An Extreme Case of Life Threatening Metabolic Acidosis and Diabetic Ketoacidosis
Metabolic acidosis is one of the common manifestations of diabetic ketoacidosis (DKA). Concurrent hypokalemia often complicates management and mandates correction before administration of insulin. We report a unique case of a young woman with extreme life-threatening metabolic acidosis (pH 6.57) and hypokalemia due to DKA who survived without any sequelae.
2. Kathryn Evans Kreider. Updates in the Management of Diabetic Ketoacidosis. The Journal for Nurse Practitioners – JNP. Volume 14, Issue 8, September 2018.
3. Esra Karslioglu French, Amy C Donihi, Mary T Korytkowski. Diabetic ketoacidosis and Hyperosmolar hyperglycemic syndrome: review of acute decompensated diabetes in adult patients.BMJ 2019; 365:l1114 doi: 10.1136/bmj.l1114.
4. N. K. Konstantinov, M. Rohrscheib, E. I. Agaba, R. I. Dorin, G. H. Murata, and A. H. Tzamaloukas, “Respiratory failure in diabetic ketoacidosis,” World Journal of Diabetes, vol. 6, no. 8, pp. 1009–1023, 2015.
5. C. Van de Vyver, J. Deme, C. Haentjens et al, “An exceptional case of Diabetic Ketoacidosis,’’ Case Reports In Emergency Medicine. Volume 2017; https://doi.org/10.1155/2017/4351620.
6. B. Corwell, B. Knight, L. Olivieri, and G. C. Willis, “Current diagnosis and treatment of hyperglycemic emergencies,” Emergency Medicine Clinics of North America, vol. 32, no. 2, pp. 437–452, 2014.
7. E. A. Nyenwe and A. E. Kitabchi, “The evolution of diabetic ketoacidosis: an update of its etiology, pathogenesis and management,” Metabolism: Clinical and Experimental, vol. 65, no. 4, pp. 507–521, 2016.
8. R.G. Narins and M. Emmett, “Simple and mixed acid-base disorders: a practical
approach,” Medicine, vol. 59, no. 3, pp. 161–187, 1980.