Difference Between Lactic Acidosis And Ketoacidosis

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Acid-base Physiology

Case 15 : An old man with abdominal pain and shock Clinical Details An 85 year old man was admitted with severe abdominal pain and shock. The abdominal pain had started about 1500hrs and quickly became quite severe. There was no radiation to the back. The patient was known to have an abdominal aortic aneurysm (AAA). On arrival at hospital, the patient was shocked with peripheral circulatory failure and hypotension (BP 70-80 systolic). His abdomen was guarded and quite tender. He was distressed but able to talk and could understand instructions. Past history was of hypertension (on metoprolol and prazosin) and angina (on Isordil). Prior to this event, the patient was mobile and independent. A ruptured AAA was diagnosed clinically and he was transferred to theatre for emergency laparotomy. On arrival in theatre, BP was 120 systolic. The patient was talking but distressed by pain with rapid respirations at a rate of 30/min. It was noted that neck veins were very distended. An external jugular triple lumen central line and a brachial arterial line were placed before the surgical team had arrived in theatre. CVP was +40 mmHg. The blood gases were collected from an arterial line during p Continue reading >>

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Popular Questions

  1. ketones

    What are ketones? I was diagnosed with GD but wasn't really told what they were. I called my dr now waiting to here back. My sugar levels are normal, I'mSo stressing. My ketone levels in my urine were very high.

  2. Mamamons

    Ketones are released when your body burns fat. So ketones in your urine when pregnant may signal you need to eat more/change your diet

  3. j

    Ketones appear in your urine, when your body begins burning stored fat b/c there are not carbohydrates to use for energy. Good for dieting, bad during pregnancy. I have GD and have to test every morning for ketones. My dietitian made me increase my carb intake to get rid of ketones. Unfortunately, the added carbs made my sugar levels too high. Hence, my GD could not be controlled by diet alone

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