Which of the following is a sign of diabetic ketoacidosis? Select one: A. Dysuria B. Diabetic foot C. Hypoglycemia D. Insulin shock E. Frequent and deep respiration
The Correct Answer and Explanation is :
The correct answer is: E. Frequent and deep respiration
Explanation:
Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes, particularly in individuals with type 1 diabetes. It occurs when the body lacks sufficient insulin to process glucose for energy, forcing the body to break down fats, leading to the production of ketones, which are acidic byproducts. This causes metabolic acidosis.
Frequent and deep respiration, also known as Kussmaul breathing, is a classic sign of DKA. These breaths are the body’s attempt to counteract metabolic acidosis by expelling more carbon dioxide, which helps raise blood pH back to normal.
Here’s why other options are incorrect:
- A. Dysuria
Dysuria (painful or difficult urination) is not specific to DKA but may occur in urinary tract infections, which can sometimes trigger DKA due to stress on the body. - B. Diabetic foot
Diabetic foot refers to ulcers, infections, or neuropathy-related complications from chronic diabetes but is not directly associated with DKA. - C. Hypoglycemia
Hypoglycemia (low blood sugar) is a condition opposite to hyperglycemia (high blood sugar), which triggers DKA. - D. Insulin shock
Insulin shock results from hypoglycemia due to excessive insulin administration. DKA arises from insulin deficiency, not excess.
Signs and Symptoms of DKA:
- Frequent and deep respiration (Kussmaul breathing)
- High blood sugar levels (>250 mg/dL)
- Ketones in blood or urine
- Fruity-smelling breath (due to acetone)
- Nausea, vomiting, and abdominal pain
- Altered mental status (confusion or lethargy)
- Dehydration (dry mouth, increased thirst, low blood pressure)
Prompt recognition of Kussmaul breathing and other symptoms is critical for early treatment, which includes insulin therapy, fluids, and electrolytes to correct imbalances. Failure to treat DKA promptly can lead to severe complications or death.