A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium
| Autor: | Patrick Michael, Mira Upadhyaya, Sushant M. Nanavati, Monisha Singhal, Gabriel Melki, Vinod Kumar, Sandra Gibiezaite, Raman Dhillon |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Osmole
lcsh:RC648-665 Osmotic concentration Diabetic ketoacidosis business.industry Endocrinology Diabetes and Metabolism Case Report 030204 cardiovascular system & hematology medicine.disease lcsh:Diseases of the endocrine glands. Clinical endocrinology 03 medical and health sciences Insulin infusion Serum osmolarity 0302 clinical medicine Bolus (medicine) Anesthesia medicine 030212 general & internal medicine Hypernatremia business Hyponatremia |
| Zdroj: | Case Reports in Endocrinology Case Reports in Endocrinology, Vol 2018 (2018) |
| ISSN: | 2090-651X 2090-6501 |
| Popis: | Diabetic Ketoacidosis commonly presents with hyponatremia, but hypernatremia is a rare entity. We report a unique case of a 50-year-old woman admitted with altered sensorium with blood glucose 979 milligrams/deciliter, serum osmolarity 363 mOsm/kilograms, and serum sodium 144 milliequivalents/liter. Patient was given initial bolus of isotonic saline and continued on half isotonic saline for correction of hypernatremia along with insulin infusion therapy. Patient was successfully treated with intravenous fluids, insulin infusion, and the altered sensorium was resolved without any sequelae. This case illustrates a teaching point in the use of intravenous fluids for the treatment of Diabetic Ketoacidosis with hypernatremia. |
| Databáze: | OpenAIRE |
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