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15 Possible Causes for Arterial Blood pH Decreased, Dehydration, Starvation Ketosis

  • Diabetic Ketotic Coma

    - /- hyperventilation due to cerebral dehydration - /- focal neurological signs due to dehydration or thrombosis Investigation - marked hyperglycaemia.[aic.cuhk.edu.hk] Therefore, a patient with starvation ketosis rarely presents with a serum bicarbonate concentration less than 18 mEq/L.[clinicaladvisor.com] The differential diagnosis of DKA includes alcoholic ketoacidosis (AKA), starvation ketosis, and metformin-associated metabolic acidosis (MALA).[ahcmedia.com]

  • Acidosis

    Treatment You can relieve dehydration-related acidosis by treating the underlying cause of dehydration, Medline Plus reports.[livestrong.com] , alcohol and DKA) Download PDF of GOLDMARK mnemonic Osmolar Gap common differential diagnosis Ketoacids (DKA, AKA, starvation ketosis) Alcohols Sepsis Ischemia Sodium bicarbonate[emergencymedicinecases.com] Labs: General Arterial Blood Gas Arterial pH decreased Serum bicarbonate decreased PaCO2 decreased PaCO2 drops 1.2 mmHg per 1 meq/L bicarbonate fall Calculated PaCO2 1.5 x[fpnotebook.com]

  • Salicylate Poisoning

    Hyperventilation (P less than .01), dehydration (P less than .001), and severe central nervous system manifestations (P less than .001) occurred more frequently in the chronic[ncbi.nlm.nih.gov] Ketoacidosis may also occur in children who are ill and fasted (ie starvation ketosis).[anaesthesiamcq.com] Other blood chemistry changes are dehydration, hypokalemia, and hypocalcemia.[symptoma.com]

  • Metabolic Acidosis

    We report a case of a 4-day-old neonate presenting with 18% weight loss, hypernatremic dehydration and metabolic acidosis.[ncbi.nlm.nih.gov] , alcohol and DKA) Download PDF of GOLDMARK mnemonic Osmolar Gap common differential diagnosis Ketoacids (DKA, AKA, starvation ketosis) Alcohols Sepsis Ischemia Sodium bicarbonate[emergencymedicinecases.com] Labs: General Arterial Blood Gas Arterial pH decreased Serum bicarbonate decreased PaCO2 decreased PaCO2 drops 1.2 mmHg per 1 meq/L bicarbonate fall Calculated PaCO2 1.5 x[fpnotebook.com]

  • Alcoholic Ketoacidosis

    Dehydration All patients with severe AKA are dehydrated.[emedicine.com] blood gas measurement is the most widely recommended test for determining pH, but measurement of venous blood gas has gained acceptance Blood urea nitrogen, creatinine levels[aafp.org] Just before admission, an increase in alcohol consumption was followed by anorexia, vomiting, dehydration, and hyperpnea.[doi.org]

  • Diabetic Ketoacidosis

    She had moderated to severe dehydration but no hypotension.[ncbi.nlm.nih.gov] It is possible that starvation ketosis contributed to the development of the high anion gap metabolic acidosis in our patient.[nature.com] blood gas measurement is the most widely recommended test for determining pH, but measurement of venous blood gas has gained acceptance Blood urea nitrogen, creatinine levels[aafp.org]

  • Lactic Acidosis

    During his physical examination, the patient appeared dehydrated and had tachypnea and a reduced level of consciousness.[ncbi.nlm.nih.gov] This case series highlights the parallel occurrence of MALA and euglycemic ketoacidosis, the latter exceeding ketosis due to starvation, suggesting a metformin-triggered inhibition[ncbi.nlm.nih.gov] A repeat arterial blood gas then showed pH 7.33, P aCO 2 35 mm Hg, P aO 2 90 mm Hg, bicarbonate 18 mEq/L, saturation 98%, and lactate 6.8 mEq/L, on 2 L/min of oxygen.[rc.rcjournal.com]

  • Renal Tubular Acidosis

    RESULTS: Two cases with primary distal renal tubular acidosis were found, and they had a history of dehydration episodes during infancy and showed hyperchloremic metabolic[ncbi.nlm.nih.gov] […] and alcohol use resulting in acidosis is treated with intravenous glucose, which is administered to stimulate insulin secretion and stop lipolysis and ketosis.[emedicine.medscape.com] […] patient with growth retardation, pRTA, and ocular abnormalities, but also showed anemia, volume depletion, prerenal azotemia, and several organ abnormalities, culminating in dehydration[ncbi.nlm.nih.gov]

  • Alkalosis

    Despite evidence of mild dehydration, serum Na 160 and K 3.2, aldosterone levels were suppressed and plasma renin activity was not elevated.[ncbi.nlm.nih.gov] ketosis or acidosis with improved cellular function Laxative abuse Symptoms and Signs Symptoms and signs of mild alkalaemia are usually related to the underlying disorder[pathology.leedsth.nhs.uk] The increased H concentration in blood leads to decrease in pH and acidosis. Normal partial pressure of CO2 in arterial blood is about 40 mm Hg.[anydifferencebetween.com]

  • Metabolic Alkalosis

    The case of a 74-year-old woman with past history of hypertension and cerebrovascular accident admitted with pneumonia, dehydration, hypernatremia and severe hypokalemic alkalosis[ncbi.nlm.nih.gov] ketosis or acidosis with improved cellular function Laxative abuse Symptoms and Signs Symptoms and signs of mild alkalaemia are usually related to the underlying disorder[pathology.leedsth.nhs.uk] Patients with ACET treatment significantly decreased their serum bicarbonate (p 0.01 versus baseline) and arterial blood pH (p 0.0001), increased their PaO(2)/FiO(2) ratio[ncbi.nlm.nih.gov]

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