NYMC Faculty Publications
DOI
10.1155/2018/4806598
Journal Title
Case Reports in Endocrinology
First Page
Art. ID.: 4806598
Document Type
Article
Publication Date
7-1-2018
Department
Medicine
Abstract
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.
Recommended Citation
Kumar, V., Nanavati, S., Melki, G., Upadhyaya, M., Dhillon, R., Michael, P., & Singhal, M. (2018). A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium. Case Reports in Endocrinology, 2018, Art. ID.: 4806598. https://doi.org/10.1155/2018/4806598
Publisher's Statement
Originally published in Case Reports in Endocrinology, 2018, [Article 4806598]. The original material can be found here.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Comments
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