a nursre is caring for a client with diabetic ketoacidosis

a nursre is caring for a client with diabetic ketoacidosis

What to do if someone is experiencing signs of diabetic ketoacidosis?

Elevated ketones are a sign of DKA, which is a medical emergency and needs to be treated immediately. Go to the emergency room or call 911 right away if you can’t get in touch with your doctor and are experiencing any of the following: Your blood sugar stays at 300 mg/dL or above.

Which clinical findings support the diagnosis of diabetic ketoacidosis?

You have many signs and symptoms of diabetic ketoacidosis — excessive thirst, frequent urination, nausea and vomiting, stomach pain, weakness or fatigue, shortness of breath, fruity-scented breath, and confusion.

What are manifestations of diabetic ketoacidosis DKA select all that apply )?

The most common early symptoms of DKA are the insidious increase in polydipsia and polyuria. The following are other signs and symptoms of DKA: Malaise, generalized weakness, and fatigability. Nausea and vomiting; may be associated with diffuse abdominal pain, decreased appetite, and anorexia.

What happens during diabetic ketoacidosis?

Diabetic ketoacidosis (DKA) is a life-threatening problem that affects people with diabetes. It occurs when the body starts breaking down fat at a rate that is much too fast. The liver processes the fat into a fuel called ketones, which causes the blood to become acidic.

Which intervention should the nurse implement to relieve the symptoms of a hypoglycemic reaction in a client?

If you have symptoms of hypoglycemia, do the following: Eat or drink 15 to 20 grams of fast-acting carbohydrates. These are sugary foods without protein or fat that are easily converted to sugar in the body. Try glucose tablets or gel, fruit juice, regular — not diet — soft drinks, honey, and sugary candy.

Which treatment is useful in decreasing the serum ketone level in patients with diabetic ketoacidosis?

Serum ketone level should be used in the diagnosis and management of DKA. Subcutaneous insulin can be used for treatment of uncomplicated DKA.

What will be the drug of choice for a patient who has insulin resistance?

No medications are specifically approved to treat insulin resistance. Yet diabetes medications like metformin and thiazolidinediones, or TZDs, are insulin sensitizers that lower blood sugar, at least in part, by reducing insulin resistance.

When a client is in diabetic ketoacidosis the insulin that would be administered is?

INSULIN THERAPY 11–14 The current recommendation is to give low-dose (short-acting regular) insulin after the diagnosis of diabetic ketoacidosis has been confirmed by laboratory tests and fluid replacement has been initiated.

Which client would be most susceptible to experiencing ketoacidosis?

DKA is most commonly associated with type 1 diabetes, however, people with type 2 diabetes that produce very little of their own insulin may also be affected. Ketoacidosis is a serious short term complication which can result in coma or even death if it is not treated quickly.

Which of the following is characteristic of a patient with DKA?

DKA presents with vague symptoms such as nausea, vomiting, and abdominal pain. Other symptoms include increased thirst and urination. Kussmaul breathing (labored deep breathing) and fruity odor are specific signs present on examination of a patient with diabetic ketoacidosis [3].

Why does diabetic ketoacidosis occur?

Diabetic ketoacidosis usually happens because your body doesn’t have enough insulin. Your cells can’t use the sugar in your blood for energy, so they use fat for fuel instead. Burning fat makes acids called ketones. If the process goes on for a while, they could build up in your blood.

How does insulin help diabetes?

Sometimes, people with type 2 diabetes or gestational diabetes need insulin therapy if other treatments haven’t been able to keep blood glucose levels within the desired range. Insulin therapy helps prevent diabetes complications by keeping your blood sugar within your target range.

What is the priority action for the nurse with a hypoglycemic patient?

Expected immediate nursing outcomes for patients experiencing hypoglycemia should include monitoring and maintaining blood glucose levels within normal limits and resolution of hypoglycemic signs and symptoms.

What to do if a diabetic feels dizzy?

If you experience this common symptom of hypoglycemia, treat the hypoglycemia quickly with 15 to 20 g of fast-acting carbs, such as juice, suggests the Mayo Clinic. Try to lie down, too, and if the lightheadedness keeps up for more than 15 minutes, it’s time to seek medical help, suggests Harvard.

Which treatment would be done initially for a patient with diabetic ketoacidosis who arrived at the hospital?

Treatments for diabetic ketoacidosis DKA is usually treated in hospital. Treatments for DKA include: insulin, usually given into a vein (intravenously) fluids given into a vein to rehydrate your body.

Which goal of the treatment plan for a patient with diabetic ketoacidosis would be the initial focus?

The initial treatment phase aims to restore circulating volume, reduce blood glucose levels, to correct any electrolyte imbalances and to reduce ketone levels which in turn corrects the acidosis. This involves a combination of intravenous fluids, insulin and potassium, and requires continuous monitoring and adjustment.

How do you give insulin to someone with ketoacidosis?

We recommend an initial bolus of regular insulin of 0.1 U/kg followed by continuous insulin infusion. If plasma glucose does not fall by at least 10% in the first hour of insulin infusion rate, 0.1 U/kg bolus of insulin can be given once more while continuing insulin infusion.

Which of the following is recommended for managing or preventing reactive hypoglycemia?

Eating a balanced diet, including lean and nonmeat sources of protein, and high-fiber foods, including whole grains, fruits and vegetables. Avoiding sugary foods and processed simple carbohydrates, such as white bread or white pasta, especially on an empty stomach. Eating food when drinking alcohol, if you drink.

What is best for insulin resistance?

protein-rich foods, including lean meats, fish, soy, legumes, and nuts. fish with a high omega-3 fatty acid content, such as salmon, sardines, and herring. foods that contain antioxidants, such as berries. sweet potatoes, which have a lower GI than regular potatoes.

When preparing a continuous intravenous IV administration of insulin for the patient in diabetic ketoacidosis DKA which concentration is correct?

Insulin should only be started after serum potassium value is > 3.3 mmol/L (8). In DKA, we recommend using intravenous (IV) bolus of regular insulin (0.1 u/kg body weight) followed by a continuous infusion of regular insulin at the dose of 0.1u/kg/hr.