Table 1 The correlation of the potassium value with the neurological examination and ECG
From: Hypokalaemic paralysis in an adult case of Plasmodium vivax malaria
Time | Day 1–0 hours | Day 1–3 hours | Day 1–8 hours | Day 2/3/4 |
|---|---|---|---|---|
Potassium (mEq/L) | 1.47 | 2.67 | 5.25 | 4.74/4.23//4.33 |
Potassium Supplementation | Started at 30 mEqs/hr for 3 hours | Continued at 20 mEqs/hr for 3 hours | Stopped | - |
Total mEqs supplemented | 0 | 90 | 150 | - |
ECG | Flattened T waves, U waves present | Flattened T waves present, U waves absent | Normal | Normal |
Upper Limbs- Tone | Normal | Normal | Normal | Normal |
Upper Limbs- Power | 5/5 | 5/5 | 5/5 | 5/5 |
Upper Limbs- Reflexes | Normal (2+) | Normal (2+) | Normal (2+) | Normal (2+) |
Upper Limbs- Sensory | Normal | Normal | Normal | Normal |
Lower Limbs- Sensory | Normal | Normal | Normal | Normal |
Lower Limbs- Tone | Hypotonia (flaccid) | Normal | Normal | Normal |
Lower Limbs- Power | 1/5 | 4/5 | 5/5 | 5/5 |
Lower Limbs- Reflexes (Knee and Ankle) | Absent (0) | Present (1+) | Present (2+), normal | Present (2+), normal |
Plantar Reflex | Absent | Absent | Normal flexor response | Normal flexor response |