrci

    ficinj

    bMdcLcrc

    (re$)

    estcnmdri tjc

    inchidcr.a

    crdnsi

    a flac.nutui i,

    crio,rt

    llaconllui

    fi

    ind menlinut

    uscari

    -

    cap nLre&iivd

    bxndclcrci nu

    rebuicarins;

    fieoarc

    tip

    dc

    bandeleh

    esrc

    spccitici trntri

    anu'nir ril

    de

    glu.onerrj

    '

    Sliccmi.

    ftdohrti

    din sangc capild cnc cu

    aproxinarn

    20

    mg

    ma1

    naft

    ieciit .cr

    recoLtrtAdin

    snrgc c

    yenos.

    ,,1I.()RILE

    GI.ICEIIICE

    NORMAI,I' INDIFERI:NT

    D]:

    MOMINIUI,

    M(OLTiRII

    SIJN1

    cUPRt

    NSE

    iNTRE

    6A- 1 t

    0,ng/d/

    161 Tcsul rokmntei

    h

    slucori-drdl

    tT.l.C.O)

    -

    tcstarc.

    lolennlei

    la

    llu.ozi

    jn

    vodcnr shbilirii

    di.gnonicuhrj

    dc diabcr

    Taharal

    l.

    pc*lrnclc

    lac0rc

    eliccmiabazrl,

    (pftpDndiat,..

    jch)

    estcinlrc

    lt0 126

    ng%.

    susp ic iu nc dc dia

    be

    r

    /lharat

    (rclinon.

    rie. ncu

    ropi tic,

    nctiopdie).

    n ivcte rtc g

    tucozci

    $n.c

    "ajcM

    sau posrptmdi.la

    t.

    liniri;

    amcccdenre

    lanilisl.

    d.

    dirhd

    obc;

    ure

    inpotranlrl

    gmvidi

    Gtpr2.l28

    dc

    scnalc).u

    isrorto

    thmilft

    de diabcr sau

    avor

    ronran,

    ril

    nac(Nom

    (pcstc

    4000

    )in

    dmcccdenre

    dozinandrd: 7i

    g

    glucozadizotvdiint00mtaprpcnrruadntri;

    l.7t

    9t

    colp

    (greu6tc.

    idc.tr)

    pentru

    liri d dcpisi 75

    er.

    t.

    copil:

    -

    soingi. acej

    flacoanc

    sau

    vacureincrc

    pcmd

    rcoterea

    singetui

    Gops

    gn

    su m

    pmrru

    - lacoane

    pcnrn

    ltrjni.

    -

    se

    cxplic,

    ncccsnrtcadlecrutii probei i

    nodutdc

    dcnrta's,

    .c

    ilu'n(a

    JiJ

    i'rger.t.roll'F

    d

    g.co?ri.(t.ccin1n,nuF.

    -

    sc

    dbrin

    clentualc

    inlbmrii

    desplc

    rcgimod

    dd

    sttbiEi

    'eiofom,r.J

    F.rmr

    .. .,'(

    pJ b'

    rpdx

    Jm.'.h

    rcao..

    :,

    e,rc.,n,.pi,t

    I J,.

    - se insnlictlcsr

    nu

    nintndc

    ceLpuin

    t0

    oE.

    sA

    nu

    tumczc. s,

    nubm

    ceaislu

    c.fca:

    cnc

    alcdiomr

    ci

    resrrloiilc

    sc

    ncmin

    pc

    timpul dcsh driipsbeii

    -

    inrinba prbej

    nu sc innun

    restricrti

    .lincnhrc. pacicntut

    ..nstrm,

    ni,riD

    150

    g

    - in

    rinptrlDrobej- pacicnlul$aln

    npaus.

