Severe metabolic derangement: a case of concomitant diabetic ketoacidosis and beer potomania

2021 ◽  
Vol 14 (8) ◽  
pp. e243486
Author(s):  
Dmitriy Stasishin ◽  
Patrick Schaffer ◽  
Zeryab Khan ◽  
Christie Murphy

Diabetic ketoacidosis (DKA) and hyponatraemia associated with beer potomania are severe diagnoses warranting intensive care level management. Our patient, a middle-aged man, with a history of chronic alcohol abuse and insulin non-compliance, presents with severe DKA and severe hyponatraemia. Correcting sodium and metabolic derangements in each disorder require significant attention to fluid and electrolyte levels. Combined they prove challenging and require an individualised approach to prevent the overcorrection of sodium. Furthermore, management of these conditions lends to the importance of understanding the pathophysiology behind their hormonal and osmotic basis.

1987 ◽  
Vol 11 (4) ◽  
pp. 368-371 ◽  
Author(s):  
Michael V Vitiello ◽  
Patricia N Prinz ◽  
Janelle P Personius ◽  
Maureen A Nuccio ◽  
Richard K Ries ◽  
...  

2010 ◽  
Vol 18 (2) ◽  
pp. 139-140
Author(s):  
Ria Gripaldo ◽  
Jennifer Tan ◽  
Rani Gundavarapu ◽  
Aliya Haider ◽  
Vel Sivapalan ◽  
...  

2010 ◽  
Vol 29 (2) ◽  
pp. S28-S29 ◽  
Author(s):  
P. Bonde ◽  
J. Bhama ◽  
R. Kormos ◽  
C. Bermudez ◽  
B. Sareyyupoglu ◽  
...  

1998 ◽  
Vol 22 (s5) ◽  
pp. 196S-200S ◽  
Author(s):  
George Fein ◽  
Daniel J. Fletcher ◽  
Victoria Sclafani

2006 ◽  
Vol 30 (9) ◽  
pp. 1624-1631 ◽  
Author(s):  
Lou Ann S. Brown ◽  
Robert T. Cook ◽  
Thomas R. Jerrells ◽  
Jay K. Kolls ◽  
Laura E. Nagy ◽  
...  

Biomag 96 ◽  
2000 ◽  
pp. 1011-1013
Author(s):  
D. Hill ◽  
V. A. Waldorf ◽  
J. D. Lewine ◽  
S. L. Provencal ◽  
T. Moyers ◽  
...  

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