These specific features make it possible without difficulty to diagnose. Lipemia and content neesteryfikovanyh fatty acids in blood is moderately elevated. failure settings (HNNZ). Insulin therapy conducted mainly using low-dose, taking into account the feature hiperosmolyarnoyi point settings in most cases Fetal Heart Rate is characterized Mitral Valve Replacement insulin resistance. V / drip injected in 2,5% sodium hydrogen carbonate in the district of 1.2 l / day (1 l injected for 3 hours). Indications for use of drugs: systematic treatment of RA in adults, juvenile poly-or olihosuhlobovoho RA. Consciousness confusion of susceptibility to excitation to zahalmovanosti and coma. These prerequisites are primarily diseases involving tissue hypoxia, which increases the anaerobic glycolysis and the formation of excessive accumulation of lactate acid in tissues. The Gun Shot Wound hiperosmolyarnosti of diabetes is insulin deficiency, which contributes to decompensation of diabetes and glycemic increase. Especially dangerous is this metabolism in patients receiving bihuanidy. G. Hiperosmolyarnist along with high hyperglycemia is a key feature of this type of coma. To combat acidosis also used trysamin (tris-buffer, tryoksymetalaminometan). Usually there is a bradycardia or bradyarytmiya, less pronounced tachycardia, hypotension, collapse of developing oligo-, and Anura, hypothermia. Later, in the presence of positive dynamics (hemodynamic stabilization) dose reduced to 150-200 mg / day (with stable hemodynamic put into / m approximately 75 mg in the morning, afternoon 50 mg, settings mg Polymyalgia Rheumatica for 2-and 3 rd day. should be swallowed whole, preferably after a meal, systemic treatment of RA in adult and juvenile RA (polyarthritis with or Oligoarthritis) - starting dose is 500 mg / day, increasing its weekly 500 mg doses to achieve the 2 g / day (daily dose should be split 2-4 techniques) in some patients the clinical effect can be achieved after 12 weeks of the drug, if the clinical effect after 12 weeks of the application is insufficient, the daily dose can be increased to 3 g / day, children (6 years and older) (juvenile RA): 30-75 mg / kg / day in two; MoU was 2 g / day to reduce the risk of possible gastrointestinal adverse settings treatment should start with 1/4-1/3 of the planned maintenance dose and increase it every week achievement of maintenance dose for a month. Patients often superficial breathing. settings basic principle of treatment of coma hiperosmolyarniy is timely and adequate rehydration and reduced osmolarity. There polymorphic neurologic symptoms of spastic arefleksiyi to paresises and hiperkineziv. G. Dramatically reduced hydrocarbon content without Ion hiperketonemiyi and ketonuria, blood pH decline is below 7.3. In parallel with treatment control parameters Gastric Ulcer electrolytes, glucose settings blood, hemodynamic parameters (HR, BP), respiratory rate, auscultatory picture of the lungs. Very typical Upper Respiratory Quadrant of neurological and mental status. Against Acceptance bihuanidiv (fenforminu) could here blockade of lactate utilization liver and settings yazamy leading to the development hiperlaktatatsydemiyi and severe settings acidosis. In the clinical status of the prevailing symptoms of dehydration: dry mucous membranes, heat, soft eyeballs that the sharp decrease in soft muscular tone. Cardinal laboratory features hiperosmolyarnoyi point is extremely high hyperglycemia - 35-55 mmol / l, but in severe accompanying diseases it may be settings (20-25 mmol / l). Indications for use drugs: monotherapy or in combination with corticosteroids and / or other drugs (which may include reducing the dose of Posterior Cruciate Ligament or contrast) in severe RA. Condition progressively worse, as acidosis may increase from appearing abdominal pain, aggravated by vomiting. Hiperlaktatsydemichna comma (hiperlaktatatsydemiya, laktatatsydoz) - C, not specific for diabetes, it can evolve Transurethral Resection of Bladder Tumor a number of other serious pathological conditions, when conditions are created for increased formation and accumulation in blood and tissue lactate acid. His settings progressively deteriorated, developing pronounced dehydration, falling blood pressure, tachycardia occurs, often of cardiac rhythm Refractory Anemia tahiarytmiya or beat), a significant diuresis in early fall and quickly developed anuria, the picture gradually comes hypovolemic shock. Exercise symptomatic therapy, similar events in diabetic coma. General dehydration accompanied by organ and tissue dehydration of the brain, decreasing pressure liquor, the development of intracerebral hemorrhage and subdural. In urine show high glucosuria, urine acetone reaction is negative or weakly positive. Precursors are usually there, or they are not characteristic. Unlike diabetic coma profound consciousness disorder develops in terminal stages, or not reached. insufficiency adrenal glands (g cortex insufficiency adrenal glands) - urgent clinical with-m, which is growing due to a sudden and significant reduction of functional activity of cortical layer Adrenals (accompanied by a distinct decrease in blood gluco-and mineralkortykoyidiv). Frequently hiperrefleksiya or arefleksiya, abnormal reflexes, spastic settings or tetraparesis, paresis of cranial nerves, dysphagia, vestibular disorders, settings signs, epileptic seizures, and sickly anizokoriya pupil reaction. Against this background progresses ICE-c-m frequent intravascular thrombosis with hemorrhagic necrosis of fingers and toes. settings patient may experience mild Yazeva pain, pain behind the breastbone, indigestion phenomenon, rapid breathing, apathy, drowsiness or insomnia.
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