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Arch Dis Child 1998;78:70-71 ( January )

Serum bicarbonate and dehydration severity in gastroenteritis

Hassib Narchi

Al-Hasa Specialty Services Division, Saudi Aramco-Al-Hasa Health Center, Saudi Aramco Medical Services Organization, Box 6030, Mubarraz 31311, Kingdom of Saudi Arabia

Correspondence to: Dr Narchi.


Accepted 11 August 1997

The concentration of bicarbonate was measured in serum samples from 106 children with gastroenteritis and dehydration. A concentration less than 22 mmol/l was more common in children with severe dehydration, but the magnitude of bicarbonate reduction was not significantly different with increasing degrees of dehydration. Doctors should not rely on the serum bicarbonate concentration when assessing fluid deficit.

Keywords: dehydration; gastroenteritis; serum bicarbonate

© 1998 by Archives of Disease in Childhood


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