dka case study
Dka Case Study Jerry Thomas is a 26-year-old Type I Diabetic. The Initial Causes Diabetic Ketoacidosis Dka Diana Humphries Case Study Answers Type 2 diabetes is a common condition in many people.
Hesi Case Studies Diabetic Ketoacidosis Diabetes Nursing Notes
He was on gliclazide and metformin since diagnosis.
. Hyperglycemia dt no insulin causes body to breakdown fat producing highly acidic ketones causing acidosis. He was diagnosed with type 1 diabetes 2 years previously. He presents today with a 2-day history of vomiting and diarrhea.
Although DKA is most common in patients with type 1 diabetes it can also occur in those with type 2 as seen in our patient from the case study. DKA develops when there is an absolute or relative deficiency of insulin and an increase in the levels of insulin counter regulation Huether McCane 2104. Several important steps should be followed in the early stages of dka management.
1-collect blood for metabolic profile before initiation of intravenous fluids. Case history A 20-year-old man is brought to the accident and emergency department with abdominal pain nausea and vomiting with increasing polyuria polydipsia and drowsiness since the previous day. Purchase the answer to view it.
A patient with diabetic ketoacidosis will display results of metabolic acidosis in the arterial blood gases that contain low bicarbonate and low pH. Home Nursing homework help. Is a 58-year-old man who is recovering in the orthopedic unit of the hospital from a right total knee replacement two days ago.
Presentation Case 1 RT a 25-year-old African-American man with type 2 diabetes presented with a 5-day history of nausea and vomiting. Diabetic ketoacidosis DKA is a potentially life-threatening acute complication of type 1 diabetes caused by insulin deficiency. It is characterized by raised blood glucose hyperglycemia metabolic acidosis and increased bloodurine ketones.
49 5k 49 1k Chat. Mechanisms behind DKA Lack of insulin Decreased uptake of glucose Hyperglyceamia Osmotic diuresis Dehydration Elevated counterregulatory hormones Increased hepatic glucose production Increased lipolysis fatty acid oxidation Ketosis Metabolic acidosis 7. Some case reports have suggested benefit from adding hyperbaric oxygen to standard therapy.
What is the underlying causepathophysiology of this concern. Has type I diabetes and was diagnosed with the condition at 12 years old. Fever and cough started 2 days ago and the patient could not eat or drink water.
8 Survival has been shown to be dependent on early diagnosis and initiation of treatment. Diabetic Ketoacidosis Mr L. Mixtard 30 units bd was.
Children who present with T1DM have a broad range of clinical features ranging from extremely subtle symptoms to life-threatening diabetic ketoacidosis DKA Merger Leslie Boehm 2013. 7 In one series overall mortality from orbital involvement was 33 with significant improvement being seen in the past two decades. Fast and strained breathing Rapid breathing and strained breathing may be a symptom of DBK.
However to confirm the diagnosis laboratory test can be performed American Diabetic Association 2019. This type is caused by a lack of insulin and is a result of an unhealthy lifestyle. Diabetic ketoacidosis can be detected by the signs and symptoms the patient presents.
Treat and monitor the potassium level 4. 2-infuse 1 l of 09 sodium chloride over 1 hour after drawing initial blood samples. Diabetic Emergencies Part 5.
Once the DKA is under control and the patient is rehydrated the number will come down to its true value. Hct 58 388 to 50 The patient is dehydrated. Case Study DKA Vanie Main Home Nursing homework help important asap Jerry Thomas is a 26-year-old Type I Diabetic.
Her parents noticed that she had polydipsia polyuria and rapid weight loss which started approximately 1 month ago and had worsened in the last week. This happens because our bodies are trying to hit off a number of acids over the lungs CKruger Mineapolis 2008. He was originally diagnosed at the age of 14 and currently manages his disease with an intensive regimen of insulin injections.
However it rarely occurs in the absence of a precipitating event. This diagnosis is characterized by hyperglycemia glycosuria dehydration electrolyte imbalance metabolic acidosis and an increased production of ketones Gosmanov 2014. He also reported a 2-week history of polyuria and polydipsia and a 10-lb weight loss.
He was originally diagnosed at the age of 14 and currently manages his disease with an intensive regimen of insulin injections. What nursing priority will guide your plan of care. Jerry is employed as a schoolteacher and soccer coach.
DKA Case Study sophia4. Case Study A 43-year-old gentleman with a long history of type 2 diabetes 6 years dyslipidemia and hypertension presented to the emergency department with a 6-day history of weakness fever nausea vomiting and a painful left foot with foul smelling pus discharge from ulcer on the sole. Lab Values Normal Values Significance of Lab Values to Diagnosis WBC 240 40- 110 Infection which precipitated the DKA.
Studies have shown that 25 of children age 5 to 15 years with new onset T1DM present with DKA McCance Heuther 2014. DKA is characterized hyperglycemia. Although DKA is most common in patients with type 1 diabetes it can also occur in those with type 2 as seen in our patient from the case study.
She had not been taking any medications and the clinical history was otherwise unremarkable. The bodys inability to process glucose from the blood can damage many parts of the body including the eyes kidneys and nerves. Diabetic Ketoacidosis DKA is a challenging diagnosis requiring rapid interventions made by the nurse and interdisciplinary team.
DKA does occur in type 2 diabetes. Dka Case Studies Case Study 1 A 32-year-old male with type 1 diabetes since the age of 14 years was taken to the emergency room because of drowsiness fever cough diffuse abdominal pain and vomiting. Jerry is employed as a schoolteacher and soccer coach.
Case study 2 An 18-year-old female was taken to the emergency room in coma. Anorexia occurring in DKA is due to fuel fat catabolism which in turn exacerbates the symptom. If more than one-list in order of PRIORITY.
Dka Case Studies. Case Reports in Emergency Medicine 2017. He mentions that he ran out of insulin 2 days ago.
3-ensure potassium level of 33 meql before initiation of insulin therapy. DKA develops when there is an absolute or relative deficiency of insulin and an increase in the levels of insulin counter regulation Huether McCane 2104. Answer 1 Tutor Cyrus Ken.
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