P Se |e cefine ccmc un :|ncrcme ccu:ccc

pcr cficiI ce in:u|inc y ce| incremenIc

ce |c: hcrmcnc: ccnIrcrregu|cccrc:,
ccrccIerizccc pcr hiperg|ucemic,
ce:hicrcIccicn, ce:eui|iLric
e|ecIrc||Iicc, ccicc:i: meIcLc|icc
{ceIc:i:). /fecIc ce preferencic c |c:
cicLIicc: in:u|inc cepencienIe:, perc
nc e: infrecuenIe en |c: nc
cepencienIe: en ccncicicne: ce e:Ir:
meIcLc|icc.
ncicencic cprcximccc cnuc| ce C/D
ce 1 c 5 7.
4. c 8 epi:ccic: pcr cccc 1000
incivicuc: cicLIicc:.
Di:creIcmenIe mcycr en :exc femeninc
/cc|e:cenIe:. nicic ce pre:enIccicn ce|
DM.
P Sue|en ce:crrc||cr:e en
24 hcrc:.
P S|nIcmc:
P Ncu:ec: y vcmiIc:.
P Sec y pc|iuric.
P Dc|cr cLccminc|.
P Di:nec.
P Signc:.
P Icuiccrcic
P Seueccc ce
mucc:c: y ci:minucicn
Iurgencic cuIcnec.
P Icuipnec, re:pirccicn
ce Ku::mcu|, c|ienIc
cfruIccc.
P /|Ierccicne: e:Iccc
ce ccnciencic.
iperg|ucemic
CeIc:i:
/cicc:i: ccn
incremenIc
ce |c
Lrechc
cniccnicc.
G|ucemic :ricc < 250
mg/100 m|.
p :cngu|nec < 7.3
cc3 < 15 mE/L
/nicn Gcp < 10-12
CeIcnemic
ceIcnuric
P Lc: Ire: pi|cre::
1. icrcIccicn
2. /cmini:Irccicn ce in:u|inc
3. Ccrreccicn ce |c: Irc:Icrnc:
e|ecIrc||Iicc:.
P /D/.
P Sc|ucicn :c|inc c 0. 7, c unc ve|cciccc ce 15 c 20
m|/kg/h c c 1 c 1.5 L curcnIe |c primerc hcrc.
P Lc :iguienIe :e e|ige en Lc:e e:Iccc ce hicrcIccicn y
:ccic ccrregicc.
P Luegc ce |c primerc hcrc |c: gu|c: ce |c /D/
p|cnIecn e| u:c ce 0,457 cucncc e| :ccic :ricc :e
encuenIre ncrmc| c e|evccc c 0,7 cucncc nc:
enccnIremc: ccn hipcncIremic.
G|ucc:c ci:minuye c 200 mg/100 m|, :e ccmLic c :c|
g|ucc:ccc c 57, mixIc c un riImc ce infu:icn ce 150
c 250 m|/h.
P Cuicccc:c en ccrcicpcIc: y cncicnc:
P c:Ic ue pre:icn e:Ie e:IcL|e.
P ipcpcIc:emic ccrregicc.
P n:u|inc regu|cr: ', 'SC c M.
P 8c|c ' ce 0.1 U/kg ce in:u|inc regu|cr
:eguicc ce infu:icn ce 0.1 U/kg/h.
P 'e|cciccc ce ce:cen:c 50 c 70 mg/100
m| pcr hcrc.
P 200 mg/100 m| :e ci:minuye infu:icn c un
0.05 U|/kg/h c| Iiempc ce cgregcr:e
g|ucc:c en |c: :c|ucicne:.
P 0.4 c 0. U/kg |c miIcc en Lc|c ' y |c
miIcc re:IcnIe v|c M c SC. CcnIinuc
ccn 0.1U/kg ce in:u|inc regu|cr pcr hcrc
pcr v|c M c SC.
P /cmini:Ircr in:u|inc ce cccicn
inIermecic c prc|cngccc Icn prcnIc
ccmc e| pccienIe empiece c ccmer.
P Mc: impcrIcnIe e: K.
P KCL 20 c 30 mE c cccc |iIrc ce
:c|ucicn.
P U:c ce LiccrLcncIc ccnIrcver:ic|.
P F mencr 7 en unc :c|. 44.5 c 50 mE ce
LiccrLcncIc ce :ccic en 200 m| ce
cguc e:Iri| ccn 10 mE ce K en 1 h.
P CriIeric: ce re:c|ucicn:
P g|ucemic mencr ce 200 mg/100 m|
P p < 7.3
P 8iccrLcncIc < 18mE/L.
P Ecemc cereLrc|.
P ipcpcIc:emic
P ipcg|ucemic
P Ecemc cgucc ce pu|mcn