Bicarbonate therapy in diabetic ketoacidosis


Guneysel O., Guralp I., Onur O.

BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY, cilt.109, sa.10, ss.453-454, 2008 (SCI İndekslerine Giren Dergi) identifier

  • Cilt numarası: 109 Konu: 10
  • Basım Tarihi: 2008
  • Dergi Adı: BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY
  • Sayfa Sayıları: ss.453-454

Özet

In the treatment of diabetic ketoacidosis (DKA), the aggressive management of hyperglycemia, avoidance of hypoglycemia, and anticipation of the diabetic systemic complications improve patient outcome. In past, the bicarbonate therapy in DKA has been advocated. Yet, no prospective randomized studies on the use of bicarbonate in DKA with arterial pH values <6.9 have been published. However, the bicarbonate therapy in DKA has several potentially deleterious effects including worsening of hypokalemia and intracellular acidosis. Here we present a patient with DKA pH <6.9, treated with bicarbonate, who demonstrated a clinical benefit (Ref. 11). Full Text (Free, PDF) www.bmj.sk.