PRECIPITATING Diabetes Mellitus (Noncompliance of medication) PREDISPOSING Non-Modifiable AGE (loss of blood vessel elasticity) GENDER FAMILY (hereditary)

Modifiable Hypertension DIET (high fat, sweet) STRESS Increase fat deposit on the walls of the blood vessels

COMPLICATION OF DM2

Insufficient insulin secretion/ production of the pancreas in the islet of langerhans Glucose is not metabolize by the body Accumulation of glucose in the blood stream Increase viscosity of blood/ sluggish flow of blood Evaluate level of blood glucose/ increase concentration of sugar in blood S/sx: CBG monitoring: 103-

Narrowing of blood vessel (coronary artery)

Atherosclesrosis

Peripheral Cardiac output

Decrease blood flow through the coronary S/sx: BP: 140/90 mmHg Dyspnea Pulse rate & cardiac rate

Pressure on the wall of blood Increase Peripheral Vascular resistance Some fragments joins in circulation (EMBOLISM) Goes to small vessels and clog (deep penetrating arteries especially lacunar region) Obstruction/ interruption of O2 supply due to decreased blood supply Lacunar infarct

Decrease blood circulation HCVD

Aneurysm Rupture of blood Bleeding

Prognosis

Decrease oxygen supply to basal ganglia (L) If untreated: Further complication can occur: Ischemia Angina pectoris MI Heart attack CVA INFARCTION

Influences autonomic nervous Responsible for cerebellar function Also affects motor skills of chewing & swallowing (DYSPHAGIA) Difficulty in chewing & swallowing could lead to decrease appetite Causing weight loss

If treated: Nursing Management Diet Management Pharmacologic Medication: Mannitol 150 cc IV bolus Q6H Kalium Durule one tab once daily Ranitidine 150 mg/tab three times a day Oxygen

Death

Recove ry