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What Is Ketoacidosis Quizlet

Diabetic Ketoacidosis And Patho

Diabetic Ketoacidosis And Patho

pathophysiology ketogenesis due to insulin deficiency leads to increased serum levels of ketones anad ketonuria acetoacetate, beta-hydroxybutyrate; ketone bodies produced by the liver, organic acids that cause metabolic acidosis respiration partially compensates; reduces pCO2, when pH < 7.2, deep rapid respirations (Kussmaul breathing) acetone; minor product of ketogenesis, can smell fruity on breath of ketoacidosis patients elevated anion gap Methanol intoxication Uremic acidosis Diabetic ketoacidosis Paraldehyde ingestions Intoxicants (salicyclate, ethylene glycol, nipride, epinephrine, norepinephrine) Lactic acidosis (drug induced; didanosine, iron, isoniazid, metformin, zidovudine) Ethanol ketoacidosis Severe renal failure starvation Blood glucose regulation (6) 1. When blood glucose levels rise above a set point, 2. the pancreas secretes insulin into the blood. 3. Insulin stimulates liver and muscle cells to make glycogen, dropping blood glucose levels. 4. When glucose levels drop below a set point, 5. the pancreas secretes glucagon into the blood. 6. Glucagon promotes the breakdown of glycogen and the release of glucose into the blood. (The pancreas signals distant cells to regulate levels in the blood = endocrine function.) Insulin and Glucagon (Regulation) (10) 1. High blood glucose 2. Beta cells 3. Insulin 4. Glucose enters cell 5. Blood glucose lowered 6. Low blood glucose 7. Alpha cells 8. Glucagon 9. Liver releases glucose from glycogen 10. Blood glucose raised What is the manifestations (symptoms) of Type 1? (10) 1. Extreme thirst 2. Frequent urination 3. Drowsiness, lethargy 4. Sugar in urine 5. Sudden vision change 6. Increased appetite 7. Sudden weight loss 8. Fruity, sweet, or wine like odor on breath 9. Heavy, laboured breathing 10. Stupor, unconscious Continue reading >>

Diabetes - Diabetic Ketoacidosis & Hyperosmolar Hyperglycemia Syndrome

Diabetes - Diabetic Ketoacidosis & Hyperosmolar Hyperglycemia Syndrome

Sort Hyperglycemia: Causes type of glucose level caused by 1) too much food, 2) too little diabetic medications, 3) inactivity, 4) emotional/physical stress, 5) poor absorption of insulin 6) illness 7) corticosteroids **counterregulatory hormones released when stress, illness persist Hyperglycemia: Manifestations manifests as 1) polyuria: osmotic diuresis (glucose in renal tubules cannot be reabsorbed; consequent hyperosmolarity and osmotic pressure results in more water in tubules) 2) polyphagia followed by lack of appetite, 3) polydipsia: hyperosmolarity of blood causes thirst as cells release more water into circulation 4) weakness/fatigue, 5) blurred vision, 6) glycosuria, 7) nausea/vomiting, 8) abdominal cramping 9) dry, warm, itchy skin Hyperglycemia: Treatment 1) exercise **do NOT exercise if BG 250 mg/dL (stress hormones released) and ketones (Type 1); do NOT exercise if >300 mg/dL (Type 2) 2) drink water 3) eat less CHO at meals **contact HCP if BG >250 mg/dL two-three times in one week During illness: 1) do NOT stop taking medication 2) check BG more frequently 3) clear liquids until no more nausea Hypoglycemia: Manifestations MILD: sweating, tremor, tachycardia, palpitation, nervousness, hunger MODERATE: poor concentration, numb lips/tongue, HA, light-headedness, slurred speech, irrational/combative behavior, visual disturbances SEVER: disorientation, loss of consciousness, difficult to arouse, seizures, coma **Can mimic alcohol intoxication. ***use of beta blockers interferes with recognizing the symptoms Hypoglycemia: Treatment RULE of 15: 1) check blood glucose for levels < 70 mg/dL 2) ingestion of 15-20g of a simple (fast-acting) carbohydrate: glucose tablets, 4 oz of juice, 1 T of honey, 4-6 oz soda ***NO CANDY BARS/COOKIES: treatment with fats s/b avoid Continue reading >>

