What Causes The Fluid And Electrolyte Disturbances In Dka?

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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

In diabetes, blood glucose is not able to reach the body cells where it can be utilized to produce energy. In such cases, the cells start to break down fat to produce energy. This process produces a chemical called ketone.[1] The buildup of ketones makes the blood more acidic. When the blood ketone level gets too high, a condition develops called diabetic ketoacidosis (DKA). It is a serious condition that can lead to coma or even death. DKA can happen to anyone with diabetes though it is more common in people with type 1 diabetes.[2] In this article, well explore the causes, symptoms treatment options, and complications of this life-threatening condition. DKA results from inadequate insulin levels that cause the cells to burn fat for energy. Ketones are released into the blood when fats are broken down. In people with diabetes, an underlying problem often triggers the onset of DKA. The following problems or conditions may contribute to DKA: An illness where the body produces higher levels of stress hormones like cortisol or adrenalin; these illnesses have a countereffect on the action of insulin (conditions like pneumonia or a urinary tract infection are common culprits) Inadequat Continue reading >>

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  1. Heather

    I've been on the diet now for 7 days. Day 1 and 2 I dropped 2 kilos, and since that I haven't budged.
    I check my pee twice a day and am always in the top or second top keto reading...
    Is it possible to be in ketosis, but still doing something wrong ?

  2. Helen

    Ketosis just means that you are burning fat instead of carbs/glucose for energy. If you are having too many calories (or even not enough), you may find that you do not lose weight.
    Also, if you only have a few kgs to lose, then your weight loss will be slower than someone who has a lot of weight to lose. What is your BMI?
    Are you doing a lot of intensive exercise? Sometimes you may be losing fat, but building muscle, so the scales appear to not move.
    Regardless of what diet you follow, you will not lose weight each and every day. 2 kgs in 1 week is a pretty good loss, especially if you don't have a lot of weight to lose.
    Chances are that if you continue to follow the program properly and keep avoiding carbs, you will lose more weight in the next few days. Some call it the "whoosh" effect, lol. Some people lose weight slowly and steadily. Many more of us, lose it in stops and starts. We lose a bit, then a few days of nothing and then another "whoosh".
    Keep at, and you should get results.
    [ed. note: Helen (1169825) last edited this post 3 years, 7 months ago.]

  3. Heather

    My Bmi is 30.51. I've got about 15 kilos to lose, but on a bazillion diets I never seem to get past 6 or 7kg.
    I'm not currently exercising because I'm just too tired. I'm hoping to get back to the gym soon though.
    I'll stick it out in hopes for this whoosh hehe. Thanks Helen.

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Fluid And Electrolyte/acid-base Flashcards

1. 50 year old with pneumonia, diaphoresis and a high fever Rationale: Diaphoresis and high fever can lead to free water loss through the skin, resulting in hypernatremia. Loop diuretics are more likely to result in a hypovolemic hyponatremia. Diarrhea and vomitting cause both sodium and water losses. Clients with SIADH have hyponatremia due to increased water reabsorption in the renal tubules. A client is admitted with diabetic ketoacidosis and, with treatment, has a normal blood glucose, pH, and serum osmolality. During assessment, the client complains of weakness in the legs. Which of the following is a priority nursing intervention? 1. Request a physical therapy consult from the physician. 2. Ensure the client is safe from falls and check the most recent potassium level. 3. Allow uninterrupted rest periods throughout the day. 4. Encourage the client to increase intake of dairy products and green leafy vegetables. 2. Ensure the client is safe from falls and check the most recent potassium level. Rationale: In the treatment of diabetic ketoacidosis the blood sugar is lowered, the pH is corrected, and potassium moves back into the cells, resulting in low serum potassium. Client s Continue reading >>

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  1. tblake87

    Is the ketogenic diet related to kidney stones?

    I've been surfing the web to find some good KETO recipes and I came across multiple sites that stated being on a KETO diet raised your chances for kidney stones immensely. Taking the odds form 1 in several thousand to 1 in 20. I've had a kidney stone before and that is definitely something I don't want to go through again. Can anyone verify this?

  2. hjmacd1984

    Im not 100% sure, but I think youre more at risk the more protein you consume - being on keto should be okay as youre taking in around 1-1.5lbs per lbs LBM.. whereas something like the palumbo diet I think you'd be relying more on high protein and moderate fat.
    Not completely sure, maybe check with your doc... maybe its not suitable for you seeing as youve already had kidney stones, just check

  3. Eileen

    Lot of nonsense. It's based on the totally unproven idea that high protein diets will damage your kidneys. Not only are there no studies showing this, there hasn't been a single documented case of it. The only problem keto is likely to cause your kidneys is that keto is a duiretic diet, so you don't drink enough, your piss won't be dilute enough and that could cause problems.
    In any case, keto is not a high protein diet, it's moderate protein. Look at the Nutrition forum and you'll find guys packing away 200-350g of protein a day and none of them are worrying about exploding kidneys. Most people here are eating half that.

