NRSG 6211 DM padlet by Jon Kelly https://padlet.com/jkelly166/gil1sb38zald1sym Made with an aura of mystery en-us 2021-05-12 15:53:46 UTC 2025-12-06 20:26:50 UTC hello@padlet.com https://padlet.net/icons/png/1f9d0.png noyces1 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540551479 2021-05-19 17:06:40 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540551479 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540553704 2021-05-19 17:07:08 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540553704 19947ewellj https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540560199 2021-05-19 17:08:28 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540560199 angiebishop62 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540561866 2021-05-19 17:08:48 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540561866 celest8002 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540562909 2021-05-19 17:09:02 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540562909 elisebutterfield https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540563846 2021-05-19 17:09:15 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540563846 ryangdavis https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540564306 FIgure 22.14 McCance Book]]> 2021-05-19 17:09:20 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540564306 kaiaderoche https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540565480 2021-05-19 17:09:37 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540565480 devbrower https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540566157 2021-05-19 17:09:46 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540566157 kaitlinmbird https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540566509 2021-05-19 17:09:51 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540566509 Microvascular complications ashlieflynn https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540569748 2021-05-19 17:10:33 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540569748 majalusk https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540570452 Guideline for Treatment of Diabetes Type 1]]> 2021-05-19 17:10:41 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540570452 kaiaderoche https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540572136 2021-05-19 17:11:02 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540572136 https://doi.org/10.1111/j.1399-543X.2005.00113.x tomjay269 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540572668 2021-05-19 17:11:09 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540572668 Type 1 Diabetes shayleepettit https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540573319 2021-05-19 17:11:17 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540573319 carlyreid https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540573628 2021-05-19 17:11:21 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540573628 carriekorth https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540574063 2021-05-19 17:11:26 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540574063 Occurs from lack of insulin. Noncompliance, infection, or other event, such as an MI, increases the need for insulin. DKA is largely preventable with proper diabetes management (Kreider, 2018). kaitlinmbird https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540574442
  • Increased glucose levels (>250 mg/dL), metabolic acidosis, and ketosis. 
  • Can occur at any age, most commonly 11-15 years of age.
  • Females are at higher risk. 

References: 
Kreider, K. E. (2018). Updates in the management of diabetic ketoacidosis. The Journal of Nurse Practitioners, 14(8), 591-597. https://doi.org/10.1016/j.nurpra.2018.06.013
]]> 2021-05-19 17:11:31 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540574442 Pathophysiology 4299xpfbxx https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540574852 Main cause is insulin deficiency and an increase in counter regulatory hormones. The lack of insulin free fatty acids, from adipocytes increases the production of ketone bodies at a rate faster than they're used (McCance & Huether, 2019)]]> 2021-05-19 17:11:35 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540574852 msemilyrhodes https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540575170 2021-05-19 17:11:39 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540575170 noyces1 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540575300 2021-05-19 17:11:41 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540575300 amberbarrus https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540576069 2021-05-19 17:11:50 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540576069 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540577477 Discusses other neuropathies such as digestion, urinary, sexual dysfunction. ]]> 2021-05-19 17:12:08 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540577477 devbrower https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540578842 2021-05-19 17:12:26 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540578842 ryangdavis https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540579388 McCance on Treatment of Type I DM]]> 2021-05-19 17:12:33 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540579388 kaiaderoche https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540580455 2021-05-19 17:12:46 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540580455 angiebishop62 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540586095 Standards of Medical care in diabetes]]> 2021-05-19 17:14:00 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540586095 amberbarrus https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540586678 2021-05-19 17:14:09 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540586678 ryangdavis https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540587231 2021-05-19 17:14:17 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540587231 19947ewellj https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540588687 2021-05-19 17:14:36 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540588687 haileygaddis https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540588840 2021-05-19 17:14:38 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540588840 celest8002 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540590991 2021-05-19 17:15:06 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540590991 carriekorth https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540593891 2021-05-19 17:15:44 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540593891 majalusk https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540595135 2021-05-19 17:15:58 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540595135 shaunabennee https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540596526 2021-05-19 17:16:17 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540596526 ryangdavis https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540597180 2021-05-19 17:16:25 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540597180 Pathophysiology of hyperglycemia induced nerve damage. https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540598175 2021-05-19 17:16:36 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540598175 carriekorth https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540598241 2021-05-19 17:16:37 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540598241 msemilyrhodes https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540598503 2021-05-19 17:16:40 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540598503 msemilyrhodes https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540599679 2021-05-19 17:16:55 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540599679 tomjay269 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540599696 https://youtu.be/99KimaS6tTU]]> 2021-05-19 17:16:55 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540599696 kaiaderoche https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540600690 2021-05-19 17:17:07 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540600690 noyces1 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540601038 2021-05-19 17:17:11 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540601038 kaiaderoche https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540602655 2021-05-19 17:17:31 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540602655 haileygaddis https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540603553 2021-05-19 17:17:43 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540603553 msemilyrhodes https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540604468 Chiasson, J., Aris-Jilwan, N., Bélanger, R., Bertrand, S., Beauregard, H., Ekoé, J., Fournier, H., & Havrankova, J. (2003). Diagnosis and treatment of diabetic ketoacidosis and the hyperglycemic hyperosmolar state. Canadian Medical Association Journal (CMAJ), 168(7), 859-866.]]> 2021-05-19 17:17:55 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540604468 majalusk https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540604775 2021-05-19 17:17:59 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540604775 Type 2 Diabetes shayleepettit https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540605163 2021-05-19 17:18:05 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540605163 shaunabennee https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540607828 2021-05-19 17:18:40 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540607828 elisebutterfield https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540609758 https://www.ncbi.nlm.nih.gov/books/NBK279175/

