00:01
Type 1 diabetes is a disorder that the patient failed to secrete insulin properly so that there is a blood glucose dysregulation mainly hyperglycemia so kai is now 23 years old and a drummer in a rock band and he partied last night and today he missed the rehearsal and so his found him unresponsive in bed and there was a strong smell of acetone in the room.
00:40
And they found that assessment that kyle's glucose was found to be in a high 500 and he was dehydrated and diagnosed with diabetic ketone acidosis.
00:56
In addition, there was a nasty abscess found in his back from an old spider bite.
01:02
So he was given iv fluid.
01:05
First of all, explain what's going on with kyle now.
01:09
How did he end up getting dka? so dka, the diabetic ketoacidosis, is a condition that occurs in individuals with type 1 diabetes.
01:25
So when there's a severe lack of insulin, the person developed extreme hyperglycemia.
01:33
And in kyle's case, the glucose level goes up all the way to 500.
01:40
Usually people have less than 200.
01:44
So this is very severe hyperglycemia.
01:47
So in response to the lack of insulin, the body breaks down fat instead of sugar for energy.
01:56
So this results in the production of ketones.
01:59
So let's say this equals the individual's lack of insulin because now there's no glucose to break out in the cell.
02:24
Insulin breaks down for energy.
02:44
And the fat is broken down to produce ketone.
02:48
The ketone has this very strong smell of acetone.
03:05
Of acetone.
03:07
And this is why a strong smell of acetone was a smell in the room and also because acetone is acidic.
03:19
So this actually caused the blood to become acidic and accumulate in the blood and this is what we call metabolic acidosis.
03:33
So the ph of the blood drop.
03:40
So so obviously, dka is characterized by symptoms such as dehydration and then the altered mental status and electrolyte imbalance...