Elderly non-ketotic hyperosmolar diabetic coma Nursing care experience of 8 cases.docVIP

 PAGE \* MERGEFORMAT 10 Elderly non-ketotic hyperosmolar diabetic coma Nursing care experience of 8 cases [Abstract] Objective of 8 elderly patients with non-ketotic hyperosmolar diabetic coma patient care, analysis and understanding of elderly patients with non-ketotic hyperosmolar diabetic coma in the rescue and care measures. Method illness observation, fluid dehydration, basic care, . Results 8 elderly patients with non-ketotic hyperosmolar diabetic coma in 4 cases the patients were cured and 4 died. Conclusion The key to the rapid treatment to correct dehydration, decreased plasma osmotic pressure, care and close observation of the key changes in condition, monitoring vital signs, rapid rehydration and proper use of insulin, strengthen basic care, diabetes specialist knowledge and proficiency skills. [Keywords:] diabetes mellitus, coma, non-ketosis, the elderly, nursing Of hyperosmolar non-ketotic diabetic coma is a serious complication of diabetes, the mortality rate as high as 70% [1], occurs in older patients with diabetes, some patients had no history of diabetes, clinical misdiagnosis, our department from 2005 January -2008 on December 60 and older were treated 406 cases of diabetes, 8 cases of concurrent non-ketotic hyperosmolar diabetic coma. its occurrence rate is about 1.97%. This paper summarizes of hyperosmolar non-ketotic Nursing care of diabetic coma experience. 1 Clinical data 8 cases of hyperosmolar non-ketotic diabetic coma patients, 3 males and 5 females, aged 60 to 85 years,gt; 70 years or older patients with diabetes mellitus in 4 cases .5 1 ~ 18 years, 3 patients without diabetes mellitus . admitted to our hospital misdiagnosed as cerebral vascular accident in 3 cases, misdiagnosed as coronary heart disease in 1 case, 1 case of septic shock, occurred in 3 patients in our hospital during the period. cured after treatment in 4 cases, 4 deaths (age were over 65. 2 condition observation and nursing care Close observatio