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What Does Ketoacidosis Feel Like

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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

Diabetic Ketoacidosis (dka)

Topic Overview What is diabetic ketoacidosis (DKA)? Diabetic ketoacidosis (DKA) is a life-threatening condition that develops when cells in the body are unable to get the sugar (glucose) they need for energy because there is not enough insulin. When the sugar cannot get into the cells, it stays in the blood. The kidneys filter some of the sugar from the blood and remove it from the body through urine. Because the cells cannot receive sugar for energy, the body begins to break down fat and muscle for energy. When this happens, ketones, or fatty acids, are produced and enter the bloodstream, causing the chemical imbalance (metabolic acidosis) called diabetic ketoacidosis. What causes DKA? Ketoacidosis can be caused by not getting enough insulin, having a severe infection or other illness, becoming severely dehydrated, or some combination of these things. It can occur in people who have little or no insulin in their bodies (mostly people with type 1 diabetes but it can happen with type 2 diabetes, especially children) when their blood sugar levels are high. What are the symptoms? Your blood sugar may be quite high before you notice symptoms, which include: Flushed, hot, dry skin. Blur Continue reading >>

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  1. roshy

    DKA- what was your experience like?

    Hi all, i haven't been here for quite a while but its nice to see some of the same friendly faces!
    So i suffered with DKA back in october and havent felt healthy ever since. The hole experience left me very shaken up and traumatised! after spending 2 days in icu and a futher 3 days in hospital with drips and a urine cathador thigs completely regressed when i finially came home!! i was afraid to eat, i was afraid to leave the house, i didnt trust the meter, i would go extrememly low and and over react! i felt like my body was completely going to fail me. I promised myself i would never let something like that happen again however things are still out of control, im not taking my insulin out of pure lazyness and its basicaly routing now that i dont take the lantus, im not recording the sugar level and i really am falling into a hole which i feel like ill never be able to climb out of!
    The DKA experience was supposed to be a wake up call for me taking control, now its just something which i barely survived and left me confused about what kind of life im capable of living.
    After having type onefor 6 years i always believed controlling and accepting that my life would need to change would get easier, but instead my health is deteriorating as well as my optimism for life, and im only 22!!
    I was wondering what other experiences people may of had with DKA please share !! did you seek
    appropriate help support or advice which you may think might help myself and others??

  2. MAYS

    Welcome to Diabetic Connect !
    First and foremost, DKA is very serious and all diabetics should know the signs and symptoms of such because although it can happen to type 1 diabetics, it also happens to type 2 diabetics.
    You must be very careful and both monitor and manage your glucose level and take your insulin when and in the necessary dosage, here is some information :
    What is diabetic ketoacidosis (DKA) ?
    Diabetic ketoacidosis (DKA) is a life-threatening condition that develops when cells in the body are unable to get the sugar (glucose) they need for energy, such as when you have diabetes and do not take enough insulin. Without insulin, the body cannot use sugar for energy. When the cells do not receive sugar, the body begins to break down fat and muscle for energy. When this happens, ketones, or fatty acids, are produced and enter the bloodstream, causing the chemical imbalance (metabolic acidosis) called diabetic ketoacidosis.
    What causes DKA ?
    Ketoacidosis can be caused by not taking enough insulin, having a severe infection or other illness, becoming severely dehydrated, or some combination of these factors. It can occur in people who have little or no insulin in their bodies (mostly people with type 1 diabetes, but it can happen with type 2 diabetes) when their blood sugar levels are high.
    What are the symptoms ?
    Your blood sugar may be quite high before you notice symptoms, which include:
    Flushed, hot, dry skin.
    Blurred vision.
    Feeling thirsty.
    Drowsiness or difficulty waking up. Young children may lack interest in their normal activities.
    Rapid, deep breathing.
    A strong, fruity breath odor.
    Loss of appetite, abdominal pain, and vomiting.
    Confusion.
    When diabetic ketoacidosis is severe, you may have difficulty breathing, your brain may swell (cerebral edema), and there is a risk of coma and even death.
    http://diabetes.webmd.com/tc/diabetic-ketoaci...

