Diabetic Ketoacidosis: DKA Pathophysiology and Nursing Interventions (Step-By-Step)

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Diabetic Ketoacidosis: DKA Pathophysiology and Nursing Interventions (Step-By-Step)

Hey friend! Let’s break down diabetic ketoacidosis (DKA) super SIMPLE for you.

I’m going to walk you through, STEP BY STEP, the pathophysiology of dka and the nursing interventions and treatment, so you can FINALLY understand it for nursing school! 🙂

I also have a FREE DKA STUDY GUIDE for you here: https://nursingsos.lpages.co/38754297750529192432928/

What is diabetic ketoacidosis?

Diabetic ketoacidosis, in a nutshell, happens when the body can’t use glucose for energy, and so it breaks down fat instead. And this leads to acids (ketones) being produced, which can lead to acidosis.

Diabetic ketoacidosis pathophysiology:

Here’s a quick outline of the pathophysiology of dka, in simple steps for you to follow (you won’t find these steps in your textbook, I put it together this way to make learning it easier for you!):

Step 1: There isn’t enough insulin because the body can’t produce it (like what happens during Type 1 Diabetes)

Step 2: Hyperglycemia occurs because there’s no insulin to move glucose into the cells, so it just stays in the blood.

Step 3: The cells use fat for energy instead of glucose

Step 4: Ketones are produced because of that fat breakdown. And ketones are ACIDS!

Step 5: Metabolic acidosis occurs because of all the acid build up in the blood.

Diabetic ketoacidosis treatment and nursing interventions:

There are 3 main nursing interventions for dka: fluids, insulin, and of course, continuing to assess your patient!

The fluids you give to your patient will depend on their particular situation and what the doctor has ordered, but they may include normal saline, Lactated Ringers, 0.45% NaCl, or D5 1/2NS

Nursing assessment for DKA:

There are several key nursing assessments you’ll need to to for a patient with DKA, which may include: monitoring their intake and output, weight checks, assessing respiratory status, assessing their IV site and fluids, drawing labs, and assessing their mental status.

Make sure to get your FREE DKA STUDY GUIDE here: https://nursingsos.lpages.co/38754297750529192432928/

And your FREE ASSESSMENT TRANSCRIPT here:
https://nursingsos.lpages.co/assessment-transcript/

Some of these are affiliate links, and I will receive a small commission if you choose to purchase a product through one of these links. Thanks for your support of our channel!

J O I N   T H E   C O M M U N I T Y
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F R E E   A S S E S S M E N T T R A N S C R I P T:
https://nursingsos.lpages.co/assessment-transcript/

R E L A T E D   V I D E O S

Easy breakdown of DKA lab values: https://nursingschoolofsuccess.com/episode83/

Insulin and potassium relationship: https://nursingschoolofsuccess.com/episode86/

DKA pathophysiology (step-by-step): https://nursingschoolofsuccess.com/episode18/

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These videos are intended for entertainment purposes only. Although we strive for 100% accuracy in all of our videos, errors may occur. Never treat a patient or make a nursing or medical decision based on the information provided on this channel or in our videos. Never practice nursing or medicine unless you have a proper license to do so.

Ketoacidosis Labs, Diabetic Ketoacidosis: DKA Pathophysiology and Nursing Interventions (Step-By-Step).

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I no longer seem like a servant to consuming around meal time. This takes place when you are literally starving, with super low carb diets, and severe endurance sports. You require to get your body into fat loss mode (ketosis).

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All of our bodies are different. Some dieters will need to adhere to a strict low-carbohydrate diet plan that involves consuming less than 20 grams per day of carbohydrates. Other dieters will discover that they can comfortably remain in fasting ketosis fast while taking in 50, 75, or 100 grams of carbs. The only way to know for sure is trial and error. Purchase Ketostix or any brand of ketone urinalysis strips and find out your carb limitation. If you discover that you have a bit of wiggle space, it will make sticking to your diet plan that much easier.

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Do not battle sensation starving because you most probably will. Just be with the feeling without judgment, rather than withstanding it (but read standard 10 below).

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