@thinklikeaprovider: That is why students miss the bigger picture. DKA is a cascade: Low usable insulin Glucose trapped in the blood Fat breakdown Ketone production Acidosis Fluid loss Electrolyte shifts This is why mechanism matters. When you understand the cascade, you stop memorizing symptoms and start predicting them. Comment MEDSURG if you want med-surg explained mechanism-first. #thinklikeaprovider #nursingstudent #medsurg #pathophysiology #clinicalreasoning