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Diabetic Ketoacidosis DKA Nursing | DKA Pathophysiology Treatment Management NCLEX

DKA diabetic ketoacidosis nursing management pathophysiology & treatment. DKA is a complication of diabetes mellitus and mainly affects type 1 diabetics. DKA management includes controlling hyperglycemia, ketosis, and acdidosis. Signs & Symptoms include polyuria, polydipsia, hyperglycemia greater than 300 mg/dL, Kussmaul breathing, acetone breath, and ketones in the urine. Typically DKA treatment includes: intravenous fluids, insulin therapy (IV regular insulin), and electrolyte replacement. This video details what the nurse needs to know for the NCLEX exam about diabetic ketoacidosis. I also touch on DKA vs HHS (diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic syndrome (please see the other video for more details).

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32 comments

  1. Noobie WatcherZ

    1:16 DKA is no insulin in the body.
    2:41 Liver releases glucagon because insulin isn’t working
    3:01
    3:34 after Liver (seems to not work) then body breaks down Ketones.
    5:50
    6:13 Causes of DKA = body needs more insulin than normal :illness, stress , corticosteroids / thiazides
    7:29 s/s
    8:09 Ketones in blood
    8:29 Metabolic acidosis . bicarb <15
    9:51 n/v , abdominal pain
    10:37 Ketones present in urine, tachycardia, hypotension, fatigue, confusion.
    11:03 N interventions Monitor glucose and urine ketone when sick q4h
    12:05 goal of DKA treatment
    12:26 IV fluid
    15:33 Other meds w/ IV fluid Potassium to stabilize EKG ......
    also watch renal function.

  2. Nasiba T

    Thank you so much, God bless you and your family so much! We appreciate you so much!! All your videos are so helpful! I watch your videos after I read and before going to lecture class. When I am in lecture, everything makes sense because of YOU!! Thank you Nurse Sarah <3

    1. RegisteredNurseRN

      Thank you so much for taking the time to write this very kind comment. I’m so glad my videos are helping you…I’m very much honored! I wish you the best in your studies! God bless 🙂

  3. Generation X

    Came here for much needed, understandable info on DKA for myself.
    Boy, are you good at what you do! 5 ?’s
    Right to the point, very easy to understand and extremely thorough. The best explained video by far, and I’ve watched a lot.
    You deserve big-time kudos! ???
    Thank you again. I’m definitely subscribing! ?❤

  4. Emma Larson

    I have an exam based on this, HHS, Addison’s, Cushing’s, SIADH, Diabetes Insipidus, acromegaly, dwarfism, HIV/AIDS, and ER care next week. Your videos are helping me clarify and understand the endocrine disorders so much better than when I walked out of lecture last week! Thank you for helping us by giving us a slice of your knowledge! It’s so helpful!

  5. Linkfan007

    That was an awesome explanation of DKA!I haven’t read that part in my book yet and this explanation really helps. I was comparing to what I had in my nursing book, and you were spot on! I was like “whoa, she’s right!” Thank you Sarah! this is really going to help me with my finals! Best tutor ever! ^_^ *P.S* I also like how you explained the rationale for the interventions and pharmacological treatments (like why is potassium IV’s given, only regular insulin given IV, etc) b/c some of the explanations are not in my book, after you say the rationale, it helps what’s in the book make sense, thank you again! *P.S.S* I also like in the beginning how you broke down who the major key players are and what are they doing and what their roles are! That definitely helps me!

  6. Prakriti Oli

    Thank you Sarah for this amazing video, you have literally saved my life. Doing my postgrad in nursing, and I must admit I keep coming back to your videos cause they are the most simplified, useful videos ever! God bless you and your family. Sending all the love and happiness from Australia

  7. Karen Gayle

    Thank you for posting these videos, They are informative and I’ve learned allot from them. I’m currently using them as prep for the NCLEX and these are my go to… Keep up the good work!

    1. RegisteredNurseRN

      Hello Karen 🙂 I’m so happy you’re able to use my videos to help you prep for NCLEX….very awesome! I wish you the absolute best on it when you take it. Also, thank you for your kind words, and for subscribing 🙂 I appreciate it so much!

    1. RegisteredNurseRN

      Wow, thank you for the kind comment! I’m so very happy my videos are helping you because I remember how rough nursing school was. THANK YOU for the videos! Best wishes in your studies!

  8. Kristy M Rodz

    I have to say that I love your channel, all your videos and specially, the way you teach. Easy to understand and helpful. Consider to be a MSN if you’re not. You could be a great nursing teacher, you have the knowledge and the “gift”. Thank you for sharing your knowledge with us. Blessings. ❤️

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