Chapter 17 EMT Flashcards | Quizlet This leads to hyperglycemia, which results in diuresis. Symptoms of. Other causes are ketoacidosis and hyperglycemic hyperosmolar syndrome. Diabetic Ketoacidosis Flashcards | Quizlet Diabetic ketoacidosis occurs when: A. blood glucose levels rapidly fall. NI: Weigh daily or as ordered. Diabetic ketoacidosis occurs when . This quiz will test you on your knowledge of Diabetic Ketoacidosis (DKA) for the NCLEX exam. Extreme Hyperglycemia that presents with blood glucose >600 mg/dL. [1] d. staggering gait, disorientation, and confusion D. staggering gait, disorientation, and confusion Which of the following are signs of diabetic ketoacidosis in an unconscious person? Diabetic coma can occur when blood sugar levels are out of control. F&E disturbances causing classic manifestations of diabetes: frequent and excessive urination and results from an osmotic diuresis caused by excess glucose in the blood and urine. A. HHS pts. secondary to the hyper osmotic state and dehydration can lead to decreased kidney perfusion and AKI. What is diabetic ketoacidosis quizlet? - mak.afphila.com As blood concentrations of glucose exceed the renal threshold the kidneys capacity to reabsorb glucose is exceeded, so BGL rise even higher. The nurse would next prepare to administer which item? DKA can cause the blood to become acidic and affect how the organs function. Explanations: 1. usually 1st sign in someone who doesn't know they have diabetes 2. due to illnesses, stress, medications such as corticosteroids or thiazide diuretics 3. body goes into starvation mode -> breaks down fat and forms ketones 4. patient might not know how to take it, the importance of taking it, or they are not compliant More NCLEX Endocrine Quizzes, (NOTE: When you hit submit, it will refresh this same page. Laboratory findings include: blood glucose level greater than or equal to 250 mg/dL (13.9 mmol/L), arterial blood pH less than 7.30, serum bicarbonate level less than 16 mEq/L (16 mmol/L), moderate to large ketones in the urine or serum. Teach the patient and family about infectious process, routes, pathogens, environmental factors, and aspects of prevention. EMT Quiz Chapter 17 Flashcards | Chegg.com what is the expected outcome of treatment? When your cells don't get the glucose they need for energy, your body begins to burn . A patient with Diabetic Ketoacidosis (DKA) would have an increased or decreased Aion Gap Increase (normal range: 12mEq/L) Increased anion gap= increased acidosis Diabetic ketoacidosis, aspirin toxicity, and renal failure are examples of the causes of ___________________. Diabetic ketoacidosis is a serious complication of diabetes. A. 1-2 hours after the first dose of subQ insulin has been given, rare complication of DKA: cerebral edema S&S. 1. fatigue 2. tachypnea (kussmaul's respirations) 3. tachycardia 4. Mental status changes may occur in DKA and are likely related to degree of acidosis and/or hyperosmolarity. an increase in the serum concentration of ketones greater than 5 mEq/L, a blood glucose level greater than 250 mg/dL (although it is usually much higher), and a blood (usually arterial) pH less than 7.3. usually affects diabetics < 25 years old estimated incidence is 1:2000 morbidity and mortality rapid decrease from 7.96% twenty years ago to 0.67% today mortality rate still high in developing countries cerebral edema is main cause of mortality thromboembolic events due to decreased perfusion of vital organs activating the coagulation process Additional signs are dehydration evident by poor skin turgor, dry mucous membrane, tachycardia, orthostatic hypotension, and sunken eyeballs. Diabetic Ketoacidosis | Diabetes | CDC Maintain fluid intake of at least 2500 mL/day within cardiac tolerance when oral intake is resumed. It is caused by a lack of insulin in the body. further reduction in glomerular filtration rate, causing BGL to increase. high, low, or normal depending of the duration of DKA. A A lack of insulin also stimulates over production of glucose from proteins. . -Circulating supply of insulin is insufficient. Diabetic ketoacidosis (DKA) is a severe and life-threatening complication of diabetes. Diabetic ketoacidosis is diagnosed by blood tests that show high levels of glucose, ketones, and acid. A 28-year-old female patient is found to be responsive to verbal stimuli only. Sort What are symptoms and signs of Diabetic Ketoacidosis? A patient is in high anion gap metabolic acidosis due to diabetic ketoacidosis. Diabetic Ketoacidosis: Evaluation and Treatment | AAFP C. Metabolic acidosis is present with Kussmaul breathing. Subsequently, question is, what is a diabetic coma and what causes it to occur quizlet? life threatening complication of DM 1- no insulin, fats breaking down into ketones = hyperglycemia, ketosis and acidosis, high amount of glucose in the blood; intracellular to extracellular shifting, body cannot get to glucose so it stays in the blood, liver releases glucagon -> turns into glycogen -> turns into glucose (NOT GOOD) -> in return the body starts breaking down fats for energy -> fat turns into ketones (NOT GOOD) -> blood pH drops (<7.35) -> metabolic acidosis -> kidneys do not absorb the excess glucose so it leaks it into urine -> osmotic diuresis (polyuria starts to become a symptom)-> excretion of Na+, K+, Cl- in urine (electrolyte imablances), hydrate, decrease blood sugar, monitor K+ levels, monitor for cerebral edema, correct acid-base imbalances, Julie S Snyder, Linda Lilley, Shelly Collins. Clinical Practice Guidelines : Diabetic Ketoacidosis - Royal Children's 6. Diabetic Ketoacidosis (DKA): Symptoms, Causes, Treatment - Healthline You are providing care to a patient experiencing diabetic ketoacidosis. 