S. Sumithra, PDiksha Kaveriappa, PY Namratha Upadhya, NKavitha Bhat
{"title":"Severe hyperkalemia in a child with diabetic ketoacidosis: A case report","authors":"S. Sumithra, PDiksha Kaveriappa, PY Namratha Upadhya, NKavitha Bhat","doi":"10.4103/jpcc.jpcc_68_23","DOIUrl":null,"url":null,"abstract":"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 .","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Critical Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jpcc.jpcc_68_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
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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