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17 Possible Causes for Dehydration, Kussmaul Respiration, Starvation Ketosis

  • 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] He was tachypneic with a respiratory rate of 35/minute; the pattern was characteristic of Kussmaul's respiration.[casesjournal.biomedcentral.com]

  • Alcoholic Ketoacidosis

    Dehydration All patients with severe AKA are dehydrated.[emedicine.com] A 66-year-old man with a history of chronic alcoholism presented with Kussmaul respirations following several days of fasting accompanied by vomiting, in the presence of continued[ncbi.nlm.nih.gov] respiration (if marked acidaemia) tachycardia volume depletion INVESTIGATIONS ABG: metabolic acidosis, ketonaemia, ketonuria (may have metabolic alkalosis if has severe vomiting[lifeinthefastlane.com]

  • 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] respiration, acetone breath, nausea, vomiting, abdominal pain Mental confusion, DehydrationComa Lab Investigations Plasma glucose Serum Urea Serum creatinine Serum ketones[howmed.net]

  • 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] ., dyspnea, marked Kussmaul respirations) These patients generally have severe metabolic acidosis with respiratory compensation.[emcrit.org]

  • 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] Kussmaul’s respirations B. Glucose 110 C. Hypoventilation D. Neuro-excitability The answer is A: Kussmaul’s respirations 10.[registerednursern.com]

  • 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] These conditions are associated with systemic hypoxemia, which may be caused by cardiorespiratory disease, major surgery, sepsis, dehydration, old age, and overdose.[ncbi.nlm.nih.gov]

  • Diabetes Mellitus

    There is an initial deep and rapid breathing which could lead to Kussmaul respiration. Cardinal sign is a fruity or acetone breath.[physio-pedia.com] The female infant, born to consanguineous parents (first cousins), weighing 2,300 grams at birth, presented with extreme dehydration and pale skin.[ncbi.nlm.nih.gov] In addition, although alcoholic ketoacidosis can result in profound acidosis, the serum bicarbonate concentration in starvation ketosis is usually not 4 ).[web.archive.org]

  • Diabetic Coma

    The individual is not usually dehydrated and breathing is normal or shallow.[en.wikipedia.org] Ketosis and ketoacidosis may also be seen with starvation, alcoholism, and with high-fat, low-carbohydrate diets.[labtestsonline.org] It is characterized clinically by "air hunger" (Kussmaul respiration), and chemically by an excess in blood and urine of sugar and of the end-products of faulty fat metabolism[jamanetwork.com]

  • Ileus

    Treatments • Placing the patient on NPO status to rest their bowel. • Administering IV fluids and electrolytes to prevent dehydration. • An NG tube is sometimes placed to[slideshare.net] Thus, patients with starvation ketosis rarely present with a serum bicarbonate concentration DKA must also be distinguished from other causes of high anion gap metabolic acidosis[care.diabetesjournals.org] If the intestinal obstruction is not relieved, the circulation in the wall of the intestine is impaired and the patient appears extremely ill with symptoms of shock and dehydration[medical-dictionary.thefreedictionary.com]

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