Non-oliguric hyperkalemia in a very low birth weight neonate

Main Article Content

Jorge Alexis Pérez González
Osmany Martínez Lemus
Beatriz Miranda Coello

Abstract

Background: Non-oliguric hyperkalemia of the newborn occurs during the first 72 hours of life, mainly in those born before 28 weeks of gestational age. Case report: newborn of 27.2 weeks of gestational age, presenting hyperkalemia from the first hours of life, without oliguria and with adequate renal function (non-oliguric hyperkalemia). Clinically, he presented extreme bradycardia accompanied by electrocardiographic abnormalities (acuminate T waves and widening of the QRS complex). Several pharmacological treatment options were used, and no response was obtained; it was necessary to perform peritoneal dialysis, with which it was possible to normalize potassium concentrations and reverse the cardiac alterations presented. Conclusions: non-oliguric hyperkalemia in the newborn is an infrequent but severe complication that can compromise the patient's life if a timely diagnosis and treatment are not performed. In this neonate, peritoneal dialysis was an effective therapeutic option, allowing serum potassium concentrations to be normalized. There were no secondary complications when proceeding despite its extremely low weight.

Downloads

Download data is not yet available.

Article Details

How to Cite
Pérez González, J. A., Martínez Lemus, O., & Miranda Coello, B. (2023). Non-oliguric hyperkalemia in a very low birth weight neonate. Pediatría, 55(Suplemento 2), 7–11. https://doi.org/10.14295/rp.v55iSuplemento2.336
Section
Case report

References

Cavagnaro F. El riñón del niño prematuro: riesgos a largo plazo. Rev Chil Pediatr. 2020; 91(3):325-330. DOI: https://doi.org/10.32641/rchped.v91i3.1607

Monteverde ML. Injuria renal aguda neonatal. Rev Nefrol Dial Traspl. 2019; 39(2): 134-148.

Wright CJ, Posencheg MA, Seri I, Evans JR. Líquidos, electrólitos y equilibrio acidobasico. En: Gleason ChA, Juul SE. Avery. Enfermedades del recién nacido. 10ma ed. Barcelona: Elsevier; 2018. P 368-398. DOI: https://doi.org/10.1016/B978-0-323-40139-5.00030-9

Doherty EG. Control de líquidos y electrólitos. En: Eichenwald EC, Hansen AR, Martin CR, Stark AR. Cloherty and Starks Manual of Neonatal Care. South Asian Edition, New Delhi: Wolters Kluwer Health; 2021. P. 343-361.

Blanco Santos A. Homeostasis del potasio. Monog Nefrol. 2019; 1(1):11-20.

Flores Delgado A, Hernández García LR, Beltrán Reyes P, Silerio Maqueo G, Ahumada Ayala M. Homeostasia del potasio: bases fisiopatológicas de las tubulopatías hereditarias. Med Int Mex. 2021; 37(2):230-243.

Kwak JR, Gwon M, Lee JH, Park MS, Kim SH. Non-Oliguric Hyperkalemia in Extremely Low Birth Weight Infants. Yonsei Med J. 2013; 54(3):696-701. DOI: https://doi.org/10.3349/ymj.2013.54.3.696

Vidmar E, Pavcnik M. Treatment of non-oliguric hyperkalaemia with inhaled salbutamol in premature infants with severe respiratory distress syndrome. SIGNA VITAE. 2018; 14(1):88-91. DOI: https://doi.org/10.22514/SV141.032018.16

Kiran CR, Das SK, Udayakanth M, Amarendra M. ICH/IVH a consequence of Non Oliguric Hyperkalemia with Hypoglycemia in a late preterm with Perinatal Asphyxia: A case report. Int J Med Sci Clin Inv. 2015; 2(6): 1032-1034.

Xiong X, Chen D, Zhang J, Mao J, Li J. Nonoliguric hyperkalemia in a late preterm infant with severe birth asphyxia. Transl Pediatr. 2013; 2(1):48-52.

Pérez González E, Marín Serra J. Evaluación de la función renal en el recién nacido. Protoc Diagn Ter Pediatr. 2014; 1:37-51.

Mc Donough AA, Youn JH. Potassium homeostasis: The knowns, the unknowns, and the health benefits. Physiology. 2017; 32(2):100-111. DOI: https://doi.org/10.1152/physiol.00022.2016

Bohorquez Rivero JJ, Restom Arrieta J, Pineda Paternina M, Cantillo García K, Montoya Jaramillo M. Concepciones Diagnósticas y Manejo de Hiperpotasemia en el Paciente con Enfermedad Renal Crónica: Revisión a Propósito de un Caso Clínico. Arch Med. 2016; 16(2):1-6.

Kara A, Kaya Gurgoze M, Aydin M, Taskin E, Bakal U, Orman A. Acute peritoneal dialysis in neonatal intensive care unit: An 8 year experience of referral hospital. Pediatrics and Neonatology. 2018; 59:375-379. DOI: https://doi.org/10.1016/j.pedneo.2017.11.008

Comité Nacional de Nefrología. Consenso de Lesión Renal Aguda en el recién nacido. Arch Argent Pediatr. 2020; 118(1):50-58. DOI: https://doi.org/10.5546/aap.2020.s50

Similar Articles

<< < 1 2 3 4 5 6 > >> 

You may also start an advanced similarity search for this article.