Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/24137
Full metadata record
DC FieldValueLanguage
dc.contributor.authorElisaf, M. S.en
dc.contributor.authorTsatsoulis, A. A.en
dc.contributor.authorKatopodis, K. P.en
dc.contributor.authorSiamopoulos, K. C.en
dc.date.accessioned2015-11-24T19:38:20Z-
dc.date.available2015-11-24T19:38:20Z-
dc.identifier.issn0168-8227-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/24137-
dc.rightsDefault Licence-
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectAnalysis of Varianceen
dc.subjectBlood Glucose/analysisen
dc.subjectBlood Proteins/analysisen
dc.subjectCreatinine/blooden
dc.subjectDiabetes Mellitus, Type 1/*blooden
dc.subjectDiabetic Ketoacidosis/*blooden
dc.subjectElectrolytes/*blooden
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectRegression Analysisen
dc.subjectUrea/blooden
dc.subjectWater-Electrolyte Imbalance/*blood/etiologyen
dc.titleAcid-base and electrolyte disturbances in patients with diabetic ketoacidosisen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/8968687-
heal.identifier.secondaryhttp://ac.els-cdn.com/S0168822796013320/1-s2.0-S0168822796013320-main.pdf?_tid=4934b5d617f8996ba071e76665df29c5&acdnat=1333693019_ce90b96056497de886eba4acf782d5c1-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate1996-
heal.abstractWe undertook the present study to examine the acid-base and electrolyte disturbances in relation to hydration status in patients with diabetic ketoacidosis (DKA). A total of 40 insulin-dependent diabetes mellitus patients (22 male, 18 female), aged 18-61 years with DKA admitted to our hospital during the last 2 years, were studied. The duration of diabetes averaged 9 +/- 2 years. In all cases a detailed investigation of the acid-base status and electrolyte parameters was performed. Twenty-one patients had a pure metabolic acidosis with an increased serum anion gap, seven had DKA combined with hyperchloremic metabolic acidosis, nine had DKA coexisting with metabolic alkalosis, while three had DKA with a concurrent respiratory alkalosis. Hydration status as evidenced by the ratio of urea/creatinine seems to play an important role in the development of mixed acid-base disorders (detected by changes in the ratios delta anion gap/delta bicarbonate (delta AG/delta HCO3) and sodium/chloride (Na/Cl)). In fact, hyperchloremic acidosis developed in the patients with the better hydration status. However, contradictorily, the severely dehydrated patients who experienced recurrent episodes of vomiting developed DKA with a concurrent metabolic alkalosis. Finally, patients with pneumonia or gram-negative septicemia exhibited DKA combined with a primary respiratory alkalosis. We conclude that patients with DKA commonly develop mixed acid-base disorders, which are partly dependent on patients' hydration status.en
heal.journalNameDiabetes Res Clin Practen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

Files in This Item:
File Description SizeFormat 
Elisaf-1996-Acid-base and electr.pdf412.79 kBAdobe PDFView/Open    Request a copy


This item is licensed under a Creative Commons License Creative Commons