Correcting hypokalaemia in a paediatric patient with Bartter syndrome through oral dose of potassium chloride intravenous solution
Bartter syndrome is a rare autosomal recessive disorder characterized by hypokalaemia. Hypokalaemia is defined as low serum potassium concentration ˂3.5 mmol/L, which may lead to arrhythmia and death if left untreated. The aim of this case report was to normalize serum potassium concentration withou...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-05-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X211019789 |
| _version_ | 1818873468622471168 |
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| author | Salman Alasfour Haya S Alfailakawi Yousif A Shamsaldeen |
| author_facet | Salman Alasfour Haya S Alfailakawi Yousif A Shamsaldeen |
| author_sort | Salman Alasfour |
| collection | DOAJ |
| description | Bartter syndrome is a rare autosomal recessive disorder characterized by hypokalaemia. Hypokalaemia is defined as low serum potassium concentration ˂3.5 mmol/L, which may lead to arrhythmia and death if left untreated. The aim of this case report was to normalize serum potassium concentration without the need for intravenous intervention. A 5-month-old male of 2.7 kg body weight diagnosed with Bartter syndrome was admitted to the general paediatric ward with acute severe hypokalaemia and urinary tract infection. The main challenge was the inability to administer drugs through intravenous route due to compromised body size. Therefore, we shifted the route of administration to the nasogastric tube/oral route. A total of 2 mL of concentrated intravenous potassium chloride (4 mEq potassium) were dissolved in distilled water and administered through nasogastric tube. Serum potassium concentration was rapidly normalized, which culminated in patient discharge. In conclusion, shifting drug administration from intravenous to oral route in a paediatric patient with Bartter syndrome includes numerous advantages such as patient convenience, minimized risk of cannula-induced infection, and reduced nurse workload. |
| first_indexed | 2024-12-19T12:55:11Z |
| format | Article |
| id | doaj.art-e32c7d92355c4321bb6f2e3157f4e5d6 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-19T12:55:11Z |
| publishDate | 2021-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-e32c7d92355c4321bb6f2e3157f4e5d62022-12-21T20:20:24ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2021-05-01910.1177/2050313X211019789Correcting hypokalaemia in a paediatric patient with Bartter syndrome through oral dose of potassium chloride intravenous solutionSalman Alasfour0Haya S Alfailakawi1Yousif A Shamsaldeen2Paediatric Department, Al Adan Hospital, Ahmadi Medical Governorate, Hadiya, KuwaitAl Adan Paediatric Pharmacy, Kuwait-Al Adan Joint Hospital, Kuwait Hospital, Sabah Al Salem, KuwaitSt. George’s University of London, Cranmer Terrace, Tooting, LondonBartter syndrome is a rare autosomal recessive disorder characterized by hypokalaemia. Hypokalaemia is defined as low serum potassium concentration ˂3.5 mmol/L, which may lead to arrhythmia and death if left untreated. The aim of this case report was to normalize serum potassium concentration without the need for intravenous intervention. A 5-month-old male of 2.7 kg body weight diagnosed with Bartter syndrome was admitted to the general paediatric ward with acute severe hypokalaemia and urinary tract infection. The main challenge was the inability to administer drugs through intravenous route due to compromised body size. Therefore, we shifted the route of administration to the nasogastric tube/oral route. A total of 2 mL of concentrated intravenous potassium chloride (4 mEq potassium) were dissolved in distilled water and administered through nasogastric tube. Serum potassium concentration was rapidly normalized, which culminated in patient discharge. In conclusion, shifting drug administration from intravenous to oral route in a paediatric patient with Bartter syndrome includes numerous advantages such as patient convenience, minimized risk of cannula-induced infection, and reduced nurse workload.https://doi.org/10.1177/2050313X211019789 |
| spellingShingle | Salman Alasfour Haya S Alfailakawi Yousif A Shamsaldeen Correcting hypokalaemia in a paediatric patient with Bartter syndrome through oral dose of potassium chloride intravenous solution SAGE Open Medical Case Reports |
| title | Correcting hypokalaemia in a paediatric patient with Bartter syndrome through oral dose of potassium chloride intravenous solution |
| title_full | Correcting hypokalaemia in a paediatric patient with Bartter syndrome through oral dose of potassium chloride intravenous solution |
| title_fullStr | Correcting hypokalaemia in a paediatric patient with Bartter syndrome through oral dose of potassium chloride intravenous solution |
| title_full_unstemmed | Correcting hypokalaemia in a paediatric patient with Bartter syndrome through oral dose of potassium chloride intravenous solution |
| title_short | Correcting hypokalaemia in a paediatric patient with Bartter syndrome through oral dose of potassium chloride intravenous solution |
| title_sort | correcting hypokalaemia in a paediatric patient with bartter syndrome through oral dose of potassium chloride intravenous solution |
| url | https://doi.org/10.1177/2050313X211019789 |
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