Copy and Edit

Diabetic Ketoacidosis - Jessica and Misbah

Description

Mind map on Diabetic Ketoacidosis a class assignment made by Jessica and Misbah
rim almorsy
Mind Map by rim almorsy, updated more than 1 year ago More Less
Light Lamp
Created by Light Lamp about 8 years ago
rim almorsy
Copied by rim almorsy over 4 years ago
6
0
0

Resource summary

Diabetic Ketoacidosis - Jessica and Misbah
  1. Interventions
    1. Adjust fluid volumes (Nyenwe & Kitabchi, 2016)
      1. correcting electrolyte imbalance
        1. restoring hyperosmolaity
        2. Fluid replacement using IV solutions (Nyenwe & Kitabchi, 2016)
          1. Normal Saline
            1. Ringers Lactate
          2. Increase tissue perfusion (Nyenwe & Kitabchi, 2016)
            1. Restore blood glucose (Nyenwe & Kitabchi, 2016)
              1. insulin therapy (Noble-Bell & Cox, 2014)
              2. resolving ketosis (Nyenwe & Kitabchi, 2016)
                1. Nursing Assessments
                  1. Monitor fluid balance: intake and output (Noble-Bell & Cox, 2014)
                    1. Monitor vital signs and level of consciousness hourly (Use Glascow scale) (Noble-Bell & Coz, 2014)
                      1. Monitor for signs of related to fluid overload, dehydration, electrolyte imbalance (Noble-Bell & Cox, 2014)
                        1. Capillary Blood Glucose and ketones every 1 hour during acute phase (Noble-Bell & Cox, 2014)
                          1. Monitor serum potassium levels (Noble-Bell & Cox, 2014)
                            1. Blood gases in monitoring for acidosis/alkalosis (Noble-Bell & Cox, 2014)
                          2. Etiology
                            1. Diabetes Type I / Diabetes Type II (Nyenwe & Kitabchi, 2016)
                              1. Insulin deficency, and increase glucose in the blood stream
                                1. Infection (Westerberg, 2013)
                                  1. Pneumonia
                                    1. Urinary Tract infection
                                      1. Sepsis
                                      2. Certain Medications (Wetserberg, 2013)
                                        1. Antipsychotics (Wetserberg, 2013)
                                          1. corticosteroids, glucagon, interferon, pentamidine, sympathomimetic agents, thiazide diuretics (Wetserberg, 2013)
                                            1. Illicit drugs: cocaine, alcohol (Wetserberg, 2013)
                                        2. Risk factors
                                          1. Vomiting (Nyenwe & Kitabchi, 2016)
                                            1. Fasting (Nyenwe & Kitabchi, 2016)
                                              1. Pregnant (Nyenwe & Kitabchi, 2016)
                                                1. poor adherence to insulin/ or insulin omission (Anzola, Gomez, & Umpierrez, 2016)
                                                  1. New diagnosis (Nyenwe & Kitabchi, 2016)
                                                    1. Previous DKA (Wolfsdorf et al., 2014)
                                                      1. poor management of hydration (Wolfsdorf et al., 2014)
                                                        1. Eating disorders (Wolfsdorf et al., 2014)
                                                          1. Lack of access to health care (Wolfsdorf et al., 2014)
                                                          2. Clinical Manifestations: Evolves over a short time period & can pogress quickly. (Nyenwe & Kitabchi, 2016)
                                                            1. Lab values
                                                              1. glucose > 250 mg/dl (Nyenwe & Kitabchi, 2016)
                                                              2. Metabolic Acidosis (Westerberg, 2013)
                                                                1. Kussmaul Respirations
                                                                  1. Ph < 7.35 (Nyenwe & Kitabchi, 2016)
                                                                    1. HCO3 <22mmol/ L (Nyenwe & Kitabchi, 2016)
                                                                    2. Hyperglycemia (Westerberg, 2013)
                                                                      1. Polydipsia
                                                                        1. Polyphagia
                                                                          1. Polyuria
                                                                            1. Weightloss
                                                                              1. Fatigue
                                                                              2. Vomiting (Nyenwe & Kitabchi, 2016)
                                                                                1. Abdominal Pain (Nyenwe & Kitabchi, 2016)
                                                                                  1. Dehydration (Westerberg, 2013)
                                                                                    1. Hypotension
                                                                                      1. Tachycardia
                                                                                        1. Poor skin turgor
                                                                                          1. Dry mucous membranes
                                                                                            1. Orthostatic hypotension
                                                                                            2. Decreased level of Consciousness (Anzola et al., 2016)
                                                                                              1. Ketosis: acetone scent (Sweet smell) (Nyenwe & Kitabchi, 2016)
                                                                                              2. Pathophysiology
                                                                                                1. Insulin deficiency (Westberg, 2013)
                                                                                                  1. increase in counter regullatory hormones (Westberg, 2013)
                                                                                                    1. glucagon
                                                                                                      1. catechalomines
                                                                                                        1. cortisol
                                                                                                          1. growth hormones
                                                                                                          2. Fats are broken down into ketones (Westberg, 2013)
                                                                                                            1. Proteins are broken down (Westberg, 2013)
                                                                                                              1. Glucose and ATP is created (Westberg, 2013)
                                                                                                                1. Leads to hyperglycemia and osmotic diuresis (Westberg, 2013)
                                                                                                                  1. Dehydration
                                                                                                                    1. Hyperosmolaric state.
                                                                                                                      1. Metabolic acidosis
                                                                                                            2. Complications
                                                                                                              1. Hypoglycemia (Nyenwe & Kitabchi, 2016)
                                                                                                                1. Due to insulin overtreatment (Nyenwe & Kitabchi, 2016)
                                                                                                                2. Acute Renal failure (Westerberg, 2013)
                                                                                                                  1. Shock (Westerberg, 2013)
                                                                                                                    1. Cerebral Edema (Westerberg, 2013)
                                                                                                                      1. Hypokalemia (Nyenwe & Kitabchi, 2016)
                                                                                                                      2. Prevention
                                                                                                                        1. Health teaching (Anzola et al., 2016)
                                                                                                                          1. adherence to insulin therapy
                                                                                                                            1. controling blood glucose levels
                                                                                                                              1. how to adjust insulin when ill
                                                                                                                                1. maintaining adequate fluid intake
                                                                                                                                2. Addressing barriers (Anzola et al., 2016)
                                                                                                                                  1. in access to health care, primary care
                                                                                                                                    1. in communication with the health care provider, or social supports
                                                                                                                                      1. in social supports such as family, friends school and it's affect on health

