17)An emergency department nurse assesses a client with ketoacidosis. Which clinicalmanifestation should the nurse correlate with this condition?a. Increased rate and depth of respirationb.Extremity tremors followed by seizure activityc. Oral temperature of 102 F (38.9 C)d.Severe orthostatic hypotensionANS: AKetoacidosis decreases the pH of the blood, stimulating the respiratory control areas ofthe brain to buffer the effects of increasing acidosis. The rate and depth of respirationare increased (Kussmaul respirations) in an attempt to excrete more acids byexhalation. Tremors, elevated temperature, and orthostatic hypotension are notassociated with ketoacidosis. Show
18)A nurse assesses a client who has diabetes mellitus. Which arterial blood gasvalues should the nurse identify as potential ketoacidosis in this client? Get answer to your question and much more We have textbook solutions for you! The document you are viewing contains questions related to this textbook. Medical Nutrition Therapy: A Case-Study Approach Nelms Expert Verified d.pH 7.32, HCO3 22 mEq/L, PCO2 58 mm Hg, PO2 88 mm HgANS: BWhen the lungs can no longer offset acidosis, the pH decreases to below normal. Aclient who has diabetic ketoacidosis would present with arterial blood gas values thatshow primary metabolic acidosis with decreased bicarbonate levels and acompensatory respiratory alkalosis with decreased carbon dioxide levels19)A nurse cares for a client experiencing diabetic ketoacidosis who presents withKussmaul respirations. Which action should the nurse take? Get answer to your question and much more 20)A nurse teaches a client with type 1 diabetes mellitus. Which statement should thenurse include in this clients teaching to decrease the clients insulin needs? Get answer to your question and much more Restricting fluids and eating organ meats will not reduce insulin needs. People withdiabetes need at least 130 grams of carbohydrates each day. Upload your study docs or become a Course Hero member to access this document Upload your study docs or become a Course Hero member to access this document End of preview. Want to read all 42 pages? Upload your study docs or become a Course Hero member to access this document Tags Nursing, Blood sugar, ketoacidosis OverviewDiabetic ketoacidosis is a serious complication of diabetes. The condition develops when the body can't produce enough insulin. Insulin plays a key role in helping sugar — a major source of energy for muscles and other tissues — enter cells in the body. Without enough insulin, the body begins to break down fat as fuel. This causes a buildup of acids in the bloodstream called ketones. If it's left untreated, the buildup can lead to diabetic ketoacidosis. If you have diabetes or you're at risk of diabetes, learn the warning signs of diabetic ketoacidosis and when to seek emergency care. SymptomsDiabetic ketoacidosis symptoms often come on quickly, sometimes within 24 hours. For some, these symptoms may be the first sign of having diabetes. Symptoms might include:
More-certain signs of diabetic ketoacidosis — which can show up in home blood and urine test kits — include:
When to see a doctorIf you feel ill or stressed or you've had a recent illness or injury, check your blood sugar level often. You might also try a urine ketone test kit you can get at a drugstore. Contact your health care provider right away if:
Seek emergency care if:
Remember, untreated diabetic ketoacidosis can lead to death. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. CausesSugar is a main source of energy for the cells that make up muscles and other tissues. Insulin helps sugar enter the cells in the body. Without enough insulin, the body can't use sugar to make the energy it needs. This causes the release of hormones that break down fat for the body to use as fuel. This also produces acids known as ketones. Ketones build up in the blood and eventually spill over into the urine. Diabetic ketoacidosis usually happens after:
Other things that can lead to diabetic ketoacidosis include:
Risk factorsThe risk of diabetic ketoacidosis is highest if you:
Sometimes, diabetic ketoacidosis can occur with type 2 diabetes. In some cases, diabetic ketoacidosis may be the first sign of having diabetes. ComplicationsDiabetic ketoacidosis is treated with fluids, electrolytes — such as sodium, potassium and chloride — and insulin. Perhaps surprisingly, the most common complications of diabetic ketoacidosis are related to this lifesaving treatment. Possible complications of the treatmentsTreatment complications include:
Untreated, diabetic ketoacidosis can lead to loss of consciousness and, eventually, death. PreventionThere are many ways to prevent diabetic ketoacidosis and other diabetes complications.
Diabetes complications are scary. But don't let fear keep you from taking good care of yourself. Follow your diabetes treatment plan carefully. Ask your diabetes treatment team for help when you need it. Oct. 06, 2022 Which of the following is a manifestation of diabetic ketoacidosis?You have many symptoms of diabetic ketoacidosis. These include excessive thirst, frequent urination, nausea and vomiting, stomach pain, weakness or fatigue, shortness of breath, fruity-scented breath, and confusion.
What manifestations are supportive of the diagnosis of ketoacidosis?Diabetes-related ketoacidosis (DKA) is a complication of diabetes that requires immediate treatment. If you experience symptoms such as frequent urination, extreme thirst, high blood sugar, ketones in your urine or blood and vomiting, call your healthcare provider immediately.
What are the 3 P's in diabetic ketoacidosis?The three Ps of DKA:
Polydipsia—thirst. Polyuria—urination. Polyphagia—appetite.
What is the priority in diabetic ketoacidosis patient?The initial priority in the treatment of diabetic ketoacidosis is the restoration of extra-cellular fluid volume through the intravenous administration of a normal saline (0.9 percent sodium chloride) solution.
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Which manifestation would the nurse include when teaching a client about ketoacidosis?
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