DKA Flashcards

1
Q

Diabetic ketoacidosis

A

Caused by profound deficiency of insulin

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2
Q

Which type of diabetics does this affect?

A

Type 1

Rare for type 2

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3
Q

DKA is characterized by

A

Hyperglycemia
Ketosis
Acidosis
Dehydration

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4
Q

Precipitating factors for DKA

A
Infection
Illness
Inadequate insulin dosage
Undiagnosed type 1 diabetes
Poor self-management
Neglect
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5
Q

Dehydration

A
Clinical manifestation
Leads to 
-poor skin turgor
-dry mucous membranes
-tachycardia
-orthostatic hypotention
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6
Q

Other clinical manifestations

A
Lethargy
Weakness
Skin dry and loose
Eyes soft and sunken
They will have cellular dehydration as well with complaints of abdominal cramping
Anorexia, N/V
Kussmaul respirations
Sweet, fruit breath odor
Blood glucose of 250 mg/dL or higher
Blood pH lower than 7.30 (acidotic)
Serum bicarbonate level lower than 16 mEq/L
Positive ketone levels in urine or serum
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7
Q

Ketones

A

Must be in blood before in the urine

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8
Q

Hospitalized because…

A

severe fluid and electrolyte imbalance, fever, N/V, diarrhea, altered mental status

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9
Q

Things to remember with insulin

A

Only give regular insulin IV
Insulin drives K into cells
-replace K below 3.5 in low doses

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10
Q

Treatment

A
Ensure patent airway; administer O2
Establish a large bore IV access
Begin fluid resuscitation
Blood sugar management
Potassium balance
Acidosis management
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11
Q

Acidosis management

A

Anion gap

Sodium bicarbonate if severe acidosis

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12
Q

Sick day management

A
Check BG q 4 hr
Notify health care provider of illness
Test urine for ketones
Continue with diabetic medications
Unable to eat solids then drink carbohydrate content of meal
Call provider
-persistent N/V
-moderate to LG ketones
-fever
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