  • 7/26/2019 tewtewtew

    3/9

    Ar

    covA\tcr,

    oAp-EAr,

    N'

    ooeo,,4r.\20

    )

    Efltttrtre, prob.i

    (or.rd.

    d.sftsLrire

    ?.10

    l0-00)

    Om

    7.30:

    se

    vcifici

    dacipocicntula

    rcspocrdr

    rc.onandinle;

    sc

    rccoltcazi

    sin8c

    pctrru

    sli.cdiarjcun

    -

    sc adninrhdi

    solurid

    dc glld./i

    (300

    nl. aFt

    +

    75

    g

    ltucoza)

    pc

    cdrc

    pacicnrut

    o bda nr

    j

    ininurei

    \"

    uhrd

    Ln

    prld

    -

    pa.

    icnrr' I rifrinc

    in

    r.pa

    s.

    nu

    consumdalinctrrc.

    nu

    tirtocri.

    poatc

    si

    bcr xpi:

    Dup,2on(9,10)

    sc

    rccolicui

    salgc

    pcntru

    gl

    iccmic

    i

    sccriclDrcazd

    probclc

    $i

    so rinn

    lr hboDbr

    \ori:p

    u/,,.1

    ,

    r"i

    1r.

    rt1o'-,,

    J,,r .h.

    t

    -tt.,t

    ihgdjired pdentulu'

    duDt

    probn

    riniAnc

    b $tr.vcghcrci

    -

    se

    vcrifi.r daci rprr rmnspinlil.

    st rc dc

    onxic .1c.

    rcacriiLd {iind

    mai ftecventc

    ta

    slpripondem

    I

    i

    si

    su

    nt dclcrnrinatc

    dc.rcsrcnd

    scorcridi

    de

    ln$rlini

    slinuLati

    dc crcncr{

    Drci

    ronitc$iiril.

    ap.rin rnnprl

    probcr

    accdda

    se inrerupc.

    prcienruLp

    mc$u'nitudr.

    Pariicrl$itifi L

    A.rridn

    -

    mcolra,

    \ingeluise

    lace la

    l,2t

    3ori

    lcmeilegkvidc

    c.rc n ar

    nrczc

    at

    lttcrarca

    iotcEitoi la

    gtucozt

    inainrcr

    siptinrirtL

    lJ

    vor

    ctctua un

    re$

    cu

    50

    s llucozi

    /

    200

    mtxpi in

    l:ipriminjte24-23:

    -

    dict

    gli.cmia

    h r

    ori

    csb

    ceala

    cu t40

    mg/dl sc

    ctrcrueaza

    TTC(J cu

    IO(]

    sLrrozi

    I

    6.3

    O.t.rn

    i

    na rea henoglobi nci

    gli.ozirate

    (eticr

    ro)

    Sc

    rciira Ltuvdluam

    pc

    r.mm llng

    r

    n

    ilclclor

    slrice

    medii

    alcEtucozci.

    AsislDnlul

    ncdicalreoolreaza

    5

    nl

    &lnge

    prin

    purcric

    vcno$r inrr

    un

    vrnum

    cu

    ciF.

    ri.

    ld

    Pacidnrul

    p.alc

    soli.il, nn

    seryiciu

    tic

    hhomlor

    s:i

    dcrcmine

    trqnogtdbina

    sLicoljzda Drnb

    d

    cvalLD rlorilc

    mcdii

    alc

    glucoTeipc

    o

    lcrloodti

    dc4luni.

    vlloaLca

    nu ek rfcctati

    dc

    vlrlalii

    pc

    rcmcn

    scufr

    (x:

    Dcs..

    eron

    tizi., shs,

    medic.mcnr.

    t

    6,4

    Ad

    ninhl

    rrre,

    i

    ns

    ulinei

    pentru

    asiaurarca supmvleunii

    cu dirbcl zahamr rip l:

    '

    pcnh

    cofuolul glicemiilor

    la

    pacicdii

    cu

    diaber

    zahant

    rit 2

    cdnd

    mddiabcricite

    oralc

    conblnatecu

    dicro N orins obicclivclc rcaDeuiicei

    -

    episoadc

    dcslrus mcrdbolic

    Nur

    (infarcr

    niocardic..vo,

    infncfirnodcmr

    s u scvdeti

    t)rc-iinlrd

    si

    pos

    oFraror

    oend se

    $rpcndr

    mcdic4ia

    orahi

    -

    inslli.icnlahcpatioi iremlaci.dnnridlabeticllcontcslmconraidic

    .:

    i' d"\erulahtr ocr

    "onJlr

    t

    1

    \c'

    ohop'.

    .u

    -

    inurgcnle hireeliccnricc:.ctorcido7.i,

    hipdgliccmie

    hipcrosnotdi

  • 7/26/2019 tewtewtew

    4/9

    MONITORILOF

    C^LAL

    ROMAN E

    l,,rulioc

    mnilLctr

    r' I n

    r,

    ti.

    .'

    t\

    r'.,j" n rrr';1

    J,

    ,,,

    n,.

    nrxndirh.

    csc inrccrcau i

    inai'nea

    Nsctd):

    I'N

    i'rr

    i'rcnncdirr

    cu acFrnc

    nr

    ugiti

    n

    $r

    i,rc

    [ ]diunc

    mqa

    ltnsuh

    c bazrlc

    .r'.

    sc dminl$'ta7.

    di'nrnrx

    $

    serrr)l

    -

    InsuLine

    prnriaarc

    (bitnzice)

    amcd.c

    i ditirirc

    fmpo4ii

    dc

    in\uli,f

    .u lcrilrc rapjda

    sj

    in\uli',t , ,dnre

    Dtnnc.lh'

    i

    Mplhltl -

    rubrld to.fl iprt.1.,t

    thatj.tunrth

    otnn^h..t ,1.ol

    d.lhi,^niii

    .

    .dnnninri

    i'\ulio.

    roitnm

    :ndicrtiilori

    m(nLiefcpaci.nrLtcunrsi

    s

    ii.ai{. tiacuinn'tin:i iil.nsritcnh

    jrbilircxcorlda.

    . r '

    -.

    d

    t

    .

    i,

    .n.,.

    ]r

    '

    eJ

    ','

    1

    .

    hh,ie$.

    F.L.trtrrl

    p.ivxni

    tuctrn.r{erca

    s.i1ie.r rit.:trccdrici

    iEuh

    rnrlhco e.

    cariu$c

    srn

    tcn

    u.lpr Ddrlci

    r.ri'rgipcnttr

    i',Jlli',i(cn.apxcdc0zi

    I

    frt):

    -

    rrc Jc ll

    nnn.

    S nn.6nm

    Sclnn'rlcsrcpacrertul

    |)^itofu:

    \lodrl

    dr

    piin.a'r

    r tr{,l,ici:

    diN,nr.

    udLr..

    pr

    tri

    n.dcschi\s.

    sc

    Dinrcrzd

    h

    frigid.r (dcprnc

    dr

    c.nsctaror.

    .i ,.L

    ap

    ",

    furorn. .fius. p.n

    lrideschisc,s.plijtuazrinacctcasicondirLi.clmuh

    I

    2

    LLni:

    ,

    llfuoxfee

    s.porFnrx s trtcD]nctutrjricrmcEilinre2:10.C).

    Eri

    altccxpusc

    k

    LuDrlna.

    nu inrinLLr dc

    l8

    d.

    rtc. Daci

    rimpul

    c$edcnisjl.

    sc

    pierdc .trbitnrla.

    \.iLrrcxrcr

    rteduluj

    nF Liner

    $ulnclc np d. xu

    a\lJccrdr lirnpcdc:

    ,

    rnn'tncLci

    cnncdftc srl

    Lenrc.n.s0ed

    Lacrsccrr.

    rurbid.

    fir, no.oifu.

    ln$,htn.u

    nocorne

    nu

    s rdhinhhcaTi:

    Prcgilneainsuli

    citu

    vcJcreaadmi

    irtiriil

    s.

    sco{c insrliru

    dil tngidcr cu 60

    'ni,n

    c

    ifainre. p .rD

    r sc

    inclit/ ta

    rmperatu.r

    -

    lNlineLe

    idcm.dlrresru lcflc

    s.

    omogcntzcaz,

    pri.cutcscaU,$nulujsiruhrrbitrdi

    ,.I

    I ",u..

    Iir.i

    ....

    .

