How Does Ketoacidosis Cause Hyperventilation

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Pediatric Diabetic Ketoacidosis

Practice Essentials Diabetic ketoacidosis, in pediatric and adult cases, is a metabolic derangement caused by the absolute or relative deficiency of the anabolic hormone insulin. Together with the major complication of cerebral edema, it is the most important cause of mortality and severe morbidity in children with diabetes. Signs and symptoms Symptoms of acidosis and dehydration include the following: Symptoms of hyperglycemia, a consequence of insulin deficiency, include the following: Patients with diabetic ketoacidosis may also have the following signs and symptoms: Cerebral edema Most cases of cerebral edema occur 4-12 hours after initiation of treatment. Diagnostic criteria of cerebral edema include the following: Major criteria include the following: Minor criteria include the following: See Clinical Presentation for more detail. Laboratory studies The following lab studies are indicated in patients with diabetic ketoacidosis: Imaging studies Head computed tomography (CT) scanning - If coma is present or develops Chest radiography - If clinically indicated Electrocardiography Electrocardiography (ECG) is a useful adjunct to monitor potassium status. Characteristic changes ap Continue reading >>

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Popular Questions

  1. Nabeel Ahmad

    If hyperventilation occurs, excess CO2 gets removed. This shifts the pH of the body slightly to a more alkaline ph (Since CO2 is acidic. Loss of Acid in body = Increase in pH). The change in pH can cause these effects.

  2. Meredith VIguers

    There is a delicate balance of gases in the blood, including oxygen and carbon dioxide, that regulate our system. Usually we think of oxygen as something we need to inhale and carbon dioxide as something to be expelled, but when you hyperventilate, you expel too much carbon dioxide. In the blood, carbon dioxide is important for maintaining the proper pH, as it acts as an acidifier. When too much of it is lost in a short amount of time, you go into a state of what’s called respiratory alkalosis, wherein your blood pH becomes too high or alkaline. This alkalosis causes the symptoms such as dizziness, tingling, fainting, and can even cause seizures and severe spasms if the body is unable to naturally compensate metabolically to reduce to pH of the blood to normal levels and/or the hyperventilation is stopped.

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