Dka Case Study Case Study

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drowsy, confused, pale sweaty detect a fruity odour breath. You initiate a MET call a set vital signs a BGL. Questions 1 What complications occurring Tanya? Connect signs symptoms? 2 What pathophysiology complication? 3 What blood glucose reading situation ? 4 What nursing interventions required complication? 100 WORDS EACH 1 reference Farrell & Dempsey 2014 Smeltzer Bare textbook medical surgical nursing 3rd edition.

Tonya is suffering from diabetic ketoacidosis. This condition, also known as DKA, generally occurs in patients that have Diabetes Mellitus 1 or 2. The most prevalent precipitating factors include non-compliance with insulin therapy, infection, or a stressful event like a myocardial infarction or undergoing surgery. A key indicator is the fact that, upon assessment, in was noted that Tonya's breath had a fruity odor to it. This is a characteristic trait that can distinguish DKA from other pathophysiologic causes.

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If untreated, DKA can quickly turn into a diabetic coma. The change in Tonya's mental status indicates a need for immediate intervention. (Porth, 2005)

2. All of our cells metabolize glucose for energy. Glucose, however, is unable to get into the cells without the help of insulin. When there is a shortage of insulin, there becomes a back-up of glucose in the blood. With the absence of glucose, the cells begin to metabolize fat instead; forming ketones (protein). Acetone is also created, which causes the "fruity" odor in the breath. (Porth, 2005) With the limited availability of extracellular insulin and intracellular glucose, extreme fatigue….....

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