    Ja.J I

    "'n..

    ntr sc rnrcs(cca

    insulinc cucon onfthi

    ditoirc.r;tri.lipurtdc

    strtini

    d|arirc:

    legcrcx

    octrh'i dnrnri$rariin

    concordnnri cu

    riprl

    dc ns,ti,ra

    $i

    c reco

    nrDdrca

    nredicali

    '

    pcnh

    ir$LLi're

    Lapidc nbdorniDa

    cu

    cxccp{ir

    I i

    cn in

    jurul.nrbilcnLui:

    pcftu

    insulinc rnlenncdia.cr

    co.|sn.

    ltrc:

    Frdo,iic.rci.nrcnlcrTirlso'1DnNuln

    si,Gsp.dn.orj.ulnc\ctor

  • 7/26/2019 tewtewtew

    5/9

    MON'IORULOFCALALROMANIE

    -

    cloaul

    izic dererniine

    crcsrcrca

    UurtrLuisangvtn

    ri,

    rcspcc(

    iv, I rarci

    absorbrici:

    c\r'uDe'ea la

    cilduri

    (brie.

    nrdrj_ Dlajo

    ldvdrizcaz,

    ahsorblia

    mi

    rari,ld

    st

    glucidclc

    sc

    ddmir Gtcxzi dn ciievln inutc Du i

    d.

    v rt$.

    -

    laruneEr

    1a

    fiig

    |nodtrcc

    vasocon(rucrie,

    incerin.sre

    absolbti.,

    atincnrle

    lind

    rdDrinhtralc

    cu 0Ar.va ninrtc

    nrai

    rirziu:

    Tehrica

    tuninilrririi insulinci:

    -

    tu cic ncddsrr

    dezinicctia

    cu

    alcool.

    drtrcbuic

    rclliari

    igicni/rrea

    locutuil

    Jaci

    se

    loloscitc

    totusi

    dldbl.

    se

    aircapti

    cvaporanri

    se

    incarci sfinga

    sau

    pen

    ulcu

    Nminrldc miliri

    ftconlDdatci

    -

    ncn"unle

    ru

    avantljuL

    ci

    prcduc

    un zronor perh.u

    fiecarc

    unirrtc

    dc in$rllli.

    pcmiFnd

    do/rrca

    dc

    catD

    pcrsddnulo

    ru

    pbblmr

    de manu.lir.le

    (rcmuEluril

    sau rutbuEri

    dc

    lcuihb

    viztrrlli,

    adninisrhrci

    FrtDdu{c

    tcc

    cr ururinii

    jndilcmnr

    dd

    Looulundcse

    ni

    t)rcicnlul {in

    ilhn

    ddmiciLiuluD:

    -

    in $giuncx

    rhdon,lnala

    sau

    ftsicdl.

    injectlrca

    sc

    hcc nr pliu

    cutanm.

    jnleparca

    tiind

    rcdlizri in

    unghi dc

    90o d..i

    rcstrlulsuboranar

    cnc

    binc dc^oliat

    san

    in

    unghi

    dc

    45,,Ia

    persoanclc

    s

    labc

    si

    lrcopii:

    penm p.cicnrii

    shbi

    qi copii,

    irjcchrld sc 1irc.

    in /arnr

    dclbidirni

    sau

    coapsi. in unght

    {G

    -

    scdidruDulrliuLri

    dtrpirotdscrcraculuii

    (u

    s. nrs.dzi

    locd,

    dcodrccc gribete

    absorblir:

    lmpon0r1o

    Rnaliur

    loc lui

    dc

    injccrie

    nrratid

    sc r)cc

    in

    aceeali aric.

    pcmtu

    a

    pr.lcni

    tipodijbli

    itipohipcnoia

    =

    dcplnr

    oxc.sivi

    de

    gasnnc

    sau linoarrcfir-

    ropnc. rc$[ului

    grrs

    $rbcmana0]

    -

    rfriroft

    inlcctlc

    sc lace

    hmini' uL2cmdc

    iilccria

    antcrioxrri

    R.spdch'e.

    rcerhl.r crE

    favorizc.z. rcducfda

    durerii

    la

    i4c.raft

    -

    sohtr se

    iniccrclza

    la

    lc'hpurorm cdncEiGc

    s.oarcdi'r

    fiig ddd

    60

    mirulc

    inriftct:

    -

    .cn'l se

    eli'nini

    c.r.d,

    .

    zonr

    se

    spab

    sN sc Jczinlccrcaz cL

    alcooliise

    aitcaDrd

    cvxpo.area:

    -

    /onrhchuic\ifi.mra1iri.

