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Among these are the anion gap (AG), serum bicarbonate (SB), p H, and serum lactate (SL) levels.
There are two possible strategies for the diagnostic detection of lactic acidosis.
Hardy Diagnostics Modified Thayer Martin (MTM) is a selective medium used in qualitative procedures for the isolation of Neisseria gonorrhoeae with suppression of most other gram-negative diplococci, gram-negative bacilli, gram-positive organisms, and yeast. In 1970, trimethoprim lactate was shown to be of value in the suppression of Proteus spp. ** Adjusted and/or supplemented as required to meet performance criteria. Media should not be used if there are any signs of deterioration (shrinking, cracking, or discoloration), hemolysis, contamination, or if the expiration date has passed.
The second strategy is to order routine chemistry and then if there is abnormality order follow up tests such as a serum lactate.
Introduction There has been an increase in patients having serum lactate drawn in emergency situations.
The objective of this study was to determine whether or not it was necessary to obtain a lactate level in patients with a normal serum bicarbonate level and anion gap.
Lactate creatinine ratio (L: C ratio) of 0.64 or higher in first passed urine of babies suffering severe intrapartum asphyxia has been shown to predict Hypoxic Ischaemic Encephalopathy (HIE).
Literature review shows that meconium is passed in distress and thin meconium results from mixing and dilution over time, which may be hours to days.
86 consecutive newborns, 36 to 42 weeks of gestation, with meconium staining of liquor, were recruited for the study.