Which physical findings are characteristic of diabetic ketoacidosis (DKA)?
View Diabetic Ketoacidosis Pre Test.doc from NURS 207 at University of Calgary. ... Diabetic Ketoacidosis Test Your Knowledge Quiz 1. Which of the following is not a sign or symptom of. ... Course Title NURS 207; Uploaded By DoctorScienceTrout15. Pages 4 Ratings 100% (1) 1 out of 1 people found this document helpful; This preview shows page 1 ...
Which blood gas result should an adolescent with diabetic ketoacidosis exhibit?
Diabetic Ketoacidosis Quiz This quiz will test you on your knowledge of Diabetic Ketoacidosis (DKA) for the NCLEX exam. Which of the following is not a sign or symptom of Diabetic Ketoacidosis? * o Positive Ketones in the urine o Oliguria o Polydipsia o Abdominal Pain. A patient is admitted with Diabetic Ketoacidosis.
Which insulin is not approved for management of diabetic ketoacidosis?
DKA is sometimes the first sign of type 1 diabetes in people who have not yet been diagnosed. It can also occur in someone who has already been diagnosed with type 1 diabetes. Infection, injury, a serious illness, missing doses of insulin shots, or the stress of surgery can lead to DKA in people with type 1 diabetes.
What are normal glucose and bicarbonate levels in diabetic ketoacidosis?
Unformatted text preview: Diabetic Ketoacidosis (DKA) Epidemiology • Characteristically associated with type 1 diabetes • Also occurs in type 2 diabetes under conditions of extreme stress • More common in young (<65 years) diabetic patients and in women compared to men • Estimated that there were 120,000 hospital discharges for DKA in 2005 in the United States …
Which of the following is a common sign or symptom of ketoacidosis?
You have many signs and symptoms of diabetic ketoacidosis — excessive thirst, frequent urination, nausea and vomiting, stomach pain, weakness or fatigue, shortness of breath, fruity-scented breath, and confusion.Nov 11, 2020
What are the three main clinical features of diabetic ketoacidosis DKA?
DKA presents with vague symptoms such as nausea, vomiting, and abdominal pain. Other symptoms include increased thirst and urination. Kussmaul breathing (labored deep breathing) and fruity odor are specific signs present on examination of a patient with diabetic ketoacidosis [3].Oct 4, 2020
Which of the following is the most common early symptom of DKA?
The most common early symptoms of DKA are the insidious increase in polydipsia and polyuria. The following are other signs and symptoms of DKA: Malaise, generalized weakness, and fatigability. Nausea and vomiting; may be associated with diffuse abdominal pain, decreased appetite, and anorexia.Jan 19, 2021
How do you confirm diabetic ketoacidosis?
In the hospital, healthcare providers may use the following tests to diagnose DKA:
- Blood glucose test.
- Ketone testing (through a urine or blood test).
- Arterial blood gas.
- Basic metabolic panel.
- Blood pressure check.
- Osmolality blood test.
What is ketoacidosis in type 2 diabetes?
Diabetic ketoacidosis (DKA) is a serious complication of diabetes that can be life-threatening. DKA is most common among people with type 1 diabetes. People with type 2 diabetes can also develop DKA. DKA develops when your body doesn't have enough insulin to allow blood sugar into your cells for use as energy.Mar 25, 2021
What causes ketoacidosis in non diabetics?
The causes of non-diabetic ketoacidosis include severe starvation, organic acidemia (such as β-ketothiolase deficiency, propionic acidemia, methylmalonic acidemia, hyperglycinemia), glycogen storage disease, and gluconeogenesis disorders [6].Dec 19, 2017
Which patient is most likely to develop diabetic ketoacidosis?
Diabetic ketoacidosis (DKA) is the most common hyperglycemic emergency in patients with diabetes mellitus. DKA most often occurs in patients with type 1 diabetes, but patients with type 2 diabetes are susceptible to DKA under stressful conditions, such as trauma, surgery, or infections.