    intcDrrcd

    rog nidnrultri

    se

    ircc

    npidi

    in

    rimp l

    idj.ciirli

    nuscschinb,

    diE.tialctrluri

    sc loloscsc ace

    adccv.rc. in tunclie

    dc

    grosinrx

    rdrurutui

    $bctrranar

    (6-3

    t2

    l6

    m):

    l:ccunorsdrea

    hiposli.cniei si

    cauzctcc

    c

    odchmnra:

    Shtro'ne

    b

    hinogliccmic:

    '

    lnnspnrlii- piclc

    rccc

    si

    oncdi:

    -

    fcadrea

    Fcsiunii

    rderiate:

    adminisrafu

    unei dozc

    imdccvarc

    de inrutini:

    -

    $sorbria

    imdccrati i

    insuLineiin

    ara d

    hlpcdislrene

    (in.erinestc

    prdocsuL):

  • 7/26/2019 tewtewtew

    6/9

    ._oovr^rEr oap

    ur ,

    Dooo

    t

    .o

    -

    ncrcDechir:

    i'nco-itrl0i

    di

    E .dninkrarcr

    inrutinci

    .\i rdmini$)rc.

    .tirncm.t tr

    (omtrcM

    mcsc or.

    nai

    rles

    a

    cct.rdc

    scxtu)l

    Minuj

    dc 0nb.(crc

    , hipgliccnici

    .

    scadnrfilrazit0grdchid'{)ca.botrdridhsoLb.bjtrGucdcl.ncre,hflesruritrdc)

    I6.5

    l{olul,sist.nrDtui

    mcdical

    in

    cclo4idoz

    dirbciici

    (''U'J'''J.'.'''c1''''l""'rt''.'''ln''tr

    lltr

    Ll

    \

    [n,]tr

    nmirr

    '.

    \ l"Llnk.r

    ot

    r

    lli|ELgli.enrir

    cnc

    .,ncrcri$ici

    .cr.rcid07ci,

    vrtorEa

    gli.o^ici(andrc

    Ir glice'dc pcse

    lS0gndt)

    j

    po

    iuric

    car.

    Cckft idozx

    s.

    poalc

    in$.ta

    bn[]t sru

    tcor.

    recnn.r{c

    sctrDrlc

    hipcrgliccmicil

    .

    xplici

    nohmcntul dontirm p

    .ntrtui

    -

    sup,i c

    lrrzi

    prc

    ieDiu

    L

    dcpis.sc

    250:100

    nrg/dt

    .tulLlIi

    antrof

    .az:i cLirninmer

    dc

    s,ntri

    ip dn b'lrd

  • 7/26/2019 tewtewtew

    7/9

    -

    sc scol

    d in

    d

    lincnldlc lqidclc sj

    prorcincl.:

    adninhrarca

    hidraliLor dc

    car

    bon

    (hc)

    se

    va lacc

    sub

    fomi

    ut$

    discsiibil.

    Gcmitichid..

    lichnG).

    cupriMind

    ladalc. suouri

    dc

    fnct.li0ctD

    dc.ojne

    rip6atc,

    tiino.sci

    -

    doza

    dc

    insulini.

    crludcadninistaR

    iinhuLsunt

    hola'aic

    dc carc

    mcdi.i

    mentiircrcr

    iNulinclor

    mpidc

    sc

    licc

    Dinicnnd

    cciorcftoz{ dispa{

    si

    cauza

    esie

    nrhtuafi.

    Su|)mlcghcrc

    l)acicrtului

    in rimDul

    cphodutui

    c.(odcidozic si dupi

    iceea, pentru

    prcvcnnc.

    s uprav egh

    erer

    perlure il

    du'lta

    pertuziei

    e$e

    diclari

    de Elu6rea tolcranlci d

    igc$ivcj

    -

    lichidclcsu nrbihcdcncdic.

