Diabetic ketoacidosis Flashcards
1
Q
What are the most common precipitating factors of diabetic ketoacidosis?
A
- cessation of insulin
- infection
- AMI, pancreatitis
- dehydration
- new onset diabetes
2
Q
How does acidosis occur?
A
- ketones are made faster than they are used
- excess ketones are excreted by urine but dehydration can cause systemic excess and acidosis
3
Q
What are symptoms of diabetic ketoacidosis?
A
- polyuria
- polydipsia
- polyphagia
- weight loss
- abdominal pain
- kussmaul breathing
4
Q
What are DDx for diabetic ketoacidosis?
A
- hyperglycaemia without acidosis
- non-ketotic hyperosmolar coma
- alcoholic ketacidosis
- lactic acidosis
5
Q
What are investigations for diabetic ketoacidosis?
A
- BGL
- urine ketones
- ABG
- serum electrolytes
- urinanalysis
