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
DID YOU KNOW: “Evidence that significant harmful effects are derived from metabolic acidosis by itself has NOT been provided in human beings”
Sodium Bicarbonate does NOT treat metabolic acidosis (it just gives you numbers that make you happy about yourself while the patient dies) – Death by Sodium Bicarbonate