objectives: to evaluate the effect of two simultaneous protocols in reducing recovery time and assessment of adverse effects of different fluid replacement therapy in management of diabetic ketoacidosis. materials and methods: in this randomized clinical trial study, two standard protocols were chosen to evaluate recovery time and incidence of dka complications. results: 18 subjects who had sev...

results sixty two patients had dka. the comparison of apache ii score among two groups of the patients did not show any significant difference (p = 0.597). there was no suitable cut-off point for apache ii score to predict dka. conclusions apache ii score cannot be applied in the predicting of dka in hyperglycemic patients admitted in ed. objectives the present study aims to evaluate the effica...

OBJECTIVE To explore whether the carbon dioxide-bicarbonate (P(CO(2))-HCO(3)) buffering system in blood and cerebrospinal fluid (CSF) in diabetic ketoacidosis should influence the approach to ventilation in patients at risk of cerebral edema. DATA SOURCE Medline search, manual search of references in articles found in Medline search, and use of historical literature from 1933 to 1967. DESIG...

Although severe acidosis is a life-threatening condition owing to its cerebral and cardiac effects, correction of the acidosis with alkali remains a controversial issue in diabetic ketoacidosis. A 22-year-old female patient in diabetic ketoacidosis who was successfully resuscitated after cardiac arrest is presented and a strong case is made for the administration of bicarbonate in severe cases ...

Diabetic ketoacidosis is a complication that can be precipitated by infection in Type II, as well as Type I, diabetics. If an infectious etiology of the ketoacidosis is not actively sought and vigorously treated, a fatal outcome could be erroneously attributed to ketoacidosis rather than the infection. An unusual case of a 43-yearold woman with typhoid fever presenting as diabetic ketoacidosis ...

BACKGROUND: The incidence and risk factors for diabetic ketoacidosis (diabetic ketoacidosis) and hyperglycemic hyperosmolar syndrome (hyperglycemic hyperosmolar syndrome, previously called non-ketotic hyperosmolar coma) have not been reported in a national population of renal transplant (renal transplantation) recipients. METHODS: We performed a historical cohort study of 39,628 renal transplan...

the study by Lever and Jaspan8 that was cited by Dr. Rosival is different from his. These authors do not seem to support the idea of giving sodium bicarbonate to patients with diabetic ketoacidosis. In their retrospective analysis of 95 episodes of severe diabetic ketoacidosis, they concluded that sodium bicarbonate might not confer any special benefits in the treatment of diabetic ketoacidosis...

Chorea, hemichorea, hemiballismus and other parkinsonian movement disorders have been described in type 1 diabetic patient with uncontrolled hyperglycemia. In comparison, abnormal movements in diabetic ketoacidosis are rare though ketosis due to other causes can cause parkinsonism-like movement disorders. We report two cases of diabetic ketoacidosis where hemifacial spasm was the predominant cl...

Background: Diabetic ketoacidosis (DKA) is the final consequence and life-threatening complication of severe insulin deficiency in type 1 diabetes with occurrence of 20-40%. The aim of this study was to investigate the incidence and predisposing factors of DKA and its consequences. Methods: This retrospective study was performed on 128 diabetic patients in Amirkola Children’s Hospital ...