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What are the major nursing diagnoses for a patient with diabetic ketoacidosis (DKA) according to Brunner & Suddarth's textbook?

Major nursing diagnoses for a patient with diabetic ketoacidosis (DKA) include risk for fluid volume deficit related to polyuria and dehydration, fluid and electrolyte imbalance related to fluid loss or shifts, deficient knowledge about diabetes self-care skills, and anxiety related to loss of control or fear of complications.

In managing a patient with diabetic ketoacidosis (DKA), the nursing diagnoses focus on the physiological and psychological challenges faced by the patient. The risk for fluid volume deficit is significant due to excessive urination and dehydration. Additionally, fluid and electrolyte imbalances arise from the loss of fluids and shifts in body fluids. There may also be a lack of knowledge regarding diabetes self-care, which can contribute to the development of DKA. Lastly, anxiety may be present due to feelings of loss of control and fears surrounding diabetes management and potential complications.

Key points

  • Risk for fluid volume deficit related to polyuria and dehydration
  • Fluid and electrolyte imbalance related to fluid loss or shifts
  • Deficient knowledge about diabetes self-care skills
  • Anxiety related to loss of control or fear of complications
Source:Brunner & Suddarth’s Textbook of Medical-Surgical Nursing· Individual and Family Considerations Related to Illness· p. 143–147

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Twelfth Edition · Wolters Kluwer | Lippincott Williams & Wilkins

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