Effects of diabetic ketoacidosis in the respiratory system

Moraes, Alice Gallo De; Surani, Salim

doi:10.4239/wjd.v10.i1.16

Cited by 47 publications

(25 citation statements)

References 51 publications

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“…Another common complaint, shortness of breath, is caused by compensation from the respiratory system due to metabolic acidosis. Decreased bicarbonate and pH levels cause hyperventilation and decreased carbon dioxide levels (de Moraes & Surani, 2019).…”

Section: Discussionmentioning

confidence: 99%

Profile of Diabetic Ketoacidosis Patients at Regional Public Hospital Dr. Soetomo in 2017

Dewata

Novida

Aryati

2020

JBE

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Background: Diabetic ketoacidosis (DKA) is one of many life-threatening complications of diabetes mellitus (DM), which is characterized by severe hyperglycemia, metabolic acidosis and ketonemia. This complication can eventually lead to coma and death if not treated properly. Purpose: The aim of this study is to describe the profile of the DKA patients who were at Regional Public Hospital (RSUD) Dr. Soetomo in 2017. Methods: This study was a descriptive study that used the medical record data of DKA patients who were at RSUD Dr. Soetomo in 2017. The study’s total sample size was 63 patients. The study’s variables were gender, age, type of DM, severity of DKA, precipitating factors, main complaints, vital signs, random plasma glucose level, electrolyte level, and blood gas analysis. The frequency, mean, and standard deviation were analyzed. Results: Most of the 63 DKA patients were female (66.67%), aged from 50–59 years (38.10%). The DKA cases being handled by the Dr. Soetomo Hospital were overwhelmingly of type 2 DM patients (88.89%). More than half the patients (58.73%) experienced severe DKA. Altered states of consciousness (46.03%) and shortness of breath (26.98%) were the most common main complains made by the DKA patients. Almost all patients experienced infection (88.89%) as the precipitating factor; the most common infections were sepsis (92.86%), pneumonia (30.36%), and urinary tract infections (23.21%). Two thirds of the patients (66.67%) had a length of stay of 0–7 days. About 57.14% of the DKA patients died while undergoing treatment. Conclusion: The number of severe DKA patients and the mortality rate in our study were higher than in other studies. Females and the elderly were more prone to DKA, and the most common precipitating factor was infection.

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Section: Discussionmentioning

confidence: 99%

Profile of Diabetic Ketoacidosis Patients at Regional Public Hospital Dr. Soetomo in 2017

Dewata

Novida

Aryati

2020

JBE

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“…Klinisch finden sich die typischen Zeichen einer DKA mit metabolischer Azidose und kompensatorischer Hyperventilation (Kussmaulatmung; [ 10 ]), gastrointestinalen Symptomen (Erbrechen, Pseudoperitonitis diabetica), Zeichen der Exsikkose und Bewusstseinsstörung. Bezeichnenderweise können die Blutzuckerwerte wie oben beschrieben nur moderat erhöht sein.…”

Section: Diskussionunclassified

Bewusstseinsstörung, Tachypnoe und Tachykardie bei einem 71-jährigen Patienten mit Diabetes mellitus Typ 2

2021

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“…They were all tested on different days based on the time of their enrolment/subscription to supervised exercise trainings. [24]. The perspective that 'the apparently healthy individuals might be having any of these abnormal respirations' cannot be straightaway disqualified because individuals tend to lead an unhealthy lifestyle based on the environmental influence (malnutrition, sedentary state, substance abuse, disordered sleeping, malicious emotions), hence it must be only verified through clinical examinations and researches.…”

Section: Data Collection and Interpretationmentioning

confidence: 99%

Breathing Rate/Rhythm Evaluation Ascertains Total Health (Breath): the Pulmonary Panacea

Rajkumar¹

2020

IJPR

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Breathing orchestrates the homeostatic harmony. Well-balanced breathing pattern is a life-stabilizing and lifepropelling force. Adequate amount of oxygen intake mediates metabolism and brings meaning to life through coordinated activities of the anatomical and physiological marvels of the body. Though the body is equipped to withstand anaerobic conditions but it is only for restricted period of time based on the intensity of the physical activity, after which the oxygen must be replenished rapidly in extra quantities 'Oxygen debt' through increased rate of ventilation till the regulatory mechanisms of respiration restore the baseline breathing process. Oxygen intake is not the only role of lungs but to stringently defend against foreign organisms and eliminate CO 2 also, including humidification of inhaled air. Thus, inherently lungs are unquestionably capable of protecting themselves and the whole body. Still, human errors could destroy the functions of lungs leading to excruciating morbidities. Some of these morbidities are even able to transform into exceedingly risky communicable diseases, therefore an infectious disease originating from just one individual might have potency to transmit across the globe. After the arrival of COVID-19, the entire world exhaustively struggles to understand the ways to protect the lungs or restore the functions of lungs to save people, obviously without knowing the status of respiratory fitness of every individual. Health of the lungs is controlled by several variables but all of them are inter-dependent to determine one common goal "rate and rhythm of breathing". This article aims to inculcate the practice of working in the direction of attaining and maintaining healthy respiratory cycles to prevent or cure the diseases.

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Effects of diabetic ketoacidosis in the respiratory system

Cited by 47 publications

References 51 publications

Profile of Diabetic Ketoacidosis Patients at Regional Public Hospital Dr. Soetomo in 2017

Profile of Diabetic Ketoacidosis Patients at Regional Public Hospital Dr. Soetomo in 2017

Bewusstseinsstörung, Tachypnoe und Tachykardie bei einem 71-jährigen Patienten mit Diabetes mellitus Typ 2

Breathing Rate/Rhythm Evaluation Ascertains Total Health (Breath): the Pulmonary Panacea

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