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DKA – Diabetic Ketoacidosis Nursing Care NCLEX® Review | NRSNGacademy.com

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Diabetic Ketoacidosis or DKA is a highly complex condition that can be life threatening. This video covers nursing care, pathophysiology, and management of the patient with DKA.

For a detailed case study of how to care for a DKA patient visit:

This video covers the basic psychophysiology and nursing care for patients with DKA.

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32 comments

  1. D C

    My mother had ketoneacidocis, type two diabetes me had her own doctor out at home the night before who diagnosed fall stones, less than 24 hours later she collapsed and had a heart attack, her doctor knew she was type two diabetes and did not check her blood sugar levels which were At 24.2 when she went into hospital and hey keytones were 10.8, she was hours from death, and had a heArt attack in the ambulance, most these videos talk about type 1 but this can happen with type 2 diabetes too

    1. D C

      Luckily the NHS who I can’t praise enough in intensive care managed to bring down the keytones and she is now in a cardiac wArd where they will assess the damage this ha done to her heart while assessed for the damage to her kidneys, looks like doctors only bother checking blood sugar levels of type one when someone is seriously ill and smells like lemons on their breath

  2. Jorge carrejo

    Can you get DKA fasting for 21 days.. Drinking fresh water and salt water with baking soda.. Sugars in the range of 65 to 120.. But only using 1.2 units of insulin per day via an omnipod..?

  3. Ayesha Khan

    For fluid resuscitation, why does a patient transition from receiving NS to D5W while he/she is still hyperglycemic? I had a patient I took care of in my critical care clinical and I couldn’t figure out why the NS was replaced with D5W. Why would you want to increase a hyperglycemic patient’s blood glucose?

    1. Scarlett Elise

      Yes, this^
      As a type 1 who essentially eats no glucose at all (starches, fructose, grains or sugar) and maintains normal human blood sugars I would be very nervous about the standard DKA treatment. Hydrate me please, let me worry about insulin and keeping my levels normal – don’t add in another complication by making my sugars rise. Otherwise a good video – only commenting as this is close to my heart and I hope this standard of treatment ends soon. Cheers 🙂

    1. Jacqueline Smith-Jackson

      I have been in DKA all my life and no one would help me. My Kidneys almost failed once at age 17 and Jehovah’s Witnesses said they would put shunts in my head.

      ???????????????????????????????????????????????????????

      Do not ever go to the hospital in Missouri they suck. Well the hospitals in Springfield Missouri suck.

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