Diabetes / acid base Flashcards
HCT
Hematocrit,% of red cells in your blood
GFR
Glomerular Filtration Rate
HB1Ac
Haemoglobin 1Ac, is the amount of glucose of the last 2-3 months
How to know if someone has diabetes based on the HB1Ac ?
You can develop Type 2 diabetes if you have 6.5%
How to know if it’s diables Type I ?
- Is an autoimmune disorder,where cells attack the endocrineus system,pancreas is notable to produce insulin cells
- Damage of T and B cells
- You can get diabetes after a viral infection
Method to confirm diabetes specifically type1
Random Sugar Test Imade in a normal blood test)
Other methods to confrm diabetes
- fasting blood glucose test
- oral glucose tolerance test
- glycated haemoglobin ( HB1Ac )
Endogenous Insulin Production on diabetes Type I
secrete low levels
Onset speed on Diabetes type I
few weeks or months
Typical age of onset diabetes type l
early age
Percent population with diabetes type I
10-15%
Body habitus ondiabetes type I
thin or average body
treatments for diabetes type I
insulin injection
What to look in a diabetes type I patient?
look for antibodies
Endogenous Imsullin Production on cdiabetes type 2
not atected
Onset speed of diabetes type 2
Adults over 30 yrs
Percent of diabetic 2 population
90-95%
Body habitus in diabetes type 2
obese
Treatments for diabetes type 2 patients
dieting and exexcise
What to look for in a diabetic type 2 patient?
excess production of insulin
With which other affections is type I and type 2 diabetes related ?
- Polyuria
- Poydipsia
- Polyphagia
Polyuria
excessive urination
Polydipsia
thirstiness
Polyphagia
eating excessive amount of food
What is the use at the name specific gravity?
density measure for liquids
Why are ketones present in the urine?
Because there is no insulin and ketones are produced to compensate
What are the consequences at hyper-glycemia
- It can damage your nerves, blood vessels, lissues and organs
- Can increase the risk of heart attack, stroke, eye damaging, kidney damaging, non-healing wounds
- COMA DEATH
What are the consequences of hypo-glycaemia?
- brain blead, heart allack, lost of cognitive functions,aye disease, nerve damage, eye disease and kidney disease
- PERMANENT BRAIN DAMAGE
ERPF
Execration renal plasma flow
RBF
Renal blood flow
what is neuropathy, nephropathy, retinopathy associated to?
Hyperglycemia
Neuropathy
Damage or disfunction in for more nerves that typically result in numbness,tingling,muscle weakness and pain in some areas
Nephropathy
Kidney failure,GFR increase.
Retinopathy
Blured vision, develop eye disease
What is the physiologicalp pincipale of the inulin clearance test to measure GFR
When a substance is administrated intravenously and is cleared by the gomerular filtration ; at equilibrium the rate of infusion = the rate of excretion
Term for high urea
uremia
EPO
Erythropoietin
What does law haematocrit (PCV) means?
law EPO
hypercapnia
Condition of having high levels of CO2 in the blood caused by an hyperventilation or by a breathing dissorder
Halbuminuria
high levels of albumin
ketonuria
high levels of Ketones
Haematuria
high levels of blood
What is a value that can confirm a renal function?
Creatinine
Hyperkalaemia
high K levels in your blood
Hyperphosphataemia
abnormal high levels of phosphate in the blood strem
Anemia
condition in which you lack enough healthy RBC, no oxygen, no EPO
Why do patients with renal failure have bone problems?
Because they don’t have vitamine D, meaning bones cannot calcificate
HaemodralysIs
machine that cleans the blood from toxins and from substances that shouldn’t be there
ESKD
End Stage Kidney Disease
How is ESKD associated with uraemic syndrome ?
Is extra urea = skin problems, inflamation of the brain tissue