]]> 2021-05-19 17:19:06 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540609758 Prevention 4299xpfbxx https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540609803 2021-05-19 17:19:06 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540609803 devbrower https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540610674 2021-05-19 17:19:18 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540610674 ashlieflynn https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540613255 2021-05-19 17:19:50 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540613255 ryangdavis https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540614634 2021-05-19 17:20:08 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540614634 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540616460 2021-05-19 17:20:29 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540616460 amberbarrus https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540617852 2021-05-19 17:20:45 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540617852 kaiaderoche https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540618646 2021-05-19 17:20:56 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540618646 haileygaddis https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540620419 2021-05-19 17:21:18 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540620419 carriekorth https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540624071 2021-05-19 17:22:00 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540624071 Polyol pathway ashlieflynn https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540624340 2021-05-19 17:22:04 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540624340 msemilyrhodes https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540632606 Patient Education:

What should I do?
Check your blood glucose level at least every three to four hours if you are sick. Check your glucose level every one to two hours if you have critical blood glucose values. Ask your doctor what your critical level should be. Most patients should watch their glucose levels closely when they are higher than 250 mg per dL. Keep testing at least every four hours during the night.

Test your urine for ketones or your blood for beta-hydroxybutyrate every four hours or if your blood glucose is over 250 mg per dL.

If you are not eating, do NOT stop your insulin completely. Your body needs insulin even if you are not eating. Call your doctor if you do not know how to change your insulin dose.

If your blood glucose is high, take extra insulin to control it. Call your doctor if you do not have an extra insulin dose or if the extra dose is not working.

Drink lots of sugar-free, caffeine-free liquids. Sip small amounts every few minutes if you are feeling sick to your stomach.

If your blood glucose is more than 250 mg per dL, do not eat or drink foods that are high in carbohydrates.

Contact your doctor if you have:

  • Vomiting more than once

  • Stomach pain

  • Diarrhea five or more times in six hours

  • Two blood glucose level tests higher than 300 mg per dL

  • A blood glucose level less than 70 mg per dL more than once or symptoms of low blood sugar

  • Trouble breathing

  • Moderate or large ketones if you are using urine test strips

Diabetic ketoacidosis: What it is and how to prevent it. (2005). American Family Physician, 71(9), 1721-1722.


]]> 2021-05-19 17:23:52 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540632606 celest8002 https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540636515 2021-05-19 17:24:42 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540636515 Treatment for different types of diabetes shayleepettit https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540640935 2021-05-19 17:25:34 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540640935 From Our Pharm Textbook ryangdavis https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540680032 Ndikum, H. B., Gilbert, M., & Robinson, M. V. (2020). Drugs affecting the endocrine system: Pancreatic hormones and antidiabetic drugs. In T. M. Woo & M. V. Robinson (Eds.), Pharmacotherapeutics for advanced practice nurse prescribers (5th ed., pp. 523-570). F.A. Davis. https://fadavisreader.vitalsource.com/#/books/9781719642149/cfi/6/64!/4/2/2/2@0:0

]]> 2021-05-19 17:34:08 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540680032 majalusk https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540687526 Patho of Type 1]]> 2021-05-19 17:35:43 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540687526 majalusk https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540692935 Uptodate guideline for Management of DM1 in adults]]> 2021-05-19 17:36:51 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540692935 https://www.youtube.com/watch?v=aLvg00x7W2E msemilyrhodes https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540709810 2021-05-19 17:40:41 UTC https://padlet.com/jkelly166/gil1sb38zald1sym/wish/1540709810