Archive for the tag: Diabetic

Diabetic Ketoacidosis- DKA | How to approach (in 15 mins)

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In this video we have explained everything about DKA (Diabetic Ketoacidosis) mainly how to approach these kind of patients!

#dka #diabetes #ketoacidosis

This video discusses this life-threatening complication of Type 1 diabetes. It elaborates on the pathophysiology, cause, treatment options and associated nursing care.
The hyperosmolar hyperglycemic state (HHS) video delineates this complication of Type 2 diabetes. Also refer to the basic video on Type 1 and 2 diabetes in the Endocrine Playlist as well as the Fluid & Electrolyte Playlist on my channel Nursing School Explained for a discussion of PH regulation to maintain homeostasis.

DKA diabetic ketoacidosis vs. HHS (HHNS) NCLEX

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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.

#NCLEX
#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.

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

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

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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Diabetic Ketoacidosis (DKA) explained with cartoons!

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This video covers the basic pathophysiology that leads to Diabetic Ketoacidosis using easy-to-follow animations/cartoons. Includes: how insufficient insulin levels lead to hypoglycemia, high urine output and thirst, hypothermia, metabolic acidosis, and cardiac dysthymia.

Aimed at healthcare students and professionals aiming who are new to the topic or trying to get themselves reacquainted with the basics. The video aims to use simple fun graphics to produce a memorable and easy-to-follow explanation of what can be a daunting subject. Happy learning!
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Diabetic Ketoacidosis (DKA) Explained Clearly – Diabetes Complications

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Diabetic Ketoacidosis (DKA) Explained Clearly - Diabetes Complications

Understand Diabetic Ketoacidosis (DKA) with this clear explanation from Dr. Seheult of http://www.medcram.com.

This is video 1 of 2 on diabetic ketoacidosis (pathophysiology and signs of diabetic ketoacidosis / DKA):

0:08 DKA stats
0:47 DKA – cellular anatomy
1:00 mitochondria
1:48 beta-oxidation
2:30 insulin function
3:08 pyruvate
3:19 diabetes mellitus type 1
3:26 diabetes mellitus type 2
4:48 ketone bodies (acetone, acetoacetate, b-hydroxybutyrate)
6:09 carboxylic acid
6:23 conjugate base (anion gap acidosis)
7:38 beta-oxidation
8:17 DKA review
8:57 diabetic ketoacidosis – hyperkalemia
9:37 diabetic ketoacidosis – dehydration
9:50 osmotic diuresis
10:10 dehydration
10:27 diabetic ketoacidosis – potassium effects
11:04 diabetic ketoacidosis – Cr elevation / renal failure
11:30 anion gap metabolic acidosis
12:09 measuring ketone bodies (serum ketones, b-hydroxybutyrate)

Speaker: Roger Seheult, MD
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.

MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, internal medicine, usmle prep, dka, and many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded.

Subscribe: https://www.youtube.com/subscription_center?add_user=medcramvideos

Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations.

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Produced by Kyle Allred PA-C

Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your health care provider.

Diabetic Ketoacidosis DKA Nursing | DKA Pathophysiology Treatment Management NCLEX

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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).

Quiz on DKA: http://www.registerednursern.com/diabetic-ketoacidosis-quiz/

Lecture Notes for this video: http://www.registerednursern.com/diabetic-ketoacidosis-nclex-review/

Diabetes NCLEX Review Videos: https://www.youtube.com/playlist?list=PLQrdx7rRsKfWfFihyG2ecJts_BYwX9qlp

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Nursing Job Search: http://www.registerednursern.com/nursing-career-help/

Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com

Check out other Videos: https://www.youtube.com/user/RegisteredNurseRN/videos

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Diabetic Ketoacidosis (DKA) Pathophysiology, Animation

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Diabetic ketoacidosis (one of the hyperglycemic crises), DKA, pathophysiology, causes, clinical presentation (signs and symptoms) and treatment. This video is available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/narrated-videos-by-topics/diabetes/-/medias/bda71a7a-4598-4b1d-b298-ed06b3c54238-diabetic-ketoacidosis-dka-narrated-animation
Voice by: Penelope Hammet
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All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.
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Diabetic ketoacidosis, DKA, is an ACUTE and potentially life-threatening complication of diabetes mellitus. DKA is commonly associated with type 1 but type 2 diabetics are also susceptible. DKA is caused by a critically LOW INSULIN level and is usually triggered when diabetic patients undergo further STRESS, such as infections, inadequate insulin administration, or cardiovascular diseases. It may also occur as the FIRST presentation of diabetes in people who did NOT know they had diabetes and therefore did NOT have insulin treatment.
Glucose is the MAJOR energy source of the body. It comes from digestion of carbohydrates and is carried by the bloodstream to various organs. Insulin is a hormone produced by beta-cells of the pancreas and is responsible for DRIVING glucose INTO cells. When insulin is DEFICIENT, glucose can NOT enter the cells; it stays in the blood, causing HIGH blood sugar levels while the cells are STARVED. In response to this metabolic starvation, the body INcreases the levels of counter-regulatory hormones. These hormones have 2 major effects that are responsible for clinical presentation of DKA:
– First, they produce MORE glucose in an attempt to supply energy to the cells. This is done by breaking down glycogen into glucose, and synthesizing glucose from NON-carbohydrate substrates such as proteins and lipids. However, as the cells CANNOT use glucose, this response ONLY results in MORE sugar in the blood. As blood sugar level EXCEEDS the ability of the kidneys to reabsorb, it overflows into urine, taking water and electrolytes along with it in a process known as OSMOTIC DIURESIS. This results in large volumes of urine, dehydration and excessive thirst.
– Second, they activate lipolysis and fatty acid metabolism for ALTERNATIVE fuel. In the liver, metabolism of fatty acids as an alternative energy source produces KETONE bodies. One of these is acetone, a volatile substance that gives DKA patient’s breath a characteristic SWEET smell. Ketone bodies, unlike fatty acids, can cross the blood-brain barrier and therefore can serve as fuel for the brain during glucose starvation. They are, however, ACIDIC, and when produced in LARGE amounts, overwhelm the buffering capacity of blood plasma, resulting in metabolic ACIDOSIS. As the body tries to reduce blood acidity by EXHALING MORE carbon dioxide, a deep and labored breathing, known as Kussmaul breathing may result. Another compensation mechanism for high acidity MOVES hydrogen ions INTO cells in exchange for potassium. This leads to INcreased potassium levels in the blood; but as potassium is constantly excreted in urine during osmotic diuresis, the overall potassium level in the body is eventually depleted. A blood test MAY indicate too much potassium, or hyperkalemia, but once INSULIN treatment starts, potassium moves BACK into cells and hypokalemia may result instead. For this reason, blood potassium level is monitored throughout treatment and potassium replacement is usually required together with intravenous fluid and insulin as primary treatment for DKA.

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