Diabetic Ketoacidosis Flashcards

1
Q

What is DKA

A

An acute and potentially life threatening complication associated with Diabetes Melitus

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2
Q

Who is susceptible to DKA

A

Type 1 DM, but Type 2 is also susceptible
Can also occur in people who are not known diabetics and is the first sign that they are diabetic

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3
Q

What causes DKA

A

Insulin deficiency(Type 1DM)
Stress
Cardiovascular disease
Infections

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4
Q

Produces insulin

A

Pancreas (beta cells)
Pushes insulin into the cells

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5
Q

Insulin deficiency causes

A

High blood glucose levels while cells starve

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6
Q

What mechanism does the body uses to compensate for deficient glucose

A

Counter-regulatory hormones
(Glucagon, epinephrine, cortisol, growth hormone)

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7
Q

What does the body do to get more glucose

A

Breaks down glycogen, proteins and fat to glucose

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8
Q

What happens when the body breaks down glycogen, protein and fats in the body?

A

More sugar levels in the blood as the body cannot use the glucose

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9
Q

As the blood sugar levels causes the kidneys to reabsorb it…

A

Overflows into urine and takes water and electrolytes along with it(osmotic diuresis)

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10
Q

Osmotic diuresis causes

A

Excessive urine(polyuria)
Dehydration
Excessive thirst(polydipsia)

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11
Q

Fatty acids are broken by the liver into?

A

Ketone bodies

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12
Q

Ketones causes the breath to have a

A

Fruity smell

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13
Q

Are ketone bodies acidic or alkaline?

A

Acidic

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14
Q

In large amounts ketone bodies

A

Overwhelms the buffering system and leads to metabolic acidosis

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15
Q

The deep and labored breathing produced during compensation

A

Kussmaul breathing

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16
Q

Hydrogen ions are moved into the blood

A

In exchange for potassium

17
Q

The exchange of hydrogen ions and potassium leads to

A

Increase potassium in the blood

18
Q

During osmotic diuresis potassium is

A

Lost in the urine and becomes depleted

19
Q

Insulin causes K+ to

A

Move back into the cells and lead to hypokalemia

20
Q

Should potassium be monitored during treatment?

A

Yes

21
Q

What are the primary treatment for DKA

A

IV fluids
Insulin
Potassium