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Topic Overview

What is diabetic ketoacidosis (DKA)? Diabetic ketoacidosis (DKA) is a life-threatening condition that develops when cells in the body are unable to get the sugar (glucose) they need for energy because there is not enough insulin. When the sugar cannot get into the cells, it stays in the blood. The kidneys filter some of the sugar from the blood and remove it from the body through urine. Because the cells cannot receive sugar for energy, the body begins to break down fat and muscle for energy. When this happens, ketones, or fatty acids, are produced and enter the bloodstream, causing the chemical imbalance (metabolic acidosis) called diabetic ketoacidosis. What causes DKA? Ketoacidosis can be caused by not getting enough insulin, having a severe infection or other illness, becoming severely dehydrated, or some combination of these things. It can occur in people who have little or no insulin in their bodies (mostly people with type 1 diabetes but it can happen with type 2 diabetes, especially children) when their blood sugar levels are high. What are the symptoms? Your blood sugar may be quite high before you notice symptoms, which include: Flushed, hot, dry skin. Blurred vision. Fee Continue reading >>

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  1. elbruce

    Stages of DKA/Any Personal Experiences?

    After 19.5 years of Type 1 diabetes I should probably know everything about DKA but thankfully up to this point I have avoided any hint of DKA so out of sight, out of mind! I of course know the basics, the danger signs, symptoms etc. but the basic info does not tell you a lot about the progression, stages, etc. so in my mind my takeaways were "don't stay high too long, take your insulin, if you are high stay hydrated,"....good to go right?
    So yesterday around 4 AM my blood sugar started to rocket up after being normal for most of the night. Took a bolus to bring it down and when I woke around 6 my CGM said 250 but tested my blood sugar, it was 190. A little annoyed as my bolus should have brought this down but good enough to continue with my plan so I went for a 30 min run. After exercise it came down to about 150, I was happy so I did not think too much of it.
    Got it the car, ate two pieces of toast, and on my drive to work (45 minutes) my blood sugar started to rocket up! Gave myself a large bolus to bring it down and by the time I got to work it still was climbing higher and higher (over 400). Changed my infusion site (it was leaking so I probably was getting very little insulin), gave myself a bolus with a needle, drank a lot of water and just tried to focus on work. Started to come down very slowly but it was coming down and around 1230 I was down to about 150 around the same time I started feeling physically ill (lots of nausea, threw up once, lethargic) and that is when it hit me, could it be DKA? Since my blood sugar was not too bad I did not feel I was in immediate danger but I read that DKA can change your blood chemistry so I was a little worried about any cascading effects. My body felt awful, I just threw up, my stomach was upset, I didn't feel like eating. I forced myself to eat my modest lunch and closely monitored but still didn't feel good for most of the day and I left work about an hour early.
    I rode it out and I was fine but the experience just got me thinking. Has anyone ever experienced DKA? How fast did it come on? Any noticeable stages? Just curious about any personal experiences. Read that DKA can happen fast but when you are possibly experiencing it, it still surprised me at the speed of it. Don't know if I was actually experiencing DKA but it certainly seems plausible! Thoughts?

  2. Nicoletti

    Sorry, no personal experience here, but vomiting can be an early sign. And yes, DKA will change your blood chemistry to the point of metabolic acidosis. Too much acidosis is not compatible with life -- very serious stuff!
    Do you have urine keto strips? You can check ketones with them if your blood sugar is high.

  3. coravh

    I've been on the verge twice in my 50 years of D. The first time was when I was about 16 or so and I'd had the flu. One of those horrible ones making the rounds that was killing some of the elderly that caught it. I was vomiting for 3 days and on day 3 it started getting worse, rather than better (keep in mind that this was in the 70s, so horrible insulins and no home testing) so my Mom took me to the hospital. They said my blood chemistry was just starting to go "off". The second time was when I had peritonitis (so got really sick, really fast) and went to hospital in the morning. Again, this was in the days before lantus. I took my morning shot of N, and went to the ER. By midnight they had given me no insulin, hadn't tested my blood sugar in 6 hours (the nurse was refusing to) and so I called home to get my insulin. The next morning a young resident cheerfully told me that I had "been on the verge of DKA, but we saved you!!!!". I informed her that they were the ones that had pushed me there.
    As far as for myself, I know coming close I have always been pretty ill before I got close to the edge. So if you are taking a reasonable amount of insulin and still feel ok, I suspect that DKA is the last thing you need to worry about. Especially if you can keep fluids down along with your bg.
    I really doubt if you were experiencing DKA. Don't forget, the K stands for Keto (acidosis). So you have to have rampaging ketones that acidify your blood. It's not a single day process, especially with insulin on board.
    Cora

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Get clarity on DKA (diabetic ketoacidosis) with memorable illustrations from Dr. Seheult. See the DKA series free at http://www.medcram.com. This video is part of the "MedCram Remastered" series: A video we've re-edited & sped up to make learning even more efficient. 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) Visit https://www.MedCram.com for part 2 of this course (on DKA treatment) and over 100 lectures. This is the home for ALL MedCram.com medical videos (many med

Diabetic Ketoacidosis (dka)

