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Why Do Dka Patients Vomit

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What is DIABETIC KETOACIDOSIS? What does DIABETIC KETOACIDOSIS mean? DIABETIC KETOACIDOSIS meaning - DIABETIC KETOACIDOSIS definition - DIABETIC KETOACIDOSIS explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion, and occasionally loss of consciousness. A person's breath may develop a specific smell. Onset of symptoms is usually rapid. In some cases people may not realize they previously had diabetes. DKA happens most often in those with type 1 diabetes, but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke, and certain medications such as steroids. DKA results from a shortage of insulin; in response the body switches to burning fatty acids which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high b

New Insights Into The Management Of Diabetic Ketoacidosis

The diagnosis of diabetic ketoacidosis (DKA) in the ill-appearing diabetic dog is usually straightforward. Dogs with DKA usually present with dramatic clinical manifestations, such as anorexia, vomiting, and lethargy. Within such a setting, detection of ketonuria can rapidly confirm the suspicion of DKA, but it has few implications in the subsequent approach. One can estimate ketonemia by applying a drop of serum or plasma on the appropriate reagent of the urine test strip, but this test only detects acetoacetate and is a semiquantitative test. The measurement of plasma beta-hydroxybutyrate (β-OHB) on admission can provide additional information. Based on a previous study, dogs with plasma β-OHB >2.0 mmol/L should receive ambulatory monitoring and treatment, until the results of additional tests. If plasma β-OHB is >3.8 mmol/L the diagnosis of DKA is confirmed and intensive care is warranted.1 Coincidentally, a recent study in human beings with DKA, suggested that the same cutoff value of plasma β-OHB should be used for the diagnosis of DKA, using a portable meter (MediSense Optium, Abbott Laboratories).2 This device has been validated for the use in dogs.3 Evaluation of blood Continue reading >>

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  1. AMZMD

    The human body is in a constant process of maintaining equilibrium. The byproducts of burning fat for energy (ketones) are deposited in the blood for excretion. As the ketones build up in your system, the pH of your blood drops and you become acidotic. As stated above, your body is trying to maintain equilibrium, so it will do certain things to eliminate as much acid from your system as possible, as quickly as possible. One way is to vomit, which dumps huge amounts of H+ instantly. Other reactions are increased respirations to eliminate CO2, as well as dumping the ketones and H+ out through your urine.
    As a side note, the dumping of H+ through urine causes the retention of potassium and you become hyperkalemic (aka "too-much-potassium-emia"). This inhibits myocardial function and can put you into cardiac arrest. This is why extreme no-carb diets are a very bad thing!
    Hope that helps!

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Respiratory acidosis #sign and symptoms of Respiratory acidosis Respiratory acidosis ABGs Analyse https://youtu.be/L5MWy1iHacI Plz share n subscribe my chanel is a condition that occurs when the lungs cant remove enough of the Suctioning https://youtu.be/hMJGkxvXTW0 carbon dioxide (CO2) produced by the body. Excess CO2 causes the pH of blood and other bodily fluids to decrease, making them too acidic. Normally, the body is able to balance the ions that control acidity. This balance is measured on a pH scale from 0 to 14. Acidosis occurs when the pH of the blood falls below 7.35 (normal blood pH is between 7.35 and 7.45).Rinku Chaudhary NSG officer AMU ALIGARH https://www.facebook.com/rinkutch/ Respiratory acidosis is typically caused by an underlying disease or condition. This is also called respiratory failure or ventilatory failure. Suctioning https://youtu.be/hMJGkxvXTW0 Normally, the lungs take in oxygen and exhale CO2. Oxygen passes from the lungs into the blood. CO2 passes from the blood into the lungs. However, sometimes the lungs cant remove enough CO2. This may be due to a decrease in respiratory rate or decrease in air movement due to an underlying condition such as: asth

