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Sult er en sjælden årsag til metabolisk ketoacidose

Infusion af insulin og glukose samt basal væsketilførsel er essentiel.
Forfatter(e)
Thea Vestergaard, Jeppe Frøkjær Aaen & Jens Meldgaard Bruun Medicinsk Afdeling, Regionshospitalet Randers Ugeskr Læger 2014;176:V05140275
Reference: 
Ugeskr Læger 2014;176:V05140275
Blad nummer: 
Sidetal: 
2-3
Starvation is a rare cause of metabolic ketoacidosis
A 79-year-old woman with no medical history was admitted under the diagnosis of stroke. Two months prior she had a fractured tibia, complicated by osteomyelitis. Physical examination showed dehydration and malnourishment. Chest X-ray revealed pneumonia and laboratory data revealed signs of infection, dehydration and normoglycaemic metabolic acidosis with elevated P-3-hydroxybutyrate. The case presents a starvation (weight loss ~ 13 kg) and infection induced non-diabetic metabolic ketoacidosis treated with intravenous supplementation of isotonic saline, potassium, bicarbonate and insulin.
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