    AdninistrRa

    de

    or

    la

    nevoie

    suDrarcs

    hc

    rcr

    d

    iurczci

    (cvcntual

    son d aj

    vczical)

    j

    rccol(orc

    pr.hclor

    'lc

    iaboDror

    in conbmnalc

    cu

    tocobandarca

    nredicului:

    sliccmia.

    el

    ioozlria.

    lonosrim

    {

    podc

    npiru.

    hipdporascn

    ic)

    i

    -

    sc suplvcghcazi

    ftrpi.Iid,

    ra

    (ri$

    dc

    colrps. puhnl,

    shr

    de co$rlcnri).

    inctLTiEa

    pacienru

    ui ru buiore,

    deoaEce paoicnrul

    arc tcndinra de

    hipotc

    nic.

    i6.6 Rolul Nhrentului

    ncdicrl

    in hlDoslitomir

    Ilitoglicchlr

    reprernl,

    sciderer

    glicenriei

    sub

    50

    ng/dl

    osocirt, cu

    simrbne

    candcLieicc

    crre dispardupa

    adrrinhnarm dc

    glucozn.

    ln

    ca?ul

    hipogliccuici csrc

    impon

    c.ndiriilc do dDdriLici

    -

    nuni

    liiirilc

    c

    linicr \i

    ptubclc

    dc laboDtlr:

    -

    prcvcnifu

    \itardmcnrlL.

    -

    nahilettedieqh

    tidtl .lc

    hilhqlidri :

    ldbiletc,luh|I

    tuape

    tiL

    rccu r oa

    $t

    scmclc

    hipogli

    c.ni

    ci si

    ideD

    r ilicd

    cau zclc/.

    -

    rcordil

    prn

    rl ajllor in c,

    de l,ipogliccmic,

    confom

    tmtocoalotdr

    cxisreDre

    i

    apli.a

    supraveghclzn

    ti

    inEnjc$cnrcidrul.

    i

    ngrij

    i.d

    prci.ntu

    lui

    cu

    hiDoglic en

    ie

    r)

    Recun0r(erex schncldr

    ri

    simptdnelor

    htpogliccrrici

    ScnnD

    i

    sihptohc

    d.tmninlrc

    dcrciclia

    sislcmuhiiwos

    sinrpaticl

    tinspiralii pielc

    uncda

    sirccci

    crcsrcrci

    rcnsiLmii

    dncridc:

  • 7/26/2019 tewtewtew

    8/9

    MONITOR

    L OFICIAL

    A

    ROMANE

    Scrnne

    ti

    s'mptom.

    de

    nrurclhcdnen

    e:

    -

    scizalia

    de

    cap

    gtuj

    -

    cefalcc

    (&onrdli

    $i

    Er@rlit

    E)i

    -

    sidbiciunc

    musculari:

    -

    romnun.mcnr

    rg(sivj

    rulbtrriride(ompodamcori

    "no1.

    irpzmiezu

    , o

    ?e.

    LmbJ. uncon

    tdd.eere.c

    n

    imrtor:

    .

    tulburai

    dc \eJcrc

    (\edeE

    dubll

    in cearr)

    rulburan

    de

    coDpotucnti

    b) I dcnllli.orer

    cx

    uzcl

    o

    r hip

    dgri.cnicj

    -

    lipsa

    bidruorbondrcldr

    sau ingesria

    insuticientnl

    eadan'@d.z

    o. iBut

    I h

    ctnnsu r:osanumuiui{oh

    Tnjr

    J.

    Ctu.

    de,

    doza dc

    rnsulnt

    inodcc

    rE

    rcnanjzaG

    Dehesei

    rdninisEarddnorDcd'r

    cnrc

    cl

    Aplicarci

    phtrutui

    tcmpeu .,i

    conbrrcrea

    htpo8usmicj

    ,n

    cdn.omirzt

    cL

    tobco,

    etc

    de

    mgrt

    rc

    i'

    dc

    mo'ncnrulapiririeiscmnelor

    snDroDclor

    Di.igj.m

    J

    d{

    vuHii

    r

  • 7/26/2019 tewtewtew

    9/9

    vo^r'oq-L or

    L'AL

    ar

    RovA L

    hid..c ftonatclc [Pid

    rbsorbite

    carc

    sc

    adnrinhrrcui

    nr

    hipliccmic sunt in

    oidin.a

    prcl.rimci:

    rrbloro

    dc

    ghrco7ii,

    za[nr,

    sucuriJc

    lftorc

    ind0bnc

    cu

    zahir.

    biuuri r,co

    loaE

    4

    zdhtr

    {pcpsi

    j

    .o.a cold.llnra)l

    ,

    h 15-20 miDure,

    se

    'ni$rri

    gliccnia

    si.

