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FLUID MANAGEMENT IN DIABETIC KETO- ACIDOSIS: NORMAL SALINE VS SALINE AND LACTATED RINGER

Not Applicable
Recruiting
Conditions
Nutritional, Metabolic, Endocrine
Registration Number
PACTR202301531884761
Lead Sponsor
Souissi Sami
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
230
Inclusion Criteria

Patients of both genders
Aged more than 16 years old
Admitted in the emergency department of moderate to severe ketoacidosis defined by:
hyperglycemia > 2.5 g/L
and Acetonuria > +
and pH< 7.25;
and HCO3- < 15 mmol/l
Anion gap (AG) > 12 mmol/l

Exclusion Criteria

- Patients with chronic renal failure (renal clearance less than 30 ml / minute
- Patients with state of shock defined by: SBP < 90 mmHg with signs of peripheral hypoperfusion.
- The association with severe pathology:
Myocardial ischemia,
Septic shock,
Acute pancreatitis,
Acute surgical pathology.
-Patients transferred before the end of the protocol
- Secondary hemodynamic instability requiring the use of vasoactive drugs
- Withdrawal of consent.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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