Balance

Released on 25/07/2014

Key Learning Points

  • Alkalinization in salicylate poisoning
  • Fluid management in diabetic ketoacidosis
  • Gastric Decontamination in salicylate poisoning
  • Hemodialysis vs. Continuous Renal Replacement Therapy (CRRT)
  • Metformin Induced Lactic Acidosis (MALA)
  • Monitoring plasma salicylate levels
  • Precipitating factors of diabetic ketoacidosis
  • Selection of fluid for alkalinisation
  • Usage of activated charcoal
  • Use of insulin in diabetic ketoacidosis

References

1. O'MALLEY GERALD F.. Emergency Department Management of the Salicylate-Poisoned Patient. Emergency Medicine Clinics of North America [online] 2007 May, 25(2):333-346 [viewed 22 July 2014] Available from: doi:10.1016/j.emc.2007.02.012
2. GLEN E HASTINs. Aspirin overdose. [online] 2005 November 10. Available from: http://wichita.kumc.edu/hastings/aspirin_overdose.pdf
3. ALBERTSON TE, OWEN KP, SUTTER ME, CHAN AL. Gastrointestinal decontamination in the acutely poisoned patient Int J Emerg Med [online] :65 [viewed 23 July 2014] Available from: doi:10.1186/1865-1380-4-65
4. BELLOMO R, RONCO C. Continuous haemofiltration in the intensive care unit Crit Care [online] 2000, 4(6):339-345 [viewed 22 July 2014] Available from: doi:10.1186/cc718
5. DARGAN P, WALLACE C, JONES A. An evidence based flowchart to guide the management of acute salicylate (aspirin) overdose Emerg Med J [online] 2002 May, 19(3):206-209 [viewed 23 July 2014] Available from: doi:10.1136/emj.19.3.206
6. TRACHTENBARG DE. Diabetic ketoacidosis. Am Fam Physician [online] 2005 May 1, 71(9):1705-14 [viewed 22 July 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/15887449
7. Ravindra L. Mehta . Supportive Therapies:Intermittent Hemodialysis,Continuous Renal Replacement Therapies, and Peritoneal Dialysis. [viewed 22 July 2014] Available from: http://www.cybernephrology.ualberta.ca/cn/Schrier/Volume1/chap19/ADK1_19_1-3.pdf
8. Kitabchi AE, Umpierrez GE, Murphy MB, Barrett EJ, Kreisberg RA, Malone JI, et al. Hyperglycemic Crises in Diabetes. Diabetes Care [online] 2004 January, 27(90001):94S-102 [viewed 22 July 2014] Available from: doi:10.2337/diacare.27.2007.S94
9. VON MACH MA, SAUER O, SACHA WEILEMANN L. Experiences of a poison center with metformin-associated lactic acidosis. Exp Clin Endocrinol Diabetes [online] 2004 Apr, 112(4):187-90 [viewed 24 July 2014] Available from: doi:10.1055/s-2004-817931
10. RENDA F, MURA P, FINCO G, FERRAZIN F, PANI L, LANDONI G. Metformin-associated lactic acidosis requiring hospitalization. A national 10 year survey and a systematic literature review. Eur Rev Med Pharmacol Sci [online] 2013 Feb:45-9 [viewed 24 July 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/23436666