COMPLICACIÓN AGUDA: CETOACIDOSIS DIABETICA

<br /> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">              </span><span style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%; text-indent: 35.4pt;">Ocurre en personas con DM y se presenta cuando el cuerpo no puede usar la GLUCOSA como fuente de energía debido a que no hay insulina o esta es insuficiente. En lugar de esto, se utiliza la grasa para obtener energía.</span></div> <div class="MsoNormal" style="line-height: 115%; text-indent: 35.4pt;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">                Síndrome  donde existe una deficienc</span><span lang="ES-CL" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-CL; mso-bidi-font-family: Arial;">ia </span><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">  de Insulina y un exceso de glucagón. Que combinados producen una HIPERGLICEMIA, deshidratación, desequilibrio electrolítico y acidosis metabólica.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">                Las personas con DM1 no tienen suficiente Insulina, una hormona que el cuerpo utiliza para descomponer la glucosa en el cuerpo para obtener energía. Cuando la glucosa no está disponible, se metaboliza la grasa en su lugar.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">                A medida que las grasas se descomponen, los ácidos llamados cetonas se acumulan en la sangre y en la orina. En niveles altos, las cetonas son toxicas. Denominándose <b>CETOACIDOSIS.<span style="color: red;"> </span></b>Los niveles de glicemia se elevan generalmente por encima de los 300 mm/dL, debido a que el hígado produce glucosa para tratar de combatir el problema, sin embargo las células no pueden absorber esa glucosa sin la insulina.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;"><br /></span></div> <div class="MsoNormal" style="line-height: 115%;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">                La CETOACIDOSIS DIABETICA con frecuencia es el primer signo de DM1.  En pacientes con DM2, es poco frecuente la cetoacidosis, generalmente se desencadena por una enfermedad grave.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <br /></div> <div class="MsoNormal" style="line-height: 115%;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Arial;">SINTOMAS:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Respiración de KUSSMAUL: Respiración acelerada y profunda.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Dificultad respiratoria al estar acostado<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Resequedad boca y piel<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Enrojecimiento de la cara<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Aliento a fruta<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Nauseas y vómitos<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Dolor de estómago<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; line-height: 115%;"><span style="font-size: 11pt;">§</span><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span><span style="font-family: 'Times New Roman'; line-height: normal;">Perdida </span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> del apetito<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; line-height: 115%;"><span style="font-size: 11pt;">§</span><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span><span style="font-family: 'Times New Roman'; line-height: normal;">Perdida </span></span><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> del estado de conciencia<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Fatiga<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Poliuria<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Polidipsia<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Dolor de cabeza<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Rigidez Muscular<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Puede llegar a coma<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 39.0pt; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">HIPERGLICEMIA oscila entre 250-750 mg/dL<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <br /></div> <div class="MsoNormal" style="line-height: 115%;"> <b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">OBJETIVO DEL TRATAMIENTO: </span></b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">CORREGIR EL ALTO NIVEL DE GLUCOSA EN LA SANGRE CON INSULINA.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%;"> <br /></div> <div class="MsoNormal" style="line-height: 115%;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">EN URGENCIA SE REALIZARA:<o:p></o:p></span></b></div> <ul style="margin-top: 0cm;" type="square"> <li class="MsoNormal" style="line-height: 115%; mso-list: l2 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Administración de Insulina<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l2 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">Reposición de líquidos y electrólitos<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l2 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">EXAMEN DE CETONAS: Se puede usar para detectar CETOACIDOSIS. Este examen se hace utilizando una muestra de orina y por lo regular se lleva a cabo cuando el azúcar en sangre es superior a 240 mg/dL.<o:p></o:p></span></li> </ul> <div class="MsoNormal"> <span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;">Por:  Wendolyn Catalán</span></span></div>

COMPLICACIÓN AGUDA: CETOACIDOSIS DIABETICA

               Ocurre en personas con DM y se presenta cuando el cuerpo no puede usar la GLUCOSA como fuente de energía debido a que no ...

