Chronic Alcoholic continued case

How to tackle such severe hypokalemia and hypoantremia in a chronic alcoholic patient with Hb 6.6, having megaloblastic anemia? Management Give your valuable opinion for this case

1 Like

LikeAnswersShare

Pt is alcoholic and having hb6.6gm reflects pt has CLD Hyponatremia and hypokalamia are significant reflecting deranged KFTS Compensate electrolyte imbalance by inj NS inj kcl Orally pt has to be on tab resodium or salt caps Kcl syp or k-gard can replace iv kcl Inj b12 for megaloblastic anaemia Clinically looks to be hepatorenal failure Hence further workout and modify line of treatment

Thanx dr Pushkar ji Bhomia
0

View 3 other replies

1) Blood transfusion 2 bottles Hyponetremia Inj Na Cl Hypkelemia Inj kesol followed by Liq Kesol Correct urgently

Thank you doctor
0

Adv admission in hospital 1)Megaloblastic anemia causes of cld with chronic alcoholic B12 level,folic acid level,iron study,stool r/m,USG abd and pelvis , endoscopy SOS Rx tab folvit 5mg bd*1month Tab limce 500 mg bd*15 days Inj vitcofol 2 cc I'm alternate days*5 days Then ones a week 2cc into 4 weeks Tab zental 400 mg od*2daya Alcohol stop 2) hyponatremia- 3% nacl with salt capsule 2cap qds with increased salt intake 3) hypokalaemia- inj kcl daily morning night*2days Syp kcl bd continue Daily morning night electrolyte After 10 days CBC repeat

Thank you doctor
0

Hypokalemia is treated with oral or intravenous potassium. To prevent cardiac conduction disturbances, intravenous calcium is administered to patients with hyperkalemic electrocardiography changes In general, hyponatremia is treated with fluid restriction (in the setting of euvolemia), isotonic saline (in hypovolemia), and diuresis (in hypervolemia). A combination of these therapies may be needed based on the presentation. Hypertonic saline is used to treat severe symptomatic hyponatremia.

Possibly absorption defect/ enteropathy. Iv kesol replacement is expected. Though prognosis is not good in such cases.

Thank you doctor
0

NEED'S.. HOSPITALIZATION.. ELECTROLYTES.. BT ..

Tnx &wc Dr Ajeet Pal Singh
0

View 1 other reply

Admit in advance set up Give iv NA and K

Rx Liv 52 tab 2tid Galo ghan tab 2tid Amyron tan 2tiSH tab 1 bd

Diseases Related to Discussion

Cases that would interest you