What does diabetic old person coma eat

summary

Diabetes is a very common disease in our daily life. After suffering from diabetes, sometimes people will have coma symptoms for many reasons. Now I will share with you what the elderly with diabetes eat in coma.

What does diabetic old person coma eat

First, supplement normal saline: 2000ml in the first 2-4h, about 4000ml in the first day. It is not suitable to rehydrate too much and too fast in the elderly and patients with cardiac and renal insufficiency. 9 mmol / L (250 mg / D 1), 5% glucose solution, 4 / 5 parts of 5% glucose solution and 1 / 5 parts of normal saline were used. When the patient is able to eat, liquid food and semi liquid food are encouraged.

Second, timely supplement of potassium: if blood potassium is low or normal and urine volume is sufficient, intravenous drip of potassium chloride 1-1.5g/500ml at the beginning of treatment, and supplement of potassium 6-9g on the first day. Patients with hyperkalemia before treatment should pay attention to supplement potassium 3-4 hours after treatment. The supplement of potassium should be carried out under the monitoring of electrocardiogram, or blood potassium should be measured for 2-3 hours to prevent hyperkalemia. When the serum potassium level was above 5 mmol / L, potassium supplement was stopped.

Third, correct acidosis: do not use alkali when pH > 7.15, use 5% sodium bicarbonate 150ml when pH < 7.0, and use half dose when pH 7.0 ~ 7.15.

matters needing attention

In case of coma of diabetic patients, if they are not rescued in time, they may be in danger of life. Nursing staff and their families must observe the patient's condition at any time. Remember the amount of fluid in and out of the patient, such as the amount of drinking water or infusion, urine volume, etc.; when the patient is out of danger, restore consciousness, should actively treat diabetes, adjust diet, reasonable use of insulin, make the body metabolism normal, avoid the recurrence of diabetic coma.