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COMPLICACIÓN AGUDA: HIPOGLICEMIA

<br /> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <span style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%;">Síndrome causado por una reducción crítica del aporte de glucosa al encéfalo y caracterizado por alteración de conciencia y/o sinología focal neurológica. </span><b style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%;">COMPLICACIÓN FRECUENTE DEL TRATAMIENTO HIPOGLICEMIANTE DEL DIABÉTICO 1, ESPECIALMENTE.</b></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">SINTOMAS:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Glicemias ↓ a 50 mg/dL<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Con o Sin compromiso de conciencia<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">ATETOSIS: </span></b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Se da en un 25% de los casos de Parálisis cerebral. Son lesiones en el Sistema Extrapiramidal, que se manifiesta en movimientos lentos, involuntarios e incontrolados.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Rigidez y parálisis muscular<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 36pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Convulsiones<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <b><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">TRATAMIENTO: </span></b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Cambio en el estilo de vida: Ejercicio, Autocontrol, Régimen con restricción de hidratos de carbono. </span><b><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">VIDA SANA!!!</span></b><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;"><o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">      </span></span><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">La alimentación es el factor de mayor importancia para equilibrar con la insulina. Debe ser variada, equilibrada y balanceada. <b><o:p></o:p></b></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Hay alimentos que <b>NO </b>deben consumir porque contienen azúcar que elevan bruscamente la glicemia: Pasteles, caramelos, postres y bebidas de fantasía. <b><o:p></o:p></b></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Alimentos <b>SIN </b>azúcar, con endulcorantes.<b><o:p></o:p></b></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Cuidado con los alimentos ligth que significa que tienen menos calorías o grasas, deben ser DIET sin azúcar.<b><o:p></o:p></b></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Las fibras hacen subir más lento la glicemia ya que la digestión es más pausada, por eso preferir alimentos integrales.<b><o:p></o:p></b></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Se debe ser prudente con la ingesta de grasas por su riesgo cardiovascular. Preferencia de alimentos de origen vegetal.<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><b><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">EJERCICIOS: </span></b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Ayuda a bajar la glicemia, mejorar la circulación y evitar la obesidad - Frecuencia de 3-5 sesiones semanales de 20 a 30 minutos según edad y estado físico. <o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES-TRAD" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">Manejo del estrés<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES-TRAD" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">HGO (Hipoglicemiantes) o Antihiperglicemiante<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Insulina y control de glicemia periódica<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES-TRAD" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES-TRAD" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-TRAD; mso-bidi-font-family: Arial;">Control con especialidades: Diabetologo – Oftalmólogo<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 39.3pt; text-align: justify; text-indent: -18pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Symbol; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">         </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Cuidado de la piel y especialmente de los pies (EDUCACIÓN)<o:p></o:p></span></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 21.3pt; text-align: justify; word-break: normal;"> <br /></div> <div class="MsoListParagraph" style="line-height: 115%; margin-left: 21.3pt; text-align: justify; word-break: normal;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Por: Wendolyn Catalán</span></div> <div class="MsoNormal" style="line-height: 115%; text-align: justify;"> <br /></div>

COMPLICACIÓN AGUDA: HIPOGLICEMIA

Síndrome causado por una reducción crítica del aporte de glucosa al encéfalo y caracterizado por alteración de conciencia y/o sinología fo...

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COMPLICACIÓN AGUDA: COMA HIPEROSMOLAR NO CETOSICO

<br /> <div align="left" class="MsoNormal" style="line-height: 115%;"> <br /></div> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Su causa es una insuficiencia insulinica y/o desenfreno de hormonas catabólicas.</span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Para la ausencia de cetoacidosis, es la persistencia de niveles significativos de insulina que ha nivel hepático son suficientes para inhibir la cetogenesis pero no para mantener la utilización periférica de la glucosa.<o:p></o:p></span></li> </ul> <div> <span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;"><br /></span></span></div> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; mso-list: l1 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">SINTOMAS:</span></b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"><o:p></o:p></span></li> </ul> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Hiperglicemia Severa 700-1700 mg/dL<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Hiperosmolaridad Plasmática<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Compromiso de conciencia<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">AUN NO PRESENTA ACIDOSIS – CETOACIDOSIS</span></b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"><o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Mayor incidencia en DM2<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 72.0pt; mso-list: l0 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Mortalidad 40-50% a causa de shock o Embolia Pulmonar<o:p></o:p></span></div>

COMPLICACIÓN AGUDA: COMA HIPEROSMOLAR NO CETOSICO

Su causa es una insuficiencia insulinica y/o desenfreno de hormonas catabólicas. Para la ausencia de cetoacidosis, es la persisten...

