Today’s video is all about DKA vs HHS for Nursing Students and NCLEX Review.

For your FREE quiz and access to more full-length videos, click here: http://bit.ly/3GgiOqr

Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are two conditions that can result from diabetes. They’re both pretty scary for patients, but luckily, they’re fairly easy to tell apart.

Watch to find out more about symptoms, treatment, and nursing interventions.

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#DKA #DKAvsHHS #Diabetes #Insulin

Diabetic Ketoacidosis is a serious complication of type 1 diabetes that occurs when your blood sugar levels are extremely high and acidic substances called ketones grow to dangerous levels.

Side effects include (but aren’t limited to) extreme thirst, lethargy and weight loss.

Listen to Kate’s story about how she found out her 3 year old son was suffering from DKA and what to look out for in yourself or loved ones.

Remember to always seek medical advice from your GP if symptoms appear and find out more on our website https://www.diabetes.org.uk/guide-to-diabetes/complications/diabetic_ketoacidosis

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We are Diabetes UK. Our vision is a world where diabetes can do no harm.
We’re leading the fight against the UK’s biggest and growing health crisis. And it’s a fight that involves us all – sharing knowledge and taking on diabetes together.

Visit https://www.diabetes.org.uk/ to learn more about diabetes symptoms, prevention tips and more.

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Diabetic Ketoacidosis | Made easy | DKA | Causes | Pathophysiology |signs & Symptoms | Management

Diabetes mellitus is a metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion.
.
This leads to hyperglycemia, which may result in acute metabolic complications such as
 Diabetic ketoacidosis (DKA) &
 Hyperglycemic hyperosmolar nonketotic syndrome (HHNS).

Diabetic ketoacidosis is characterized by hyperglycemia, ketonemia, and acidemia.DKA is caused by an absence or markedly inadequate amount of insulin.
Causes of Diabetic Ketoacidosis
• Infection: (pneumonia, bacteremia, UTI etc.).drug intoxication
• Side effects of drugs (Steroids),Failed to take insulin
• Vascular occlusion ,Surgical procedures ,Stress
• Pregnancy
Diabetic Ketoacidosis : Pathophysiology
Insulin controls the glucose level in the blood by regulating the production & storage of glucose. In the diabetic state, the cells may stop responding to insulin or the pancreas may stop producing insulin.
Without insulin, the amount of glucose entering the cells is reduced & the liver increases glucose production.—-Hyperglycemia—–Osmotic Diuresis—–Dehydration and marked electrolyte loss.
Another effect of insulin deficiency
Breakdown of fat into FFA & glycerol——–FFA converted into Ketone bodies by the liver——-Accumulation of ketone bodies in the circulation
Metabolic acidosis
Clinical Manifestation of Diabetic Ketoacidosis
• Dehydration: Poor skin turgor, Dry mucous membrane
• Electrolyte imbalance
• Acidotic breathing
• Drowsiness, Restlessness, Stupor, Convulsion
• Cardiac irregularities
• Urine output high or low
Diagnostic Evaluation
• History collection
• Physical Examination : Signs of dehydration
• High blood sugar more than 300-400 mg/dl
• Blood Investigation :
Serum electrolytes: Sodium and potassium levels may be low, normal, or high, depending on the amount of water loss (dehydration).
Elevated BUN and creatinine
• ABG : Metabolic acidosis,Respiratory alkalosis
• Urine infections, Pus cells in urine, Ketone bodies in urine

Diabetic Ketoacidosis : Medical Management
• Rehydration:
• Restoring Electrolytes
• Reversing Acidosis
• Blood sugar control & Restoring vital organ control
Diabetic Ketoacidosis : Nursing Management
• Monitor vital signs ,saturation and Pain score
• Monitor electrolyte status as well as blood glucose levels.
• Monitor urine output and mainatin I/O chart.
• Monitor for dysrhythmias indicating abnormal potassium levels.
• Check the conscious level of patient.
• Administer insulin as per the order.

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Disclaimer : This video is for educational purpose only, and is not intended as medical advice and the information available on this channel does not offer a diagnosis or advice regarding treatment. While we strive for 100% accuracy, errors may occur, and medications or protocols may change over time .
Yellow pages nursing (YPN) attests to the accuracy of the information contained here but takes no responsibility for how it may apply to an individual patient. The content used in this lesson is used in accordance with Fair Use laws and is intended for educational purposes only.
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DKA diabetic ketoacidosis nursing management pathophysiology & treatment. DKA is a complication of diabetes mellitus and mainly affects type 1 diabetics. DKA management includes controlling hyperglycemia, ketosis, and acdidosis. Signs & Symptoms include polyuria, polydipsia, hyperglycemia greater than 300 mg/dL, Kussmaul breathing, acetone breath, and ketones in the urine. Typically DKA treatment includes: intravenous fluids, insulin therapy (IV regular insulin), and electrolyte replacement. This video details what the nurse needs to know for the NCLEX exam about diabetic ketoacidosis. I also touch on DKA vs HHS (diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic syndrome (please see the other video for more details).

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