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What Is Dka Diagnosis?

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DKA (Diabetic Ketoacidosis) Vs HHNS (Hyperosmolar Hyperglycemic Nonketotic Syndrome) Tables From Step Up to Medicine (3rd Edition, Agabegi) Here is the link for the Quick Hits =) http://imgur.com/TnJPBmu

4 Diabetic Ketoacidosis And Hyperglycemic Hyperosmolar Nonketotic Syndrome Nursing Care Plans

Risk for Fluid Volume Deficit: At risk for experiencing vascular, cellular, or intracellular dehydration. Risk Factors Decreased intake of fluids due to diminished thirst sensation or functional inability to drink fluids. Excessive gastric losses due to nausea and vomiting. Hyperglycemia-induced osmotic diuresis. Possibly evidenced by [not applicable]. Desired Outcomes Client will remain normovolemic as evidenced by urinary output greater than 30 ml/hr, normal skin turgor, good capillary refill, normal blood pressure, palpable peripheral pulses, and blood glucose levels between 70-200 mg/dL. Nursing Interventions Rationale Assess precipitating factors such as other illnesses, new-onset diabetes, or poor compliance with treatment regimen. These will provide baseline data for education once with resolved hyperglycemia. Urinary tract infection and pneumonia are the most common infections causing DKA and HHNS among older clients. Assess skin turgor, mucous membranes, and thirst. To provide baseline data for further comparison. Skin turgor will decrease and tenting may occur. The oral mucous membranes will become dry, and the client may experience extreme thirst. Monitor hourly intake a Continue reading >>

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  1. boobear

    Hi everyone, I've done keto/low carb on/off last few years. Got really keto serious three weeks ago. On the whole last week my husband pretty much wanted to puke every time I spoke near him as he said my breath was soooo bad. I drink tons of water, chew gum etc. It was making me so self conscious that I went off the next day. It's been two days off and Breath is better but I really hate the way I feel eating carbs. Is there any tips for the keto breath, will it pass, and if so after how long??? It is literally the only thing that stops me from going back! Thanks in advance!

  2. Jessica

    They say that burning fat can cause bad breath due to chemicals released in the process. It's metabolic and not hygiene related. It doesn't usually last forever! Don't let it discourage you! Keep drinking lots of water

  3. boobear

    I'm trying really hard not too! I'm going to get back on tomorrow and keep ketoing but I hate being paranoid about my breath :(.

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Diagnosis And Treatment Of Diabetic Ketoacidosis And The Hyperglycemic Hyperosmolar State

DIABETIC KETOACIDOSIS AND THE HYPERGLYCEMIC hyperosmolar state are the most serious complications of diabetic decompensation and remain associated with excess mortality. Insulin deficiency is the main underlying abnormality. Associated with elevated levels of counterregulatory hormones, insulin deficiency can trigger hepatic glucose production and reduced glucose uptake, resulting in hyperglycemia, and can also stimulate lipolysis and ketogenesis, resulting in ketoacidosis. Both hyperglycemia and hyperketonemia will induce osmotic diuresis, which leads to dehydration. Clinical diagnosis is based on the finding of dehydration along with high capillary glucose levels with or without ketones in the urine or plasma. The diagnosis is confirmed by the blood pH, serum bicarbonate level and serum osmolality. Treatment consists of adequate correction of the dehydration, hyperglycemia, ketoacidosis and electrolyte deficits. Diabetic ketoacidosis (DKA) and the hyperglycemic hyperosmolar state (HHS) appear as 2 extremes in the spectrum of diabetic decompensation.1 They remain the most serious acute metabolic complications of diabetes mellitus and are still associated with excess mortality. Bec Continue reading >>

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  1. FitBeforeFifty

    Following the success of Gary Taubes' books claiming carbs cause obesity, he founded NuSI (www.nusi.org) to raise money for reasearch. NuSI along with NIH funded a study intended to prove/disprove Taubes' carb/insulin/obesity link. The study has been complete for some time but hasn't been published. One of the principal investigators in the study presented some of the findings at the 2016 International Conference on Obesity earlier this month.
    Some money quotes:
    “The loss of fat mass slowed down on a low-carb, high-fat diet.”

    “…it took the full 28 days of a ketogenic diet to lose the same amount of fat as was lost in the first 15 days of the normal carbohydrate diet.”
    Dr. Hall’s conclusion: no metabolic advantage to a ketogenic diet. Carb-Insulin theory of obesity falsified.
    Here's an interview with Dr. Hall at the conference:
    https://youtu.be/MiUyjMjuLl0

  2. betpchem

    Good to know @FitBeforeFifty. I always like to hear what the science says.

  3. JohnRi

    I personally thought the high fat diet was bad for a number of health reasons. Interesting study that showed a high fat low calorie diet took longer to lose the same amount of weight as the a low calorie high carb diet.
    I will love to read the paper when it comes out.
    I've been running a low caloried diet 20%-25% protein, 20-25% fat, and 45-55% carb diet for 8 months. I've lost 61 lbs. So as far as I'm concerned a balanced diet will cause weight loss great weigth loss...
    If you ever see a link to the paper on the study, please post an new update with the link.
    John | Texas,USA | Surge | Aria | Blaze | Windows | iPhone | Always consult with a doctor regarding all medical issues. Keep active!!!

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Diagnostic Criteria And Classification Of Dka

diagnostic criteria The diagnostic criteria for diabetic ketoacidosis are: ketonaemia 3 mmol /l and over or significant ketonuria (more than 2 + on standard urine sticks) blood glucose over 11 mmol /l or known diabetes mellitus venous bicarbonate (HCO3 ) ) below 15 mmol /l and /or venous pH less than 7.3 (1) The American Diabetes Association diagnostic criteria for DKA are as follows: elevated serum glucose level (greater than 250 mg per dL [13.88 mmol per L]) an elevated serum ketone level a pH less than 7.3 and a serum bicarbonate level less than 18 mEq per L (18 mmol per L) (2) classification of diabetic ketoacidosis DKA can be classified according to the severity into mild, moderate and severe (2) criterion mild (serum glucose > 250 mg/dL [13.88 mmol/L]) moderate (serum glucose > 250 mg/dL) severe (serum glucose > 250 mg/dL) anion gap > 10 mEq/L (10 mmol/L) > 12 mEq/L (12 mmol/L) > 12 mEq/L (12 mmol/L) arterial pH 7.24 to 7.30 7.00 to < 7.24 < 7.00 effective serum osmolality variable variable variable mental status alert alert/drowsy stupor/coma serum bicarbonate 15 to 18 mEq/L (15 to 18 mmol/L) 10 to < 15 mEq/L (10 to < 15 mmol/L) < 10 mEq/L (10 mmol/L) serum ketone positive p Continue reading >>

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  1. hippocampus

    What are the potassium level abnormalities associated with DKA (during diagnosis and treatment.)

  2. ahassan

    During DKA, the total body K is low bcz of osmotic diuresis, BUT the serum k conc. is raised bcz of the lack of insulin action, which allows k to shift out of the cells. So hyperkalemia.
    During treatment, k is shifted into the cells, which may lead to profound hypokalemia n death if not treated, so during therapy you have to adjust KCL conc. depending on blood K levels.

  3. tomymajor

    In DKA--> K level may be high or normal so we dont add k from the start of ttt
    But : In HHNKC---> K level is low from the start so we give k from start of ttt

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