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Starvation Ketoacidosis Pathophysiology

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Starvation Ketoacidosis As A Cause Of Unexplained Metabolic Acidosis In The Perioperative Period

Go to: Abstract Patient: Female, 24 Final Diagnosis: Starvation ketoacidosis Symptoms: None Medication: — Clinical Procedure: Lumbar laminectomy Specialty: Orthopedics and Traumatology Besides providing anesthesia for surgery, the anesthesiologist’s role is to optimize the patient for surgery and for post-surgical recovery. This involves timely identification and treatment of medical comorbidities and abnormal laboratory values that could complicate the patient’s perioperative course. There are several potential causes of anion and non-anion gap metabolic acidosis in surgical patients, most of which could profoundly affect a patient’s surgical outcome. Thus, the presence of an acute acid-base disturbance requires a thorough workup, the results of which will influence the patient’s anesthetic management. An otherwise-healthy 24-year-old female presented for elective spine surgery and was found to have metabolic acidosis, hypotension, and polyuria intraoperatively. Common causes of acute metabolic acidosis were investigated and systematically ruled out, including lactic acidosis, diabetic ketoacidosis, drug-induced ketoacidosis, ingestion of toxic alcohols (e.g., methanol, Continue reading >>

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Popular Questions

  1. SacrificialGoat

    I've been doing keto again since Thursday. I feel like I'm in ketosis, but my ketostix are showing negative. They're left over from a couple years ago, but they've sat in a sealed container since then. Am I wrong or are the ketostix expired?

  2. MissesDreadful

    Keto sticks do expire. Edit: it can be a couple months after you open them to year+. Humidity wreaks havoc on them.

  3. 1_upped

    The pack I bought had an expiry date of about 2 years after I got them. Expiry dates tend to be underestimated by manufacturers to be on the safe side. If they were kept dry/sealed and not subjected to any very hot or cold temperatures they should still work. They aren't very expensive though, maybe buy another pack to be sure.

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