EBQ:Sodium Bicarbonate use in DKA: Difference between revisions
(Created page with "==Clinical Question== Should we use Sodium Bicarbonate in Acidosis ? ==Pro Argument== ===Trial 1=== ===Trial 2=== ===Trial 3=== ==Con Argument== ===Trial 1=== ===Trial 2=...") |
No edit summary |
||
| Line 1: | Line 1: | ||
==Clinical Question== | ==Clinical Question== | ||
Should we use Sodium Bicarbonate in Acidosis ? | Should we use Sodium Bicarbonate in Acidosis ? | ||
==Background== | |||
Sodium bicarbonate is a solution which help alkalanizing the blood by binding the H+ and converting to water and Co2. Many Physicians use it to treat Acidosis, but based on what ? Is there any evidence ? | |||
==Pro Argument== | ==Pro Argument== | ||
| Line 11: | Line 13: | ||
==Con Argument== | ==Con Argument== | ||
===Trial 1=== | ===Trial 1=== | ||
21 patients underwent RCT | |||
* 10 patients (PH 6.9-7.14)received NaHco3 | |||
* 11 patients in the control group | |||
Results: No differences in Glucose level, bicarb level nor PH <ref>Ann Intern Med. 1986 Dec;105(6):836-40</ref> | |||
===Trial 2=== | ===Trial 2=== | ||
===Trial 3=== | ===Trial 3=== | ||
<references/> | <references/> | ||
http://saudiemergencymedicine.com/should-you-use-sodium-bicarbonate-in-acidosis-stop-for-a-minute/ | |||
[[Category:EBQ]] | [[Category:EBQ]] | ||
Revision as of 17:15, 14 April 2014
Clinical Question
Should we use Sodium Bicarbonate in Acidosis ?
Background
Sodium bicarbonate is a solution which help alkalanizing the blood by binding the H+ and converting to water and Co2. Many Physicians use it to treat Acidosis, but based on what ? Is there any evidence ?
Pro Argument
Trial 1
Trial 2
Trial 3
Con Argument
Trial 1
21 patients underwent RCT
- 10 patients (PH 6.9-7.14)received NaHco3
- 11 patients in the control group
Results: No differences in Glucose level, bicarb level nor PH [1]
Trial 2
Trial 3
- ↑ Ann Intern Med. 1986 Dec;105(6):836-40
http://saudiemergencymedicine.com/should-you-use-sodium-bicarbonate-in-acidosis-stop-for-a-minute/