{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:39:29Z","timestamp":1753882769171,"version":"3.41.2"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p> Bartter syndrome is a rare autosomal recessive disorder characterized by hypokalaemia. Hypokalaemia is defined as low serum potassium concentration \u02c23.5 mmol\/L, which may lead to arrhythmia and death if left untreated. The aim of this case report was to normalize serum potassium concentration without the need for intravenous intervention. A 5-month-old male of 2.7 kg body weight diagnosed with Bartter syndrome was admitted to the general paediatric ward with acute severe hypokalaemia and urinary tract infection. The main challenge was the inability to administer drugs through intravenous route due to compromised body size. Therefore, we shifted the route of administration to the nasogastric tube\/oral route. A total of 2 mL of concentrated intravenous potassium chloride (4 mEq potassium) were dissolved in distilled water and administered through nasogastric tube. Serum potassium concentration was rapidly normalized, which culminated in patient discharge. In conclusion, shifting drug administration from intravenous to oral route in a paediatric patient with Bartter syndrome includes numerous advantages such as patient convenience, minimized risk of cannula-induced infection, and reduced nurse workload. <\/jats:p>","DOI":"10.1177\/2050313x211019789","type":"journal-article","created":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T06:57:45Z","timestamp":1622444265000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Correcting hypokalaemia in a paediatric patient with Bartter syndrome through oral dose of potassium chloride intravenous solution"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0158-387X","authenticated-orcid":false,"given":"Salman","family":"Alasfour","sequence":"first","affiliation":[{"name":"Paediatric Department, Al Adan Hospital, Ahmadi Medical Governorate, Hadiya, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haya S","family":"Alfailakawi","sequence":"additional","affiliation":[{"name":"Paediatric Department, Al Adan Hospital, Ahmadi Medical Governorate, Hadiya, Kuwait"},{"name":"Al Adan Paediatric Pharmacy, Kuwait-Al Adan Joint Hospital, Kuwait Hospital, Sabah Al Salem, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8203-0067","authenticated-orcid":false,"given":"Yousif A","family":"Shamsaldeen","sequence":"additional","affiliation":[{"name":"Al Adan Paediatric Pharmacy, Kuwait-Al Adan Joint Hospital, Kuwait Hospital, Sabah Al Salem, Kuwait"},{"name":"Department of Pharmacy, Kuwait Hospital, Sabah Al Salem, Kuwait"},{"name":"St. George\u2019s University of London, Cranmer Terrace, Tooting, London"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,5,30]]},"reference":[{"key":"bibr1-2050313X211019789","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(62)90214-0"},{"key":"bibr2-2050313X211019789","doi-asserted-by":"publisher","DOI":"10.2147\/IJNRD.S155397"},{"key":"bibr3-2050313X211019789","first-page":"2012","author":"Bhat YR","year":"2012","journal-title":"Int J Pediatr"},{"key":"bibr4-2050313X211019789","doi-asserted-by":"publisher","DOI":"10.1530\/EC-18-0109"},{"key":"bibr5-2050313X211019789","volume":"9","author":"Sabti MA","year":"2021","journal-title":"SAGE Open Med Case Rep"},{"key":"bibr6-2050313X211019789","unstructured":"Joint Formulary Committee. Potassium chloride. In: BNF for children. London: BMJ Group, Pharmaceutical Press, and RCPCH Publications, www.medicinescomplete.com (2021, accessed 27 April 2021)."},{"issue":"1","key":"bibr7-2050313X211019789","first-page":"32","volume":"18","author":"Sabol VK","year":"2007","journal-title":"AACN Adv Crit Care"},{"key":"bibr8-2050313X211019789","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199012000-00014"},{"key":"bibr9-2050313X211019789","first-page":"33","volume":"56","author":"Brzozowski T","year":"2005","journal-title":"J Physiol Pharmacol"},{"key":"bibr10-2050313X211019789","doi-asserted-by":"publisher","DOI":"10.5152\/tjg.2020.19112"},{"key":"bibr11-2050313X211019789","doi-asserted-by":"publisher","DOI":"10.1007\/s004670050280"},{"key":"bibr12-2050313X211019789","doi-asserted-by":"publisher","DOI":"10.4103\/0976-500X.130042"},{"key":"bibr13-2050313X211019789","doi-asserted-by":"publisher","DOI":"10.1053\/rmed.2003.1435"},{"key":"bibr14-2050313X211019789","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMe038112"},{"key":"bibr15-2050313X211019789","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkp131"},{"key":"bibr16-2050313X211019789","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.9.955"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X211019789","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X211019789","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X211019789","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T14:15:13Z","timestamp":1740924913000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X211019789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":16,"alternative-id":["10.1177\/2050313X211019789"],"URL":"https:\/\/doi.org\/10.1177\/2050313x211019789","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2021,1]]},"article-number":"2050313X211019789"}}