Diabetic ketoacidosis (DKA) can involve a diverse number of problems, many of which may be manifested by deterioration in pulmonary function.

Patient selection: diabetic ketoacidosis (DKA)


Possible causes of respiratory deterioration in diabetic ketoacidosis include:

(1) severe hypophosphatemia, severe hypomagnesemia and/or severe hypokalemia

(2) aspiration

(3) pulmonary edema from fluid overload

(4) pneumonia

(5) ARDS

(6) pneumothorax following insertion of central line

(7) worsening of acidosis after interruption of tachypnea (in a patient using respiratory alkalosis to compensate for metabolic acidosis)

(8) substance abuse with overdose


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