Exam (elaborations)
NUR 6111 Adv Nursing Practice 1 Case Study 6 week 6
- Institution
- William Paterson University
NUR 6111 Adv Nursing Practice 1
[Show more]
Content preview
Case Study#6A 7-year-old boy is brought to the emergency department by his grandmother. She informs the staff that
she is her grandson’s guardian and that he is breathing heavily and smells funny. Laboratory tests
confirm that the child is in DKA. During DKA, insulin counter-regulatory hormones, such as
catecholamines and cortisol, increase. Profound insulin deficiency results in:
1. Decreased fat mobilization
2. Activation of glucose forming pathways in the liver
3. Increased glucose uptake
4. Activation of bicarbonate buffering
Explanation you answer: Profound insulin production deficiency results in Activation of glucose forming
pathways in the liver. DKA is most common in children with type 1 diabetes because they already have a
deficiency of insulin. The counter-regulatory hormones antagonize insulin by increasing insulin
production and decreasing tissue use of glucose. When there is a profound insulin deficiency there will
be a decreased glucose uptake, increased fat mobilization with release of fatty acids, and accelerated
gluconeogenesis, glycogenesis, and ketogenesis. When there is little insulin, fatty acid is released from
the adipocytes increasing production of ketone bodies. A lot of ketones will cause metabolic acidosis,
and this is why the boy smells funny. To compensate for acidosis the boy was breathing heavily. This is
known as Kussmaul respirations.
This study source was downloaded by 100000887154819 from CourseHero.com on 08-17-2024 10:27:25 GMT -05:00
https://www.coursehero.com/file/75647627/Case-Study6-week6docx/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller YourAssignmentHandlers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now