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Revista Mexicana de Pediatría

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2007, Number 2

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Rev Mex Pediatr 2007; 74 (2)

Extreme hypokalemia in an adolescent girl

Tavera HM, Chavolla CMB, Sonabend F, Richheimer WR
Full text How to cite this article

Language: Spanish
References: 10
Page: 74-79
PDF size: 85.63 Kb.


Key words:

Hypokalemia, potassium, vomiting, electrolytic imbalance, dehydration.

ABSTRACT

We report of a 12 year-old girl who presented with severe hypokalemia, as low as 1.6 mEq/L, secondary to repeated vomiting and prolonged fasting. Management was complex due to the degree of the fluid and electrolyte imbalance. In the few published reports of severe hypokalemia in previously healthy patients we have not found cases as severe as the one which is presented.


REFERENCES

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  5. Harrison‘s. Principles of Internal Medicine vol. I 15th ed. New York: McGraw-Hill. 2001: 278-81.

  6. Nelson Textbook of Pediatrics. 17th Edition. Barcelona: Saunders. Elsevier. 2004: 199-202.

  7. Guyton H. Tratado de Fisiología Médica. 9a ed. México: McGraw-Hill Interamericana. 1997: 412.

  8. Fletcher GF, Hurst W, Schlant RC. Electrocardiographic changes in severe hypokalemia. Am J Cardiol 1967; 20: 628-31.

  9. Batlle DC, Sabatini S, Kurtzman NA. On the mechanism of toluene-induced renal tubular acidosis. Nephron 1988; 49: 210-8.

  10. Paltiel O, Salakhov E, Ronen I, Berg D, Israeli A. Management of severe hypokalemia in hospitalized patients: A study of quality of care based on computerized databases. Arch Intern Med 2001; 161: 1089-95.




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C?MO CITAR (Vancouver)

Rev Mex Pediatr. 2007;74