
Effect of Potassium Infusions on Serum Levels in Children during Treatment of Diabetic Ketoacidosis
Author(s) -
Sangita Basnet,
Rawan Musaitif,
Aayush Khanal,
Kimberly R. Powell,
Giovanna Caprirolo,
Ryan Majcina,
Randall Robbs
Publication year - 2020
Publication title -
journal of pediatric intensive care
Language(s) - English
Resource type - Journals
eISSN - 2146-4618
pISSN - 2146-4626
DOI - 10.1055/s-0039-1700981
Subject(s) - medicine , diabetic ketoacidosis , interquartile range , paediatric intensive care unit , potassium , anesthesia , pediatric intensive care unit , retrospective cohort study , ketoacidosis , diabetes mellitus , pediatrics , type 1 diabetes , endocrinology , organic chemistry , chemistry
A retrospective study was done to determine the effect of potassium (K + ) infusions on serum levels in children admitted to the pediatric intensive care unit (PICU) with diabetic ketoacidosis (DKA). Eighty-two percent of 92 cases studied received 40 mEq/L K + infusion over the treatment period of median 13.0 (interquartile range [IQR]: 7-18) hours. The median K + value at the end of this period was 3.9 (IQR: 3.4-4.2) mEq/L. There were 31 data points of low K + values (<3.5 mEq/L) and 4 high values (>5.5 mEq/L) during this treatment period. The K + infusions of 40 mEq/L may be sufficient to normalize serum K + when treating DKA.