Nursing 4400A/B Lecture 8: 4400 Week 8 Lecture - Diabetic Ketoacidosis in Children
2 Nov 2018
School
Department
Course
Professor
Document Summary
Insulin what does it do: helps cells take up glucose. T cells will fight off the beta cells, so the b cells can"t make insulin: pathophysiology, causes, not enough insulin in the body to take up glucose. Diabetic ketoacidosis: an acute metabolic complication of diabetes occurring when fats are metabolized in the absence of insulin. Fat and proteins are the ideal source of glucose, sends this to the livre, then the liver spits out ketones. Diabetic acidosis in children: putting it in perspective. Common emergency associated with type 1 diabetes (t1d) Leading cause of morbidity and death in children with t1d: half of dka-related deaths - cerebral edema, metabolic irregularities - remainder of deaths. Causes of dka: unmanaged sugars, underlying infection. Prevention primary vs. secondary: primary: awareness and education, nutrition. Infection: have to tx the underlying cause to get rid of dka, bloodwork (increased leukocytes; check temp) Cerebral edema: usually begins after everything treatment-wise is initiated, neuro exams.
