PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 101681

Recognition of impending ketoacidosis delayed by ketone reagent strip failure.

A L Rosenbloom·J I Malone
View original source ↗Export metadata ↓

Abstract

During a one-year period, six patients were admitted to the hospital in diabetic ketoacidosis following 12 to 24 hours of illness at home. Urine testing with strips impregnated with sodium nitroprusside had indicated that no ketone bodies were present. Nine of 11 bottles of reagent strips in use for less than three months by these and other patients contained totally unreactive strips. Nitroprusside tablets exposed more than three months continued to give accurate readings.

Explore related subjects

Diabetic KetoacidosisDiagnostic ErrorsHealth EducationHome NursingHumansKetone BodiesNitroprussideProduct LabelingReagent Kits, DiagnosticJournal ArticleResearch Support, U.S. Gov't, P.H.S.

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

A L Rosenbloom, J I Malone. 1978-11-24. Recognition of impending ketoacidosis delayed by ketone reagent strip failure.. https://pubmed.ncbi.nlm.nih.gov/101681/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1979

Prevention of diabetic ketoacidosis.

Absolute deficiency of insulin no longer is considered the principal cause of ketoacidosis. A combination of pathogenic mechanisms includes (1) relative insulin deficiency, (2) stress hormone excess, (3) fasting, and (4) dehydration. Prevention of any one or more of these mechanisms will reverse or lessen the rate of metabolic decompensation. Several important metabolic parameters must be monitored at frequent intervals to permit rational, preventive therapy. The flow sheet to be maintained by the patient should include body weight, temperature, respiratory rate, level of consciousness, degree of ketonuria, and degree of glycosuria. If the patient exhibits decreased mental status, more than 5% loss of body weight, or respirations more than 36/min, hospitalization is indicated.

Diabetic Ketoacidosis↗