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What is KETOACIDOSIS? What does KETOACIDOSIS mean? KETOACIDOSIS meaning - KETOACIDOSIS definition - 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... Ketoacidosis is a metabolic state associated with high concentrations of ketone bodies, formed by the breakdown of fatty acids and the deamination of amino acids. The two common ketones produced in humans are acetoacetic acid and ß-hydroxybutyrate. Ketoacidosis is a pathological metabolic state marked by extreme and uncontrolled ketosis. In ketoacidosis, the body fails to adequately regulate ketone production causing such a severe accumulation of keto acids that the pH of the blood is substantially decreased. In extreme cases ketoacidosis can be fatal. Ketoacidosis is most common in untreated type 1 diabetes mellitus, when the liver breaks down fat and proteins in response to a perceived need for respiratory substrate. Prolonged alcoholism may lead to alcoholic ketoacidosis. Ketoacidosis can be smelled on a person's breath. This is due to acetone, a direct by-product of the sp

Diabetic Ketoacidosis In Children

To view this video please enable JavaScript, and consider upgrading to a web browser that supports HTML5 video Published by Ryan James Modified over 4 years ago Presentation on theme: "Diabetic Ketoacidosis in Children" Presentation transcript: 2 DKA Is the most common cause of hospitalization of children with diabetes Is the most common cause of death in children with diabetes Is fatal in <1% (from 1-2% of children in the 1970s) Most DKA deaths are attributable to cerebral edema (62-87%), which occurs in 0.4-1% of kids with DKA Ciordano B, Rosenbloom AL, Heller DR, et al: Regional services for children and youth with diabetes. Pediatrics. 1977;60: Rosenbloom AL. Intracerebral crises during treatment of diabetic ketoacidosis. Diabetes Care 1990;13:22-33. Edge J, Ford-Adams M, Dunger D. Causes of death in children with insulin-dependent diabetes Arch Dis Child. 1999;81: 3 Background Though it varies depending on the population, 20-40% of newly diagnosed T1DM patients are in DKA. Therefore, a major goal of outpatient diabetes management is to prevent DKA with a high index of suspicion with early DKA symptoms in new or established T1DM patients with close supervision of established p Continue reading >>

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  1. Markette

    Today I learned about ketosis.
    Yesterday, Day 15 for me, I had a lady doctor's appointment wherein they collected a urine sample. My ketones were sky high and prompted my doctor -- who I had never seen before -- to tell me he didn't think I was eating well. I laughed, insisted that I eat quite well, and asked him to explain his concern more fully. He explained that ketones indicate I am passing fat, that I'm not eating well, starving. He insisted that I grab a fruit juice on the way home, push fluids the rest of the night, and follow up with my GP. Let me tell you, that much glucose at once felt weird, but who was I to argue with his quite insistent orders?
    After some Google-fu, I found out that that's not exactly what ketones are, or what high ketones in urine means, but close. They're a byproduct of my body burning fat for energy instead of glucose. They are a warning sign if you're a Type I diabetic (I'm not) or have liver issues (I don't know of any) and can be a tell-tale sign of anorexia or starvation or fasting (uh, no), but for folks on low-carb, high-fat diets, they more often indicate that your metabolism has shifted from processing glucose to processing fat for fuel.
    On top of the high ketone level in my urine, I felt terrible all day long. I couldn't sleep the night before, had another base-of-the-neck migraine-like headache, had the chills, and finally vomited around 3am. I chalked it up to the flu or the issue that had brought me to my doctor to begin with, but after further research, I'm wondering if I might actually be transitioning to a ketogenic metabolism and have a touch of the "ketosis flu".
    I'm not much of an athlete these days, and ketosis certainly isn't the goal of my Whole30. I did some quick research on this forum and saw that other ladies -- mainly pregnant ones -- had doctors who were concerned with high ketones while they were Whole30ing. They increased their caloric intake via more starches. So I also decided to tweak my diet even more this round and increase my starch (yams, bananas, squash, etc.) intake and see how I feel.
    I'm seeing my GP next week -- also for the first time -- and I'd like to be able to ask some pointed questions about the paleo diet and ketosis and ketoacidosis, as I'm sure another urinalysis will reveal the same high ketone levels and probably bring similar concerns. I've been strict paleo since 2011, am 114 pounds, 5'4", and have a very low body fat -- I'm not opposed to remaining in ketosis, but am concerned that I don't have a ton of fat on my frame to burn and want to monitor my diet and health responsibly.
    Has anyone else -- especially ladies -- had high ketone levels in their urine? Any precautions I should be aware of? Any tweaks to a Whole30 you'd recommend?

  2. Tina R

    This has been discussed on this forum http://forum.whole9life.com/topic/2737-why-is-nobody-talking-about-ketosis/. Here is a thread that might help. You can also search google "whole30 Ketosis" for other answers on the forum. Good Luck!

  3. kirkor

    Bonus ketosis! Lucky!
    Several of us are aiming for it here.

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