Paradoxical Hyperkalemia In Dka

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Pediatric Diabetic Ketoacidosis

Pediatric Diabetic Ketoacidosis Authors: Katia M. Lugo-Enriquez, MD, FACEP, Faculty, Florida Hospital Emergency Medicine Residency Program, Orlando, FL. Nick Passafiume, MD, Florida Hospital Emergency Medicine Residency Program, Orlando, FL. Peer Reviewer: Richard A. Brodsky, MD, Pediatric Emergency Medicine, St. Christopher's Hospital for Children, Assistant Professor, Drexel University, Philadelphia, PA. Children with diabetes, especially type 1, remain at risk for developing diabetic ketoacidosis (DKA). This may seem confounding in a modern society with such advanced medical care, but the fact remains that children who are type 1 diabetics have an incidence of DKA of 8 per 100 patient years.1 In fact, Neu and colleagues have noted in a multicenter analysis of 14,664 patients in Europe from 1995 to 2007 that there was no significant change in ketoacidosis presenting at diabetes onset in children.2 In children younger than 19 years old, DKA is the admitting diagnosis in 65% of all hospital admissions of patients with diabetes mellitus.3 This article reviews the presentation, diagnostic evaluation, treatment, and potential complications associated with pediatric DKA. — The Editor Continue reading >>

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Popular Questions

  1. crush1staid - 01/17/10 19:33

    well u know half the answer , there is shift from intra to extra cellular ,thus the patient will have Hyper K and when we treat DKA we MUST give the maintance of K bcz insulin will shift K to inra cellular.
    If not giving K with tx then we will produce Hypo K .
    In ICU treating DKA ,K started after making sure pt is urinating.
    I hope this will help.

  2. studyin4ck - 01/18/10 04:29

    so is it right to say total body pottasium is decreased but serum potassium is increased.

  3. eurogirl - 01/19/10 09:40

    You are right guest123, this is the thing!

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