Source:http://linkedlifedata.com/resource/pubmed/id/18288072
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2008-2-21
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pubmed:abstractText |
Diabetic ketoacidosis is a severe complication of type I diabetes. A 13-year-old female (40 kg) patient was admitted to our Intensive Care Unit with severe metabolic acidosis (pH: 6.8), hyperglycemia (835 mg/dL) and coma. Her hemodynamic conditions were unstable and, even though a large amount of plasma expanders, crystalloids, and inotropic support were supplied, the patient went into cardiac arrest in the first hour of treatment. After resuscitation, a better hemodynamic balance was achieved and metabolic acidosis was treated with fluid replacement therapy, continuous insulin infusion, and Tris-hydroxymethyl aminomethane (THAM) as a buffering agent. This therapy rapidly improved her metabolic conditions. The patient was discharged 5 days after Intensive Care Unit admission in good condition and without neurological sequelae.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
1827-1596
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
74
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
93-5
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pubmed:meshHeading | |
pubmed:year |
2008
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pubmed:articleTitle |
Treatment of severe diabetic acidosis with tris-hydroxymethyl aminomethane in a thirteen-year-old child.
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pubmed:affiliation |
DEA-Area Rossa, Bambino Gesù' Pediatric Hospital , IRCCS, Rome, Italy. marcomarano@yahoo.it
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pubmed:publicationType |
Journal Article,
Case Reports
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