Diabetic Ketoacidosis

Alternate Name:

Test:

S.glucose (H), U.glucose (H), S.potassium (H),S.magnesium (L), U.ketones (H), B.pH (L), carbonate (L), glycosylated. Hb (H), S.osmolality (H), S.sodium (L), S.chloride (L)

Sign:

Dd:

Gastrointestinal infections, causes of acute abdo-men and/or dehydration

Phys:

Gross hyperglycaemia due to lack of insulin causes massive fluid and electrolyte loss throggh the kidneys. Accumulating ketones leads to sys­tematic acidosis and hypotension. Patient pres­ents with polyuria, polydypsia, nausea, abdomi­nal pain, dehydration, stupor and coma