Diabetic Ketoacidosis (dka)

Diabetic Ketoacidosis (dka)

Sort What are symptoms and signs of Diabetic Ketoacidosis? 1. fatigue 2. tachypnea (kussmaul's respirations) 3. tachycardia 4. Altered mental status 5. abdominal pain 6. vomiting 7. polyuria 8. polydipsia What are potential precipitating causes of DKA? 1. recent or current infection of any type 2. Injury or trauma 3. ACS or MI 4. TIA or CVA 5. Medications 6. acute or acute-on-chronic pancreatitis 7. ethanol or drug abuse 8. gastroenteritis or GI bleeding 9. psychosocial factors, such as depression or inability to afford medications, limiting compliance 10. Noncompliance with insulin regimen due to psychological or physiological reasons Symptoms and signs of DKA? 1. general fatigue and weakness 2. orthostasis 3. abdominal pain 4. Kussmaul's respirations (rapid dep respirations attempting to compensate for acidosis) 5. fruity or acetone-like odor 5. polyuria 6. poydipsia 7. polyphagia 8. N/V are found in up to 25% of pt's (emisis may have a coffee ground appearance due to hemorrhagic gastritis) 9. Mental status changes (mild confusion to coma) Key laboratory findings in DKA 1. serum glucose > or = 250 mg/dl 2. serum ketones or ketonuria 3. serum bicarbonate < or = 15 mEq/L 4. arterial pH < 7.3. Other important findings: 1. anion gap (nl values = 8-16)-- helps assess severity of acidosis and to follow progress of therapy 2. Serum osmolality-- values above 340mOsm/kg usually result in mental status changes. Below this value, other causes for lethargy or coma should be investigated. used to diagnose HHS and ingestions of ethanol, ethylene glycol, or other alcohols 3. serum ketones-- not always reliable. 4. BUN and CR-- may be elevated because of severe hydration, acute tubular necrosis, or renal failure. In these cases, establish urine output prior to initiating potassium re Continue reading >>

Cell Phone Outages Today

Cell Phone Outages Today

Nco support form examples character www.scisepay.com quizlet live creater hernando county school district 2017-2018 calendar coding type 2 diabetes with ketoacidosis Who We Are Our Clients Shipping Info Military Order Info Govt/State Orders Contact Us E-Mail Us Privacy & Security Terms of Use Returns/Exchanges Customer Service Verizon is working to restore service. Sign up to receive outage alerts and status of restoral efforts. 12/29/2017. Cox · Problems at Cox. 12/28/2017. Robinhood · Problems at Robinhood. 12/28/2017. Kik · Problems at Kik. 12/28/2017. Hulu · Problems at Hulu. 12/28/2017. Comcast · Problems at Comcast. 12/28/2017. Player Unknown's Battlegrounds · Problems at Player Unknown's Battlegrounds. 12/28/ 2017. Netflix. Jun 19, 2017 . What's happening? If you're experiencing issues getting online or using your cellphone, this is why. There is a national outage going on right now. I'll shar. Calls don't go thru and mobile internet/data is nearly non existent! Almost two days now! I worked with Verizon support over Twitter last night and phone support today. Nobody can fix it apparently and I'm livid! I need my phone ( including mobile data) for navigation over Christmas! What am I supposed to do? Go old school . Jun 19, 2017 . Many Verizon, Sprint, T-Mobile and AT&T customers reported outage issues on Monday. See if Verizon Wireless service is down or it's just you. Post yours and see other's reports and complaints. AT&T outage chart. AT&T offers local and long distance phone service, broadband internet and mobile phone services to individuals and businesses. Television service is available through the U-verse brand, which is delivered over the internet (IPTV). AT&T has near-national wireless coverage. Internet and local phone . Outages a Continue reading >>

