Is Serum Lactate Necessary in Patients with Normal Anion Gap and Serum Bicarbonate?
| Autor: | Michael Dalley, Lydia Howard, Cynhtia Rivera Md, Daniel Aronovich, Maykel Trotter, Robert Goldszer, Sharon Licciardi, Luigi X. Cubeddu, David A. Farcy, Michel Betancourt |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Critical Care Bicarbonate lcsh:Medicine Anion gap Acid-Base Imbalance Gastroenterology Serum lactate shock emergency laboratory assessment Evidence-Based Emergency Medicine chemistry.chemical_compound Predictive Value of Tests Internal medicine Medicine Humans In patient Practice Patterns Physicians' Original Research Aged Retrospective Studies Acid-Base Equilibrium business.industry lcsh:R lcsh:Medical emergencies. Critical care. Intensive care. First aid Shock lcsh:RC86-88.9 General Medicine medicine.disease Cell Hypoxia Surgery Bicarbonates chemistry Shock (circulatory) Practice Guidelines as Topic Emergency Medicine Lactates Acidosis Lactic Female Serum lactate Acid–base reaction medicine.symptom business Anaerobic exercise Acid–base imbalance |
| Zdroj: | Western Journal of Emergency Medicine Aronovich, Daniel; Trotter, Maykel; Rivera MD, Cynhtia; Dalley, Michael; Farcy, David; Betancourt, Michel; et al.(2015). Is Serum Lactate Necessary in Patients with Normal Anion Gap and Serum Bicarbonate?. Western Journal of Emergency Medicine, 16(3). doi: 10.5811/westjem.2015.2.23906. Retrieved from: http://www.escholarship.org/uc/item/3gd074cw Western Journal of Emergency Medicine, Vol 16, Iss 3, Pp 364-366 (2015) |
| ISSN: | 1936-9018 1936-900X |
| DOI: | 10.5811/westjem.2015.2.23906. |
| Popis: | Introduction: There has been an increase in patients having serum lactate drawn in emergency situations. The objective of this study was to determine whether or not it was necessary to obtain a lactate level in patients with a normal serum bicarbonate level and anion gap. Methods: This is a retrospective chart review evaluation of 304 patients who had serum lactate and electrolytes measured in an emergency setting in one academic medical center. Results: In 66 patients who had elevated serum lactate (>2.2mmol/L), 45 (68%) patients had normal serum bicarbonate (SB) (greater than 21 mmol/L). Normal anion gap (AG) (normal range |
| Databáze: | OpenAIRE |
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