Current views on the diagnosis and management of hypokalaemia in children

Zieg, Jakub; Gonsorcikova, Lucie; Landau, Daniel

doi:10.1111/apa.13398

Cited by 13 publications

(14 citation statements)

References 63 publications

(73 reference statements)

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“…Severe hypokalemia may be associated with giant U-waves created by T- and U-wave fusion. Tachyarrhythmia and rarely atrioventricular block may evolve [16–18]. In our case we did not observe such abnormalities typical to low potassium level in the ECG.…”

Section: Case Reportcontrasting

confidence: 49%

Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report

et al. 2019

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Background Hypophosphatemia has many causes, and is often encountered during DKA (Diabetic Ketoacidosis) treatment. However, it rarely requires clinical intervention. Case presentation Ventricular arrhythmia was observed in a 10-year-old girl with newly diagnosed type 1 diabetes mellitus and hypophosphatemia while undergoing treatment for ketoacidosis. Oral phosphate supplementation ceased ventricular arrhythmia almost completely. Conclusions The clinical signs of hypophosphatemia are potentially life-threatening. Therefore, physicians should be vigilant when treating patients who are at risk of hypophosphatemia. Severe hypophosphatemia accompanied by clinical symptoms requires oral or intravenous supplementation of phosphate.

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Section: Case Reportcontrasting

confidence: 49%

Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report

et al. 2019

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“…Although K + deficiency is uncommon, it might occur in persons with profuse sweating, in diarrhoeal disorders, Inflammatory Bowel Disease, dialysis, use of diuretics and laxatives and persistent eating pica (Viera and Wouk, 2015;McKenna, 2006). Hypokalemia is characterized by bloating, muscle weakness, fatigue, abdominal pain, cramping and constipation and might lead to potentially fatal heart arrhythmia especially in individuals with underlying heart disease (Zieg et al, 2016;Preuss and Clouatre, 2012). This study indicates that higher K + requirements can effectively be supplemented through appropriate choice of fruit based drinks.…”

Section: Na + and K + Intake Through Fruit Based Drinksmentioning

confidence: 78%

Sodium and potassium intake through juices and low alcohol beverages in Fiji

Prasad¹

2018

S. Pac. J. Nat. App. Sci.

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Sixty four different fruit juices, juice concentrates, soft drinks and beers, available in Fiji supermarkets were analysed for Na+ and K+ contents with a view to assess their potential for nutritional supplementation or exposure risk in daily life. Drinks fall in five broad categories of (a) fruit based drinks, (b) flavoured artificial drinks, (c) carbonated fizzy drinks, (d) sports drinks and (e) low alcohol drinks. The Na+, K+ contents in 100 mL of the drinks were found to be in fruit based drinks (Na+ 2–34 mg, K+ 84–246 mg), flavoured artificial drinks (Na+ + 0–59 mg), carbonated fizzy drinks (Na+ + 0–4 mg), sport drinks (Na+ 30–81 mg, K+ 0–40 mg) and beers (Na+ 1–14 mg, K+ 23–61 mg). All fruit based drinks contained significantly higher amount of potassiumas well as lower Na+/K+ ratio. Although Na+ overload is less likely to arise, except through sports drinks, fruit based drinks and beers could offer appreciable advantage in K+ supplementation. A shift towards popularization of fruit based drinks through policy decisions and taxation might have beneficial effect in controlling the growing epidemic of hypertension and CHD/CVD events in the long run in the country.

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“…La hipopotasemia usualmente tiene manifestaciones clínicas como fatiga, debilidad muscular, parálisis y alteraciones electrocardiográficas (15). Se evidenció en el caso presentado una hipopotasemia moderada sin los síntomas anteriormente mencionados, pero sí se observaron los cambios electrocardiográficos, similares a los reportados por Rustagi et al (16).…”

Section: Discussionunclassified

Manejo con cinco antihipertensivos en paciente con pubertad precoz. Reporte de caso

Ruiz-Rivera

Mendoza-Rojas

2018

iatreia

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Current views on the diagnosis and management of hypokalaemia in children

Abstract: Understanding the pathophysiology of hypokalaemic states, along with a detailed medical history, physical examination and specific laboratory tests are required for proper diagnosis and appropriate treatment.

Cited by 13 publications

References 63 publications

Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report

Ventricular bigeminy and trigeminy caused by hypophosphataemia during diabetic ketoacidosis treatment: a case report

Sodium and potassium intake through juices and low alcohol beverages in Fiji

Manejo con cinco antihipertensivos en paciente con pubertad precoz. Reporte de caso

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