Blog
About

0
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found

      Comparison of Blood Gas and Acid-Base Measurements in Arterial and Venous Blood Samples in Patients with Uremic Acidosis and Diabetic Ketoacidosis in the Emergency Room

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background/aims: The aim of this study was to examine a plausible correlation between venous and arterial blood gas values in acidotic patients with chronic uremia or diabetic ketoacidosis (DKA). Methods: A total of 152 arterial and 152 venous blood samples from uremic patients (n = 100), DKA patients (n = 21) and healthy controls (n = 31) were analyzed for measurements of blood gas and acid-base status. Results: The means of arterial and venous pH, and arterial and venous HCO<sup>–</sup><sub>3</sub> values for the uremic patients were 7.17 ± 0.14, 7.13 ± 0.14, 10.13 ± 4.26 and 11.86 ± 4.23 mmol/l, respectively. The respective mean differences between arterial and venous pH values and arterial and venous HCO<sup>–</sup><sub>3</sub> values were 0.04 ± 0.02 and –1.72 ± 0.42 mmol/l, respectively, for these patients. The means of the laboratory findings of DKA patients were arterial pH, 7.15 ± 0.15; venous pH, 7.10 ± 0.15; arterial HCO<sup>–</sup><sub>3</sub>, 8.57 ± 5.71 mmol/l and venous HCO<sup>–</sup><sub>3</sub>, 10.46 ± 5.73 mmol/l. The respective mean differences between arterial and venous pH and arterial and venous HCO<sup>–</sup><sub>3</sub> for this group were calculated to be 0.05 ± 0.01 and –1.88 ± 0.41 mmol/l. In the healthy controls, the means of arterial and venous pH, and arterial and venous HCO<sup>–</sup><sub>3</sub> values were 7.39 ± 0.02, 7.34 ± 0.02, 24.91 ± 0.82 and 26.57 ± 0.83 mmol/l, respectively. For the healthy controls the mean differences between the respective values in arterial and venous pH, and arterial and venous HCO<sup>–</sup><sub>3</sub> were 0.05 ± 0.01 and –1.66 ± 0.58 mmol/l. Although in healthy controls the correlation between arterial and venous pH values (r<sup>2</sup>: 0.595) and arterial and venous HCO<sup>–</sup><sub>3</sub> values (r<sup>2</sup>: 0.552) were moderate, these correlations were significantly increased in both the acidotic patient group (r<sup>2</sup>: 0.979 and 0.990) and the DKA group (r<sup>2</sup>: 0.989 and 0.995) Conclusion: A venous blood sample can be used to evaluate the acid-base status in uremic and DKA patients.

          Related collections

          Most cited references 1

          • Record: found
          • Abstract: not found
          • Article: not found

          Relationship between arterial and venous bicarbonate values

           R. Brashear (1979)
            Bookmark

            Author and article information

            Journal
            AJN
            Am J Nephrol
            10.1159/issn.0250-8095
            American Journal of Nephrology
            S. Karger AG
            0250-8095
            1421-9670
            2000
            August 2000
            01 September 2000
            : 20
            : 4
            : 319-323
            Affiliations
            Departments of aEmergency, bNephrology and cBiostatistics, Faculty of Medicine, Cukurova University, Adana, Turkey
            Article
            13607 Am J Nephrol 2000;20:319–323
            10.1159/000013607
            10970986
            © 2000 S. Karger AG, Basel

            Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

            Page count
            Figures: 2, Tables: 1, References: 19, Pages: 5
            Product
            Self URI (application/pdf): https://www.karger.com/Article/Pdf/13607
            Categories
            Clinical Study

            Comments

            Comment on this article