Peritoneal dialysis in hypernatraemic, ketoacidotic diabetic coma.

Abstract

Hypertonic dehydration in a 13-year-old boy with ketoacidotic diabetic coma has been treated successfully with peritoneal dialysis and isotonic fluids. Modes of treatment with either hypotonic or isotonic fluids are discussed, as is the feasibility of peritoneal dialysis. We recommend isotonic solutions composed of equal parts of 5.5% glucose and 0.9% sodium chloride combined with peritoneal dialysis in order to secure a relatively slow correction of the hypertonic state.

• Authors: K Køolendorf, B B Møoller
• Journal: Acta medica Scandinavica (Acta Med Scand) Vol. 200 Issue 1-2 Pg. 75-77 ( 1976) ISSN: 0001-6101 [Print] Sweden
• PMID: 822694 (Publication Type: Case Reports, Journal Article)

Chemical References

• Hypotonic Solutions
• Isotonic Solutions
• Sodium Chloride
• Glucose

Topics

• Adolescent
• Dehydration (complications, therapy)
• Diabetic Coma (complications, therapy)
• Diabetic Ketoacidosis (complications, therapy)
• Glucose (administration & dosage, therapeutic use)
• Humans
• Hypernatremia (complications, therapy)
• Hypotonic Solutions (therapeutic use)
• Infusions, Parenteral
• Isotonic Solutions (therapeutic use)
• Male
• Peritoneal Dialysis
• Sodium Chloride (administration & dosage, therapeutic use)