Nursing 4400A/B Lecture 8: 4400-week 8
30 Oct 2018
School
Department
Course
Professor
Document Summary
Diabetic acidosis in children: putting it in perspective: common emergency associated with type 1 diabetes (t1d) 2: often missed at home, leading cause of morbidity and death in children with t1d, half of dka-related deaths - cerebral edema, metabolic irregularities - remainder of deaths. Symptoms: polyuria, early sign, nausea and vomiting, vomiting to get rid of acid, trying to compensate, late sign, kussmaul respiration, getting rid of ph through respirations. Causes of dka: eating disorders, psychological or physical trauma, liver failure, faulty insulin pumps, complying with medications, learning diagnosis, underlying infection. Management: prevention primary vs. secondary, primary- awareness and education, dietary, secondary- medication adherence, fluids and electrolytes, normal saline, electrolyte imbalance, potassium, magnesium. Insulin therapy: insulin to shift sugars, promotes potassium uptake and shift them into the cells, ketosis and resultant acidosis. Increased leukocytes: check temperature, cerebral edema, begins after everything is initiated (insulin, fluids)
