A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium
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....
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2018/4806598 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563277939343360 |
|---|---|
| author | Vinod Kumar Sushant M. Nanavati Gabriel Melki Mira Upadhyaya Raman Dhillon Sandra Gibiezaite Patrick Michael Monisha Singhal |
| author_facet | Vinod Kumar Sushant M. Nanavati Gabriel Melki Mira Upadhyaya Raman Dhillon Sandra Gibiezaite Patrick Michael Monisha Singhal |
| author_sort | Vinod Kumar |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-2de0db89038f4c4e9a2c52b8d1dc649b |
| institution | Kabale University |
| issn | 2090-6501 2090-651X |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-2de0db89038f4c4e9a2c52b8d1dc649b2025-02-03T01:20:33ZengWileyCase Reports in Endocrinology2090-65012090-651X2018-01-01201810.1155/2018/48065984806598A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered SensoriumVinod Kumar0Sushant M. Nanavati1Gabriel Melki2Mira Upadhyaya3Raman Dhillon4Sandra Gibiezaite5Patrick Michael6Monisha Singhal7Department of Internal Medicine, St. Joseph’s University Medical Center-New York Medical College, USADepartment of Internal Medicine, St. Joseph’s University Medical Center-New York Medical College, USADepartment of Internal Medicine, St. Joseph’s University Medical Center-New York Medical College, USADepartment of Internal Medicine, St. Joseph’s University Medical Center-New York Medical College, USADepartment of Family Medicine, St. Joseph’s University Medical Center-New York Medical College, USADepartment of Internal Medicine, St. Joseph’s University Medical Center-New York Medical College, USADepartment of Internal Medicine, St. Joseph’s University Medical Center-New York Medical College, USADepartment of Internal Medicine, St. Joseph’s University Medical Center-New York Medical College, USADiabetic 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.http://dx.doi.org/10.1155/2018/4806598 |
| spellingShingle | Vinod Kumar Sushant M. Nanavati Gabriel Melki Mira Upadhyaya Raman Dhillon Sandra Gibiezaite Patrick Michael Monisha Singhal A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium Case Reports in Endocrinology |
| title | A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium |
| title_full | A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium |
| title_fullStr | A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium |
| title_full_unstemmed | A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium |
| title_short | A Case of Diabetic Ketoacidosis Presenting with Hypernatremia, Hyperosmolarity, and Altered Sensorium |
| title_sort | case of diabetic ketoacidosis presenting with hypernatremia hyperosmolarity and altered sensorium |
| url | http://dx.doi.org/10.1155/2018/4806598 |
| work_keys_str_mv | AT vinodkumar acaseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT sushantmnanavati acaseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT gabrielmelki acaseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT miraupadhyaya acaseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT ramandhillon acaseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT sandragibiezaite acaseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT patrickmichael acaseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT monishasinghal acaseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT vinodkumar caseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT sushantmnanavati caseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT gabrielmelki caseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT miraupadhyaya caseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT ramandhillon caseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT sandragibiezaite caseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT patrickmichael caseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium AT monishasinghal caseofdiabeticketoacidosispresentingwithhypernatremiahyperosmolarityandalteredsensorium |