S. Sumithra, PDiksha Kaveriappa, PY Namratha Upadhya, NKavitha Bhat
{"title":"糖尿病酮症酸中毒患儿的严重高钾血症:病例报告","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":"64 1","pages":"280 - 282"},"PeriodicalIF":0.0000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"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\":\"64 1\",\"pages\":\"280 - 282\"},\"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}","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}
Severe hyperkalemia in a child with diabetic ketoacidosis: A case report
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 .