Diabetic ketoacidosis with normal anion gap--to use or not to use normal saline?
نویسندگان
چکیده
SRIRAM POTHAPREGADA Department of Pediatrics, Indira Gandhi Medical College and Research Institute, Pondicherry 605 009, [email protected] REFERENCES 1. Mothers feed newborn babies donkey milk. Times of India 2008 May 6; Chennai: Page 6(Col-1) 2. Curative donkey milk in high demand in Chennai. Times of India 2011 Jan 25; Chennai: Page 4(Col2). 3. Haroon S, Das JK, Salam RA, Imdad A, Bhutta ZA. Breastfeeding promotion interventions and breastfeeding practices: a systematic review. BMC Public Health. 2013;13:1-18.
منابع مشابه
Circulating anions usually associated with the Krebs cycle in patients with metabolic acidosis
INTRODUCTION Acute metabolic acidosis of non-renal origin is usually a result of either lactic or ketoacidosis, both of which are associated with a high anion gap. There is increasing recognition, however, of a group of acidotic patients who have a large anion gap that is not explained by either keto- or lactic acidosis nor, in most cases, is inappropriate fluid resuscitation or ingestion of ex...
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Diabetic ketoacidosis (DKA) is characterized by excessive production of organic acids leading to a low blood pH. Rarely, because of other complicating factors blood pH may be in the alkalemic range and the term diabetic ketoalkalosis has been coined to describe this condition. So far, less than 30 such cases have been reported in the literature. We report a 34-year-old woman who received methyl...
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To examine the effects of hyperglycemia on some associated metabolic profiles and how they affect the anion gap, we determined the electrolyte profile, glucose, HbA1c, urea, creatinine and pH. Interaction of these metabolic parameters were assessed using spectrophotometric, flame photometric and other biochemical methods. We established a bioregulatory relationship of immense physiological and ...
متن کاملEuglycemic diabetic ketoacidosis: a diagnostic and therapeutic dilemma
Euglycemic diabetic ketoacidosis (EDKA) is a clinical triad comprising increased anion gap metabolic acidosis, ketonemia or ketonuria and normal blood glucose levels <200 mg/dL. This condition is a diagnostic challenge as euglycemia masquerades the underlying diabetic ketoacidosis. Thus, a high clinical suspicion is warranted, and other diagnosis ruled out. Here, we present two patients on regu...
متن کاملMetabolic acidosis in childhood: why, when and how to treat.
OBJECTIVES To critically discuss the treatment of metabolic acidosis and the main mechanisms of disease associated with this disorder; and to describe controversial aspects related to the risks and benefits of using sodium bicarbonate and other therapies. SOURCES Review of PubMed/MEDLINE, LILACS and Cochrane Library databases for articles published between 1996 and 2006 using the following ke...
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ورودعنوان ژورنال:
- Indian pediatrics
دوره 51 3 شماره
صفحات -
تاریخ انتشار 2014