Is thought to be autoimmune; absolute deficiency of insulin
What is Type I diabetes
100
True or false; diabetic ketoacidosis labs would show hyperosomolality?
What is true
100
What type of respirations would a patient with diabetic ketoacidosis present with?
What is Kussmauls
100
When a DKA patient is first admitted the immediate medical intervention is this?
What is fluid replacement with NS
100
Name a complication of diabetic ketoacidosis
What is cerebral edema, vascular collapse, hypokalemia, hyperkalemia, seizure, shock, decreased LOC, renal failure, hypotension
200
DKA is more common in this type of diabetes.
What is type 1
200
What would be the pH of a patient with diabetic ketoacidosis?
What is <7.1
200
Name the two p's that a patient with diabetic ketoacidosis presents with
What is polydipsia and polyuria
200
In the later treatment of DKA, Doctors may order this substance to be in the IV solution in order to prevent hypoglycemia.
What is dextrose
200
Name one sign or symptom of hypervolemia
What is neck vein distention, pulmonary crackles and edema, increased CVP/PAOP
300
This is one of the hormones that is released to promote gluconeogenesis.
What is Glucagon or catecholamines (epinephrine/norepinephrine)
300
Would your electrolytes (K, Na) be low or high for a patient with diabetic ketoacidosis?
What is high
300
What is a poor prognostic sign for a patient presenting with diabetic ketoacidosis?
What is unresponsiveness
300
This medication is the cornerstone of DKA therapy and is given as a continuous infusion.
What is insulin
300
What should be started first- volume replacement or insulin?
What is volume replacement
400
These are a bi-product of fat tissue breakdown that causes acidosis in the body.
What is ketones
400
What would your bicarbonate level be for a patient with diabetic ketoacidosis?
What is <10mEq/L
400
When a patient presents with diabetic ketoacidosis, what is the first task a nurse wants to do at the bedside?
What is a glucose level
400
Insulin drives this electrolyte back into the cells?
What is K+
400
What do you infuse after the blood glucose level is <300mg/dL?
What is D5 half normal saline or D5W
500
When ++ glucose is present and leaves the tubules and takes ++H2O, Na+, K+, ammonium, phosphate and other salts with it, this process is occurring.
What is osmotic diueresis
500
True or false; a patient with diabetic ketoacidosis would have a serum glucose lab value of 400mg/dL?
What is true
500
What is
What is precipitating causes, any sign of infection, appetite, weight change, food and fluid intake, thirst, abd bloating and discomfort, bowel function, urinary frequency and amount, pt cognition and responsiveness
500
The replacement of this blood gas is controversial in the treatment of DKA and is generally not used, but it has been shown to have some effect if the pH is less than 7.0.
What is bicarbonate
500
What is one intervention the nurse may complete with abdominal bloating and discomfort for a patient who presents with DKA?