A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium
Joint Authors
Nanavati, Sushant
Singhal, Monisha
Kumar, Vinod
Melki, Gabriel
Upadhyaya, Mira
Dhillon, Raman
Gibiezaite, Sandra
Michael, Patrick
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-16
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Kumar, Vinod& Nanavati, Sushant& Melki, Gabriel& Upadhyaya, Mira& Dhillon, Raman& Gibiezaite, Sandra…[et al.]. 2018. A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium. Case Reports in Endocrinology،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1142976
Modern Language Association (MLA)
Kumar, Vinod…[et al.]. A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium. Case Reports in Endocrinology No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1142976
American Medical Association (AMA)
Kumar, Vinod& Nanavati, Sushant& Melki, Gabriel& Upadhyaya, Mira& Dhillon, Raman& Gibiezaite, Sandra…[et al.]. A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium. Case Reports in Endocrinology. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1142976
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1142976