DKA Flashcards

1
Q

what is DKA

A

blood turns acidic due to too many keatones from lack of insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

3 clinical features of DKA

A

hyperglycemia, dehydration and electrolyte loss, acidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

severe DKA

A

lose 6.5 L of water and 400-500 mmol/L of Na, K, Cl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

3 main causes of DKA

A

decreased insulin doses, illness or infection, undiagnosed diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

BG in DKA

A

16.6- 44.4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

manifestations of DKA

A

polydip, polyphagia, polyuria, blurred vision, ortho hypotension, acetone breath, hyperventilation, diaphoresis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

management of DKA

A

fluid resuscitation ( NS 1L/hr for 2-3 hrs)
avoidance of hypocalcemia (ECG)
insulin admin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

target CBG for non-critically ill

A

5-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

CBG for critically ill pts

A

6-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CBG for frail elderly

A

5-12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

risk for DKA

A

type 1 diabetes, young, non white, female, infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is ketosis from

A

break down of fat and protein for energy instead of glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

lab values in DKA (pH and bicarb)

A

blood pH <7.35
bicarbonate <15 mmol/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

potassium and insulin

A

rehydration decreases K but insulin enhances movement of K from extracellular in to intercellular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly