Correlation Between Serum Chloride and Anion Gap Levels in DKA Patients

2.2 Aim(s) of the Research (50 words max):To examine the description and correlation of changes in the serum chloride levels and changes in the anion gap values before and after fluid resuscitation in patients with DKA and to examine the description and correlation of changes in the serum chloride.relation of serum chloride and outcome in patients with DKA

Inclusion Criteria:any patients admitted to intensive care unit, critical care unit in Assuit university from 15 yrs to 70Blood glucose level >250 mg/dl ( normal 70-100)Ph<7.3 ( normal PH 7.35- 7.45)Hco3<15 m mol/litre ( normal HCO3 22-26)Serum chloride before resucitation <107m mol/litre (normal 96- 106)Urea <6.5 m mol/litreS.create <120 m mol/litreExclusion Criteria:Patients receiving chemotherapy, diuretics, corticosteroids, laxativesPatients diagnosed to have Addison diseasePatients with chronic kidney disease and acute kidney injury, end stage renal disease, renal tubular acidosisPatients with malabsorpion syndrome ( celiac disease, crohn's , celiac disease )Patients with chronic respiratory acidosis (asthma, COPD, pulmonary fibrosis, neuromuscular disorders)Patients with diarrhea