A Respiratory Complication Of Diabetic Ketoacidosis

A 37-year-old man with type 1 diabetes presented with a few days history of persistent vomiting and lethargy associated with thirst and polyuria. He was not on any regular medication apart from insulin. He had omitted his insulin over the last 24 hours. Clinical examination revealed him to be dehydrated with a tachycardia of 120 beats/min and blood pressure 130/80 mmHg. He was dyspnoeic with a respiratory rate of 32 breaths/min; the pattern was characteristic of Kussmauls respiration. Laboratory investigations showed a metabolic acidosis with arterial blood gases pH 7.08, bicarbonate 10.7 mmol/l, base excess -22.6 mmol/l and plasma glucose 32.4 mmol/l. Ward testing for urinary ketones was strongly positive (+++ by ketostix). A chest X-ray was performed (figure). Answers QUESTION 1 The chest X-ray shows mediastinal emphysema with characteristic lines of radiolucency around the mediastinal pleura. There is also radiological evidence of subcutaneous emphysema in the soft tissues in the neck. QUESTION 2 Surgical emphysema is frequently palpable in the neck and may be more widespread involving the face, chest or arm. Hamman's sign is variously described as a crepitous, crackling or crun Continue reading >>

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  1. Claire2332

    Has any one else experienced this and is it something I should get looked at? I am type 1 and woke up at around 5am feeling a little sick next thing am throwing up bile! Managed to go back to bed but still feel a little sick, I don't have ketones either
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  2. martwolves

    Hello Claire,
    I sometimes have this bright yellow bile after having consumed alcohol the previous night. This is the only time this happens and I think it may that I am compelled to vomit as my pancreas has a hard time processing the toxin and this speeds things up.
    This is based only on my own personal experience and I am not suggesting you consumed alcohol or make any personal remarks. I hope this helps? I don't think, in my case, it's harmful as I am aware of the cause and I'm fine afterwards.
    Mart.

  3. Claire2332

    Thanks no alcohol consumed to be honest I don't really drink and of I do I only have low alcohol larger and prob have a max of 2 bottles (I am a bit boring) I have just re tested my self and I know have ketones at 2.3 and 21mmol I've had a dose of fat acting insulin to see if this helps really hope I am not going DKA!!
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When experiencing pain in your abdomen and back, people tend to think is a simple constipation however, there are more serious causes that could trigger pain in the left lower abdomen and back. Take note and next time you experience this kid of pain, youll be able to identify the symptoms of a more serious condition and eventually determine if its time to see a doctor.

Abdominal Pain In Patients With Hyperglycemic Crises.

Abstract BACKGROUND: The aim of the study was to evaluate the incidence and prognosis of abdominal pain in patients with diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic state (HHS). Abdominal pain, sometimes mimicking an acute abdomen, is a frequent manifestation in patients with DKA. The prevalence and clinical significance of gastrointestinal symptoms including abdominal pain in HHS have not been prospectively evaluated. MATERIALS AND METHODS: This is a prospectively collected evaluation of 200 consecutive patients with hyperglycemic crises admitted to a large inner-city teaching hospital in Atlanta, GA.We analyzed the admission clinical characteristics, laboratory studies, and hospital course of 189 consecutive episodes of DKA and 11 cases of HHS during a 13-month period starting in October 1995. RESULTS: Abdominal pain occurred in 86 of 189 patients with DKA (46%). In 30 patients, the cause of abdominal pain was considered to be secondary to the precipitating cause of metabolic decompensation. Five of them required surgical intervention including 1 patient with Fournier's necrotizing fasciitis, 1 with cholecystitis, 1 with acute appendicitis, and 2 patient Continue reading >>

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  1. AMZMD

    The human body is in a constant process of maintaining equilibrium. The byproducts of burning fat for energy (ketones) are deposited in the blood for excretion. As the ketones build up in your system, the pH of your blood drops and you become acidotic. As stated above, your body is trying to maintain equilibrium, so it will do certain things to eliminate as much acid from your system as possible, as quickly as possible. One way is to vomit, which dumps huge amounts of H+ instantly. Other reactions are increased respirations to eliminate CO2, as well as dumping the ketones and H+ out through your urine.
    As a side note, the dumping of H+ through urine causes the retention of potassium and you become hyperkalemic (aka "too-much-potassium-emia"). This inhibits myocardial function and can put you into cardiac arrest. This is why extreme no-carb diets are a very bad thing!
    Hope that helps!

  2. -> Continue reading
read more

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