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DIABETES MELLITUS 2

<br /> <div style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"> <img alt="Resultado de imagen para DIABETES MELLITUS 2 blogspot" src="https://encrypted-tbn2.gstatic.com/images?q=tbn:ANd9GcQdRIjZDR9sTzf65ygNjumcRClfLgzvsTAGjk9MDJ1EuJoNwbgK" /></div> <br /> <div align="center" class="MsoNormal" style="clear: left; float: left; line-height: 115%; margin-bottom: 1em; margin-right: 1em; text-align: center;"> </div> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">El 90% de los diabéticos pertenecen al tipo 2.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">La Insulina no trabaja adecuadamente.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Caracterizada por insulinoresistencia y deficiencia <b>NO ABSOLUTA </b>de Insulina.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Generalmente obesos y/o con distribución de grasa predominante abdominal.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Sin tendencia a la ACIDOSIS.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Responden a dieta e hipoglicemiantes orales.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Muchos con el tiempo requieren de insulina, pero ello no es indispensable para preservara la vida.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Con niveles de insulina plasmática normal o elevada.<o:p></o:p></span></li> </ul> <div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><u><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Arial;">GENERALIDADES DM1 Y DM2<o:p></o:p></span></u></b></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><u><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Arial;"><br /></span></u></b></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;"> <tbody> <tr> <td colspan="2" style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 258.65pt;" valign="top" width="345"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">DIABETES MELLITUS 1<o:p></o:p></span></b></div> </td> <td colspan="2" style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 271.25pt;" valign="top" width="362"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">DIABETES MELLITUS 2<o:p></o:p></span></b></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Generalmente ante de los 30 años.<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">EDAD INICIO<o:p></o:p></span></b></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Generalmente < 40 años.<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Normal o Bajo Peso<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">ESTADO NUTRICIONAL<o:p></o:p></span></b></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Obeso o Normal<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Inicio Agudo<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="text-align: center;"> <span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;"><b>SÍNTOMAS</b></span></span><b style="line-height: 115%;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> <o:p></o:p></span></b><span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;"><b>CLÍNICOS</b></span></span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="text-align: center;"> <span lang="EN-US" style="font-family: Calibri, sans-serif; font-size: 11pt; line-height: 115%;">Inicio <o:p></o:p></span><span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;">Insidioso</span></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">ALTA<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">TENDENCIA A ACIDOSIS<o:p></o:p></span></b></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">En situación de estrés.<o:p></o:p></span></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Mala adhesión al tratamiento.<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">BAJA<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">NIVEL INSULINEMIA<o:p></o:p></span></b></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">NORMAL O ALTA<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.4pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">INSULINO DEPENDIENTE<o:p></o:p></span></div> </td> <td colspan="2" style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.45pt;" valign="top" width="230"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="text-align: center;"> <b style="line-height: 115%;"><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">RESPUESTA <o:p></o:p></span></b><span style="font-family: Calibri, sans-serif;"><span style="font-size: 15px; line-height: 17px;"><b>TERAPÉUTICA</b></span></span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.05pt;" valign="top" width="247"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <br /></div> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">DIETA – HGO – INSULINA POR FRACASO AL TRATAMIENTO<o:p></o:p></span></div> </td> </tr> <!--[if !supportMisalignedColumns]--> <tr height="0"> <td style="border: none;" width="230"></td> <td style="border: none;" width="115"></td> <td style="border: none;" width="115"></td> <td style="border: none;" width="247"></td> </tr> <!--[endif]--> </tbody></table> <div class="MsoNormal" style="line-height: 115%;"> <br /></div>

DIABETES MELLITUS 2

El 90% de los diabéticos pertenecen al tipo 2. La Insulina no trabaja adecuadamente. Caracterizada por insulinoresistencia y defici...

