Severe hyperkalemia in a child with diabetic ketoacidosis: A case report

Autor: P Diksha Kaveriappa, S Sumithra, P Y Namratha Upadhya, N Kavitha Bhat
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Pediatric Critical Care, Vol 10, Iss 6, Pp 280-282 (2023)
Druh dokumentu: article
ISSN: 2349-6592
2455-7099
DOI: 10.4103/jpcc.jpcc_68_23
Popis: A 16-year-old boy with type 1 Diabetes Mellitus and autoimmune hypothyroidism presented with Diabetic Ketoacidosis (DKA) and severe hyperkalemia .Renal Function test were normal .Hyperkalemia resolved after increasing insulin infusion from 0.1u/kg /hr to 0.3u/kg/hr.Hyperkalemia in DKA is thought to be due to compromised renal function secondary to hypovolemia. But the higher Insulin rate needed to restore normal potassium level in this case , suggests that insulin deficit in itself could be one of the causes for hyperkalemia in DKA .
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