Nursing Students Student Assist
Published Nov 30, 2013
EmilyEmily
141 Posts
[h=3]Which actions by a person with type 2 diabetes increase the risk for developing metabolic acidosis?[/h]Answer is ??
a( drinking 2 liters of water and then engaging in aerobic exercise
B) drinking sodium bicarb after every meal to manage chronic indigestion
C) taking the prescribed does of long-acting insulin in the morning and then skipping lunch
D) skipping the prescribed insulin doses for a week while adhering to an 1800 calorie diet.
I'm thinking it's D.
fyi: this is not homework, this is a question off of quizlet.
JustBeachyNurse, LPN
13,952 Posts
Why do you think D? Then we can guide you.
Because missing insulin doses can cause diabetic ketoacidosis
Esme12, ASN, BSN, RN
1 Article; 20,908 Posts
essentially yes.....technically skipping their meds will cause a rise in blood sugar. How does an elevated glucose cause acidosis that can lead to DKA? What is DKA?
However type 2 diabetics still produce some insulin (even if ineffectively) and are significantly less at risk for DKA. Type 2 are more at risk for non-ketone hyperosmilic coma.
The not taking insulin combined with an 1800 kCal ADA diet does not increase the risk of DKA but lowers it
If the type 2 is on insulin they are just as likely to develop ketoacidosis.....DKA mainly occurs in patients with type 1 diabetes, but it is not uncommon in some patients with type 2 diabetes....it remains the same complex disordered metabolic state characterized by the same hallmarks as DKA.....hyperglycemia, ketoacidosis, and ketonuria.
I'm thinking the answer may be A now because my book says that Diabetics should eat a snack an hour before heavy exercise
Which will increase the glucose in the blood to dangerous levels?
Why should Diabetics eat a snack before exercise? What do muscles use for energy? Would the muscles use a lot of "food" during exercise causing a DROP of serum glucose?
But I see what you are saying it says metabolic acidosis.. not ketoacidosis..
Which actions by a person with type 2 diabetes increase the risk for developing metabolic acidosis?.
Hummmm....good question......
KelRN215, BSN, RN
1 Article; 7,349 Posts
Why do they eat a snack before exercise? To prevent them from developing hyperglycemia or hypoglycemia?
Lexirunner
24 Posts
Snack = glucose. Glucose = aerobic metabolism. But if diabetic, you need exogenous insulin (not always in DM2) to facilitate the transfer of glucose into the cell.
I'd like some ABG's.
nurseprnRN, BSN, RN
1 Article; 5,115 Posts
All we need to know is the metabolic acidosis part, presumably diagnosed by ABGs.
OP, you need a little better understanding of what diabetic ketoACIDOSIS is, whether or not it's a metabolic acidosis, and what provokes it. Then you'll have this one figured out.