Dka Pathophysiology Made Simple

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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 blood sugar, low blood pH, and ketoacids in either the blood or urine. The primary treatment of DKA is with intravenous fluids and insulin. Depending on the severity, insulin may be given intravenously or by injection under the skin. Usually potassium is also needed to prevent the development of low blood potassium. Throughout treatment blood sugar and potassium levels should be regularly checked. Antibiotics may be required in those with an underlying infection. In those with severely low blood pH, sodium bicarbonate may be given; however, its use is of unclear benefit and typically not recommended. Rates of DKA vary around the world. About 4% of people with type 1 diabetes in United Kingdom develop DKA a year, while in Malaysia the condition affects about 25% a year. DKA was first described in 1886 and, until the introduction of insulin therapy in the 1920s, it was almost universally fatal. The risk of death with adequate and timely treatment is currently around 1–4%. Up to 1% of children with DKA develop a complication known as cerebral edema. The symptoms of an episode of diabetic ketoacidosis usually evolve over a period of about 24 hours. Predominant symptoms are nausea and vomiting, pronounced thirst, excessive urine production and abdominal pain that may be severe. Those who measure their glucose levels themselves may notice hyperglycemia (high blood sugar levels). In severe DKA, breathing becomes labored and of a deep, gasping character (a state referred to as "Kussmaul respiration"). The abdomen may be tender to the point that an acute abdomen may be suspected, such as acute pancreatitis, appendicitis or gastrointestinal perforation. Coffee ground vomiting (vomiting of altered blood) occurs in a minority of people; this tends to originate from erosion of the esophagus. In severe DKA, there may be confusion, lethargy, stupor or even coma (a marked decrease in the level of consciousness). On physical examination there is usually clinical evidence of dehydration, such as a dry mouth and decreased skin turgor. If the dehydration is profound enough to cause a decrease in the circulating blood volume, tachycardia (a fast heart rate) and low blood pressure may be observed. Often, a "ketotic" odor is present, which is often described as "fruity", often compared to the smell of pear drops whose scent is a ketone. If Kussmaul respiration is present, this is reflected in an increased respiratory rate.....

Physiology Of Diabetic Ketoacidosis

Threatening complication of diabetes that mainly occurs in patients with type diabetes, but it is. Is an acute, major, life. Acute complications of diabetes. Diabetic ketoacidosis. A 12 year old boy, previously healthy, is admitted to the hospiral after days of polyuria, polyphagia, nausea, vomting and abdominal pain. Diabetic Neuropathy Pathophysiology. Define Diabetic Ketoacidosis. If so, your doctor is confusing diabetic ketoacidosis. Vs Type Signs And Symptoms The Step Trick that Reverses Diabetes Permanently. With nutritional ketosis. Diabetes Physiology Read. Are two of the most serious. Diabetes Permanently in As Little as 11 Days. Diabetic ketoacidosis. The Medical Biochemistry Page is a portal for the understanding of biochemical, metabolic, and physiological processes with an emphasis on medical relevance. The REAL cause of Diabetes. All of the issues are related to acid. Fraction of inspired oxygen. The Step Trick that Reverses. Arterial oxygen content. This review focuses on three issues facing clinicians who care for patients with diabetic ketoacidosis. Diabetic Vegetarian Diet. HHS, also known as hyperosmotic hyperglycemic nonketotic state. Treating Diabetic Ketoacido Continue reading >>

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  1. crush1staid - 01/17/10 19:33

    well u know half the answer , there is shift from intra to extra cellular ,thus the patient will have Hyper K and when we treat DKA we MUST give the maintance of K bcz insulin will shift K to inra cellular.
    If not giving K with tx then we will produce Hypo K .
    In ICU treating DKA ,K started after making sure pt is urinating.
    I hope this will help.

  2. studyin4ck - 01/18/10 04:29

    so is it right to say total body pottasium is decreased but serum potassium is increased.

  3. eurogirl - 01/19/10 09:40

    You are right guest123, this is the thing!

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In this video, Dr. Michael Agus discusses the risk factors, signs, symptoms, and treatment of cerebral edema in diabetic ketoacidosis. Please visit: www.openpediatrics.org OPENPediatrics is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected] Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

Diabetic Ketoacidosis And Cerebral Edema

Elliot J. Krane, M.D. Departments of Pediatrics and Anesthesiology Stanford University Medical Center Introduction In 1922 Banting and Best introduced insulin into clinical practice. A decade later the first reported case of cerebral edema complicating diabetic ketoacidosis (DKA) was reported by Dillon, Riggs and Dyer writing in the pathology literature. While the syndrome of cerebral edema complicating DKA was either not seen, ignored, or was unrecognized by the medical community until 3 decades later when the complication was again reported by Young and Bradley at the Joslin Clinic, there has since been a flurry of case reports in the 1960's and 1970's and basic and clinical research from the 1970's to the 1990's leading to our present day acceptance of this as a known complication of DKA, or of the management of DKA. In fact, we now recognize that the cerebral complications of DKA (including much less frequent cerebral arterial infarctions, venous sinus thrombosis, and central nervous system infections) are the most common cause of diabetic-related death of young diabetic patients (1), accounting for 31% of deaths associated with DKA and 20% of all diabetic deaths, having surpas Continue reading >>

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  1. TKInstinct

    I got out of the hospital yesterday, I had food poisoning and got admitted for Ketoacidosis. I feel a lot better now but, I'm in a little discomfort. My stomachs bothers me somewhat after I've eaten and I'm a little uneasy when I'm walking. I was in bed for a day and a half so I'm sure I'm just weak. But, did you recover right away or, did you take a day or two?

