NREMT Paramedic

Category - Medical

While reviewing a call sheet you notice that the EMT-P used the abbreviation “DKA” for a patient who was suffering from a blood glucose level of 420mg/dL with rapid respirations accompanied by a fruity odor; from your training you realize that DKA stands for what?
  1. Diabetic Ketoacidosis
  2. Diabetic Ketoanaphylaxis
  3. Diabetic Ketoanorexia
  4. Diabetic Ketoanomaly
Explanation
Answer: A - Diabetic ketoacidosis is the result of cells using inefficient energy such as fats, which produce ketones as a by-product. If too many ketones are produced, the body goes into metabolic acidosis, which can lead to coma and possibly death. When ketones are expelled by the respiratory system, the patient will have a fruity or acetone-like smell to their breath.
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