More on DKA

1
(No Transcript)
2
More on DKA

• ?pH of blood due to excess ketones
• Cells are burning FAs instead of glucose
• SS (g r a d u a l onset)
• Hyperglycemia
• fruity acetone breath
• abdominal pain (generalized) w NV
• Glucosuria dehydration polydipsia due to G gt
  300 mg/dl
• Rapid deep ventilations due to ?pH
• ?LOC possible diabetic coma due to ?pH
• Trtmt hospitalization (several days) no quick
  fix

3
Insulin Shock

• Severe hypoglycemia due to misuse of insulin
• Scenario
• SS (rapid onset)
• Light headed w possible fainting
• Weak shaky
• ?LOC
• Irritable combative
• Trtmt
• If conscious sugar by mouth
• If unconscious dextrose by injection
• and possibly glucagon by injection

4
p. 883
5
(No Transcript)
6
(No Transcript)
7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
(No Transcript)
11
QA
12
(No Transcript)
13
(No Transcript)
14
(No Transcript)
15
(No Transcript)
16
(No Transcript)
17
(No Transcript)