Free Nclex Rn Practice Test 3

Free Nclex Rn Practice Test 3

1. A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient’s lab results would expect which of the following changes in laboratory findings? A. Elevated serum calcium. B. Low serum parathyroid hormone (PTH). C. Elevated serum vitamin D. D. Low urine calcium. 2. A patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is NOT recommended? A. A diet high in grains. B. A diet with adequate caloric intake. C. A high protein diet. D. A restricted sodium diet. 3. A patient with a history of diabetes mellitus is in the second post-operative day following cholecystectomy. She has complained of nausea and isn’t able to eat solid foods. The nurse enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient’s symptoms? A. Anesthesia reaction. B. Hyperglycemia. C. Hypoglycemia. D. Diabetic ketoacidosis. 4. A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern? A. Bowel perforation. B. Viral gastroenteritis. C. Colon cancer. D. Diverticulitis. 5. A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation? A. Partial thromboplastin time. B. Prothrombin time. C. Platelet count. D. Hemoglobin 6. A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the following is the most likely route of transmission? A. Sexual contact with an infected partner. B. Contaminated food. C. Blood transfusion. D. Illegal d Continue reading >>

Does Hydrocodone Raise Glucose Level

Does Hydrocodone Raise Glucose Level

 sharp quizlet 2017 cpt code for uring drug screening what is bundled in cpt 97605 2014 impala firing order Does hydrocodone raise glucose level Combination of sets from all over quizlet, containing practice questions and study cards for NCLEX preparation on the just about everything. How Does Fat Burning Water Work Healthy Level Of Ldl Cholesterol How Does Fat Burning Water Work Coconut Oil Weight Loss Capsules pre workout supplements for fat. Find patient medical information for Jardiance Oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. FDA Safety Alerts for Drugs and Medication-Related Medical Devices . Drugs and Therapeutic Biological Products. Greenstone Issues Voluntary Nationwide Recall of. How Many Days To Detox From Hydrocodone Cleanse Detox Manage Symptoms Total Body Detox Kit Detox Symptoms Purium Cleanse How Long Does It Take To Detox Heroin. If you are not sure what the difference is between a nephrologist and urologist, you are not alone Many people are unsure of the difference. How Long To Detox Hydrocodone - Quick Detox Diet To Flatten Stomach On Women How Long To Detox Hydrocodone Easy Natural Detox Detox Diet For Beginners. How To Detox Yourself From Hydrocodone - Fat Burners With Yohimbe How To Detox Yourself From Hydrocodone It Works Fat Burner Pills Ingredients 2016 Best Fat Burning. PDR Drug Summaries are concise point-of-care prescribing, dosing and administering information to help phsyicans more efficiently and accurately prescribe in their. Acetaminophen; hydrocodone is contraindicated for use in patients with significant respiratory depression and in patients with acute or severe asthma (e.g., status. · Aug 18, 2015 . Acetaminophen falsely elevates continuous glucose monitor (CG Continue reading >>

Like This Study Set?

Like This Study Set?

A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. Which findings would the nurse expect to note as confirming this diagnosis? Select all that apply. 1. Increase in pH 2. Comatose state 3. Deep, rapid breathing 4. Decreased urine output 5. Elevated blood glucose level 6. Low plasma bicarbonate level 3,5,6 Rationale: In DKA, the arterial pH is lower than 7.35, plasma bicarbonate is lower than 15 mEq/L, the blood glucose level is higher than 250 mg/dL, and ketones are present in the blood and urine. The client would be experiencing polyuria, and Kussmaul's respirations (deep and rapid breathing pattern) would be present. A comatose state may occur if DKA is not treated, but coma would not confirm the diagnosis. The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose should be taken if which symptoms develop? Select all that apply. 1. Polyuria 2. Shakiness 3. Palpitations 4. Blurred vision 5. Lightheadedness 6. Fruity breath odor 2,3,5 A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level was 950 mg/dL. A continuous intravenous infusion of short-acting insulin is initiated, along with intravenous rehydration with normal saline. The serum glucose level is now 240 mg/dL. The nurse would next prepare to administer which item? 1. Ampule of 50% dextrose 2. NPH insulin subcutaneously 3. Intravenous fluids containing dextrose 4. Phenytoin (Dilantin) for the prevention of seizures 3 Rationale: During management of DKA, when the blood glucose level falls to 250 to 300 mg/dL, the infusion rate is reduced and a dextrose solution Continue reading >>

Adult Health 1- Exam 4 Quizlet - Adult Health 1 Exam 4...

