| Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Endocrinol Metab and Elmer Press Inc |
| Journal website http://www.jofem.org |
Case Report
Volume 7, Number 6, December 2017, pages 194-196
Ketoalkalosis: Masked Presentation of Diabetic Ketoacidosis With Literature Review
Table
| A: at the time of admission | B: after IV fluids resuscitation | |
|---|---|---|
| Showing point A: hyperglycemia with blood sugar of 534, corrected AG of 21, alkalemic pH and bicarbonate of 20. Point B shows improvement in anion gap and blood sugar after administration of IV fluids; however, we can clearly see pH becomes more acidotic and patient develops more severe metabolic acidosis meeting all four criteria for the diagnosis of DKA. | ||
| Arterial pH (7.37 - 7.45) on blood gas | 7.43 | 7.27 |
| PaCO2 (mm Hg) on blood gas | 28 | 19 |
| Bicarbonate (mmol/L) | 19 | 9 |
| Sodium (mEq/L) | 133 | 130 |
| Potassium (mEq/L) | 5.1 | 3.3 |
| Chloride (mEq/L) | 93 | 102 |
| Bicarbonate (mEq/L) | 20 | 11 |
| Blood urea nitrogen (mg/dL) | 23 | 23 |
| Creatinine (mg/dL) | 0.94 | 0.83 |
| Glucose (mg/dL) | 534 | 263 |
| Corrected anion gap | 21.25 | 18.75 |
| Albumin (g/dL) | 3.5 | 3.3 |