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Full-Text Articles in Medicine and Health Sciences
Case Report Of Subanesthetic Intravenous Ketamine Infusion For The Treatment Of Neuropathic Pain And Depression With Suicidal Features In A Pediatric Patient, Garret Weber, Ju-Han Yao, Shemeica Binns, Shinae Namkoong
Case Report Of Subanesthetic Intravenous Ketamine Infusion For The Treatment Of Neuropathic Pain And Depression With Suicidal Features In A Pediatric Patient, Garret Weber, Ju-Han Yao, Shemeica Binns, Shinae Namkoong
NYMC Faculty Publications
Chronic neuropathic pain and depression are often comorbid. Ketamine has been used to treat refractory pain. There is emerging evidence for use in depression. We present a case of a pediatric patient who was successfully treated with subanesthetic intravenous ketamine infusion for chronic neuropathic pain and suicidality.
A Case Of Diabetic Ketoacidosis Presenting With Hypernatremia, Hyperosmolarity, And Altered Sensorium, Vinod Kumar, Sushant M. Nanavati, Gabriel Melki, Mira Upadhyaya, Raman Dhillon, Patrick Michael, Monisha Singhal
A Case Of Diabetic Ketoacidosis Presenting With Hypernatremia, Hyperosmolarity, And Altered Sensorium, Vinod Kumar, Sushant M. Nanavati, Gabriel Melki, Mira Upadhyaya, Raman Dhillon, Patrick Michael, Monisha Singhal
NYMC Faculty Publications
Diabetic Ketoacidosis commonly presents with hyponatremia, but hypernatremia is a rare entity. We report a unique case of a 50-year-old woman admitted with altered sensorium with blood glucose 979 milligrams/deciliter, serum osmolarity 363 mOsm/kilograms, and serum sodium 144 milliequivalents/liter. Patient was given initial bolus of isotonic saline and continued on half isotonic saline for correction of hypernatremia along with insulin infusion therapy. Patient was successfully treated with intravenous fluids, insulin infusion, and the altered sensorium was resolved without any sequelae. This case illustrates a teaching point in the use of intravenous fluids for the treatment of Diabetic Ketoacidosis with hypernatremia.