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Diabetic ketoacidosis nursing management

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Text of Diabetic ketoacidosis nursing management

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YASH RAMAWAT M.N. FINAL

Diabetes meaning

a disorder of the metabolism causing excessive thirst and the production of large amounts of urine.Ketoacidosis Pathological metabolic state associated with high concentrations ofketone bodies

Meaning of diabetic ketoacidosis.A serious pathological metabolic state in which excessive amount of keton bodies accumulate in body due to lack of insulin .

How lack of insulin develop acidosis

Insulin Deficiency

Glucose uptake

Proteolysis

Lipolysis

Amino Acids

GlycerolFree Fatty Acids

GluconeogenesisGlycogenolysis

Hyperglycemia

Ketogenesis

Acidosis

Osmotic diuresisDehydration

PATHOPHYSIOLOGY

Signs and Symptoms of DKAPolyuria, polydipsiaEnuresisDehydrationTachycardiaOrthostasisAbdominal painNauseaVomiting

Fruity breathAcetoneKussmaul breathingMental status changesCombativeDrunkComa

Counterregulatory Hormones - DKAIncreases insulin resistanceActivates glycogenolysis and gluconeogenesisActivates lipolysisInhibits insulin secretionEpinephrineXXXXGlucagonXCortisolXXGrowth HormoneXXX

Nursing DiagnosisFLUID VOLUME DEFICIT RELATED TO: OSMOTIC DIURESIS DUE TO HYPERGLYCEMIA, EXCESSIVE DISCHARGE: DIARRHEA, VOMITING; RESTRICTION INTAKE DUE TO NAUSEA, MENTAL MESS.MBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS RELATED TO: INSUFFICIENCY OF INSULIN, DECREASED ORAL INPUT, HIPERMETABOLISME STATUS

RISK FOR INFECTION (SEPSIS) RELATED TO: INCREASED LEVELS OF GLUCOSE, DECREASED LEUKOCYTE FUNCTION, CHANGES IN THE CIRCULATION.RISK FOR SENSORY-PERCEPTUAL ALTERATIONS RELATED TO: KETIDKSEIMBANGAN GLUCOSE / INSULIN AND / OR ELECTROLYTES.

FATIGUE RELATED TO: DECREASED METABOLIC ENERGY PRODUCTION, INSUFFICIENCY OF INSULIN, INCREASING ENERGY DEMAND.