Suffering because of Diabetic KetoAcidosis - Case Study Example
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Extract of sample Suffering because of Diabetic KetoAcidosis
Thi study stresses that insulin deficiency as seen in type 1 DM compels the body to breakdown amino acids and triglycerides as opposed to glucose for energy production. Due to high breakdown of glyceride and amino acids, the levels of serum free fatty acids and glycerol goes abnormally leading to high level of uncontrolled lipolysis. The Free Fatty Acids (FFA) rises substantially in the blood ; meanwhile, muscles lysis goes up. Due to production of acetoacetic acids and hydroxybutyric acids, both of which are strong organic acids increases leading to metabolic acidosis. Metabolic acidosis is one of the classical symptoms of DKA during the initial stage. Because of increased metabolic acidosis, the patients physiologic compensation takes over. In order to restore normal pH, there is Kausmal respiration that attempt to increase the expiration. Many patients will present with acetone-breathe. Hyperglycemia arises due to insulin insufficiency leading to high sugar levels in the blood and osmotic diuresis that leads to loss of urinary function. This is a striking similarity with the case study presented. In addition, the urinary excretion of ketones causes increased loss of sodium, potassium and water is lost at large amounts leading to reduced urinary excretion as seen in the patient. As a result of increased loss of electrolytes, potassium often migrates into extracellular component leading to increased potassium levels, often driven back to intracellular by insulin therapy. In order to diagnose DKA, first the patient history and physical assessment helps in identifying which laboratories test to be done. Clinical diagnosis depends on three key laboratory findings; the arterial blood pH normally less than 7.30 with an anion gap of more than 12. Secondly, serum ketones levels are an important diagnostic measurement. The presence of serum ketones and urine ketones indicate definitive diagnosis.
This case study highlights that the patient suffers from is Diabetic KetoAcidosis (DKA), with a secondary diagnosis as hypertension. At 49 years with a history of cigarette smoking and alcohol consumption, these are crucial clinical history findings that are important precipitating factors of this condition. …
In addition, other pertinent issues such as the risk factors associated with the subject will be presented. Pathophysiological Mechanisms of Diabetic Ketoacidosis and the Risk Factors Associated with it Patients who are diagnosed with Type 1 diabetes mellitus (T1DM) are highly susceptible to develop a condition known as the Diabetic Ketoacidosis (DKA).
The two key types of diabetes are Type 1 and type 2 diabetes. While type 1 diabetes normally occurs in children and adolescents, thus requiring lifelong insulin injections for management and survival, the type 2 diabetes mostly attacks adults and is often related to obesity, unhealthy eating habits/diets, and inactivity.
Hence it is important to critically analyze the different affecting variables for diabetic patients while investing the most appropriate medications. This paper aims to study the importance of diabetic medication especially using Betty Neuman’s Mode in NANDA format.
Impaired microvascular circulation hinders white cell migration in the area of infections and limits the ability of antibiotic reach the infected area. The diabetic foot maybe predisposed to both common and unusual infectious or non-infectious process. This is because of the complex of nature of diabetes, it's associated vascular, and neuropathic complications.
The reason why people are afraid to suffer is that they are losing something that they value highly-their comfort. Suffering is described as "an individual's basic affective experience of unpleasantness and aversion associated with harm or threat of harm" (Wikimedia Foundations.
It is a common disease that affects 2% of the total population. A person having this condition experiences dark spots, blurriness or strange blotches.
The prevalence of diabetic retinopathy progresses through three distinct stages. There should be a clear understanding of the pathophysiology of every stage in order to have a rational approach.
Enemies, secretly or not so secretly, wish each other to be afflicted with lots of suffering. In medieval times, wherein witchcraft was practiced, one inflicts the hated one with needle pricks to cause him corporal suffering. There is 'unexplainable' suffering when one comes to this world with some faculties that are deformed or sorely lacking, as when one is born blind, crippled or maimed with a harelip or when one is severely deformed as in the case of the thalidomide babies.
When the pancreas is unable to produce enough insulin, glucose is retained in the blood, leaving the muscles and other tissues deprived of glucose and thus result to a disease called diabetes. Hyperglycemia, or high glucose levels, would in the long run cause nerve