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NUR 211 ( LATEST 2024 / 2025 ) DKA | ALL Q&AS BRAND NEW GUARANTEED A++
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NUR 211 ( LATEST 2024 / 2025 ) DKA | ALL Q&AS BRAND NEW GUARANTEED A++
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NUR 211 DKA1. diabetic keto acidosis
Answer
Severe condition caused by a lack of insulin or an elevation in stress hormones. It
is characterized by high blood sugar levels - but because there is a lack of insulin,
the body begis to burn protein and especially fat for energy. As ketones build up,
they are smelled on the breath as fruity, and are lost in urine.
2. electrolytes lost
Answer
K+, Na+
3. fatty acids
Answer
results in ketones in urine r/t lack of insulin
4. ABG for DKA
Answer
metabolic acidosis
5. before giving potassium chloride
Answer
check renal function
6. plasma expanders
Answer
colloidal solutions that are used to replace plasma volume to restore adequate
circulation
used to increase BP
7. complications of DKA
, Answer
FVO, pulmonary edema, heart failure, hypokalemia, hyperglycemia/hypo, cerebral
edema
8. sick day rule
Answer
a) Never omit insulin even if you cant eat
b) Test BGL q2-4h
c) type 1 need to check for ketones
d) Drink clear liquids, eat light foods if possible
e) Rest do not exercise during illness
9. if BG is 300 mg/dl or less
Answer
use D5W to prevent hypoglycemia
10. DKA s/s
Answer
D-ehydration
K-etones in the urine and blood, Kussmaul Resp and K+ A-cidosis, Acetone breath,
Anorexia d/t nausea
11. DKA other S&S
Answer
polydipsia, polyuria, blurred vision, HA, orthostatic hypoten- sion, hyperventilation
12. fluids for DKA
Answer
hypotonic NS (0.45%)
used to tx HTN, hypernatremia, and heart failure fluids of choice 200-500 ml/hr
after normal saline
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