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INSULINA

<div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <a href="http://lh5.ggpht.com/-0cGCrhb1iF8/UY64ztE0OKI/AAAAAAAAB5Y/3zux45xdl58/s1600-h/image%25255B7%25255D.png" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: Verdana, sans-serif;"><img alt="image" border="0" height="215" src="http://lh6.ggpht.com/-rf6B4Z4ngn0/UY641iX9EoI/AAAAAAAAB5g/Yb3H8hbBPYo/image_thumb%25255B3%25255D.png?imgmax=800" style="background-image: none; border: 0px; display: inline; padding-left: 0px; padding-right: 0px; padding-top: 0px;" title="image" width="240" /></span></a></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;"> </span></span><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">La INSULINA es secretada por las células </span></span><span style="font-size: 11pt; line-height: 12pt;"><span lang="EN-US" style="line-height: 13pt; mso-bidi-font-family: arial;">β</span></span><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;"> del páncreas. Una hormona que controla el nivel    de glucosa en la sangre.</span></span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;"><br /></span></span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">La síntesis de la Insulina se lle</span></span><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">va a cabo en los Islotes de Langerhans.</span></span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif;"><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;"><br /></span></span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-family: Verdana, sans-serif; font-size: 11pt;">Es la principal hormona anabólica del organismo. Su función es almacenar los sustratos           metabólicos. Así disminuye los niveles plasmáticos de glucosa, ácidos grasos y aminoácidos.</span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-family: Verdana, sans-serif; font-size: 11pt;">Lógicamente el estímulo para la secreción de insulina es la Hiperglicemia; mientras que una  hipoglicemia tiene el efecto contrario.</span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-family: Verdana, sans-serif; font-size: 11pt;"><br /></span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif; font-size: 11pt; line-height: 12pt; text-indent: 35.4pt;">La Insulina es la llave que el azúcar entre en las células del cuerpo.</span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span style="font-family: Verdana, sans-serif; font-size: 11pt; line-height: 12pt; text-indent: 35.4pt;"><br /></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">En la <b style="mso-bidi-font-weight: normal;">DM1 </b><span style="mso-spacerun: yes;"> </span>el sistema inmunológico<span style="mso-spacerun: yes;">  </span>destruye por error las células </span></span><span style="font-family: Verdana, sans-serif; font-size: 11pt; line-height: 12pt; text-indent: 35.4pt;"><span lang="EN-US" style="line-height: 13pt; mso-bidi-font-family: arial;">β</span></span><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">, sin estas células el páncreas no puede producir INSULINA. Sin insulina, la glucosa no puede entrar en la célula. La oxidación de la glucosa es la forma principal para obtener energía, los ácidos grasos y aminoácidos constituyen medios secundarios. Las grasas (Triglicéridos y colesterol) son capaces de entregar grana cantidad de energía, ya que contienen ácidos grasos.</span></span></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; word-break: break-all;"> <b style="mso-bidi-font-weight: normal;"><span lang="ES" style="line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-family: Verdana, sans-serif; font-size: 11pt;">POR LO TANTO LA INSULINA PRODUCE ALMACENAMIENTO DE LAS GRASAS, SÍNTESIS DE           ÉSTAS, DISMINUYE SUS NIVELES PLASMÁTICOS Y FAVORECE EL AUMENTO DE PESO.</span></span></b></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; text-indent: 35.4pt; word-break: break-all;"> <br /></div> <div align="justify" class="MsoNormal" style="line-height: 12pt; margin: 0cm 0cm 0pt; text-indent: 35.4pt; word-break: break-all;"> <span lang="ES" style="font-family: Verdana, sans-serif; line-height: 13pt; mso-ansi-language: es; mso-bidi-font-family: arial;"><span style="font-size: 11pt;">Las células metabolizan la glucosa para convertirla en una forma de energía útil, por ello el organismo necesita recibir glucosa, a través de los alimentos, absorberla para que circule en la sangre y se distribuya a todo el cuerpo y que finalmente la sangre entre al interior de las células para que pueda ser utilizada. </span><b style="mso-bidi-font-weight: normal;"><span style="font-size: 11pt;"><span style="mso-spacerun: yes;"> </span>ESTO ULTIMO SOLO OCURRE BAJO LOS EFECTOS DE LA INSULINA.</span></b></span></div>

INSULINA

  La INSULINA es secretada por las células β del páncreas. Una hormona que controla el nivel    de glucosa en la sangre. La síntesis...

