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Diabetic Ketoacidosis

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2. A doctor has ordered a series of lab testsincluding:1. Blood sugar level.2. Ketone level.3. Blood acidity.4. Additional tests 1. Blood electrolyte tests 2. Urinalysis 3. Chest X-ray 4. A recording of the electrical activity of the heart (electrocardiogram) order to confirmed Diabetic ketoacidosisWhat would the tests revealed? What isDiabetic ketoacidosis? 3. HOTSTUFF!! 4. INSULIN?? DKA??GLUCOSE??US?? 5. DIABETICKETOACIDOSIS(DKA) 6. 7. . 8. Without insulin from the pancreas, glucose from food DKA is unable to be processed by the body.Without glucose for energy, the body The liver produces more breakdown fat. Ketones are the byglucose to feed the body , butproduct of fat metabolism and build up inwithout insulin, the glucose the bloodstream. This can be fatal that accumulates in thecausing heart rhythm abnormalities.bloodstream.The kidney utilize water toKetones and glucose are transferred intoempty the bloodstream ofurineexcess glucose and ketones. Water is lost along with excess glucose and ketones. The lose of water leads to dehydration, which worsens the ketoacidosis in avicious cycle and causes low blood pressure and shocks. 9. When our When we have body breaksexcess ketones in down fat and our blood, our protein forblood will become Blood sugar level will acidic (acidosis). energy, toxicrise (hyperglycemia). This canacids known as As your body breaksdamage organsketones will throughout yourdown fat and protein forenter, your blood sugar bloodstream. level will continue to rise. 10. 11. 12. 13. 14. 15. FIND INSULIN FATTY ACIDS ANOTHERPROBLEMSUSEDSOURCEKETONES GET DKA PRODUCED 16. Insulin Not enough of them Insulin from body cannot be synthesized Another sources Body will used amino acids, fats and lipid assources Fatty acid used Ketone will produce from oxidation process Increase blood acidity in our body known as ketonemia 17. WHY MUSTKETOACIDOSIS?? 18. What is ketones?? Three water-soluble compounds that areproduced as by-products when fatty acids arebroken down for energy in the liver. acetone, acetoacetic acid, and beta-hydroxybutyric acid. Smell of acetone in breath is a commonfeature in ketosis. Ketosis is a state of elevated levels of ketonebodies in the body. 19. WHY MUSTDIABETIC?? 20. The resulting increase in bloodThe body shifts sugarfrom its normal occurs, becauseThis will leadfed metabolisminsulin is the person toby using fat for unavailable toget diabetes.fueltransport sugarinto cells for future use. 21. SYMPTOMS 22. TREATMENT 23. receive fluids either orally or through a vein (intravenously) until yourerehydrated. The fluids will replace those youve lost through excessiveFluidurination, as well as help dilute the excess sugar in your blood.replacement Electrolytes are minerals in your blood that carry an electric charge,such as sodium, potassium and chloride. The absence of insulin can lower the level of several electrolytes in your blood. Youll receive Electrolyte electrolytes through your veins to help keep your heart, muscles andreplacement nerve cells functioning normally. Insulin reverses the processes that cause diabetic ketoacidosis. Alongwith fluids and electrolytes, youll receive insulin therapy usuallythrough a vein. When your blood sugar level falls below 240 mg/dL and Insulin your blood is no longer acidic, you may be able to stop intravenoustherapyinsulin therapy and resume your normal insulin therapy.

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