RESUMO
Azotemic diabetic patients have more risk of complications during or after surgery than those without diabetes and azotemia. These complications include infection, excessive bleeding, cardiovascular events, and electrolyte imbalance. The appropriate preoperative evaluation, measures to be taken to avoid the complications, and how to adequately manage blood sugar during surgery is discussed.
Assuntos
Nefropatias Diabéticas/cirurgia , Falência Renal Crônica/cirurgia , Cuidados Pré-Operatórios/métodos , Uremia/cirurgia , Humanos , Cuidados Pós-Operatórios/métodos , Complicações Pós-Operatórias/psicologiaRESUMO
Meningitis is often associated with hyponatremia due to inappropriate secretion of antidiuretic hormone, and diabetes insipidus is associated with bacterial meningitis. This article describes a patient with acquired immunodeficiency syndrome who experienced recurrent episodes of central diabetes insipidus in association with recurrent fungal meningitis. Desmopressin was effective in controlling the polyuria until the episodes of meningitis resolved.