What causes type 1 diabetes?
The exact cause of type 1 diabetes is unknown. Usually, the body's own immune system — which normally fights harmful bacteria and viruses — mistakenly destroys the insulin-producing (islet, or islets of Langerhans) cells in the pancreas. Other possible causes include: Genetics.
What are the symptoms of hyperglycemia?
Symptoms of hyperglycemia develop slowly over several days or weeks. The longer blood sugar levels stay high, the more serious the symptoms become.
...
Signs and symptoms include:
- Fruity-smelling breath.
- Nausea and vomiting.
- Shortness of breath.
- Dry mouth.
- Weakness.
- Confusion.
- Coma.
- Abdominal pain.
What are the complications of diabetic ketoacidosis?
DKA can cause complications such as:
- Low levels of potassium (hypokalemia)
- Swelling inside the brain (cerebral edema)
- Fluid inside your lungs (pulmonary edema)
- Damage to your kidney or other organs from your fluid loss.
How is ketosis different from ketoacidosis?
Ketosis is a metabolic state the body goes into when it doesn't have enough glycogen from carbohydrates to burn for energy. Ketoacidosis is a complication of diabetes (typically Type 1) that causes the body to produce excess blood acids.Jan 4, 2021
What happens during diabetic ketoacidosis?
Diabetic ketoacidosis (DKA) is a life-threatening problem that affects people with diabetes. It occurs when the body starts breaking down fat at a rate that is much too fast. The liver processes the fat into a fuel called ketones, which causes the blood to become acidic.Jan 26, 2020
What are the symptoms of DKA?
Deep respirations and a fruity odor to the breath are classic signs of DKA, because of the respiratory system's attempt to compensate by blowing off excess carbon dioxide, a component of carbonic acid. Nervousness and tachycardia are indicative of an insulin reaction (diabetic hypoglycemia). When the blood glucose level decreases, ...
Does insulin deficiency cause ketoacidosis?
Insulin deficiency stimulates production of ketones as a by-product of fat oxidation for energy. Blood glucose level of less than 72 mg/dL (4 mmol/L) indicates hypoglycemia, not ketoacidosis. A nurse is caring for a client with type 1 diabetes who developed ketoacidosis.
Does insulin glargine reverse ketoacidosis?
Administration of insulin glargine is not going to reverse the ketoacidosis. The client will be allowed fluids to maintain hydration. Administration of 10% dextrose IV will increase the client's blood glucose. The serum potassium level of a client who has diabetic ketoacidosis is 5.4 mEq/L (5.4 mmol/L).
What is the pH of ketoacidosis?
1.) A client in diabetic ketoacidosis will have blood gas readings that indicate metabolic acidosis. The pH will be acidic (7.30) , and the HCO 3 - will be low (20 mEq/L [20 mmol/L]). The normal pH is 7.35 to 7.45; CO 2 ranges from 35 to 45 mm Hg, and HCO 3 - ranges from 22 to 26 (22 to 26 mmol/L).
What is the normal pH for diabetic ketoacidosis?
The pH will be acidic (7.30), and the HCO 3 - will be low (20 mEq/L [20 mmol/L]). The normal pH is 7.35 to 7.45; CO 2 ranges from 35 to 45 mm Hg, and HCO 3 - ranges from 22 to 26 (22 to 26 mmol/L).
What does it mean when you have no ketones in your urine?
An absence of ketones in the urine indicates adequate production of glucose for energy. Insulin deficiency stimulates production of ketones as a by-product of fat oxidation for energy. Blood glucose level of less than 72 mg/dL (4 mmol/L) indicates hypoglycemia, not ketoacidosis.
What happens when your glucose level decreases?
As the glucose level decreases in hypoglycemia , the sympathetic nervous system is activated, and epinephrine and norepinephrine are secreted, causing diaphoresis. Retinopathy is a long-term complication of diabetes caused by microvascular changes in the retina; it is not a sign of ketoacidosis.