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¿QUÉ ES EL METABOLISMO?

<br /> <div class="MsoNormal" style="clear: left; float: left; line-height: 115%; margin-bottom: 1em; margin-right: 1em;"> <img 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" /></div> <br /> <br /> <ul style="margin-top: 0cm;" type="disc"> <li class="MsoNormal" style="line-height: 115%; mso-list: l2 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Es el conjunto de todas las reacciones que se producen en el interior de las células de un organismo. Mediante esas reacciones se transforman las moléculas nutritivas que, dirigidas y transportadas por la sangre, llegan a ellas. Para que sucedan cada una de estas transformaciones se necesitan enzimas que originen sustancias.<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l2 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">El metabolismo obtiene energía utilizable por la célula, que se almacena en forma de ATP (Adenosin trifosfato).<o:p></o:p></span></li> <li class="MsoNormal" style="line-height: 115%; mso-list: l2 level1 lfo1; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; word-break: normal;"><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Este conjunto de reacciones químicas y enzimáticas se denomina <b>RUTA O VIA METABOLICA: CATABOLICA Y ANABOLICA.</b><o:p></o:p></span></li> </ul> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;"> <tbody> <tr> <td style="background: yellow; border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">CATABOLICAS:</span></b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"><o:p></o:p></span></div> </td> <td style="background: yellow; border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div align="center" class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt; text-align: center;"> <b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">ANABOLICAS:</span></b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;"><o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-left: 1.0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Su función es reducir, una sustancia o molécula compleja a una más simple.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 1.0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Moléculas Complejas → Glúcidos, lípidos<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 115%; margin-left: 1.0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Moléculas Simples → CO2, H2O, Acido Láctico, etc.<o:p></o:p></span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 23.6pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo3; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Es formar una sustancia más compleja a partir de una simple<o:p></o:p></span></div> </td> </tr> <tr style="height: 33.85pt; mso-yfti-irow: 2;"> <td style="border-top: none; border: solid black 1.0pt; height: 33.85pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Degradan biomoleculas (H de C – Aa – Proteínas – Enzimas – etc.)<o:p></o:p></span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 33.85pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 23.6pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Fabrican biomoleculas<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="ES" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Producen energía (La almacenan como ATP)<o:p></o:p></span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 23.6pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Consumen energía (Usan ATP)<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Implica procesos de oxidación<o:p></o:p></span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 23.6pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Implica procesos de reducción<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Sus rutas son convergentes<o:p></o:p></span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 23.6pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Sus rutas son divergentes<o:p></o:p></span></div> </td> </tr> <tr> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Libera energía → Reacción exergònica<o:p></o:p></span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 267.0pt;" valign="top" width="356"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 23.6pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo2; mso-pagination: widow-orphan; text-autospace: ideograph-numeric ideograph-other; text-indent: -18.0pt; word-break: normal;"> <!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Captura energía → Reacción endergonica <o:p></o:p></span></div> </td> </tr> </tbody></table> <div class="MsoNormal" style="line-height: 115%;"> <br /></div> <div class="MsoNormal" style="line-height: 115%;"> <b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">LAS ENFERMEDADES METABÓLICAS MÁS FRECUENTES SON LAS QUE AFECTAN LAS VÍAS DE DEGRADACIÓN (VÍA CATABÓLICA) DE NUTRIENTES (PROTEÍNAS, H DE C, GRASAS) Y LA CAPACIDAD DE MANTENER LA GLUCOSA EN LA SANGRE.<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 115%;"> <br /></div> <div class="MsoNormal" style="line-height: 115%;"> <b><span lang="ES" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES; mso-bidi-font-family: Arial;">Por: Wendolyn Catalán Illanes</span></b></div> <div class="MsoNormal" style="line-height: 115%;"> <br /></div> <w:sdt id="15676130" prefixmappings="xmlns:ns0='http://schemas.openxmlformats.org/package/2006/metadata/core-properties' xmlns:ns1='http://purl.org/dc/elements/1.1/'" storeitemid="X_6C3C8BC8-F283-45AE-878A-BAB7291924A1" text="t" title="Autor" xpath="/ns0:coreProperties[1]/ns1:creator[1]"></w:sdt>

¿QUÉ ES EL METABOLISMO?

