Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Schematic Pathophy Dka

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

SUMAGUE, Maria Francheska O.

BSN 4
DIABETIC KETOACIDOSIS

Absolute Insulin
Deficit

Lack of insulin to Glucose remains in


suppress lipolysis blood not being
allows the body to utilized by muscle
start producing and fat cells
energy from
Hypothalamic cells
triglycerides
sense low
intracellular
glucose, triggering Decrease of
hunger glucose in cells
Release of free fatty
increase the
acids from adipose
release of
tissue
glucagon,
Polyphagia epinephrine,
cortisol and growth
hormone
Hydrolysis of free
fatty acids in the
liver

Body tries to
increase blood
glucose to increase
cell glucose
absorption
Decreased
protein
synthesis
Increased
proteolysis in Increase
muscle gluconeogenesis
and increased
glycogenolysis in
liver

Hyperglycemia

Less than 12 mmol/L


and increased
glucose filtration,
increased urine
Glucosuria

Glucose in filtrate
promotes osmotic
diuresis

Polyuria
Alters total
Electrolyte imbalance body water &
ion osmosis
Severe Dehydration

Polydipsia If pt alert & H2O


is accessible

Decreased ECF
volume concentrates
Metabolic Acidosis
ketone bodies,
exacerbates acidosis

Disrupts enteric Blowing off CO2 Breathing Disruption of


nervous system, to try to offset off ketones electrical signaling in
decreased emptying acidosis brain, spinal cord
of ileus and nerves

Ketone breath
Kussmaul
(fruity odor)
Abdominal Nausea, respiration
Weakness/
pain Vomiting Confusion

Reference:
Cheever, K. H., & Hinkle, J. L. (2018). Brunner & Suddarth's textbook of medical-surgical nursing.
Philadelphia: Wolters Kluwer.

You might also like