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Dka Case Study Nursing

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Dka Case Study

has been brought to the ED by his roommate, who says that John began not feeling well while in their is caused by the buildup of ketones in the body to a point where you can actually smell it on the patient’s breath. A laboratory finding in addition to elevated blood glucose could be elevated serum causes potassium to accumulate in the blood leading to hyperkalemia. An ABG would also reveal One nursing diagnosis associated with DKA is fluid volume deficit. The hyperosmolar state of the volume and potential arrhythmias caused by potassium shifts could cause the heart not to pump One of the most important nursing interventions for a patient in DKA is education. The patient they have been newly diagnosed with diabetes, they will likely need a lot of education not just a concern. Adequate intake can help prevent this. The patient will also be extremely dehydrated levels will be very frequently monitored. The patient’s dehydration will also need to be treated so IV fluids in addition to the IV insulin will be given. Again it is important to monitor potass Continue reading >>

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  1. lauraj

    Hiya, my son Ryan has had d since 6/08 but today is the first time i have had positive test for large ketones. He has had a bit of a fever for a couple of days and has had mainly high sugars.
    I am really worried tonight as i have never had a positive result like this. He is on Twice daily injections but i have given him a bit of extra Novorapid before bed and just wondered if anybody could help give me a clearer idea of what may happen? Thanks

  2. Lee

    I do not really understand the two shots a day theory, so I cannot helpout much with that - but I urge you to be in contact with your endo team!!!!
    Other then that, push non-carbed liquids - lots of them, and he will need extra insulin to clear up the ketones!

  3. lauraj

    Thanks, i rang them and they said to see how he goes through the night but i am still worried sick. I have been trying to get him to drink loads but he is tired so asleep now. I just hope the rest helps his blood sugar come down

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What is DIABETIC KETOACIDOSIS? What does DIABETIC KETOACIDOSIS mean? DIABETIC KETOACIDOSIS meaning - DIABETIC KETOACIDOSIS definition - DIABETIC KETOACIDOSIS explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion, and occasionally loss of consciousness. A person's breath may develop a specific smell. Onset of symptoms is usually rapid. In some cases people may not realize they previously had diabetes. DKA happens most often in those with type 1 diabetes, but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke, and certain medications such as steroids. DKA results from a shortage of insulin; in response the body switches to burning fatty acids which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high b

48345115 Diabetic-ketoacidosis-case-study

48345115 diabetic-ketoacidosis-case-study 1. 1 QUEENY MARIE MARTINEZ BSN III – B NURSING CASE STUDY DIABETIC KETOACIDOSIS (DKA) 1. Introduction/description of the disease DKA is caused by an absence or markedly inadequate amount of insulin. This deficit in available insulin results in disorder in the metabolism of carbohydrate, protein and fat. The three main clinical features/manifestations of Diabetic Ketoacidosis (DKA) are based on the following concepts: 1) Hyperglycemia 2) dehydration and electrolyte loss 3) acidosis. Blood glucose levels range from 300 to 800 mg/dL. Low serum bicarbonate and a low pH are present. It is a life-threatening complication of DM type I. this is due to severe insulin deficiency. 2. Risk factors o Patient with Type I diabetes mellitus are at risk to develop DKA. o Persons who are frequently stressed out or due to stress-induced by surgery and o persons with frequent or severe illness/infection are also at risk of developing DKA. 3. Causes  Underdose or missed dose of insulin  Illness or infection  Overeating  Stress, surgery  Undiagnosed and untreated type I DM. 2. 2 4. Pathophysiology Without insulin, the amount of glucose entering Continue reading >>

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  1. xgwsx

    still not in ketosis according to ketostix

    hi all
    so i started keto last thurs morning, so its been roughly been about 10 days. and i got ketostix two days ago and apparently i'm still not in keto...
    start weight: 147, 12-13% bf
    currently: been at 143 the past two days, was at 10-11% bf but now back at 12%
    i've tried to maintain a proper ratio. 60/35/5 on fat protein carb.
    eating 2250-2350cals a day, breakfast, meal 2, lunch, meal 4, dinner, meal 6 before bed as follows:
    m1: 415 cal, 24fat, 32protein, 3 net carb (~730)
    3 egg white, 1/4 cup of cheese, 3turkey bacon, 1string cheese, benefiber
    m2: 330cal, 25f, 27p, 2carb(~10)
    tuna with evoo and blue cheese, 2string cheese
    m3: 355cal, 25f, 28p, 4 net carb (~1230-1)
    salad, tuna as above
    m4: 390cal, 28f, 34p, 1carb (~330pm)
    1/3lb burger with cheese/cheddar/bluecheese
    m5: 408cal, 27f, 32p, 10carb(only on broc**** days, usually <5netcarbs) (~6pm)
    broc****, chicken breast/pork tenderloin/drumsticks, 1/4 cheese, string cheese, whip cream
    m6: 390cal, 25f, 30p, 2carb (<45min before bed)
    2 egg white omelet, 1/4 cup cheese, bacon/turkey bacon
    total everyday is ~2300cal, 154fat, 200protein, 20netcarbs
    am i doing something wrong? or is this good.
    thanks for the help
    i'm assuming i'm doing somethign right. because my weight has gone down a bit.. but just want to retain as much muscle as possible (hence wanting to be in keto!=))

  2. alexl53

    i've never used keto stix myself, but i've read that they aren't always accurate since ketones can exist in the blood, but at the same time not show up in urine, so that might be the issue.

  3. shadowwalker021

    ketostix are a pretty good indicator of ketosis but it's possible to be under ketosis and not register on a urinalysis.
    have you been working out or doing cardio pretty intensely? you might have used all of your blood-ketone bodies up as energy

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Clinical Skills Challenge - Case Study 2

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  1. saxybandgeek1

    I know the general rule is if you eat <25g carbs a day you should be in ketosis but I've also heard certain sweeteners can throw you out.
    I'll probably buy keto sticks eventually but I just don't want to spend the money right now

  2. Targash

    If you're eating 20 net grams and you're a human being you're in ketosis. Minimal carbs and brain still functions? Ketosis!

  3. WillowWagner

    You don't need keto sticks period. Some people have negative reactions to some foods. If too much of a particular food leaves you with carb cravings, or with stomach troubles, or changes in mood or sleep, that's likely a food sensitivity issues. It doesn't mean you've stopped making or burning ketones.
    You can get a blood ketone meter and spend $2 or $3 per test strip, unless you have a specific medical condition to address, that's a lot of money to prove what you already know.

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