ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME _____________________________________ Diabetic Ketoacidosis(DKA) DISORDER/DISEASE PROCESS __________________________________________________________ Alterations in Health (Diagnosis) Diabetic Ketoacidosis REVIEW MODULE CHAPTER ___________ Pathophysiology Related to Client Problem Health Promotion and Disease Prevention A state usually found in type 1 diabetics charicterized by hyperglycemia, hyperketonemia and metabolic acidosis. May present with electrolyte imbalances as well Monitoring blood glucose regularly. Proper use of medications. Adherance to diabetic diet. ASSESSMENT Risk Factors - Diabetes type-1 - Patients under 19 years - Physical or emotional trauma - Stress - Alcohol or drug use - Use of glucosteriods Laboratory Tests - Blood glucose testing - BMI - A1C SAFETY CONSIDERATIONS Expected Findings hyperglycemia, hyperketonemia, metabolic acidosis, electrolyte imbalances, warm dry skin, fruit smelling breath, thirst, frequent urination, confusion. Diagnostic Procedures - urinalysis - EKG - Blood glucometry - BMP/CMP PATIENT-CENTERED CARE Nursing Care - Monitor blood glucose - Administer Insulin(s) - Monitor for dehydration - Monitor for S&S of electrolyte imbalance Therapeutic Procedures - Insulin therapy - Fluid replacment - electrolyte replacment - Fall risk - Risk of coma - renal damage - dehydration - electrolyte imbalance - Cardiac dysrythmia - aspiration Complications Medications - Insulin(s) - Sodium Bicarbonate - Metformin - Glucose - Lactated Ringers - Magnesium - Potasium Client Education - use of glucometer - proper administration of medications - rehydration w/ electrolytes - wear medical braclet - When to call for help Interprofessional Care - Dietician - Endocrinologist - Primary care provider - Home health services - dehydration - frequent urination - nausea - vomiting - abdominal pain - swelling of the brain - coma - death

DKA System Disorder Template Lab

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