Q: Do you need ABG (arterial blood gas) in DKA (Diabetic
Ketoacidosis)?
Answer: An Interesting study recently published from UK concluded that:
"A venous blood sample, analysed on a blood
gas machine, is sufficiently reliable to assess pH, bicarbonate and potassium
concentrations in critically ill patients, suggesting that venous sampling alone
is appropriate in the management of diabetic
ketoacidosis."
Reference:
Herrington WG, Nye HJ, Hammersley MS, Watkinson PJ. Are arterial and venous samples clinically equivalent for the estimation of pH, serum bicarbonate and potassium concentration in critically ill patients?. Diabet Med. Jan 2012;29(1):32-5.
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