Influence of diabetes in critical patients

Identifier:  TFG:823

Handle: https://hdl.handle.net/20.500.11797/TFG823

Authors:  Dicu, Denisa Nicoleta

Abstract:
INFLUENCE OF DIABETES IN CRITICAL PATIENTS / Denisa Nicoleta Dicu. Abstract Introduction: The DM is one of the principal reasons of invalidity and premature death and is a motive of an important deterioration in the quality of life of the affected persons. The calculations of the FID indicate that 8,3% of the adults has DM. The control of the entered patients they must be a responsibility of infirmary who of a direct way must have a strict control so much of the levels glycemic, in the control of the signs and symptoms and in the prevention of complications. Aims: The general aim of this study consists to realizing a bibliographical review on the current condition of the topic in the attention to the diabetic critical / hospitalize patient. The specific aims are: To know the nursing care protocols to the critical patients with DM or acute complications. To know the managing of the sharp complications in the critical / hospitalize patient. To know the morbid-mortality associated with the DM in the critical / hospitalize patient. Method: With the aim to obtain a few bibliographical ideal references on the topic in question, exhaustive search fulfils one in the databases that are considered to be the most important inside the area of infirmary and medicine. These are: PubMed, Dialnet, Scielo, Elsevier .También I have obtained information of specialized magazines like: Medicine Hospitalizes, Magazine Emergencies Magazine Based on the Evidence between others. Results: There has been obtained a total of 21 bibliographical references of great relevancy for the accomplishment of this Work of end of Degree that tries to know the influence of the diabetes in the critical patient. Conclusions: Some studies have expose that the lack of adherence to treatment is one of the main triggers of acute complications in diabetic patient. These complications are the hyperglycemic crises, Diabetic Ketoacidosis (CAD) and the hypoglycemia, among the highlights. It is important to create clear guidelines to treat these complications, in all services, in order to provide emergency medical care. The hyperglycemia, the hypoglycemia, the CAD in the revenue associates to a higher morbid-mortality and consumption of resources that carries an increase of the costs. The diabetic patients need 1.5 million days of hospitalization per year, and 5.8 % of the total budget of health is used for the care of the diabetic patient, three times major that the budget used in not diabetic population. The factors that the hospitable control of the hyperglycemia impedes it are the clinical inertia motivated by the difficulty of changing the beliefs and behaviors of the professionals who attend to the patient. To conquer this protocols have been implanted try to orientate the adjustment of insulin during the hospitable stay and in the planning of the treatment of discharge Key words: Diabetes, critical Patient, Evolution, Attention of infirmary, Treatment, Emergencies, Diabetes hospitalization, Diabetes intensive care unit, diabetic Patient, Ketoacidosis, Hyperglycemia, and Hypoglycemia