  2. hide

    Every time I'm in the hospital for DKA, I start to feel better around day 3. They never let me leave until day 5-7 though. :| So glad the last few times they've had wifi to watch Netflix on.


    3 days from start of IV fluids. When you get home, try to drink water instead of your usual fluids for a day or so. I find it helps get me back on track faster. Also, keep an eye on your BG a bit tighter for a few days after. The whole DKA resolution treatment and IV fluids can alter the way your BG floats (in some interesting ways) until you get back into your normal groove/routine.

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DKA and HHS (HHNS) nursing NCLEX lecture review of the treatment, patient signs/symptoms, and management. Diabetic ketoacidosis and hyperosmolar hyperglycemia nonketotic syndrome are two complications that can present in diabetes mellitus. DKA is more common in type 1 diabetics, whereas, HHNS is more common in type 2 diabetics. Patients with diabetic ketoacidosis will present with ketosis and acidosis and signs/symptoms will include hyperglycemia (greater than 300 mg/dL), Kussmaul breathing, fruity (acetone breath), ketones in the urine, and metabolic acidosis. Patients with hyperglycemic hyperosmolar syndrome will NOT have ketosis or acidosis but EXTREME hyperglycemia (greater than 600 mg/dL). In addition, hyperosmolarity will present which will cause major osmotic diuresis and the patient will experience with severe dehydration. Quiz on DKA vs HHNS: http://www.registerednursern.com/dka-... Lecture Notes for this video: http://www.registerednursern.com/dka-... Diabetes NCLEX Review Series: https://www.youtube.com/playlist?list... Video on DKA (detailed lecture): https://www.youtube.com/watch?v=IxrCV... Video on HHNS (detailed lecture): https://www.youtube.com/watch?v=LyExA... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list... "Fluid & Electrolytes Made So Easy": https://www.youtube.com/playlist?list... "Nursing Skills Videos": https://www.youtube.com/playlist?list... "Nursing School Study Tips": https://www.youtube.com/playlist?list... "Nursing School Tips & Questions": https://www.youtube.com/playlist?list... "Teaching Tutorials": https://www.youtube.com/playlist?list... "Types of Nursing Specialties": https://www.youtube.com/playlist?list... "Healthcare Salary Information": https://www.youtube.com/playlist?list... "New Nurse Tips": https://www.youtube.com/playlist?list... "Nursing Career Help": https://www.youtube.com/playlist?list... "EKG Teaching Tutorials": https://www.youtube.com/playlist?list... "Personality Types": https://www.youtube.com/playlist?list... "Dosage & Calculations for Nurses": https://www.youtube.com/playlist?list... "Diabetes Health Managment": https://www.youtube.com/playlist?list...

Dka Vs Hhs (hhns) Nclex Review

Diabetic ketoacidosis vs hyperglycemic hyperosmolar nonketotic syndrome (HHNS or HHS): What are the differences between these two complications of diabetes mellitus? This NCLEX review will simplify the differences between DKA and HHNS and give you a video lecture that easily explains their differences. Many students get these two complications confused due to their similarities, but there are major differences between these two complications. After reviewing this NCLEX review, don’t forget to take the quiz on DKA vs HHNS. Lecture on DKA and HHS DKA vs HHNS Diabetic Ketoacidosis Affects mainly Type 1 diabetics Ketones and Acidosis present Hyperglycemia presents >300 mg/dL Variable osmolality Happens Suddenly Causes: no insulin present in the body or illness/infection Seen in young or undiagnosed diabetics Main problems are hyperglycemia, ketones, and acidosis (blood pH <7.35) Clinical signs/symptoms: Kussmaul breathing, fruity breath, abdominal pain Treatment is the same as in HHNS (fluids, electrolyte replacement, and insulin) Watch potassium levels closely when giving insulin and make sure the level is at least 3.3 before administrating. Hyperglycemic Hyperosmolar Nonketotic Syn Continue reading >>

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  1. Niquie

    Just wondering if anyone gets dull and burning pain in one of their kidneys when they are in ketosis? I've been going really great this week on induction (second time over )but I have an annoying dull pain and burn in my right side and mid to lower back.
    I've also started jogging so I don't know if its muscular but when it got bad this evening, I was reaching a dark purple on the tester strips which I have never had at all since I originally started Atkins last Feb.
    Just wondering if anyone has had similar problem and don't worry - I will go to the Doc!
    Appreciate any input you guys might have.

  2. anthonyc

    how much water do you drink per day

  3. Niquie

    On average about 4-6 glasses a day along with 2 herbal teas and 3 decaff coffees. Something else - I seem to be tasting salt in everything, what is up with that? I cant even stomach a piece of bacon cause the salt is making me sick. Yuk !!! ( I normally lurv salt - in moderation of course)

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