                                                                                                                                    Media attachments

                                                                                                                                    Show full summary Hide full summary

                                                                                                                                    Want to create your own Mind Maps for free with GoConqr? Learn more.

                                                                                                                                    Similar

                                                                                                                                    Diabetes Mellitus
                                                                                                                                    Kirsty Jayne Buckley
                                                                                                                                    Exam 1 Medications
                                                                                                                                    tera_alise
                                                                                                                                    Nervous System
                                                                                                                                    4everlakena
                                                                                                                                    Renal System A&P
                                                                                                                                    Kirsty Jayne Buckley
                                                                                                                                    Endocrine System
                                                                                                                                    Riki M
                                                                                                                                    Oxygenation
                                                                                                                                    Jessdwill
                                                                                                                                    Clostridium Difficile
                                                                                                                                    Kirsty Jayne Buckley
                                                                                                                                    Definitions
                                                                                                                                    katherinethelma
                                                                                                                                    Clinical Governance
                                                                                                                                    Kirsty Jayne Buckley
                                                                                                                                    CMS Interpretive Guidelines for Complaint/Grievances
                                                                                                                                    Lydia Elliott, Ed.D
                                                                                                                                    NCLEX RN SAMPLE TEST
                                                                                                                                    MrPRCA
                                                                                                                                    Browse Library