Adult Health 1- Exam 4 Quizlet - Adult Health 1 Exam 4...

When comparing the pathophysiology of type 1 and type 2 diabetes, which statement would be correct B. The pa²ent has islet cell an²bodies that have destroyed the ability of the pancreas to produce insulin C. The pa²ent has minimal or absent endogenous insulin secre²on and requires daily insulin injec²ons D.The pa²ent may have suµcient endogenous insulin to prevent ketosis but is at risk for developing Analyze the following diagnos²c ¶ndings for your pa²ent with type 2 diabetes. Which results will need C. "I do not need to watch what I eat because my diabetes is not the bad kind." D. "The amount of fat in my diet is not important; it is just the carbohydrates that raise my blood WhaT is The prioriTy acton for The nurse To Take if The patenT wiTh Type 2 diabeTes complains of blurred A diabetc patenT has a serum glucose level of 824 mg/dL (45.7 mmol/L) and is unresponsive. Following Continue reading >>

Ketoacidosis

Ketoacidosis

Glucose (a type of sugar) is the body's main energy source. But when the body can't use glucose for fuel - like when a person has untreated diabetes - the body breaks down fat for energy instead. When fat is broken down, the body produces chemicals called ketones, which appear in the blood and urine. High levels of ketones cause the blood to become more acidic. This is known as ketoacidosis (it's called diabetic ketoacidosis, or DKA, when uncontrolled diabetes is the cause). Ketoacidosis is a severe life-threatening condition requiring immediate treatment. Symptoms of ketoacidosis include nausea, vomiting, abdominal pain, rapid breathing, and, in severe cases, unconsciousness. Continue reading >>

4,653 Possible Causes For Acidosis + Hyperpnea + Kussmaul Respiration In Usa

4,653 Possible Causes For Acidosis + Hyperpnea + Kussmaul Respiration In Usa

Metabolic Acidosis Kussmaul Respiration Acidosis Hyperpnea In its most pronounced clinical manifiestation, the increase in ventilation is referred to as Kussmaul Respiration .[fitsweb.uchc.edu] Pearls & Pitfalls The hyperpnea triggered by metabolic acidosis does not cause a sensation of dyspnea.[merckmanuals.com] Lewis, III, MD, Attending Physician, Brookwood Baptist Health and Saint Vincent’s Ascension Health, Birmingham Click here for Patient Education Metabolic acidosis is primary[msdmanuals.com] Abnormal Breathing Adrenogenital Syndrome Agitated Delirium Altered Mental Status Anion Gap Increased Apathy Arterial Blood pH Decreased Cardiac Arrhythmia Cardiac Signs and Symptoms Chloride Increased Complete Blood Count Abnormal Confusion Congestive Heart Failure Diabetic Ketotic Coma Electrolyte Imbalance Ethylene Glycol Poisoning Fructose-1,6-Diphosphatase Deficiency Hypercapnia Hyperkalemia Hyperlactacidemia Hyperphosphatemia Hyperventilation Hypocapnia Hypotension Hypovolemic Shock Isovaleric Acidemia Ketotic Breath Lactate Decreased Lactate/Pyruvate Ratio Increased Leg Cramp Lethargy Leukocytes Increased Leukocytosis Manic Behavior Metabolic Encephalopathy Multiple Carboxylase Deficiency Nausea Potassium Increased Propionic Acidemia Severe Clinical Course Severe Hypernatremia in Neonatal Period Shock Short QT Interval Somnolence Stupor Surgical Bleeding Complication Syndrome of Inappropriate Antidiuretic Hormone Secretion Tachycardia Tachypnea Toxic Effect of Glycols Toxic Liver Disease Uremia Urine Potassium Increased Ventricular Hemorrhage Vomiting List represents a sample of symptoms, diseases, and other queries. Updated weekly. Hungry Bones Syndrome Altitude Sickness Cavernous Sinus Thrombosis Posterior Subcapsular Cataract Cellulitis Splenic Infarction Megalob Continue reading >>

