19/01/2024
آخر الدراسات لل Bicarbonate ف حالات DKA ...
indications for the use of bicarbonate in DKA :
Bicarbonate administration for acidosis in DKA has not been shown to be beneficial in controlled trials. The
establishment of an adequate intravascular volume and the provision of sufficient quantities of insulin are far more
important in the treatment of DKA than bicarbonate.
The decision to initiate bicarbonate therapy should be based on an
arterial blood gas level and not a venous blood gas level.
Two possible indications include the following:
1- Profound metabolic acidosis (arterial pH
