Guest guest Posted September 15, 2004 Report Share Posted September 15, 2004 I am not sure we are going to find a direct correlation to ketones and low CO2 levels. But on a practical side, it is easier for your lungs to blow off CO2 than your kidneys to excrete the excess acid. In my mind, if a child is mildly spilling ketones, the first 'line of defense' for them may be to blow off more CO2. I think it is a transient event and that is why some tests show it and others not. Also, I am not sure how much a screaming child who is getting blood drawn would affect the level. If it takes several sticks, and your child is screaming (like we all know they can) - would that affect the CO2 level fast enough? Just wondering out loud. I'll ask my BIL, a pediatrician. Beth > > > OK, Jen Salem here. I went back through 's lab reports > when > > > she was 18 months old and later, and found the info. Then went > on- > > > line for more info. > > > > > > First of all, " C02 levels " are part of an overall blood > chemistry > > > panel taken from your child. Here is what the website said > about > > > the lab test for C02.... > > > > > > How is it used? > > > Carbon dioxide levels are almost always done as part of an > > > electrolyte panel to tell your doctor whether your sodium, > > > potassium, chloride, and bicarbonate (H2CO3-, measured as total > CO2) > > > are in balance. They may be done as part of an annual screen, > > > included as part of a basic or comprehensive metabolic panel, or > > > done when your doctor suspects an imbalance. The CO2 test is > also > > > done when your doctor is evaluating your acid-base balance, to > > > screen for an imbalance, and to monitor a known problem during > > > treatment. > > > > > > > > > OK, so then what often happens is that our children can test LOW > on > > > the overall C02. This can signal to a doctor a metabolic > acidosis > > > problem (can be indicative of a more severe metabolic problem) > or > > > also a kidney problem. > > > > > > In 's case, they sent us on to a metabolic specialist and > a > > > nephrologist, for another 3-4 weeks of testing and waiting > (horrible > > > waiting). Her test results were random -- one time her CO2s > were > > > low; another time they would be normal; and then low again. > > > > > > Finally, it was on to Genetics Dept at Yale Children's. > > > > > > Lo and behold, what we learned from them is that our children, > > > especially when fighting infections ( had a urine > infection > > > at that time they found), can spill ketones. Now, I don't think > > > that spilling ketones IS C02 -- I just think that they are > connected. > > > > > > But what I do remember, but this is a long time ago, is that low > C02 > > > levels for an RSS child should be treated as the same as > ketones -- > > > give food, get carbos into the child so the glycogen storage > levels > > > go up. But we shouldn't have needed to have put her through all > > > those kidney and metabolic tests. UGH! > > > > > > Quote Link to comment Share on other sites More sharing options...
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