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논문분류	춘계학술대회 초록집
제목	A case of severe hypokalemia due to methamphetamine intoxication combined with diabetic ketoacidosis.
저자	Somin Lee
출판정보	2023; 2023(1):
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초록	Methamphetamine is a kind of amphetamine, and amphetamine is known to beta2-adrenergic agonist. methamphetamine is related to many side effects, including cardiac arrhythmia, strokes, and seizure, and illegal use of methamphetamine is one of the major public health problems in the world. A-22-year-old male presented at the emergency department with weakness and loss of consciousness. He was no history of diabetes mellitus. However, blood analysis showed glucose of glucose of 694 mg/dL, pH 6.97, bicarbonate 11.2 mmol/L (22-29 mmol/L), and potassium 1.5 mEq/L. Urine analysis demonstrated 3+ urine ketones. Additionally, urine drug test was positive for Methamphetamine. Although IV potassium was administered, hypokalemia, and cardiac arrhythmia were persisted. He received continuous renal replacement (CRRT) and hypokalemia and acidosis were significantly improved. We report a patient who developed diabetic ketoacidosis (DKA) due to methamphetamine intoxication and showed severe hypokalemia due to beta agonistic effects of methamphetamine.
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