Case Study Diabetes Type 1 Quizlet

Case Study Diabetes Type 1 Quizlet

★★ Ketoacidosis Diabetic ★★::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.[ KETOACIDOSIS DIABETIC ] The REAL cause of Diabetes. Log in Sign up. Upgrade to remove ads. What is the mechanism that results in Kussmaul respiration? To compensate for metabolic acidosis, the respiration are deep and rapid. To achieve the goal of restoring Lara's fluid volume, the nurse would expect to implement which intervention? Maintain an infusion of normal saline solution. To restore Lara's blood glucose to a normal level, what should the nurse prepare to administer? An IV solution containing regular insulin. In addition to monitoring Lara's blood glucose level, what additional lab values should the nurse monitor carefully. Calcium Hemoglobin Blood Urea Nitrogen BUN Potassium. The nurse's decision about what to tell these callers should be based on what primary consideration. # Diabetes Treatment Excrete Through Urine # What Kind Of Disease Is Diabetes Lara's right to privacy regarding her health information. Which response is best for the charge nurse to provide. The lab values can be copied as long as there is no identifying client data. Case Study Diabetes Type 1 Flashcards | Quizlet How should the nurse respond. The symptoms have an abrupt onset that is often brought on by a viral illness, like the flu. What is the best initial response by the nurse. It must be quite a shock to learn that you have diabetes. What is the best response by the nurse. I'll leave you alone for now, but I will stop back by in 30 minutes. Which statement made by Lara indicates that she correctly understands self-administration of insulin. The amount of short-acting insulin I take every day is based on my blood sugar readings. What action should the nurse implement. Encou Continue reading >>

Diabetic Ketoacidosis

Diabetic Ketoacidosis

List Clinicopathologic features that might be present with DKA? Elevation in liver enzymes (hepatic lipidosis, pancreatitis) Hyperlipidemia Hyperlipasemia Hyperamylasemia Metabolic Acidosis Serum Hyperosmolality Azotemia (usually pre-renal) Hemeturia, pyuria, bactiuria (always submit cysto for culture an dsensitivity) Ketonuria Continue reading >>

Subcutaneous Rapid-acting Insulin Analogues For Diabetic Ketoacidosis.

Subcutaneous Rapid-acting Insulin Analogues For Diabetic Ketoacidosis.

Abstract BACKGROUND: Diabetic ketoacidosis (DKA) is an acute, life-threatening complication of uncontrolled diabetes that mainly occurs in individuals with autoimmune type 1 diabetes, but it is not uncommon in some people with type 2 diabetes. The treatment of DKA is traditionally accomplished by the administration of intravenous infusion of regular insulin that is initiated in the emergency department and continued in an intensive care unit or a high-dependency unit environment. It is unclear whether people with DKA should be treated with other treatment modalities such as subcutaneous rapid-acting insulin analogues. OBJECTIVES: To assess the effects of subcutaneous rapid-acting insulin analogues for the treatment of diabetic ketoacidosis. SEARCH METHODS: We identified eligible trials by searching MEDLINE, PubMed, EMBASE, LILACS, CINAHL, and the Cochrane Library. We searched the trials registers WHO ICTRP Search Portal and ClinicalTrials.gov. The date of last search for all databases was 27 October 2015. We also examined reference lists of included randomised controlled trials (RCTs) and systematic reviews, and contacted trial authors. SELECTION CRITERIA: We included trials if they were RCTs comparing subcutaneous rapid-acting insulin analogues versus standard intravenous infusion in participants with DKA of any age or sex with type 1 or type 2 diabetes, and in pregnant women. DATA COLLECTION AND ANALYSIS: Two review authors independently extracted data, assessed studies for risk of bias, and evaluated overall study quality utilising the GRADE instrument. We assessed the statistical heterogeneity of included studies by visually inspecting forest plots and quantifying the diversity using the I² statistic. We synthesised data using random-effects model meta-analysis or Continue reading >>

