The priority intervention when treating a client with diabetic ketoacidosis (DKA) is the intravenous administration of fluids, electrolytes, and insulin.
A potentially fatal Diabetes Mellitus consequence is diabetic ketoacidosis. Common symptoms of DKA are:
Symptoms generally appear quickly. DKA may appear in people who have never had diabetes before as their first noticeable symptom.
DKA most frequently affects people with type 1 diabetes, although it can also happen to people with other forms of diabetes in specific situations like improper insulin administration.
A lack of insulin causes DKA, which causes the body to resort to burning fatty acids instead, leading to the production of acidic ketone bodies that lead to metabolic acidosis (an acid-base disorder).
When a client is in DKA, the top priority is to IV administer fluids (the excessive urination leads to dehydration), replace the electrolytes (DKA causes severe alteration in the normal concentrations of electrolytes; these need to be replaced for the correct amount to secure the normal functioning of many organs) and insulin (this reverses the DKA).
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