Hypernatremia in Diabetic Ketoacidosis: A Rare Metabolic Derangement Requiring a Cautionary Approach in Fluid Resuscitation.

Authors

Pooya Zardoost, OhioHealth
Zeryab Khan, OhioHealth
Henry L Wehrum, OhioHealth
Ryan Martin, OhioHealth

Document Type

Article

Publication Title

Cureus

Abstract

Diabetic ketoacidosis (DKA) with hypernatremia is an atypical metabolic derangement that warrants additional consideration in choosing IV fluids. Our patient, a middle-aged male with a history of insulin-dependent diabetes mellitus type 2 and hypertension, presented with DKA and hypernatremia in the setting of poor intake, community-acquired pneumonia (CAP), and COVID-19. DKA and hypernatremia led to a meticulous approach to fluid resuscitation, where a crystalloid solution was the choice in treating and preventing exacerbation of either condition. Successful treatment of these conditions requires understanding the unique pathophysiology, which demands further research on management.

First Page

36689

Last Page

36689

DOI

10.7759/cureus.36689

Publication Date

3-1-2023

Recommended Citation

Zardoost P, Khan Z, Wehrum HL, Martin R. Hypernatremia in Diabetic Ketoacidosis: A Rare Metabolic Derangement Requiring a Cautionary Approach in Fluid Resuscitation. Cureus. 2023 Mar 26;15(3):e36689. doi: 10.7759/cureus.36689. PMID: 37113360; PMCID: PMC10127550.