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- AGE: 80 yrs. Old - DIET: eating foods rich in sugar, carbs, and fats
- Family History of DIABETES - LIFESTYLE: smoking, drinking alcohol
- Hereditary - Compliance: no maintenance of meds. for DM
HYPERGLYCEMIA (304
Increased serum glucose level mg/dl, 13.2 mg/dl)
Sluggish flow of Serum osmolarity Tissue perfusion Osmotic Glucose Glucose intake
blood pressure in concentration of cells
of kidney blood in urine
Blood viscosity
Impaired delivery ATP
of blood Impaired Failure to H20 from cell Reabsorption production
components Blood flow to the removal of initiate towards the of glucose in
organs and extremities waste erythropoietin blood renal tubule Energy for
normal cells
Inadequate
Tissue perfusion in functions
inflammatory Impaired Stimulation of Dehydration Osmotic
response nerves
removal of the bone pressure Cells
waste from marrow fails starvation
Nerve hypoxia Stimulation of
Microorganism blood H20 occurs
osmoreceptors
would enter the reabsorption
Segmental RBC
body at any route Stimulation of
demyelization Glucose level production thirst the hunger
exceeds renal decreased Urine output
mechanism
threshold
Infection occurs Nerve damaged POLYDIPSIA
RBC POLYURIA Hunger occurs
Impaired renal (4.5)
WBC (14.4), Excessive glucose is
Fnx
eusinophils converted into SORBITOL POLYPHAGIA
(7%) w/c accumulate in nerves Fatigue
Permeability
of the renal
Inadequate Sorbitol impairs
cell wall
nutritional motor nerve
support conduction
Filtration of
macro cells &
Poor Paresthesia, particles
wound numbness
healing
Sugar+2,
protein+2,
Decreased blood+5, RBC
PR (60 bpm) >100/hpf
DIABETES MELLITUS
Pathophysiology of BPH
Thickening of the cardiac blood vessels
wall
MYOCARDIAL INFARCTION
(ACS)
SINUS DOB,
BRADYCARDIA fatigue, with
rales upon
auscultation
HEART FAILURE
PREDISPOSING FACTORS PRECIPITATING FACTORS
- AGE: 80 yrs. Old - SMOKING
- FAMILY HISTORY OF BPH - WITH DM, HF, AND MI
- NORMAL BODY CHANGES
Testosterone
Dihydrosterone
Binds to nuclear
androgen receptors
HYPERPLASIA
LUTS
Feeling of
Dribbling of Increased daytime URGENCY NOCTURIA
incomplete
urine voiding frequency
emptying of
the bladder
POLYURIA