Severe hypokalemia due to combination use of dexamethasone and calcium gluconate for diabetics with infection: a case report

Han, SQ; Qin, ZQ; Deng, KF; Zhang, JH; Liu, NG; Zou, DH; Li, ZD; Shao, Y; Huang, P; Chen, YJ

HERO ID

4944841

Reference Type

Journal Article

Year

2014

Language

English

PMID

25434095

HERO ID 4944841
In Press No
Year 2014
Title Severe hypokalemia due to combination use of dexamethasone and calcium gluconate for diabetics with infection: a case report
Authors Han, SQ; Qin, ZQ; Deng, KF; Zhang, JH; Liu, NG; Zou, DH; Li, ZD; Shao, Y; Huang, P; Chen, YJ
Journal Fayixue Zazhi
Volume 30
Issue 4
Page Numbers 304-306
Abstract The combination use of dexamethasone and calcium gluconate can be applied to hypersensitivity. Severe hypokalemia is a usual complication of dexamethasone and calcium gluconate therapy, which occurs frequently with therapeutic use. Fatal cases, accidental and intentional, occur frequently in forensic practice. The current case report presented a 43-year-old man with diabetes mellitus with infection, to whom dexamethasone and calcium gluconate were administered in the private clinic. With the development of such clinical symptoms of severe hypokalemia as quadriplegia, he was confirmed to have severe hypokalemia through a biochemical test before dying of arrhythmia. And also it presented pathophysiologic mechanism underlying severe hypokalemia as well as suggestions for clinical practice regarding combination use of dexamethasone and calcium gluconate.
Pmid 25434095
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English