Ketoacidosis is more common in type 1 diabetes than in type 2. The goal treatment is to stop ketosis, not to normalize glucose. Common symptoms: polyuria, polydipsia, vomiting, dehydration, weakness, altered mental status, coma, abdominal pain, Kussmaul respirations, tachycardia, hyponatremia, hyperkalemia Treatment: Fluid replacement: start with 0.45-0.9% NS, change to 5% dextrose or dextrose containing saline […]
acidosis
Acid-Base Disturbances
Summary of Acid-Base Disturbances pH (7.3 – 7.4) H+ HCO3 (22-26) pCO2 (34-45) K+ metabolic acidosis ↓ ↑ ↓ ↓↓↓ ↑ metabolic alkalosis ↑ ↓ ↑ ↑↑↑ ↓ respiratory acidosis ↓ ↑ ↑↑↑ ↑ ↑ respiratory alkalosis ↑ ↓ ↓↓↓ ↓ ↓ Multiple arrows means it is a compensatory mechanism. PCo2 is usually 1.5 times the bicarb + […]