Problem solving in clinical practice: the sick infant with low sodium and high potassium.
aldosterone
congenital adrenal hyperplasia
hyperkalaemia
hyponatraemia
neonatology
Journal
Archives of disease in childhood. Education and practice edition
ISSN: 1743-0593
Titre abrégé: Arch Dis Child Educ Pract Ed
Pays: England
ID NLM: 101220684
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
21
06
2019
revised:
22
01
2020
accepted:
05
02
2020
pubmed:
23
2
2020
medline:
16
11
2021
entrez:
23
2
2020
Statut:
ppublish
Résumé
Many paediatricians will be faced with a sick infant who on investigation is found to have hyponatraemia and hyperkalaemia at some time in their career. The focus of initial management includes the treatment of potentially life-threatening hyperkalaemia with concurrent investigation aiming to elucidate whether the underlying cause reflects a primarily renal or endocrine pathology. We describe the presentation of two infants who each presented with one of the more common underlying diagnoses that led to this biochemical disturbance and discuss the approach to immediate treatment, diagnostic work-up and longer term management.
Identifiants
pubmed: 32086340
pii: archdischild-2019-317756
doi: 10.1136/archdischild-2019-317756
doi:
Substances chimiques
Sodium
9NEZ333N27
Potassium
RWP5GA015D
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
23-27Informations de copyright
© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.