Diabetic ketoacidosis with alkalemia.
A case of diabetic ketoacidosis presenting with alkalemia (pH, 7.61) instead of acidemia (pH less than 7.35) is discussed. Severe vomiting results in electrolyte depletion and hypovolemia, which in turn results in bicarbonate reabsorption and an alkalemia state despite the presence of ketoacids. Severe respiratory alkalosis can also result in alkalemia. Recognition of the alkalemia and its cause will lead to the institution of appropriate therapy.
Goldman
J M
JM
Department of Medicine, Coney Island Hospital, Brooklyn, New York 11235.
Chiriboga
M
M
D000137:Acid-Base Imbalance / Q000175:diagnosis* / Q000209:etiology; D000471:Alkalosis / Q000175:diagnosis* / Q000209:etiology; D016883:Diabetic Ketoacidosis / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008875:Middle Aged