Sunday, July 15, 2012

Diabetic Ketoacidosis Coma

Diabetic Ketoacidosis Coma

This coma begins innocently when you have flushing and rapid breathing and dehydration. A coma is near or begins when you have visible sweating and vomiting, your face appears gray from diminished perfusion, shallow breathing and rapid heart rate.   Symptoms differ from person to person. Don't wait until all the symptoms appear to seek help or advise others, if you can, to seek help for you.

If these symptoms continue and worsen, without treatment, they could cause unconsciousness. That is the result of hyperglycemia, dehydration, shock and exhaustion.

Coma happens after worsening vomiting and hyperventilation. If you are diabetic, the diagnosis of ketoacidosis is made from your appearance and continuous vomiting over a span of one to two days. Blood chemistry confirms ketoacidosis by the presence of hyperglycemia and severe metabolic acidosis

Treatment consists of isotonic fluids administered orally, if awake, or intravenously if you are still in a coma, to stabilize your blood circulation. Simultaneously you continue with the iV with saline that contains potassium and other electrolytes to reverse the ketoacidosis. The physician or emergency staff will keep an eye on you for further complications.