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PATHOPHYSIOLOGY

Predisposing Factor: Precipitating Factor:


-Hereditary -surgery
-Age (19 below) -diabetes 1 and 2
-Type A personality -stress
-Obesity -alcohol/drug abuse
-Genetics -infection

Glucose
Fat Electrolytes Protein
Water

Insulin deficiency

↑ Glucagon ↓Glucose uptake by cells ↓Glucagon


Gluconeogenesis Hyperglycemia Gluconeogenesis
↑Lipolysis Glucosuria ↑Protein catabolism
Polyuria
↑Free fatty acids Hyperosmolality
↓Protein synthesis
Ketogenesis ↑Amino acids
Ketonaemia

Ketonuria Osmotic dieresis ↑Blood urea


Sodium Polyuria
Nausea Electrolyte imbalance ↑Urinary nitrogen
Vomiting Negative nitrogen
↓Sodium balance
↓Potassium
↓Phosporus
↓Bicarbonate

Dehydration
Hyperosmolality
Haemoconcentration

↑Serum pH
Acidosis Hypotension
↓Renal blood flow
Underperfusion of tissue
Tissue hypoxia
Kussmaul breathing ↑Lactic acid
Excretion of Acetone Metabolic Acidosis

Metabolic acidosis, Shock, Coma, Death

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