7. Case Study Diabetes Type 1 Quizlet Ketoacidosis Diabetic ::The 3 Step Trick that . High anion gap metabolic acidosis B. Diabetic Ketoacidosis Flashcards | Quizlet *, Which of the following statements are INCORRECT about Diabetic Ketoacidoisis? Antidiabetics, hormones, insulin is used to control of hyperglycemia in patients with diabetes mellitus. 8. This quiz is copyright RegisteredNurseRn.com. Infection is the most common cause of diabetic ketoacidosis (DKA). d. Insulin drives the potassium back into the cells. Dont forget to tell your friends about this quiz by sharing it your Facebook, Twitter, and other social media. with the kidney responding the use of this drug could lead to an alkaline state. TIA or CVA 5. Symptoms of diabetic ketoacidosis include nausea, vomiting, abdominal pain, and a characteristic fruity odor on the breath. Diabetic Ketoacidosis - Harvard Health Which of the following is the most appropriate nursing intervention to perform next? Diabetic Ketoacidosis Flashcards | Quizlet abnormal breakdown products that collect in the blood when insulin is not available, leading to a type of metabolic acidosis known as ketoacidosis. DKA happens when your blood sugar is. What is the cause of diabetic ketoacidosis quizlet? A patient is admitted with Diabetic Ketoacidosis. -IVF of 0.9 NS or 1/2 NS initially for rapid rehydration initial rate 500ml/hr, T or F, insulin drive potassium into cells. The nurse is caring for a patient with hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Diabetic ketoacidosis usually occurs in people with type 1 (juvenile) diabetes mellitus (T1DM), but diabetic ketoacidosis can develop in any person with diabetes. Insulin plays a key role in helping sugar a major source of energy for muscles and other tissues enter cells in the body. What Is Ketoacidosis Quizlet | DiabetesTalk.Net Timely diagnosis, comprehensive clinical and biochemical evaluation, and effective management is key to the successful resolution of DKA and HHS. an early burst of insulin secretion, which is followed by an increasing release that lasts until the blood glucose level is normal. Diabetic Ketoacidosis Flashcards | Quizlet Diabetic Ketoacidosis (DKA) Flashcards | Quizlet Absence of insulin (hyperglycemia clinical manifestations). because it will provide enough phosphate for replenish but avoid excess phosphate and excess chloride while the ion exchanges are occurring, this may precipitate cerebral edema or contribute to acidosis. *, Julie S Snyder, Linda Lilley, Shelly Collins, Planning, Implementing, and Evaluating Health Promotion Programs, Brad Neiger, James McKenzie, Rosemary Thackeray. *, A patient diagnosed with diabetes mellitus is being discharged home and you are teaching them about preventing DKA. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. There are several types of metabolic acidosis: Diabetic acidosis (also called diabetic ketoacidosis and DKA) develops when substances called ketone bodies (which are acidic) build up during . A What does dehydration lead to in diabetes? The initial blood glucose level was 950 mg/dL. The physician orders intravenous fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then to start an insulin drip per protocol. You can also take more fun nursing quizzes. Diabetic ketoacidosis can occur in persons of all ages, with 14 percent of cases occurring in persons older than 70 years, 23 percent in persons 51 to 70 years of age, 27 percent in persons 30 to . Diabetic Ketoacidosis - Endotext - NCBI Bookshelf The patients labs are the following: pH 7.25, Glucose 455, potassium 2.5. Which of the following patient signs/symptoms causes concern? D KA is no joke, it's a serious condition that can lead to diabetic coma or even death. Metabolic acidosis: MedlinePlus Medical Encyclopedia can produce enough insulin to give the cells some energy and prevents the breakdown of fats and build-up of ketone bodies, but they dont produce enough insulin to prevent severe hyperglycemia, osmotic diuresis, and extracellular depletion. During catabolic states, fatty acids are metabolized to ketone bodies, which can be readily utilized for fuel by individual cells in the body. Why might potassium phosphate be added to IV fluids? Injury or trauma 3. rehydrated the patient and restore normal BGL within 36-72 hours. (ketones). -insulin therapy stops the lipolysis and promotes the metabolism of ketone bodies, it is added to IV fluid along with possibly potassium phosphate. DKA is a medical emergency and if left untreated it leads to death as a result of renal failure and hypovolemic shock. As Ketone levels rise what happens in the body? DKA develops when your body doesn't have enough insulin to allow blood sugar into your cells for use as energy. People with type 1 diabetes cannot produce insulin and must take insulin to avoid complications such as ketoacidosis. Normal anion gap metabolic acidosis Provides basic knowledge for self-help and self-protection. All Rights Reserved. Diabetic Ketoacidosis Diagnosis and Tests. Ketosis and Diabetic Ketoacidosis: How Do They Differ? Diabetic ketoacidosis can occur when diabetes is not treated adequately, or it can occur during times of serious sickness. When too many ketones are produced too fast, they can build up to dangerous levels in your body. See our full. A. DKA develops in people with type 1 diabetes when their blood sugar gets very high. 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