RT @PharmDFarmD: @srrezaie Worsening ketosis w/ bicarb drip in DKA so usually no. With a K that high, I’m betting there’s an AKI - patient…
RT @PharmDFarmD: @srrezaie Worsening ketosis w/ bicarb drip in DKA so usually no. With a K that high, I’m betting there’s an AKI - patient…
@srrezaie Worsening ketosis w/ bicarb drip in DKA so usually no. With a K that high, I’m betting there’s an AKI - patient may benefit from a bicarb drip in sterile water based on BICAR-ICU. K should come down nicely with insulin but can add Ca, etc too ht
@DrAkhilRaghavan @anujtiwari11 @DoctorBhavsar @Dr_Sms_11 @nihar_nayak2 @LovelinJason @EMNews @MedTweetorials @simplify_drugs @drsomk @knowmedge https://t.co/AEf2FDP6M0 Not at all, imo. Bicarb caused worsening ketosis in an RCT and was associated with the
RT @PharmDFarmD: My favorite citation of the pod- the meta-analysis that found a couple trials demonstrating WORSENING ketosis from bicarb!…
RT @PharmDFarmD: My favorite citation of the pod- the meta-analysis that found a couple trials demonstrating WORSENING ketosis from bicarb!…
RT @PharmDFarmD: My favorite citation of the pod- the meta-analysis that found a couple trials demonstrating WORSENING ketosis from bicarb!…
RT @PharmDFarmD: My favorite citation of the pod- the meta-analysis that found a couple trials demonstrating WORSENING ketosis from bicarb!…
My favorite citation of the pod- the meta-analysis that found a couple trials demonstrating WORSENING ketosis from bicarb! I knew bicarb for DKA was underwhelming, but hadn’t suspect it was that bad! https://t.co/AEf2FDP6M0
RT @DrQashlan: @Abdulrahman_KM8 @BakriKun_ @md1talk In DKA even if PH below 6.9, we don't use it in our hospital protocol. We are following…
@Abdulrahman_KM8 @BakriKun_ @md1talk In DKA even if PH below 6.9, we don't use it in our hospital protocol. We are following the Joint British Diabetes Societies guideline. Read this interesting systematic review: Bicarbonate in diabetic ketoacidosis - a s
@medrants @ogarnerccm @ShaleenVasavada @sargsyanz @BCM_InternalMed The first, a systematic review in which retrospective evidence of harm (cerebral edema) in pediatric patients was found. https://t.co/yDeUk48JNe
RT @Pediatric_ICU: @mfab112 @StefanArens96 @TomZeu Gibt ein Review zu Puffern und diab. Ketoazidose. Verschlechtert mitunter die Acidose un…
@mfab112 @StefanArens96 @TomZeu Gibt ein Review zu Puffern und diab. Ketoazidose. Verschlechtert mitunter die Acidose und erhöht (zumindest bei Kindern) das Risiko für die cerebrales Ödem. https://t.co/kemd25wloQ
RT @AMiguelEM: La evidencia disponible no soporta el uso de HCO3 en CAD dado escaso beneficio y potencial daño @UrgenciaUC #ChileEM https:/…
RT @AMiguelEM: La evidencia disponible no soporta el uso de HCO3 en CAD dado escaso beneficio y potencial daño @UrgenciaUC #ChileEM https:/…
RT @AMiguelEM: La evidencia disponible no soporta el uso de HCO3 en CAD dado escaso beneficio y potencial daño @UrgenciaUC #ChileEM https:/…
RT @AMiguelEM: La evidencia disponible no soporta el uso de HCO3 en CAD dado escaso beneficio y potencial daño @UrgenciaUC #ChileEM https:/…
RT @AMiguelEM: La evidencia disponible no soporta el uso de HCO3 en CAD dado escaso beneficio y potencial daño @UrgenciaUC #ChileEM https:/…
RT @AMiguelEM: La evidencia disponible no soporta el uso de HCO3 en CAD dado escaso beneficio y potencial daño @UrgenciaUC #ChileEM https:/…
RT @AMiguelEM: La evidencia disponible no soporta el uso de HCO3 en CAD dado escaso beneficio y potencial daño @UrgenciaUC #ChileEM https:/…
RT @AMiguelEM: La evidencia disponible no soporta el uso de HCO3 en CAD dado escaso beneficio y potencial daño @UrgenciaUC #ChileEM https:/…
La evidencia disponible no soporta el uso de HCO3 en CAD dado escaso beneficio y potencial daño @UrgenciaUC #ChileEM https://t.co/DM5wpAfLs7
Systematic review showed transient bicarb improvement but association w/ incr cerebral edema and K requirements https://t.co/0PSisFlwL2
@JCon_medmind Nice slide & all. But no lit for this extreme case where pt peri-arrest. Best lit here(lowest pH=6.85) http://t.co/BwkTSC1dzx
@Neil_brain1 @TheNewbieDoctor @emcrit @EMSwami here some data http://t.co/qzEshRr0in
@Neil_brain1 @TheNewbieDoctor @emcrit @EMSwami here some data http://t.co/qzEshRr0in
No usar rutinariamente Bicarbonato en Ketoacidosis diabética. http://t.co/seQ8oQb0s0
Do not use NaHCO3 routinely in the management of DKA http://t.co/Z557eZncrn #FOAMed #FOAMcc #ABIM
Do not use NaHCO3 routinely in the management of DKA http://t.co/Z557eZncrn #FOAMed #FOAMcc #ABIM
Bicarbonato en Cetoacidosis Diabética http://t.co/12u4zbNrEb
Bicarbonato en Cetoacidosis Diabética http://t.co/12u4zbNrEb
@jennannej Nej, för pH<6,85 finns inga bevis. Men för övriga verkar bevisen tala mot bikarbonat. http://t.co/XKUcQAoE