EBQ:Sodium Bicarbonate use in DKA: Difference between revisions
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Revision as of 20:08, 14 April 2014
Clinical Question
Should Sodium Bicarbonate be used to treat metabolic acidosis?
Background
Sodium bicarbonate is a solution which help alkalanizing the blood by binding the H+ and converting it 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
Sources
- ↑ Ann Intern Med. 1986 Dec;105(6):836-40
http://saudiemergencymedicine.com/should-you-use-sodium-bicarbonate-in-acidosis-stop-for-a-minute/