Bun In Dka

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Diabetic Ketoacidosis

Diabetic ketoacidosis (DKA) is a serious metabolic disorder that can occur in patients with diabetes mellitus (DM).1,2 Veterinary technicians play an integral role in managing and treating patients with this life-threatening condition. In addition to recognizing the clinical signs of this disorder and evaluating the patient’s response to therapy, technicians should understand how this disorder occurs. Technicians must also educate owners about the long-term care of diabetic pets. DM is caused by a relative or absolute lack of insulin production by the pancreatic β cells or by inactivity or loss of insulin receptors, which are usually found on membranes of skeletal muscle, fat, and liver cells.1,3 In dogs and cats, DM is classified as either type I (insulin dependent; the body is unable to produce sufficient insulin) or type II (non–insulin dependent; the body produces insulin, but the body’s tissues are resistant to insulin).4 Most dogs that develop DM have insulin deficiency, while cats that develop DM tend to have insulin resistance.5 DKA occurs when the body cannot use glucose for energy because of a lack of, or resistance to, insulin. When this happens, the body uses alt Continue reading >>

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  1. Asystole RN

    yes! very astute observation.
    to understand the relationship one must understand hyperglycemia. first answer the question, what pathophysiology occurs with hyperglycemia? there are key s&s the nurse is looking for when attempting to assess for hyperglycemia, there lays a clue to the connection.
    then answer, what can cause the blood urea nitrogen level to be elevated?
    "what is hyperglycemia?
    hyperglycemia (hi"per-gli-se'me-ah) is an increase in plasma glucose (blood sugar). it can turn into a complex medical condition -- diabetic ketoacidosis (ke"to-as"id-o'sis) and coma -- if it's not treated on time and adequately. hyperglycemia is usually the first sign of diabetes mellitus. symptoms of hyperglycemia are
    polyuria (pol"e-yur'e-ah) (excess urine)
    polydipsia (pol"e-dip'se-ah) (thirst)

    polyphagia (pol"e-fa'je-ah) (excessive hunger) "
    the american heart association, (2011). hyperglycemia and hypoglycemia. retrieved from http://www.americanheart.org/presenter.jhtml?identifier=4593

  2. illuminati88

    Look into what physiological processes occur in hyperglycemia, what the body resorts to when glucose is not available for energy, and by products of amino acid breakdown. That should help you on the path

  3. ladyangel341

    Since we know why blood glucose elevated lets go to BUN...
    There are 3 reasons of elevation of the BUN
    1) renal impairment
    2) pregnancy
    3) excessive breakdown of protein (called catabolism)
    On that three the closest relation to increase glucose is the breakdown of protein...
    Why there's a breakdown of protein if there is an increase number of blood glucose?
    We are talking about diabetic patient which there is a decrease production of insulin. Insulin helps absorption of glucose into the cells. Lack of insulin makes the glucose remain in the blood stream and some excreted through urination.
    So what will the body use for energy if there is no glucose?
    That's where protein or fat breakdown happens. The proteins breakdown makes the BUN elevated which urea is the byproduct of protein breakdown.
    Hope I helped^^:heartbeat

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