diabetic Ketoacidosis DKA

Question 1

What is DKA?

Answer 1

Profound deficient of insulin

Question 2

DKA is characterized by what 4 things?

Answer 2

Hyperglycemia
Ketosis
Acidosis
Dehydration

Question 3

DKA is most likely occur in what type of diabetes?

Answer 3

1

Question 4

Notes
Precipitating factors
Illness
Infection
Inadequate insulin dosage
Undiagnosed type 1 diabetes
Lack of education
Neglect

Question 5

DKA etiology and pathophysiology (3)

Answer 5

Body burns fat as fuel source
By product of fat dermatologist - acidic ketones alter oh

Ketone excreted in urine along with electrolytes

Question 6

Without treatment
Server depletion of what? (5)

Notes
Dehydration
Electrolye imbalance
Acids
- coma and death

Answer 6

Sodium
Potassium
Chloride
Magnesium
Phosphate

Question 7

What are three early signs?

Answer 7

Lethargy
weakness
Dehydration

Question 8

Dehydration causes what 4 things?

Answer 8

Poor skin tugor
Dry mucous membranes
Tachycardia
Orthostatic hypotension

Question 9

Notes
Late

KUSSMAUL RESPIATRIONS!!
FRUITY BREATHE!!
BLOOD GLUCOSE 250+
BLOOD PH LOW 7.30
HIGH KETONES IN URINE
SERUM BICSRBONATE LESS THAN 16

Question 10

What do you when in emergency ?(6)

Answer 10

Ensure patient airway ; give 02
Establish IV access & give fluids
Restore urine 30-60/hour
Protect for edema
Give potassium before insulin
Normal saline

Question 11

Why do we want to replace potassium before starting insulin?

Answer 11

Drives Potassium into cells leading to hypokalemia
Which is life threatening