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DKA diabetic ketoacidosis nursing management pathophysiology & treatment. DKA is a complication of diabetes mellitus and mainly affects type 1 diabetics. DKA management includes controlling hyperglycemia, ketosis, and acdidosis. Signs & Symptoms include polyuria, polydipsia, hyperglycemia greater than 300 mg/dL, Kussmaul breathing, acetone breath, and ketones in the urine. Typically DKA treatment includes: intravenous fluids, insulin therapy (IV regular insulin), and electrolyte replacement. This video details what the nurse needs to know for the NCLEX exam about diabetic ketoacidosis. I also touch on DKA vs HHS (diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic syndrome (please see the other video for more details). Quiz on DKA: http://www.registerednursern.com/diab... Lecture Notes for this video: http://www.registerednursern.com/diab... Diabetes NCLEX Review Videos: https://www.youtube.com/playlist?list... 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...

Diabetic Ketoacidosis (dka)

Diabetic ketoacidosis is an acute metabolic complication of diabetes characterized by hyperglycemia, hyperketonemia, and metabolic acidosis. Hyperglycemia causes an osmotic diuresis with significant fluid and electrolyte loss. DKA occurs mostly in type 1 diabetes mellitus (DM). It causes nausea, vomiting, and abdominal pain and can progress to cerebral edema, coma, and death. DKA is diagnosed by detection of hyperketonemia and anion gap metabolic acidosis in the presence of hyperglycemia. Treatment involves volume expansion, insulin replacement, and prevention of hypokalemia. Diabetic ketoacidosis (DKA) is most common among patients with type 1 diabetes mellitus and develops when insulin levels are insufficient to meet the body’s basic metabolic requirements. DKA is the first manifestation of type 1 DM in a minority of patients. Insulin deficiency can be absolute (eg, during lapses in the administration of exogenous insulin) or relative (eg, when usual insulin doses do not meet metabolic needs during physiologic stress). Common physiologic stresses that can trigger DKA include Some drugs implicated in causing DKA include DKA is less common in type 2 diabetes mellitus, but it may Continue reading >>

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  1. Codester

    I apologize if this was posted and answered before. I did a quick search and couldn't find anything.
    My question is, if I've been doing well for a while and am in ketosis, does cheating for a day immediately kick me out of ketosis, and if so, how long does it take to get back? I've noticed that, after a particularly weak-willed weekend, it takes me two or three days to feel normal again, so it made me wonder if that had a correlation to ketosis. I won't pretend to know exactly how ketosis works, so if my question is stupid, forgive me.

  2. Spruce Goose

    Re: Ketosis and cheating
    Before googling I would have said: I think I'd read somewhere that it could take "up to a week".
    After googling: Typically "2-3 days" but "it varies".
    Someone may chime in with a better answer

  3. gitfiddle

    Re: Ketosis and cheating
    Okay, this is the one that makes the most sense to me: When you reduce your carb intake, your body manufactures enzymes that can metabolize fat. When it's up and running, you finally feel better. That can take a few weeks, but it's worth it.
    When you ingest carbs, you may no longer have enough enzymes to do it efficiently. So, back to the furnace to make more! You're no longer in ketosis and have to go through the process all over again.
    Now, I'm not a nutritionist and that's overly simplified, and quite possibly in error. Somebody may come up with a better explanation.

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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. 22 Posts

    Hi,
    I dont think i have ever posted so many questions on a website before, you may get bored of all my questions : )
    I have brought ketostix to monitor the ketones to see if i am burning fat. What is a good reading? as the info sheet is more aimed at diabetics rather than weight loss. I am always in faible or moyen (the middle shades) is this good? im guessing the darker are better?
    my total weight loss over 2 weeks has only been 5lbs, so I am hoping that I am burning fat.
    also I just want to make sure on my food amounts when it says 1/2 cup how much approx on the scales is that or shall i just use a cup that i have for tea and coffee?
    thanks for all your help.