    drcinus lrcnibilir,

    se rcpda

    proccdm

    p;inii

    lr

    rczo lv.rca cn isodu lui

    hipogliccmic

    i

    D.cl

    pacientul

    dirbetic

    cu

    hinogliccmic

    c$c

    .onlu4

    ry

    i..

    lJre,inti

    lcnto

    c

    in milcari

    i

    -

    ceo

    srpiavc-lhod

    pcnndNtrr

    dc

    pcFoanclcdin

    drlunjr

    sc vr rplicx

    t

    r.ncdtul

    indi.d:

    rdmlnivrdrca dc lucdzr srr

    glu.agon.

    Drcn

    pacieDrul

    pezinti insmus, n poar.

    dcschidc

    gu.a. soluria de glucozd

    sau

    zahar

    sc

    innlducc

    in spaliul

    dintue obrdz

    sirrcadcLe

    defbre

    caDdF.ieniulaE

    rciicx dcdcgluririe

    '

    rbshla

    tufexului

    dc dcEh

    iilc rccLm. .dministrdca

    dc

    nrscnii

    a

    hrrrnrentului

    injccrobil

    cuslucaqon sru

    qLL'co/t.

    sc

    tol.*rrc

    solulic dc

    sluco,i

    l0

    20%

    crrc

    sc

    injecrcaza

    stict

    intravcnos

    dc

    citc

    o

    asistcnti

    mcd icr ld sub

    supr"vcrhcrca u

    nu

    i

    Drcd

    ic.

    Ad$inishrca

    glu.dgonului

    poalc

    fi licurt i.rftnNcde

    in

    cddrmd

    $Lpco clcn tisicr

    gluclgonul(fiolr

    de

    rme) rrblic rt fic in remen dd vallbiLiretc,

    sc

    pi$rcr/ii

    in ftgider:

    -

    tiola

    dc

    ghcagon

    esle insolii de

    tuoonul

    cu solveDt

    $i

    scrirya

    adccv.rii

    -

    sc inkodu.c irin

    flnconul

    cu sol\tnr:

    -

    ie dspiri $lvenlulSi setansfcri

    jn

    naconulcu

    glucrgon:

    se

    agiti

    blald

    pani

    se

    dizoLvi:

    d)

    suprrvesherea

    $

    edu.,li{

    p,cicntului

    ltuicntlLraii

    n$ruit cum

    poale

    prelen

    i

    lipogli

    ccmia:

    -

    sa-9i nolczciDlnnced

    snrylonclc cmc.u

    rvenizar hipogliccmial

    -

    si

    dr.urc

    cu nledictrlcxuelc

    hinoglicemiei

    crrc

    poaic

    mo,lilicd

    scbcni

    dc rrabNnr:

    -

    siijitesre?e gliccniapcnlru

    o

    anumild

    Dcrioadii

    dc timpdtrp,

    hipdglicemici

    si

    aibn pcnnancnt

    asupF

    luitablcrc

    dc

    glueT'i

    satr 7i[&

    si

    si

    co'sunc

    cend arrrr

    senrne

    sc cviri {limcnrclc

    g

    ro

    -

    dxci

    dinin.ab

    sunr

    sc'nnc

    dc

    ncubglicopenic.

    sc ccrccrcrd

    gliceNia

    ir limpul mprii:

    si consume

    un suplind dc

    glucidc

    atuncicind

    lacc

    un

    efon

    izic

    slstinur:

    -

    se

    ia

    o

    Slstarc

    nririrzitr

    scam

    ncmtu

    a

    DEveri

    hilosliccmii

    nocrunri

    '

    si

    schinbe kJcuL injerrirli

    DenrD

    cvilarca

    linodis ofici hipcntunce

    c.rc

    impiedicr

    siJicontrolczc

    gliccnia

    cind

    sc

    urui

    h

    volrn

    sau p.

    bicicieri

    d

    sa

    iicdle,r

    saconduci

    ln

    ccl

    mri

    mic icnn

    dc hipoglicdni..

    Pacrcntul thbuic dcnli.nar

    c, hipoglicerniile

    scvdc

    $i

    pi.lungire

    pot

    c.nduoc

    h ccrana

    ncvemibili

    rsisic'nnlri

    nctr s