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Question
Briefly and in short, respond to the questions below regarding Diabetic Ketoacidosis.
Describe the pathophysiologic changes in DKA. What are the commonly seen blood glucose levels? What fluid and electrolyte disturbances commonly occur and why? What acid-base disturbances commonly occur and why?
Describe the medical management and nursing management of a patient in DKA.
How is fluid status monitored in the acute stage of DKA?How is hypovolemia corrected? How rapidly is fluid volume replaced? Why?How are the complications of fluid replacement prevented?How is hypovolemia corrected? How rapidly is fluid volume replaced? Why?How are the complications of fluid replacement prevented?How are blood glucose levels monitored? How often?How are elevated blood glucose levels corrected?What is the relationship between insulin and IV tubing?How quickly is blood glucose corrected? Why?What electrolytes are monitored in the acute stage of DKA? Why?How are electrolyte imbalances corrected? How rapidly is this accomplished? Why?How are complications of electrolyte replacement prevented?How are acid-base disturbances monitored? How often? How are acid-base disturbances corrected? How quickly is this accomplished? Why? How are complications of acid-base correction prevented? Define the following terms and describe how the results of each are used: anion gap, serum osmolality and venous carbon dioxide.
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