  2. Linda

    Hi and welcome! Don't worry about posting questions, it's better to be sure about what you're doing.
    As for ketostix, you don't necessarily need them. If you are below 20g carbs then you'll be in ketosis and therefore burning fat. The fact you've lost 5lbs already is a great sign too! Ketostix can read different results based on hydration, exercise done etc so they can be unreliable.
    As for cups, we are currently working on converting all the recipes to UK measures. Some were imported from the US site and therefore are Americanised but many other UK recipes are on here too. Cups will vary depending if it's liquid or solid so you're better off converting on this site: www.onlineconversion.com.
    Linda

  3. JEANNE

    Hi I wanted to buy ketostix too but was advised they are on prescription only. DO you know wher I can buy them? Thanks Jeanne

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Understand Diabetic Ketoacidosis (DKA) with this clear explanation from Dr. Seheult of http://www.medcram.com. This is video 1 of 2 on diabetic ketoacidosis (pathophysiology and signs of diabetic ketoacidosis / DKA): 0:08 DKA stats 0:47 DKA - cellular anatomy 1:00 mitochondria 1:48 beta-oxidation 2:30 insulin function 3:08 pyruvate 3:19 diabetes mellitus type 1 3:26 diabetes mellitus type 2 4:48 ketone bodies (acetone, acetoacetate, b-hydroxybutyrate) 6:09 carboxylic acid 6:23 conjugate base (anion gap acidosis) 7:38 beta-oxidation 8:17 DKA review 8:57 diabetic ketoacidosis - hyperkalemia 9:37 diabetic ketoacidosis - dehydration 9:50 osmotic diuresis 10:10 dehydration 10:27 diabetic ketoacidosis - potassium effects 11:04 diabetic ketoacidosis - Cr elevation / renal failure 11:30 anion gap metabolic acidosis 12:09 measuring ketone bodies (serum ketones, b-hydroxybutyrate) Speaker: Roger Seheult, MD Clinical and Exam Preparation Instructor Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: https://www.youtube.com/subscription_... Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. More from MedCram: Complete Video library: https://www.youtube.com/c/medcram Facebook: https://www.facebook.com/MedCram Google+: https://plus.google.com/u/1/+Medcram Twitter: https://twitter.com/MedCramVideos Produced by Kyle Allred PA-C Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider.

Uk Doctor Calls For Dka Guidelines Revision In Bid To Improve Diagnosis

A UK doctor has called for an overhaul of guidance related to the diagnosis and management of diabetic ketoacidosis (DKA) in adults. DKA is a complication of type 1 diabetes and, in some cases, latent autoimmune diabetes of adults (LADA), characterised by a lack of insulin aggravated by high blood sugar levels and the build-up of ketone bodies in the blood. In a new editorial written in The Lancet, Dr Ketan Dhatariya, a diabetes and endocrinology consultant based at the Norfolk and Norwich University Hospitals NHS Trust, argues that our national guidance is laconic. He believes that the international recommendations we resort to are largely outdated, and that a number of modifications should be made, highlighting new evidence that has emerged since the American Diabetes Association's (ADA) last position statement on DKA in 2009. Dhatariya's proposed changes include the use of more criteria to define DKA and different management options for short-term complications of DKA. The problem with the diagnosis of DKA, as seen by Dhatariya, is twofold: the blood sugar cut-off point of 13.9 mmol/L to identify DKA is set too high, and DKA is too often diagnosed based on a single risk factor l Continue reading >>

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  1. edmon171

    Does anyone know about the metabolic state of of other hunting carnivores such as wolves, lions, etc.? Do they stay in ketosis all the time? I know their pattern is to hunt, eat a ton of fat and protein, then rest and fast for several days before hunting again. I imagine they get away with the fasting and maintain their weight by gorging on so much protein that it converts to blood sugar and they can restore the fat they lost. Does this take them out of ketosis and they need to then re-adapt every week? Do they also consume the fermented stomach contents of the kill? Is it the lucky alpha who gets the liver first who is best able to maintain their weight?

  2. kayaman

    No. They do not state on ketosis all the time. it depends on what kind of animal. From the land strict carnivores as cats cats they eat large amounts of protein (50-60% of calories in the diet) and their liver efficiently, quickly and without problem (as opposed to human) is cleaved protein to glucose. They do not eat fatty. Often, big cats leave part of organs, bone marrow and fat for scavengers such as hyenas. Dogs are already really omnivores and effectively operate on 40% protein and 60% fat in calories.
    I do not know the proportion of other predators such as sperm whales and seals.
    It seems to me that the cow is on ketosis much more than cats. In her share of the energy of carbohydrates is very small as long feed on naturally of course.

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