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Acute Care 168.362|2023 LATEST UPDATE|GUARANTEED SUCCESS $17.49   Add to cart

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Acute Care 168.362|2023 LATEST UPDATE|GUARANTEED SUCCESS

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DKA onset/charecteristics Omission of insulin and physiological stress Occurs in pt's with T1DM with a rapid onset. DKA Physical symptoms Thirst, dry mouth, Nausea, Vomiting, Abdo pain, flushed dry skin, sunken eyes, fever, polyuria, rapid weak pulse, Kussmaul breathing 00:35...

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  • May 2, 2023
  • 61
  • 2022/2023
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Acute Care 168.362

DKA onset/characteristics - correct
answer Omission of insulin and
physiological stress
Occurs in pt's with T1DM with a rapid
onset.


DKA Physical symptoms - correct
answer Thirst, dry mouth, Nausea,
Vomiting, Abdo pain, flushed dry skin,
sunken eyes, fever, polyuria, rapid weak
pulse, Kussmaul breathing


What is Kussmaul breathing? - correct
answer Deep + Laboured breathing
pattern

,DKA lab findings - correct answer BGL
>13.9mmol, Arterial pH <7.3, Serum +
Urine Ketones present, plasma
bicarbonate <15 mmol/L, Elevated urea +
creatinine, serum osmolality 330-350
mmol/L


DKA treatment + Monitoring - correct
answer Fluid + Electrolyte replacement
therapy. Bolus insulin - Continuous
infusion. Iv 150 - 200 ml/h.


Vital signs, urine output, BGL, Serum
K+, GCS, Fluid overload.


Mortality rate <5%

,HHS characteristics - correct answer
Hyperosmolar hyperglycaemic
syndrome.


Lack of effective insulin and
extracellular fluid loss.


Occurs in pt's with T2DM over 60
experiencing physiological stress.


HHS symptoms - correct answer BGL
>33.3mmol Absent ketones, Serum
osmolality >350 mmol/L, Elevated urea +
creatinine, mortality rate 10 - 40%.
Polyuria, thirst, warm-dry skin, fever, dry
mouth.


Hypokalemia + Signs/symptoms -
correct answer Low K+, Fatigue, muscle

, weakness, nausea, vomiting, weak +
irregular pulse, polyuria, hyperglycemia,
abnormal ecg - inverted T wave


AKI precipitators - correct answer The
rapid onset and loss of kidney function.


Caused by: Hypovolemia, prolonged
hypotension, nephrotoxic agent, acute
tubular necrosis.


AKI symptoms - correct answer Oliguria,
Oedema, shortness of breath, confusion
and nausea.


AKI nursing management - correct
answer Vital signs, fluid + electrolytes,
urine assessment, respiratory
assessment, skin assessment, prevent

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