Literature DB >> 6091840

Metabolic effects of bicarbonate in the treatment of diabetic ketoacidosis.

P J Hale, J Crase, M Nattrass.   

Abstract

The effect of intravenous bicarbonate on the changes in intermediary metabolites during the initial treatment of diabetic ketoacidosis was examined in 16 patients. The results were compared with the changes seen in 16 patients receiving intravenous saline. Infusion of 150 mmol (mEq) bicarbonate significantly delayed the fall in blood lactate, lactate:pyruvate ratio, and total ketone bodies observed in the saline treated group. No difference in the rate of fall of blood glucose concentration was found. There is no metabolic indication for the use of intravenous bicarbonate in the treatment of diabetic ketoacidosis.

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Year:  1984        PMID: 6091840      PMCID: PMC1443021          DOI: 10.1136/bmj.289.6451.1035

Source DB:  PubMed          Journal:  Br Med J (Clin Res Ed)        ISSN: 0267-0623


  24 in total

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Journal:  Diabetologia       Date:  1975-08       Impact factor: 10.122

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Journal:  Nature       Date:  1969-02-15       Impact factor: 49.962

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Journal:  Pediatr Res       Date:  1981-02       Impact factor: 3.756

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Journal:  Br Med J       Date:  1969-03-22

Review 9.  Lactic acidosis: current concepts.

Authors:  R Park; A I Arieff
Journal:  Clin Endocrinol Metab       Date:  1983-07

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Authors:  J Whittaker; C Cuthbert; V Hammond; K G Alberti
Journal:  Diabetologia       Date:  1981-12       Impact factor: 10.122

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  14 in total

Review 1.  Emergency management of diabetic ketoacidosis in adults.

Authors:  R D Hardern; N D Quinn
Journal:  Emerg Med J       Date:  2003-05       Impact factor: 2.740

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Journal:  Diabetologia       Date:  1986-02       Impact factor: 10.122

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Journal:  Indian J Pediatr       Date:  1986 Sep-Oct       Impact factor: 1.967

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Journal:  Intensive Care Med       Date:  1987       Impact factor: 17.440

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Journal:  Drugs       Date:  1998-02       Impact factor: 9.546

Review 8.  ESPE/LWPES consensus statement on diabetic ketoacidosis in children and adolescents.

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Review 9.  Treatment of acute metabolic acidosis: a pathophysiologic approach.

Authors:  Jeffrey A Kraut; Nicolaos E Madias
Journal:  Nat Rev Nephrol       Date:  2012-09-04       Impact factor: 28.314

10.  Bicarbonate in diabetic ketoacidosis - a systematic review.

Authors:  Horng Ruey Chua; Antoine Schneider; Rinaldo Bellomo
Journal:  Ann Intensive Care       Date:  2011-07-06       Impact factor: 6.925

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