Kussmaul Breathing in Diabetic Ketoacidosis
2:28
Kussmaul Breathing in Diabetic Ketoacidosis
1.4M viewsJan 9, 2017
YouTubeLarry B. Mellick, MD
KUSSMAUL BREATHING IN DKA #bsloc026 Bệnh nhân nữ 28 tuổi, tiền sử ĐTĐ phát hiện cách đây 2 tháng trong bệnh cảnh nhiễm toan ceton (diabetic ketoacidosis – DKA), xuất viện được cho dùng insulin. Ba ngày nay hết thuốc không đi tái khám nên bỏ chích insulin, bắt đầu xuất hiện tiểu nhiều, khát nước, buồn nôn, nôn và thở mệt nên nhập viện. Trong video là kiểu thở của bệnh nhân lúc nhập viện, đây là kiểu thở Kussmaul (thở nhanh và sâu) nhằm mục đích tăng thải CO2, bù trừ cho tình trạng toan chuyển hóa
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Kussmaul Breathing seen in Diabetic Ketoacidosis (DKA) #mbbs #medicine #neetpg #aiims #usmle
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When patients hyperventilate (pain, anxiety, increased WOB, kussmaul breathing in DKA), the EtCO2 will decrease because the patient is blowing off their CO2. Conversely, when we administer respiratory depressing medications (think opioids, benzos) or if the patient is in respiratory failure & tiring, CO2 will accumulate & the EtCO2 will increase. You absolutely should be monitoring EtCO2 anytime you provide procedural sedation, especially to patients who do not have an advanced airway. Now many
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