Starvation or high fat intake | DKA | Lactic acidosis | Uremic acidosis | Alcoholic ketosis (starvation) | Salicylate intoxication | Methanol or ethylene glycol intoxication | Hyperosmolar hyperglycemic state | Hypoglycemic coma | Rhabdomyolysis | |
pH | Normal | ↓ | ↓ | Mild ↓ | ↓↑ | ↓↑* | ↓ | Normal | Normal | Mild ↓ may be ↓↓ |
Plasma glucose | Normal | ↑ | Normal | Normal | ↓ or normal | Normal or ↓ | Normal | ↑↑ >500 mg/dL | ↓↓ <30 mg/dL | Normal |
Glycosuria | Negative | ++ | Negative | Negative | Negative | Negative¶ | Negative | ++ | Negative | Negative |
Total plasma ketonesΔ | Slight ↑ | ↑↑ | Normal | Normal | Slight to moderate ↑ | Normal | Normal | Normal or slight ↑ | Normal or slight ↑ | Normal |
Anion gap | Slight ↑ | ↑ | ↑ | Slight ↑ | ↑ | ↑ | ↑ | Normal | Normal or slight ↑ | ↑↑ |
Osmolality | Normal | ↑ | Normal | ↑ | Normal | Normal | ↑↑ | ↑↑ >330 mOsm/kg | Normal | Normal or slight ↑ |
Uric acid | Mild (starvation) | ↑ | Normal | Normal | ↑ | Normal | Normal | Normal | Normal | ↑ |
Miscellaneous | May give false-positive for ethylene glycol◊ | Serum lactate >7 mmol/L | BUN >200 mg/dL | Serum salicylate positive | Serum levels positive | Myoglobinuria hemoglobinuria |
DKA: diabetic ketoacidosis; +: positive; BUN: blood urea nitrogen.
* Respiratory alkalosis/metabolic acidosis.
¶ May get false-positive or false-negative urinary glucose caused by the presence of salicylate or its metabolites.
Δ Acetest and Ketostix measure acetoacetic acid only: thus, misleading low values may be obtained because the majority of "ketone bodies" are beta-hydroxybutyrate.آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