Hyperkalemia of newborn
ICD-10 P74.31 is a billable code used to indicate a diagnosis of hyperkalemia of newborn.
Hyperkalemia in newborns refers to an elevated level of potassium in the blood, which can lead to serious complications such as cardiac arrhythmias and muscle weakness. This condition is often transitory and can arise from various factors including renal immaturity, metabolic disturbances, or maternal conditions such as diabetes or renal failure. In neonates, particularly preterm infants, the kidneys may not be fully developed, leading to difficulties in potassium excretion. Hyperkalemia can also occur due to excessive potassium intake, either through intravenous fluids or maternal breast milk that is high in potassium. Clinicians must monitor electrolyte levels closely in at-risk newborns, especially those in the NICU, to prevent potential complications. Treatment may involve dietary modifications, diuretics, or dialysis in severe cases. Understanding the underlying causes and appropriate management strategies is crucial for ensuring the health and safety of affected newborns.
Detailed records of electrolyte levels, treatment protocols, and clinical observations.
NICU admissions for preterm infants with renal immaturity presenting with hyperkalemia.
Consideration of gestational age and associated comorbidities in documentation.
Comprehensive history including maternal health, dietary intake, and previous medical history.
Pediatric follow-up visits for infants previously diagnosed with hyperkalemia.
Monitoring for long-term effects of hyperkalemia on growth and development.
Used for routine electrolyte monitoring in newborns suspected of hyperkalemia.
Document the reason for blood draw and any relevant clinical findings.
Neonatologists should ensure that all lab results are reviewed and documented in the patient's chart.
Common causes include renal immaturity, excessive potassium intake from IV fluids or maternal breast milk, and metabolic disturbances. Monitoring and management are crucial to prevent complications.
