Successful Use of Renal Replacement Therapy for Refractory Hypokalemia in a Diabetic Ketoacidosis Patient

Table 1

Timeline of selected laboratory values and treatments in our patient.

Hours post admission	Corrected sodium (mEq/L)	Potassium (mEq/L)	BUN (mg/dL)	Creatinine (mg/dL)	Magnesium (mg/dL)	Arterial pH
0	121	3.0	32	1.55	2.9	7.14
Administration of IV 50 mEq KCl, 1000 ml NaCl
5	123	3.1	28	1.11	2.5	7.09
Administration of IV 290 mEq KCl, 250 mEq NaHCO3
18	151	2.9	29	1.11	2.6	7.05
Initiation of hemodialysis with 4 mEq/L K-dialysis bath, 220 ml of positive fluid balance
25	147	3.6	21	0.87	2.4	7.47
Administration of IV insulin 4 U/h, 40 mEq KCl, 30 mmol K-Phos
29	146	2.6	18	0.86	2.0	7.43
Initiation of CVVH, 1,550 ml of positive fluid balance
32	141	3.4	21	1.05	1.9	7.39
40	145	4.1	16	0.88	2.1	7.39