Death by Coconut

Hakimian, Justin; Goldbarg, Seth; Park, Chong H.; Kerwin, Todd

doi:10.1161/circep.113.000941

Cited by 5 publications

(3 citation statements)

References 3 publications

(5 reference statements)

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“…In health, CW consumption in moderation may provide and restore some lost micronutrients. However, increased intake of potassium by patients with diabetes, including those with reduced renal excretion or on potassium‐retaining medication, has the potential to increase the risk from hyperkalaemia. These groups of people should be advised on the potential harm from consumption of excessive amounts of CW drinks.…”

Section: Discussionmentioning

confidence: 85%

Coconut water drink and the risk of hyperkalaemia in diabetes

Devgun

2016

Practical Diabetes

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Coconut water is available as a substitute for table water and as a sports rehydrating drink. Because of the nature of its micronutrients, it may lead to biochemical changes that may not be beneficial for all groups of people.A patient with type 2 diabetes mellitus consumed daily around one litre of coconut water drink. As a result, there was a gradual increase in serum potassium. On cessation of beverage consumption, serum potassium decreased to within the reference interval. However, an increase in urea and creatinine concentration did not revert to the level seen prior to coconut water consumption. There was a decrease in serum alkaline phosphatase and zinc when consuming the beverage. Reduction occurred in diastolic blood pressure, estimated glomerular filtration rate, serum enzymes and zinc, while serum potassium concentration increased in this patient with type 2 diabetes. The observed changes resulted from consuming excessive quantities of coconut water drinks.In patients with diabetes and renal impairment and on potassium-retaining medication, there is a high risk of developing hyperkalaemia.

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Section: Discussionmentioning

confidence: 85%

Coconut water drink and the risk of hyperkalaemia in diabetes

Devgun

2016

Practical Diabetes

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“…Coconut water, which is increasingly popular as sports drink, is reportedly a cause of fatal cardiac arrhythmia following severe hyperkalemia [ 12 ]. Eight ounces of coconut water contain 600 mg of potassium [ 13 ]. King coconut (Cocos nucifera “king”) is a species of coconut which is native to Sri Lanka.…”

Section: Discussionmentioning

confidence: 99%

Acute Ascending Flaccid Paralysis Secondary to Multiple Trigger Factor Induced Hyperkalemia

Hemachandra

Dayasiri

Kannangara

2018

Case Reports in Neurological Medicine

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Background Acute flaccid paralysis is an uncommon, but potentially life threatening, sequel of severe hyperkalemia. Reported primary aetiologies include renal failure, Addison's disease, potassium sparing diuretics, potassium supplements, and dietary excess. Coconut water, when consumed in excess, has been reported to cause severe hyperkalemia. We report the case of acute ascending flaccid paralysis secondary to hyperkalemia induced by multiple trigger factors—king coconut water, renal failure, diabetes, metabolic acidosis, and potassium sparing diuretics. Case Presentation A 78-year-old man presented with acute ascending type flaccid paralysis over five-hour duration and subsequently developed preterminal cardiac arrhythmias secondary to severe hyperkalemia (serum potassium: 7.02 mEq/L). He was on Losartan and Spironolactone for ischemic heart disease. Dietary history revealed excessive intake of king coconut water (Cocos nucifera) over past one week. Electrocardiogram returned to normal rhythm and serum potassium was 6.1 mEq/L within 2 hours of institution of emergency management for life threatening hyperkalemia. Neurological symptoms completely recovered within twenty-four hours without the need for dialysis. Electromyogram three days after the initial presentation revealed normal findings. Conclusions The report describes a rare case of secondary hyperkalemic flaccid paralysis induced by multiple trigger factors. It is important that patients with risk factors for hyperkalemia are educated regarding avoiding excess dietary potassium. Regular follow-up of these patients is mandatory with review of medication related side effects and serum electrolytes.

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“…Adanya perbedaan kelangsungan hidup dari penelitian tersebut diduga akibat memampuan tiap jenis ikan dalam manfaatkan air kelapa juga berbeda. Hal ini sesuai pernyataan Hakimian (2014), bahwa konsumsi air kelapa secara berlebihan dapat memberikan efek berbahaya bahkan kematian.…”

Section: Pembahasanunclassified

Pengaruh lama perendaman menggunakan air kelapa terhadap maskulisasi ikan lele masamo (Clarias sp)

Laheng¹,

Widyastuti²

2019

AA: ASC

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AbstrakTujuan penelitian untuk mengetahui bagaimana proses maskulinisasi pada ikan lele masamo dan bagaimana hasil maskulinisasi ikan lele masamo menggunakan air kelapa. Penelitian ini dilaksanakan di Balai Benih Ikan Lokal Tatatanga, Kota Palu. Hewan uji yang digunakan dalam penelitian ini yaitu larva ikan lele masamo (Clarias sp) berjumlah 360 ekor berumur 7 hari. Rancangan penelitian yang digunakan rancangan acak lengkap (RAL) dengan empat perlakuan dan tiga kali ulangan, yaitu : P1 (lama waktu perendaman 5 jam), P2 (lama waktu perendaman 10 jam), P3 (lama waktu perendaman 15 jam) dan P4 (lama perendaman 20 jam). Larva ikan Lele masamo berumur 7 hari direndam dalam air kelapa dengan dosis 30%/L. Pengamatan dilakukan pada umur ikan 40 hari. Hasil penelitian menunjukkan rata-rata jumlah persentase ikan lele jantan pada perlakuan P1; P2; P3 dan P4 masing-masing adalah 53,89; 65,56; 44,44 dan 0,00%. Perlakuan P2 efektif dalam maskulinisasi ikan lele masamo melalui perendaman air kelapa.Kata kunci: maskulinisasi; lele masamo; air kelapa; pertumbuhanAbstractThis present work aimed to investigate the masculinization of masamo catfish (Clarias sp) larvae by immersion with coconut water. The experiment was carried out in local fish nurtury centre in Tatatanga, Palu. The 7-days-old larvae (360 individuals) of masamo catfish was used. A completely randomized design was arranged, using four levels of immersion time: 5, 10, 15, and 20 (named as P1, P2, P3, and P4, respectively). The immersion was carried out in coconut water and made three triplicates. After the fish reached 40 days old, the treatment efficacy was evaluated. The results showed that the percentage of male catfish differed sharply, i.e. 53,89% (P1), 65,56% (P2), 44,44% (P3), and 0,00% (P4). To sum up, we concluded that P2 demonstrated the highest percentage, being the most effective masculinization treatment on masamo catfish.Keywords: masculinization; masamo catfish; coconut water; growth

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Death by Coconut

Cited by 5 publications

References 3 publications

Coconut water drink and the risk of hyperkalaemia in diabetes

Coconut water drink and the risk of hyperkalaemia in diabetes

Acute Ascending Flaccid Paralysis Secondary to Multiple Trigger Factor Induced Hyperkalemia

Pengaruh lama perendaman menggunakan air kelapa terhadap maskulisasi ikan lele masamo (Clarias sp)

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