Case Series: Management of Hypernatremia in DKA in a Tertiary Healthcare Setting in a Developing Country

Diabetic ketoacidosis (DKA) commonly presents with hyponatremia, but hypernatremia is a rare case. We report two cases of hypernatremia, 54-year-old woman (case 1) admitted altered sensorium blood glucose unrecordably high, serum sodium 134 mmol/L and an 18-year-old girl 2) reduced levels consciousness, random sugar 21.2 121 mmol/L. Case 1 was hydrated isotonic saline values then escalated to 154 on day 2, reaching 166 4. 2 also given hypertonic for treatment the this patient rose 153 maximum 176 3. On both patients were switched half strength Darrow's correction along insulin therapy. The recovered fully discharged without any sequelae. These reports exhibit learning point in choice intravenous fluids DKA. They show need delay hyponatremia high levels.