Comparison of arterial and venous blood gas values in the initial emergency department evaluation of patients with diabetic ketoacidosis

Annals of Emergency Medicine
M A Brandenburg, D J Dire

Abstract

To determine whether venous blood gas values can replace arterial gas values in the initial emergency department evaluation of patients with suspected diabetic ketoacidosis. This prospective comparison was performed in an adult university teaching hospital ED. Samples for arterial and venous blood gas analysis were obtained during initial ED evaluations. The venous gas samples were collected with samples for other blood tests at the time of intravenous line insertion. Both arterial and venous samples were obtained before the initiation of treatment. Data from 44 episodes of diabetic ketoacidosis in 38 patients were analyzed. Laboratory findings of those patients with diabetic ketoacidosis were as follows (mean +/- SD): arterial pH, 7.20 +/- 14; venous pH, 7.17 +/- 13; serum glucose, 33.8 +/- 16 mmol/L (609 +/- 288 mg/dL); arterial HCO3-, 11.0 +/- 6.0 mmol; venous HCO3-, 12.8 +/- 5.5 mmol/L; serum CO2, 11.8 +/- 5.0 mmol/L; and anion gap, 26.7 +/- 7.6 mmol/L. The mean difference between arterial and venous pH values was 0.03 (range 0.0 to 0.11). Arterial and venous pH results (r = .9689) and arterial and venous HCO3- results (r = .9543) were highly correlated and showed a high measure of agreement. Venous blood gas measurements a...Continue Reading

References

May 1, 1978·Annals of Internal Medicine·R A Kreisberg
Aug 1, 1992·Diabetes Care·S F WetterhallF Vinicor
Jan 1, 1988·Diabetic Medicine : a Journal of the British Diabetic Association·P J Hale, M Nattrass
Jan 1, 1967·Scandinavian Journal of Clinical and Laboratory Investigation·W Torjussen, S Nitter-Hauge
Jun 1, 1982·Annals of Emergency Medicine·E E Moore, J T Good
Nov 1, 1993·The American Journal of the Medical Sciences·W D Paulson, M F Gadallah
Feb 1, 1996·Annals of Emergency Medicine·E J Gallagher
Jun 1, 1996·Diabetic Medicine : a Journal of the British Diabetic Association·D R Meeking, A J Krentz
Jan 1, 1961·Clinica Chimica Acta; International Journal of Clinical Chemistry·A H MAAS, A van HEIJST
Jan 1, 1961·Clinica Chimica Acta; International Journal of Clinical Chemistry·A H MAAS, A van HEIJST
Oct 1, 1961·The American Journal of the Medical Sciences·E G PAINEL A SOLOFF
Jan 1, 1964·Acta Anaesthesiologica Scandinavica·W S HOWLANDT W MURPHY
Jan 1, 1962·Acta Anaesthesiologica Scandinavica·E J KNUDSEN, P HANSEN
Jul 1, 1948·The Journal of Clinical Investigation·S S KetyC F Schmidt

❮ Previous
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Citations

Dec 3, 2003·Indian Journal of Pediatrics·Chellam KirubakaranE Kalaranjini Sundaravalli
Apr 28, 2005·Annals of Emergency Medicine·Allyson Kreshak, Esther H Chen
May 1, 2008·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Marianne ToftegaardSteen Andreassen
Dec 10, 2009·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Beng Leong Lim, Anne-Maree Kelly
Sep 15, 2007·Journal of Paediatrics and Child Health·Yuri Gilhotra, Paul Porter
May 16, 2003·Emergency Medicine Journal : EMJ·R D Hardern, N D Quinn
Jul 22, 2006·Emergency Medicine Journal : EMJ·P MiddletonM Robertson
Apr 25, 2008·Journal of Zoo and Wildlife Medicine : Official Publication of the American Association of Zoo Veterinarians·Conor KilgallonDeclan O'Donovan
Dec 19, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Richard TregerDalila Corry
Aug 13, 2014·Archivos de cardiología de México·Luis Efren Santos-MartínezMoisés Cutiel Calderón-Abbo
Dec 1, 2004·QJM : Monthly Journal of the Association of Physicians·T M Wallace, D R Matthews
Sep 3, 2013·Current Emergency and Hospital Medicine Reports·William FordCandace D McNaughton
Mar 16, 2016·Metabolism: Clinical and Experimental·Ebenezer A Nyenwe, Abbas E Kitabchi
May 16, 2014·Canadian Journal of Diabetes·Jeannette GoguenJeremy Gilbert
Sep 25, 2010·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Zahid Hussain KhanJalil Makarem
Oct 22, 2008·The Journal of Emergency Medicine·Irwani IbrahimSunil Sethi
Dec 19, 2008·The American Journal of Emergency Medicine·Akira UmedaYasumasa Okada
Nov 28, 2006·Diabetes Research and Clinical Practice·Otto M HenriksenOle Lander Svendsen
Feb 4, 2006·Emergency Medicine Australasia : EMA·Anne-Maree Kelly
Sep 29, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael MenchineSanjay Arora
Dec 15, 2010·Emergency Medicine Australasia : EMA·Anne-Maree Kelly
Jun 26, 1999·Annals of Emergency Medicine·D McGillivrayS Treherne
Oct 21, 2005·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Nastaran Eizadi-MoodMahmood Saghaei
Jan 5, 2014·Respirology : Official Journal of the Asian Pacific Society of Respirology·Anthony L ByrnePaul S Thomas
Jan 9, 2001·Accident and Emergency Nursing·R Lewis
Dec 4, 2012·Emergency Medicine Clinics of North America·Gemma C LewisJefferson G Williams
Aug 7, 2013·Emergency Medicine Clinics of North America·Laura Olivieri, Rose Chasm
Sep 26, 2013·European Heart Journal. Acute Cardiovascular Care·J MasipB Cancio
Mar 11, 2004·Diabetic Medicine : a Journal of the British Diabetic Association·A M DissanayakeL Reed
Mar 1, 2012·Journal of Veterinary Diagnostic Investigation : Official Publication of the American Association of Veterinary Laboratory Diagnosticians, Inc·Christiane WeingartBarbara Kohn
Apr 22, 2011·Journal of Pharmacy Practice·Amy L Dzierba, Prasad Abraham
Oct 26, 2016·Menopause : the Journal of the North American Menopause Society·Lauren M FedericiPhilip L Johnson

❮ Previous
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