{"pk":1389,"title":"Diabetic Ketoalkalosis: A Case Report","subtitle":null,"abstract":"<b>Introduction:</b> Diabetic ketoacidosis (DKA) is a common diagnosis in the emergency department (ED). However, one must consider other causes for acid-base disturbances when the pattern is not consistent with typical presentation.<p></p><p><b><b>Case Report:</b></b> A 52-year-old female with a history of insulin-dependent diabetes mellitus type 2 presented to the ED with abdominal pain, nausea, and vomiting for three days. Her diagnostic workup revealed diabetic ketoacidosis but with concurrent metabolic alkalosis. Standard treatment for DKA was initiated, and there was improvement of her mentation and resolution of metabolic derangements.</p><p></p><p><b><b><b>Conclusion:</b></b></b> Overlooking a diagnosis of DKA because of alkalosis on venous blood gas testing could lead to inappropriate treatment and, therefore, increased risk of morbidity and mortality in the affected patient.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"DKA"},{"word":"Diabetic ketoalkalosis"},{"word":"baking soda ingestion"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/99w4n9sm","frozenauthors":[{"first_name":"April","middle_name":"","last_name":"Brill","name_suffix":"","institution":"Franciscan Health Olympia Fields, Emergency Department, Olympia Fields, Illinois","department":"Emergency Medicine"},{"first_name":"Nirav","middle_name":"","last_name":"Chheda","name_suffix":"","institution":"Franciscan Health Olympia Fields, Emergency Department, Olympia Fields, Illinois","department":""},{"first_name":"Daniel","middle_name":"","last_name":"Strama","name_suffix":"","institution":"Midwestern University Chicago College of Osteopathic Medicine, Downers Grove, Illinois","department":""},{"first_name":"Ramesh","middle_name":"","last_name":"Soundarajan","name_suffix":"","institution":"Franciscan Health Olympia Fields, Emergency Department, Olympia Fields, Illinois","department":""}],"date_submitted":"2023-05-19T23:20:41.825000+02:00","date_accepted":"2023-11-10T00:35:32.595000+01:00","date_published":"2024-02-13T15:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1389/galley/9614/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1389/galley/3858/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1389/galley/9614/download/"}]}