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Ketoacidosis Is Usually A Result Of _______

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Diabetic Ketoacidosis

Diabetic ketoacidosis (DKA) is a serious, life-threatening complication of diabetes mellitus. DKA is characterized by the triad of hyperglycemia, anion gap metabolic acidosis, and ketonemia. It is part of a spectrum of hyperglycemia on which lies hyperosmolar hyperglycemic state (HHS). Though the two are distinct entities, they do share some commonalities. DKA is caused by the reduced effect of insulin, either due to deficit or reduction of levels, with concomitant elevation of counter regulatory hormones (glucagon, catecholamines, cortisol, and growth hormones), generally due to a precipitating stress. Increased gluconeogenesis, glycogenolysis, and decreased glucose uptake by cells leads to hyperglycemia, while insulin deficiency leads to mobilization and oxidization of fatty acids leading to ketogenesis. Although DKA may be the initial manifestation of diabetes, it is typically precipitated by other factors. It is critical for a clinician to identify and treat these factors. Infection can be found in 40-50% of patients with hyperglycemic crisis, with urinary tract infection and pneumonia accounting for the majority of cases. DKA is a life-threatening medical emergency with a mort Continue reading >>

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  1. hugmebaby_72

    dear fellow nurses,
    please support the following members taking nclex on october :
    nebin - oct 2 - rn (congrats!!)
    it's alisa - oct 2 - done
    cmille10 - oct 3 - rn (congrats!!)
    christav - oct 3 - rn (congrats!!)
    tay245 - oct 6 - rn (congrats!!)
    nurse_aholic - oct 6
    cna1998 - lpn (congrats!!)
    zolveria - oct 7
    khine2mn80 - oct 9 - rn (congrats!!)
    mr.j - oct 9 - rn (congrats!!)
    cloudstrife1ph - oct 10
    iloveclay - oct 10 - rn (congrats!!)
    supadrea - oct 14 - rn (congrats!!)
    ellanocum - oct 14
    getmore - 2nd wk of oct
    coffeelover73 - oct 15
    bubbly30 - oct 15
    serena211 - oct 16
    mikhy - oct 17
    mardibc - oct 17
    avomejet - oct 17
    soonmomtobe - oct 20
    shinyblackcar - oct 21
    hugmebaby_72 - oct 21
    j_swift808 - oct 21
    babygirl1470 - oct 21
    brantaf - oct 27
    bettyboo706 - oct 27
    richo_006 - oct 28
    lovendove - oct 28
    zoobyli - oct 29
    ejones7901 - oct 29
    texaschic888 - oct 30
    jazzysmika - late oct
    chacha17 - end of oct
    mslusara - end of oct
    missea39 - end of oct
    tlk84 - end of oct
    rmartinez91
    ebhhunney
    zaylee's friend
    rose2gard
    akantner
    i wish everybody here in october support group - all the best!...:typing
    good luck to soonmomtobe, shinyblackcar, babygirl1470 & j_swift808 for our nclex on oct 21. (i'll be offline for a few days to give myself time to focus on the exam. i'll be back on the 23rd.)
    i will pray for all of you. :heartbeat
    may god bless us all!
    congratulations supadrea!!!
    good luck mardibc!

  2. hugmebaby_72

    just hang in there babygirl1470, you can surely do it. believe in yourself. you can get additional helpful tips in the sticky random facts thread, for your review. good luck! here's a thought for you...
    [font=papyrus, cursive]detoxing your mind
    [font=papyrus, cursive]today's scripture
    [font=papyrus, cursive]"keep and guard your heart with all vigilance and above all that you guard, for out of it flow the springs of life" (proverbs 4:23).
    [font=papyrus, cursive]today's word
    [font=papyrus, cursive]when something is toxic, it's poisonous; it can destroy you. when we go around dwelling on the wrong thoughts, thinking about what we can't do or how we'll never get ahead, those thoughts are toxic thoughts. toxic thoughts left alone become like toxic waste that sinks into your heart. it will eventually contaminate your whole life. it affects your self-image. it affects your attitude, your level of confidence, and ultimately, your success. that's why the scripture says to guard your heart because the condition of your heart and mind determine the condition of your whole life.
    [font=papyrus, cursive]make the decision today to detox any negative, self-defeating thoughts by meditating on god's promises instead. make the decision to detox bitterness, detox low self-esteem, detox negative words that may have been spoken over you, detox condemnation. make the decision to dwell on what god says about you. god says, "you are forgiven." god says, "your best days are in front of you." god says, "i'll restore the years that the enemy has stolen." as you detox your mind and fill your thoughts with his promises, you'll see his hand of blessing on your life. you'll rise up higher, and you'll live the abundant life he has for you!
    [font=papyrus, cursive]a prayer for today
    [font=papyrus, cursive]father in heaven, i invite you to purify my heart and mind by your spirit today. wash me with the word as i meditate on your wonderful promises. help me keep my mind focused on you. in jesus' holy name. amen.
    [font=papyrus, cursive]

  3. yveza

    high risk for cholelitiasis: 5f's>female, fertile,forty,fat,fair
    high risk for pancreatitis: 5m's>male,middle age,mephenol,meal heavy,midnight or early mornin attack
    aspirin-for tia.purpose:to inhibit platelet aggregation
    aricept-donepezil>newer drug for alzheimers
    decadron(dexamethasone)-s/e occult blood in the stool
    note:for tb patient taking anti tb drug,question the order decadron-
    reactivates old tb lesions and precipitates hemoptysis

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