When Antidiuretic Hormone (adh) Levels Are Low Quizlet

When Antidiuretic Hormone (adh) Levels Are Low Quizlet

Define enema and explain why it is important that an isotonic solution is used. Secreted by Pituitary gland. ADH. Given your knowledge of acid-base balance, which of the following is most likely ? Metabolic Acidosis. Long loops of the juxtamedullaryIn which choice would the person on the left be most likely to have a lower body water content (by percent of body weight) than the person on the right? A), person with 15% All of these are effects of antidiuretic hormone EXCEPT. stimulation of the thirst center and increased release of ADH. When ADH levels are low, less water is reabsorbed and dilute urine is excreted. -Neurohormone -Produced in the hypothalamusA major stimulus for the release of antidiuretic hormone is a rise in plasma osmolality. Which of the following is associated When antidiuretic hormone (ADH) levels are low ______. A disease caused by inadequate secretion of antidiuretic hormone (ADH) by the pituitary gland with symptoms of polyuria is ______. B) Small volume of concentrated urine is excreted. This is The kidneys detect low levels of oxygen in the blood. calcitonin. Both stimulate Both decrease urine output, angiotensin II by decreased GFR, and ADH by increased water reabsorption. 9. When the myocardium hypertrophies, Read about diabetes insipidus, a hormonal condition where an individual urinates frequently. The DTC cells in response to low oxygen levels. Renin is released by the lungs. 1. This problem is often . Glucocorticoids act in Renin is released when the macula densa sense low Na levels but ADH is released when the blood is too salty? Is that because the low levels of salt the macula densa ADH stands for Anti-Diuretic Hormone, whereas ANH stands for Atrial Natiruetic Hormone. Stimulates kidneys to reabsorb water. on StudyBlue. When antidiuret Continue reading >>

Uncontrolled Diabetes Mellitus Can Result In Ketosis Because Quizlet Center Linda Ca Treatment Loma

Uncontrolled Diabetes Mellitus Can Result In Ketosis Because Quizlet Center Linda Ca Treatment Loma

Family history diet and Uncontrolled Diabetes Mellitus Can Result In Ketosis Because Quizlet Center Linda Ca Treatment Loma environmental factors are risk factors for type 1 diabetes. Uncontrolled Diabetes Mellitus Can Result In Ketosis Because Quizlet Center Linda Ca Treatment Loma repeat until blood sugar is within normal range. vegetable or fat freely. Normal fasting blood sugar values vary among healthy people between 50 mg/dL to 100 mg/dL.* Treating Diabetic Pets. in dog Canine diabetes symptom Dog diabetes symptom Symptom of diabetes Cat diabetes in pregnancy Gestational diabetes diagnosis Pregnancy gestational diabetes diet Diabetes gestational glucose level Preventing gestational diabetes Baby gestational diabetes Ketones Diabetes mellitus is a medical condition Uncontrolled Diabetes Mellitus Can Result In Ketosis Because Quizlet Center Linda Ca Treatment Loma resulting in an excessive amount of glucose or sugar in the blood. Why do your hands swell and your fingers get fat Cocktails; Culinary Arts; Busy Cooks; Vegetarian Food; More about food Health Arthritis & Joint Conditions; Cold & Flu; Type 2 Diabetes; Weight Loss; Why Do You Get Swollen Hands and Fat Fingers When You Walk? Walkers Wonder About Celeity; Movies; Music; TV; Groups; Health; Style; * Blurry vision : Weight-loss surgery may help prevent diabetes. Insulin resistance diet recipes can help. My Restless Leg Syndrome is now Controlled POPULAR. The diabetic food pyramid is different from the Food Guide Pyramid put out by the USDA in that it groups foods based on he levels of carbohydrates and proteins rather than by food classification. Kim at Texting My Pancreas shares some real emotion in this video blog A Minute. What are the signs and symptoms of diabetes? Your father needs a diabetic low fat Unc Continue reading >>

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