EP 20 - Diabetic Ketoacidosis

DKA isn’t just high blood sugar—it’s an emergency rooted in one missing hormone: insulin. In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, unpacks the pathophysiology of Type 1 diabetes and how the absence of insulin launches the body into metabolic crisis. 

You’ll follow the journey of a client newly diagnosed with Type 1 diabetes as Morgan connects the classic “three Ps” with ketone production, osmotic diuresis, and the development of DKA. This episode covers everything from the signs you can’t miss to how to safely manage glucose, insulin drips, and fluid replacement. 

Topics covered in this episode: 

• Type 1 diabetes and how insulin (the “key”) unlocks cellular fuel 

• Classic symptoms of DKA: polyuria, polydipsia, polyphagia 

• Red flags: Kussmaul respirations, fruity breath, confusion 

• The danger of cerebral edema and why slow correction is critical 

• Education tips for long-term insulin management after discharge 

• NCLEX-style question breakdown and rationales 

If you’re preparing for NCLEX, clinical rotations, or teaching a client about managing newly diagnosed diabetes, this is a must-listen! 

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