Several factors can contribute to severe hypokalemia in children:
Gastrointestinal losses: Conditions like diarrhea and vomiting can lead to substantial potassium loss. Renal losses: Certain kidney disorders or the use of diuretics can cause increased excretion of potassium. Inadequate dietary intake: Poor nutrition or restrictive diets may lead to insufficient potassium intake. Medication side effects: Some medications, such as certain antibiotics and corticosteroids, can contribute to hypokalemia. Metabolic conditions: Disorders like diabetic ketoacidosis or hyperaldosteronism can also result in decreased potassium levels.