tag:blogger.com,1999:blog-1421771021860540759.post8566562835366581533..comments2023-05-22T22:13:33.641+08:00Comments on the power of sharing: diabetic ketoacidosisainaa ismailhttp://www.blogger.com/profile/15177843382489653046noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-1421771021860540759.post-59408521347125313172009-03-27T20:41:00.000+08:002009-03-27T20:41:00.000+08:00The type of Breathing in DKA is Kussmaul's respira...The type of Breathing in DKA is Kussmaul's respiration. This breathing is characterized by deep inspirations and acetone breath..Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1421771021860540759.post-6138199904586671662009-03-22T16:33:00.000+08:002009-03-22T16:33:00.000+08:00thanks!thanks!ainaa ismailhttps://www.blogger.com/profile/15177843382489653046noreply@blogger.comtag:blogger.com,1999:blog-1421771021860540759.post-28381153020946414952009-03-22T09:19:00.000+08:002009-03-22T09:19:00.000+08:00~~~just add jer tok case kat atas~~~ACID BASE STAT...~~~just add jer tok case kat atas~~~<BR/>ACID BASE STATUS:METABOLIC ACIDOSIS<BR/>Pathophysiology(cause)<BR/>*energy utilization:low blood glucose & energy must b derived from fat<BR/>*adipose tissue--->fat mobilization--->FA transported to liver via albumin--->beta oxidation of FA--->increased acethyl CoA--->ketogenesis(synthesis of ketone bodies in liver)--->ketone bodies enter blood--->increased blood ketones(acidic)--->low blood pH(acidosis)<BR/><BR/>COMPENSATION:RESPIRATORY ALKALOSIS<BR/>*acidosis--->will stimulate respiratory centre--->hyperventilate--->expel Co2 via lungs--->increase blood pH...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1421771021860540759.post-18670395351654652612009-03-22T01:14:00.000+08:002009-03-22T01:14:00.000+08:00ok..fisrtly...soklan "initial biochem result ...ok..fisrtly...soklan "initial biochem result of his VENOUS blood" spttnye, kite amek ARTERIAL blood Gas, ABG tok assess acid-base imbalance..<BR/><BR/>Secondly, establish diagnosis , ya Diabetic Ketoacidosis..<BR/><BR/>Thirdly, assess acid-base status: ph is <7.35 so acidosis, n [HCO3] <24, so diagnosis for acid base is METABOLIC ACIDOSIS. <BR/><BR/>ok, now, xplain action of long deep breaths, meaning that is it compensated or not, n mechanism of compensation.... so, pCO2 < 40, therefore, it is compensated metabolic acidosis <BR/><BR/>Provisional diagnosis is Compensated metabolic acidosis secondary to diabetic ketoacidosis<BR/><BR/>Mechanism of compensation:<BR/>need to increase ventilation, i.e. HYPERventilation as to remove xs CO2... <BR/><BR/>correct me if i'm wrongAnonymousnoreply@blogger.com