Respiratory failure in diabetic ketoacidosis

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Respiratory Failure in the Course of Treatment of Diabetic Ketoacidosis.

PRESENTATION Three patients developed acute respiratory failure during treatment of diabetic ketoacidosis (DKA) diagnosed by the combination of hyperglycemia, anion gap metabolic acidosis, and presence of ketone bodies in serum. All three required tracheal intubation and mechanical ventilation. Table 1 shows pertinent laboratory values at admission and immediately before tracheal intubation. Se...

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Severe hypophosphatemia in a patient with diabetic ketoacidosis and acute respiratory failure.

Although hypophosphatemia is a common complication during therapy of diabetic ketoacidosis, it is seldom severe and rarely causes clinical manifestations. We report a 39-year-old woman with diabetic ketoacidosis who developed acute respiratory failure after therapy. Although hyperglycemia and acidosis were corrected after treatment, respiratory distress and weakness still persisted. The chest r...

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Management of Diabetic Ketoacidosis in Children

Diabetic ketoacidosis (DKA) is one of the leading causes of mortality in diabetic children. This study aimed to determine the frequency of mortality and complications of DKA during treatment in order to make the necessary modifications with regard to the common treatment problems. This was a cross sectional study, where patients were selected by examining the records of 112 children under the ...

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Acute Renal Failure in children with Diabetic ketoacidosis

Acute renal failure is an uncommon complication among children with Diabetic keto acidosis. This has been recently reported from developing countries. Prerenal uremia which improves in few hours is common in DKA and this is fluid responsive, however intrinsic renal failure with increasing urea creatinine and anuria is associated with high mortality and is uncommon. Sepsis, shock, severe dehydra...

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Diabetic ketoacidosis.

A diagnosis of diabetic ketoacidosis requires the patient's plasma glucose concentration to be above 250 mg per dL (although it usually is much higher), the pH level to be less than 7.30, and the bicarbonate level to be 18 mEq per L or less. Beta-hydroxybutyrate is a better measurement of the degree of ketosis than serum ketones. Intravenous insulin and fluid replacement are the mainstays of th...

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ژورنال

عنوان ژورنال: World Journal of Diabetes

سال: 2015

ISSN: 1948-9358

DOI: 10.4239/wjd.v6.i8.1009