High patient coma pathogenesis, nursing diagnosis, measures used to guide notes?

Thank you ~ ha ~ High guidance coma patient? Is the spelling right? Is hyperosmolar coma, right? Hyperosmolar diabetic coma non-ketogenic four typical clinical features: 1, severe high blood sugar, urine sugar strong positive, blood glucose more than 33.6 mmol / l (600 mg%), even up to 67.2 mmol / l (1200 mg%) or more. 2, plasma osmolality increased with severe dehydration or shock. 3, the lack of significant ketosis, blood ketones were normal. 4, the nervous system often has the nature of consciousness disorder, can be manifested as lethargy, unresponsive, disorientation, resulting in coma; physical activity adversely, hyperreflexia or disappeared, the pathological positive, grand mal seizures, hallucinations, etc., also can appear stiff neck and so on. Hyperosmolar nonketotic diabetic coma diabetic metabolic disorder that is increasing, leading to severe high blood glucose, plasma hyperosmolar state, and low blood volume and intracellular dehydration, with consciousness disorder, diabetes, acute metabolic disorder is a serious type, if not save, can be life threatening. Family first aid principles: rapidly correct dehydration, decreased plasma osmotic pressure and blood glucose, correction of electrolyte disorders, and the removal of incentives to prevent and treat complications. First, to correct dehydration, conscious may try drinking water, and record the amount of drinking water, food intake, urine output, vomiting, volume and so on. Second, delirious patients should head to one side, so as not to cause choking and vomiting. Third, because of family conditions, such as uncertainty, not rush to give insulin injections. Fourth, as soon as possible to the emergency center for help. Transit of hyperosmolar nonketotic diabetic coma patients have to pay attention to: (a) as far as possible to take the necessary measures to ensure stable vital signs. (B) keep the airway open. (C) the necessary oxygen. (Iv) maintain intravenous access patency. (E) ECG monitoring when necessary. (F) on the way to closely monitor patients with consciousness, respiration, heart rate, blood pressure and peripheral circulation and other conditions change.