The ketone body ratio can also be markedly elevated in diabetic ketoacidosis, alcoholic ketoacidosis, severe hypoxia, endstage liver disease, hepatic ischemia, various metabolic disorders, and. Three weeks after delivery, a young woman was admitted because of tachypnoe and tachycardia. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Pdf acidbase and electrolyte disturbances in patients. To read more, see acid base problems in diabetic ketoacidosis, an article about acid base disturbance and its clinical implications in patients with diabetic ketoacidosis in our disorders of fluids and electrolytes series, by k.
However, many laboratories currently measure electrolytes with the use of ionselective electrodes, and the range for the anion gap is usually given as approximately 3. Europe pmc is an archive of life sciences journal literature. Halperin, in the february 5, 2015, issue of the journal. The case incorporates chemistry concepts related to ketone bodies, acid base chemistry, blood buffer equilibrium, and le chateliers principle in a setting that is pertinent to nursing and health care students. However, many laboratories currently measure electrolytes with the use of ionselective electrodes, and the range for the anion gap is usually given as approximately 3 to 11. In diabetic ketoacidosis, a mixed acid base disorder is suggested when the anion gap increase deltaag does not equal the bicarbonate decrease deltahco3, or when. Blood gas analysis showed a severe metabolic acidosis with a high anion gap. A comment on this article appears in acid base problems in diabetic ketoacidosis. Complex acidbase disorders robert m centor, md facp. Alcoholic ketoacidosis develops when you drink excessive amounts of alcohol for a long period of time. It dissociates in the extracellular fluid into the. Aq chapter 12, assessment and care of patients with problems of acid base balance. Acidbase problems in diabetic ketoacidosis request pdf.
357 1595 1194 1548 204 472 220 170 519 1502 138 1463 220 113 1662 1252 1626 388 735 71 859 238 1217 1337 49 88 1517 245 897 45 238 880 1038 977 242 1383 351 828 18 1150 1274 165 3 998 1447 1472 1212