Topic Overview Diabetic ketoacidosis (DKA) is a life-threatening condition that develops when cells in the body are unable to get the sugar (glucose) they need for energy because there is not enough insulin. When the sugar cannot get into the cells, it stays in the blood. The kidneys filter some of the sugar from the blood and remove it from the body through urine. Because the cells cannot receive sugar for energy, the body begins to break down fat and muscle for energy. When this happens, ketones, or fatty acids, are produced and enter the bloodstream, causing the chemical imbalance (metabolic acidosis) called diabetic ketoacidosis. What causes DKA? Ketoacidosis can be caused by not getting enough insulin, having a severe infection or other illness, becoming severely dehydrated, or some combination of these things. It can occur in people who have little or no insulin in their bodies (mostly people with type 1 diabetes but it can happen with type 2 diabetes, especially children) when their blood sugar levels are high. What are the symptoms? Your blood sugar may be quite high before you notice symptoms, which include: Flushed, hot, dry skin. Blurred vision. Feeling thirsty and urina Continue reading >>

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Popular Questions

  1. elbruce

    Stages of DKA/Any Personal Experiences?

    After 19.5 years of Type 1 diabetes I should probably know everything about DKA but thankfully up to this point I have avoided any hint of DKA so out of sight, out of mind! I of course know the basics, the danger signs, symptoms etc. but the basic info does not tell you a lot about the progression, stages, etc. so in my mind my takeaways were "don't stay high too long, take your insulin, if you are high stay hydrated,"....good to go right?
    So yesterday around 4 AM my blood sugar started to rocket up after being normal for most of the night. Took a bolus to bring it down and when I woke around 6 my CGM said 250 but tested my blood sugar, it was 190. A little annoyed as my bolus should have brought this down but good enough to continue with my plan so I went for a 30 min run. After exercise it came down to about 150, I was happy so I did not think too much of it.
    Got it the car, ate two pieces of toast, and on my drive to work (45 minutes) my blood sugar started to rocket up! Gave myself a large bolus to bring it down and by the time I got to work it still was climbing higher and higher (over 400). Changed my infusion site (it was leaking so I probably was getting very little insulin), gave myself a bolus with a needle, drank a lot of water and just tried to focus on work. Started to come down very slowly but it was coming down and around 1230 I was down to about 150 around the same time I started feeling physically ill (lots of nausea, threw up once, lethargic) and that is when it hit me, could it be DKA? Since my blood sugar was not too bad I did not feel I was in immediate danger but I read that DKA can change your blood chemistry so I was a little worried about any cascading effects. My body felt awful, I just threw up, my stomach was upset, I didn't feel like eating. I forced myself to eat my modest lunch and closely monitored but still didn't feel good for most of the day and I left work about an hour early.
    I rode it out and I was fine but the experience just got me thinking. Has anyone ever experienced DKA? How fast did it come on? Any noticeable stages? Just curious about any personal experiences. Read that DKA can happen fast but when you are possibly experiencing it, it still surprised me at the speed of it. Don't know if I was actually experiencing DKA but it certainly seems plausible! Thoughts?

  2. Nicoletti

    Sorry, no personal experience here, but vomiting can be an early sign. And yes, DKA will change your blood chemistry to the point of metabolic acidosis. Too much acidosis is not compatible with life -- very serious stuff!
    Do you have urine keto strips? You can check ketones with them if your blood sugar is high.

  3. coravh

    I've been on the verge twice in my 50 years of D. The first time was when I was about 16 or so and I'd had the flu. One of those horrible ones making the rounds that was killing some of the elderly that caught it. I was vomiting for 3 days and on day 3 it started getting worse, rather than better (keep in mind that this was in the 70s, so horrible insulins and no home testing) so my Mom took me to the hospital. They said my blood chemistry was just starting to go "off". The second time was when I had peritonitis (so got really sick, really fast) and went to hospital in the morning. Again, this was in the days before lantus. I took my morning shot of N, and went to the ER. By midnight they had given me no insulin, hadn't tested my blood sugar in 6 hours (the nurse was refusing to) and so I called home to get my insulin. The next morning a young resident cheerfully told me that I had "been on the verge of DKA, but we saved you!!!!". I informed her that they were the ones that had pushed me there.
    As far as for myself, I know coming close I have always been pretty ill before I got close to the edge. So if you are taking a reasonable amount of insulin and still feel ok, I suspect that DKA is the last thing you need to worry about. Especially if you can keep fluids down along with your bg.
    I really doubt if you were experiencing DKA. Don't forget, the K stands for Keto (acidosis). So you have to have rampaging ketones that acidify your blood. It's not a single day process, especially with insulin on board.
    Cora

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