Es el conjunto de todas las reacciones que se producen en el interior de las células de un organismo. Mediante esas reacciones ...

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Vestido de bata y calzado de guantes con técnica asistida.

<div class="separator" style="clear: both; text-align: center;"> </div> <div style="margin-left: 1em; margin-right: 1em; text-align: center;"> <img height="298" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcJYM-jYzrJcIwuFkYavmJ1SwAzwC0VeDvshe4nTswa6jqCNp7N6JvY2ZkaxELm485vBw8P_byyaPFX7CwTXKllIfeEd4pUx80erzfLVe3hcGf22T1f_ULAlawv1-qPG8zFDxjMFyPcNk/s320/guante_cerrado_smaller.jpg" width="320" /></div> <div style="margin-left: 1em; margin-right: 1em; text-align: center;"> <br /></div> <div style="margin-left: 1em; margin-right: 1em; text-align: center;"> <br /></div> <br /> <br /> <span style="font-family: Arial, Helvetica, sans-serif;"><div style="text-align: justify;"> • Una vez vestida la enfermera instrumentista con la bata y guantes estériles procederá a tomar una bata del bulto de ropa.</div> <div style="text-align: justify;"> • La extiende suavemente con el marsupial viendo hacia ella.</div> <div style="text-align: justify;"> • Introduce la manos a nivel de la costura de los hombros de la bata procurando que queden bien cubiertas con un doblez y enseguida procede a presentarla al cirujano con los orificios de la bata viendo hacia el.</div> <div style="text-align: justify;"> • El cirujano cuidadosamente deberá introducir sus manos y brazos; una vez que la enfermera instrumentista, le coloca la bata hasta el nivel de los hombros, esta deberá proceder a deslizar sus manos hacia el exterior del doblez que las protege para sacarlas, procurando no tocar el cuerpo del medico para no contaminarse.</div> <div style="text-align: justify;"> • La enfermera circulante deber a tirar por la parte posterior de la bata para terminar de colocársela al cirujano y anudar las cintas de la espalda, acomodándole cuidadosamente el resto de la bata.</div> <div style="text-align: justify;"> • Si la bata es envolvente, el cirujano le proporcionara a la enfermera instrumentista el extremo distal de la parte anexa de la bata, y gira medio circulo para que le sea regresando el extremo de la bata y pueda anudarlo con la cinta que tiene su bata a nivel marsupial.</div> <div style="text-align: justify;"> • De cuerdo con el numero solicitado por el cirujano, la enfermera instrumentista tomara el guante izquierdo, lo extenderá y verificara que no tenga algún orificio, auxiliándose del aire que tiene en su interior y apretándolo ligeramente.</div> <div style="text-align: justify;"> • Deberá realizar un doblez y presentarlo al cirujano con la palma del guante dirigida hacia el y con los dedos viendo hacia abajo de la persona.</div> <div style="text-align: justify;"> • A través del doblez y con los dedos de las dos manos estira el guante para que el orificio de entrada se agrande y el cirujano pueda deslizar sin dificultad la mano, teniendo precaución de que los dedos pulgares de la persona que lo esta presentando Equeden extendidos y hacia afuera del guante para no contaminarse.</div> <div style="text-align: justify;"> • El cirujano introduce la mano firmemente dirigiendo los dedos correctamente a dos de dedos del guante.</div> <div style="text-align: justify;"> • La enfermera instrumentista suelta el guante una vez que el cirujano haya introducido la mano.</div> <div style="text-align: justify;"> • Se procede de igual forma con la mano contraria.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> FUENTE: Natali Alejandre.</div> </span>

Vestido de bata y calzado de guantes con técnica asistida.

• Una vez vestida la enfermera instrumentista con la bata y guantes estériles procederá a tomar una bata del bulto de ropa. • L...

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