Sat27November0556PM 2
In diabetic ketoacidosis (DKA), are the following statements true or false?
True / False
Leucocytosis is common and does not confirm infection Correct
Plasma glucose may be low Correct
Urinary stick testing for ketones may be negative Incorrect answer selected
A normal plasma potassium level excludes significant potassium deficiency Incorrect answer selected
Amylase levels may be raised in the absence of pancreatitis Correct
Explanation
DKA is typically associated with:
Increased plasma glucose
Leucocytosis
Reduced pH
Bicarbonate
Carbon dioxide partial pressure (pCO2), and
Oxygen partial pressure (pO2).
However, it is well recognised that DKA may still be associated with normal or not particularly high glucose (for example, 15 mmol/L).
Usually ketones are found in the urine but occassionally are absent for reasons such as impaired clearance during DKA.
Due to excess renal losses, total body potassium is typically low even if plasma potassium is high.
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Times answered: 266