Diabetic ketoacidosis (DKA) is an acute rapid complication caused by hyperglycemia. Body fat starts to break down for energy resulting in a build-up of ketones in the blood and urine. Meanwhile, the ketones are like poison in the body causing it more acidic, which would lead to coma or death. Risk factors include a missed or reduced dose of insulin, physical or emotional stress, illness, infection, or untreated type I diabetes. Clinical manifestations appear polyuria, polydipsia, polyphagia, weight loss, abdominal pain, blurred vision, orthostatic hypotension, fruity breath, Kussmaul respirations, metabolic acidosis, and a change in mental status.…
Insulin is required for complete catabolizism of carbs and a deficiency leads to disordered breakdown. This incomplete catabolism leads to ketones in the body. This can eventually lead to diabetic ketoacidosis. CASE PRESENTATION Mrs. T is a 60 yo female with a history of DM type 2 and CAD, that presented to the ER with a chief complaint of an abscess on her right buttock. An incision and drainage was performed in the ER and the culture of the wound was performed.…
Hyperglycaemia is a raised serum glucose level. The main cause of hyperglycaemia in type 1 Diabetes in an insufficiency of insulin. There is also an increase in conterregulatory hormone levels; Glucagon, cortisol, catecholamines, and growth hormone. Insulin deficiency causes hyperglycaemia, as glucose can no longer be utilised in insulin-dependent tissues such as muscle and adipose tissue. This means the body has to use energy from fatty acids in adipose tissue.…
Patho: Diabetes can be classified and categorized in many ways. In general, the different diabetes can be classified as a group of metabolic disorders, all of which are characterized by abnormal metabolism of carbohydrates. The most common complication is hyperglycemia. This is caused by a defect in the secretion of insulin, or a defect in the effects of insulin on the tissues. Typically diagnosed after 30 years of age, Type 2 diabetes is characterized by tissues developing insulin resistance.…
setting for patient education and motivation as the experience of having life-threatening complications can help motivate patients to make life style changes or altering their behaviours for the sake of their health. The plan of care will be focused on patient teachings both during the period of recovery from ketoacidosis as well as discharge planning with the patient. 5.1 Patient teaching during period of recovery The immediate focus of managing Diabetic Ketoacidosis is to restore and maintain fluid levels and to replace the electrolytes lost by the body. Insulin therapy will follow as insulin regulates blood-glucose levels and regulate the involved metabolic responses that contributes to the production of ketones.…
The pancreas produces a hormone, called insulin, that allows cells to turn glucose into energy. In people with type 2 diabetes, the cells become resistant and no longer respond to the insulin that is being produced. This causes the glucose to build up in the blood stream. Symptoms Many people don't experience symptoms until their blood sugar gets too high.…
If the body does not make enough or the cells do not respond to normal levels, the glucose will build up in the bloodstream; this causes a rise in…
Effective clinical reasoning skills are essential in nursing; an estimated half of all clinical adverse events are attributed to errors in clinical decision-making (Levett-Jones et al., 2013). Tanner (2006) defined clinical reasoning as the process via which nurses arrive at clinical decisions by weighing evidence, pattern recognition, using intuition, selecting from alternatives and patient safety. This clinical reasoning cycle (CRC) consists of 8 cyclical steps namely, consideration of the patient’s situation; collecting of cues and information; processing of information; identification of problems and issues; establishing objectives; taking action; evaluation of outcomes; and reflecting on processes and new learning (Levett-Jones, et al.,…
When your blood sugar levels reach dangerously high levels, and your bloodstream becomes highly acidic, the results are often this life-threatening condition. Also known as DKA, this condition comes about when you don’t have enough insulin in your system, or insulin levels are severely imbalanced. Poorly managing your diabetes can trigger hyperglycemic related conditions such as heart arrhythmias, intestinal necrosis and seizures. If you’ve been hospitalized in the past after suffering debilitating DKA symptoms, SSA wants to see the medical reports that show exactly what type of acute symptoms you suffered. Chronic hyperglycemia.…
The condition is caused by a lack of insulin. In a person with diabetes it most commonly occurs through omission of insulin doses. Infections are also known to be a factor in the onset of diabetic acidosis.…
What causes type 2 diabetes? Eating too much and exercising too little can increase the risk for developing type 2 diabetes. Insulin is a hormone made in the pancreas, which allows glucose (sugar) to leave the bloodstream and enter the cells to be used as fuel. Going from type 2 diabetes when the pancreas does not make enough insulin or the body's cells become resistant to insulin.…
The liver can also make glucose from other foods. If somebody has diabetes, the glucose in their body is not turned into energy, either because there is not enough insulin in their body, or because the insulin that the body produces is not working properly. People with uncontrolled diabetes may feel tired, lose weight, pass large amounts of urine and become thirsty due to their blood glucose being too…
Your body gathers the excess glucose that was not successfully broken down with insulin, and turns it into a waste product and is expelled from your body in urine. Since this may cause more of an output than input, the person may be at risk for…
The pamphlet is discussing Type II diabetes and its complications. Type II diabetes is when the body does not use insulin properly and affects the way the body processes blood sugar. Diabetes is when the blood glucose levels are higher than normal. The blood glucose is the sugar that the body makes from the food in the diet. When there is a large amount of sugar in the blood, it is known as hyperglycemia.…
People who have hyperglycemia don’t usually exercise because they can created the diseases ketoacidosis. Ketoacidosis is a serious conditions that can lead to diabetic coma or even death. The cells need glucose to run off, but when they don’t get enough glucose they start to burn fat for fuel, which then produces ketones. Ketones are chemicals that the body produces when it breaks down fat, generally for the use of energy (American Diabetes Association).…