DKA Flashcards
1
Q
what are clinical manifestations of DKA?
A
- metabolic acidosis where ph:7.3 and HCO3: 15
- fruity breath
- confusion
- blood glucose >330
- ketonemia/uria
2
Q
what are priority nursing interventions to perform with a patient who has DKA?
A
- put these patients on a cardiac monitor because initial K will be high and then after giving insulin it will cause a shift to possible hypokalemia
- rapid isotonic fluid (NS of 20 ml/kg) replacement
3
Q
what should the nurse know when giving rapid isotonic fluid replacement?
A
- watch for fluid volume excess and cerebral edema
- once glucose levels approach 250, add glucose (D5 1/2 NS +20 KCl) to IV fluids to maintain 120-240 glucose level
- give IV insulin through infusion of 0.1 unit/kg/hr
