Sodium bicarbonate therapy in DKA…DO NO HARM!!!

Sodium bicarbonate therapy in DKA (or any other acidosis for that matter) is associated with risks that outweigh NO BENEFITS…DO NO HARM!!!

  • Neither a recent systematic review nor the largest single retrospective cohort of severe DKA support routine use of bicarbonate therapy in DKA
  • Bicarbonate is associated with risk of cerebral oedema and prolonged hospitalisation in paediatric DKA

 

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