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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

Diabetic Ketoacidosis

Type II Diabetes Mellitus with ketosis-prone diabetes (accounts for 20-50% of DKA cases) Compensatory response to lack of usable fuel sources (in the absence of Insulin ) Paradoxical exacerbation of Hyperglycemia Release of Glucagon , Catecholamine s, cortisol, and Growth Hormone Catabolism to Glucose of proteins and glycogen Results in osmotic diuresis, dehydration and hyperosmolar state Results in increased ketone production (acetone, acetoacetone, Beta hydroxybutyrate) May present as a vague Abdominal Pain with minimal tenderness on exam Consider Pancreatitis or Pyelonephritis (both are common in DKA) Beta hydroxybutyrate is converted to acetoacetate which is then detected on the Urine Dipstick as ketones Normal serum bicarbonate and Anion Gap suggests resolving DKA or false positive ketonuria Requires correction for Glucose ( Pseudohyponatremia secondary to Hyperglycemia ) Serum Sodium correction calculation: sNa + 0.016 * (Glu - 100) Serum Osmolality (calculate and measure if available) Serum Osmolality calculation: 2*(Na + K) + (glu/18) + (BUN/2.8) Other electrolytes (Phosphorus and Magnesium ) Venous Blood Gas is equivalent to monitoring Arterial Blood Gas for pH and bicarb Continue reading >>

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  1. birdshaw

    DKA for weight loss?

    ok, here's my confession. i have gained about 20lbs in the last 8 years and it's all FAT. i hate it and i'm obsessed with getting rid of it. my doc said the better controlled i am, the more weight i'll gain. also, there's the lovely fact that insulin makes fat! i'm exercising, just can't do enough to agressively attack the problem (two young kids must come first). here's my temptation: just a few days, maybe a week of "managed" DKA to burn the fat. any thoughts? has anyone tried this? any lessons to share? am i the only person to think of this?? i'm too embarassed to ask my doc about it. i KNOW what the skinny non-diabetic would say.

  2. soso

    uhhh... ypu DO have 2 kids that come first, right?
    DKA=bad, danger possibly orphaned kids..... don't play with the bull, you will get it's horns up your arse....
    Or are you alking about a mild state of ketosis brought about by very low carbs for a while?
    check out Dr Richard Bernstein and please...don't play silly buggers with your own and your families lives......
    btw
    welcome to DD!
    support can help a lot with these battles

  3. birdshaw

    Dr Richard Bernstein ?? who is this and where can i find him?

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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

Dka | Modules | Iu Pcome

If blood sugar falls below 300, add 5% dextrose to fluids It may be necessary to use 10% or 12.5% dextrose fluids if glucose continues to fall Blood glucose monitoring should be performed hourly! This is to monitor for overly rapid drop in blood glucose and osmolality Osmolality=2 (Na+K) + (Glucose/18) + (BUN/2.8) Bolus insulin (subcutaneous/IV) is not recommended Bolus insulin has been shown to be unnecessary in pediatric patients and may increase the risk of cerebral edema (Lindsay 1989, Edge 2005) Insulin infusion at 0.1 unit/kg/hr after initial fluid resuscitation has been completed (may be started after at least 1-2 hours) Smaller dose of insulin (0.05 unit/kg/hr) may be used in smaller children Hemoglobin A1C, blood hydroxybutyrate concentration Sodium bicarbonate is not recommended in pediatric DKA! Evidence does not justify the administration due to possible clinical harm and lack of sustained benefits (Chua 2011) Wolfsdorf J, Glaser N, Sperling MA. Diabetic ketoacidosis in infants, children, and adolescents: a consensus statement from the American Diabetes Association. Diabetes Care. 2006. 29(5)1150-1159. Bohn D, Daneman D. Diabetic ketoacidosis and cerebral edema. Curr O Continue reading >>

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  1. NicNic

    I was admitted to hospital a few weeks ago with ketoacidosis. It gave me a bit of a shock and I'm now controlling my levels much better than I had been recently. However, this (I think) is making me gain weight. Any ideas on when weight gain might stop?? (I've put on nearly a stone in 4 weeks.) I'm not overweight (at all!) but am a little obsessive about my weight/size. Thanks for help and advice!!

  2. xxlou_lxx

    Might depend on 2 things really, one being how long you had DKA and how much you actually lost through having it. I guess you will put on what you lost because your body is getting back to normal again, but unless you have changed your eating habbits then thats all you should gain i would think?

  3. randomange

    It's apparently quite common to put weight on when your control improves. The reason (to quote my DSN) is that you're no longer peeing a whole load of sugar down the toilet! If your levels were particularly high before, then a lot of the calories you were taking in weren't actually being used by your body, but once your insulin levels are right(ish ) and your blood sugars start to come down, then your body can actually process these calories properly again.

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Diabetic Ketoacidosis A Risk After Bariatric Surgery

Diabetic Ketoacidosis a Risk after Bariatric Surgery Researchers at the Cleveland Clinic have found that while bariatric surgery is considered a safe and effective treatment for obesity and its comorbidities, diabetic ketoacidosis (DKA) can occur in diabetic patients following weight-loss procedures. The findings were recently published in Diabetes Care. The investigators, led by Ali Aminian, MD, point out that the characteristics of DKA following bariatric surgery have not been explored, so they analyzed 12 patients who from January 2005 to December 2015 developed DKA within 90 days of surgery. Eight of these patients had type 1 diabetes (T1D), while four had type 2 diabetes (T2D), and three of them had a past history of DKA. Six patients had undergone laparoscopic Roux-en-Y gastric bypass, four underwent laparoscopic sleeve gastrectomy, and two had laparoscopic adjustable gastric banding. One patient even developed two episodes of postoperative DKA. The authors also point out that eight of these patients had inadequate insulin therapy or were non-compliant, and three of these patients developed DKA before they were even discharged from the hospital following their weight-loss pr Continue reading >>

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Popular Questions

  1. birdshaw

    DKA for weight loss?

    ok, here's my confession. i have gained about 20lbs in the last 8 years and it's all FAT. i hate it and i'm obsessed with getting rid of it. my doc said the better controlled i am, the more weight i'll gain. also, there's the lovely fact that insulin makes fat! i'm exercising, just can't do enough to agressively attack the problem (two young kids must come first). here's my temptation: just a few days, maybe a week of "managed" DKA to burn the fat. any thoughts? has anyone tried this? any lessons to share? am i the only person to think of this?? i'm too embarassed to ask my doc about it. i KNOW what the skinny non-diabetic would say.

  2. soso

    uhhh... ypu DO have 2 kids that come first, right?
    DKA=bad, danger possibly orphaned kids..... don't play with the bull, you will get it's horns up your arse....
    Or are you alking about a mild state of ketosis brought about by very low carbs for a while?
    check out Dr Richard Bernstein and please...don't play silly buggers with your own and your families lives......
    btw
    welcome to DD!
    support can help a lot with these battles

  3. birdshaw

    Dr Richard Bernstein ?? who is this and where can i find him?

  4. -> Continue reading
read more

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