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theas potassium keeps going up

ok, this is getting sent to p101, p102, brestfeeding, and my own journal. this is written at 4 am, so yes there are spelling mistakes so suck it.


my DD (4 months) had some blood drawn when we were in emerge for her reflux. they tested her potassium as a rutine draw. we ended up going on boxing day to the doctor who was covering our GP as her potassium and blood count was high. he wanted to re do the potassium becouse it was done as a heal stick and thought it could be artificaly elevated. and wanted to get a blood draw from a vein so to go to the hosptal.

we went on last tuesday to get a blood draw from the hosptal (monday they were closed becouse of boxing day) and yesterday i got a call that we needed to come in ASAP and we went in and found out that her potassium taken from the vein was even higher then the heal poke.

He checked her out, and said her fontanel *sp?* is slightly sunken in, so she is dehydrated, but not enough to warent going to the ER. Just to give her elecotrolites *sp?* every time she spits up and not to give her milk or formula for 20 mins after a spit up.

Now this is wehere is is concerned. He said she is shwoing sighns of dehydration. With deyhidration he says her potassium should be down, not up. She is acting fine except for the spitting up, heart rate is good. He says it could be one of 20 diffrent things. the first being Kidney failure (but the additonal test that he did with the seccond potassium came back that its mostlikely not kidney failure), then it could be addisons disease, or diabities, or a bunch of other things.

we have a long list of stuff that he is testing on monday when the labs at the hopstal are open to the general public. stuff like an AM cortozal *sp?*, glucose, insulan *sp?*, and others....

now have any of you ever had this issue with your baby?

now becouse of my lack of suply she is also taking formula. My father brought up a question for me to ask you brestfeeding woman. can my brestmilk be high in potassium? i dont eat a lot of bananas, im only on celexia.


now for you women who are reading this and are in the Vancouver BC area. Im desperatly looking for doner milk. even more so now with all these issues going on. please contact me via a DM here on LJ.


please keep Thea in your prayers. im worried as hell about my baby, i have to work a 7 hour shift today, and im scared that she is going to get sicker. please pray for her.

Comments

( 12 comments — Leave a comment )
ak_mommy81
Jan. 3rd, 2010 11:51 am (UTC)
I wouldn't know about your breastmilk being high in potassium but I guess anythings possible.Sorry I can't be of more help, but I will keep her and youself in my thoughts and hope things clear up soon.*hugs*
pink_or_blue
Jan. 3rd, 2010 11:00 pm (UTC)
Oh sweetie! I am sure it's not your breast milk! It is almost positively not something you are or are not doing.
pink_or_blue
Jan. 3rd, 2010 11:03 pm (UTC)
darn for posting before I'm done...
We'll be thinking about you and your little one! I worked as a pediatric DTR and while I'm out of practice, it most certainly isn't due to your diet/breast milk unless there's something that I'm not thinking of.

*hugs*
ilea
Jan. 4th, 2010 03:31 am (UTC)
uhhhh... dehydration without diarrhea can make your potassium high and electrolytes have potassium in them. I would see another doctor.
eleganceroses
Jan. 4th, 2010 03:49 am (UTC)
Uh, electrolyte is another name for potassium...? They don't have potassium in them, they ARE potassium, etc.
ilea
Jan. 4th, 2010 04:12 am (UTC)
Electrolytes are potassium and sodium. But if her potassium is already high most doctors would give either a normal saline solution or just plain water depending on her sodium levels. It's very odd that this doctor is giving straight up whole electrolytes to someone who has high potassium already.
eleganceroses
Jan. 4th, 2010 04:31 am (UTC)
To be fair, electrolytes aren't just potassium and sodium. It's also magnesium, calcium, chloride, hydrogen phosphate, hydrogen carbonate... and that's just physiologically speaking.

Yeah, I'm not entirely sure why the doctor didn't administer that, at least to counteract the constant reflux. I find it ordinary for a doctor to release a 4mo child with reflux while waiting on test results without treatment; I find it unusual that they did not treat after noting the dehydration, but most doctors like to hold off before subjecting kids/infants to treatment before they know the diagnosis or the symptom becomes very serious. Still kind of worrisome. I'm glad the testing is tomorrow.

Reflux generally corrects itself - the dehydration symptoms would correct then too. There would have to be an underlying condition for it to be persistent, which I guess the doctor wants to diagnose before treating.

She has a good heartbeat; if the hyperkalemia was severe that would be the next thing affected (weak heartbeat/slow pulse/minor irregularity). If it's due to dehydration it's the body's own coping mechanism and not going to get above a dangerous threshold. If it's something else, they'll treat the symptom then.
eleganceroses
Jan. 4th, 2010 03:58 am (UTC)
Also you're assuming it's hypertonic dehydration. Isotonic dehydration occurs in healthy individuals.
ilea
Jan. 4th, 2010 04:08 am (UTC)
Isotonic would give her low potassium levels.. not high. If a baby is not getting enough fluids they can end up with hypertonic dehydration which would should up with an elevated potassium level.
eleganceroses
Jan. 4th, 2010 04:35 am (UTC)
You're right; never mind. High blood count, too.
eleganceroses
Jan. 4th, 2010 03:57 am (UTC)
I posted on p101, PLEASE go back to that post. It contains relevant info!

Nausea is a sign of kidney failure, as well as high potassium. It's also a side effect of Celexa, which is in her bloodsteam at 1/10 your dose (but unlikely to be the cause). If she's constantly vomiting you need to keep her hydrated with something with electrolytes (sodium + potassium, the main cations that help you maintain your electrical=nervous system.).

Check her skin for continuing dehydration. If you press (say, press deeply to the skin of her leg then release) and it stays slightly sunken or takes longer than your skin to recover its shape, she's still dehydrated.

What kind of dehydration is it? There are three main types of dehydration; hypotonic (primarily a loss of electrolytes, sodium in particular), hypertonic (primarily a loss of water), and isotonic (equal loss of water and electrolytes).
slakeanii90
Feb. 17th, 2013 02:01 am (UTC)
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