What would happen to a patient with both glycosuria and osmotic diuresis in DKA?Question 2Answera.Dehydrationb.Hypovolemiac.Hyperkalemiad.Nothinge.Hypoglycemia
Question
What would happen to a patient with both glycosuria and osmotic diuresis in DKA?
Question 2
Answer
- a. Dehydration
- b. Hypovolemia
- c. Hyperkalemia
- d. Nothing
- e. Hypoglycemia
Solution
In a patient with Diabetic Ketoacidosis (DKA), glycosuria and osmotic diuresis can lead to several complications:
a. Dehydration: High blood sugar levels lead to increased urination (glycosuria) and this can cause dehydration.
b. Hypovolemia: This is a decrease in blood volume which can occur due to the excessive urination (osmotic diuresis) caused by high blood sugar levels.
c. Hyperkalemia: This is a high level of potassium in your blood. In DKA, due to the lack of insulin, the body starts breaking down fat, releasing ketones. The kidneys try to excrete these ketones, but this can lead to loss of sodium and potassium from the body, potentially leading to hyperkalemia.
d. Nothing: This is incorrect. As explained above, there are several potential complications.
e. Hypoglycemia: This is unlikely in the context of DKA, which is characterized by high blood sugar levels. However, if a patient with DKA is treated with too much insulin, it could potentially lead to hypoglycemia.
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