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Dka Vs Hhs Ppt

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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. Milena

    The question of how soon ketosis starts during the dry fast is a very frequent one. Hence, I decided to start a thread to discuss my own experiments with pre-fast meals and how they might or might not effect ketosis.
    On June 12th, 2011 I started my weekly 36-hrs dry fast at 20:00. Prior to eat I had a dinner of all-you-can-eat sushi which mostly consisted of refined carbs (white rice) and protein (fish) with simple carbs being the dominant ingredient. The dinner ended at 18:00, after which I had a cup of coffee and a glass of water before commencing the fast.
    23 hour mark my ketons were at NEGATIVE
    25 hour mark my ketons were at between TRACE and SMALL
    34.5 hour mark my ketons were at between TRACE and SMALL
    36 hour mark my ketons were still between TRACE AND SMALL
    So the conclusion is that while we do go into ketosis at about 24 hours the conversion is a very slow process if the pre-fast meal is mainly refined carbs with some protein.
    My next fast will commence on Wed June 15th when I will have my pre-fast meal either low starch carbs (fruit and veggies) or all protein like fish and egg.

  2. Yuliya

    Yuliya replied the topic: Re: Dry Fast and Ketosis
    Milena, I am a little confused why you call rice 'simple carbs'. In fact rice is complex carbohydrate.
    Simple carbs are things like fruit, and also sugar.
    Complex carbohydrates are chains of three or more single sugar molecules linked together. Long chains of sugar molecules called starches serve as a storage form of energy in plants and when you eat those plants, your body breaks down the carbohydrates for your own energy needs. Even though complex carbohydrates are made from chains of sugars, they do not taste sweet. Complex carbohydrates are more difficult to digest than simple carbohydrates, because we need to break them down first.
    Simple carbohydrates are broken down quickly by the body to be used as energy.
    Simple carbohydrates come in 2 forms: refined sugars (extracted from fruits, grains, tubers, and sugar cane) and whole-food sugars (primarily sweet fruits). Both refined and whole-food simple sugars taste sweet to our tongue.
    May compassion to yourself and all beings guide you in your eating, fasting, and lifestyle choices.
    All my posts are based on my opinions and experiences only and are not intended to replace the advice of the licensed medical practitioner.

  3. Milena

    Milena replied the topic: Re: Dry Fast and Ketosis
    I actually meant to say "refined carbs" since it was white rice not brown. Will make that correction right now.
    May the Energy you free from digesting serves your Body and Spirit well!
    All my posts are based on my opinions and experiences only and are not intended to replace the advice of the licensed medical practitioner.

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