Explore The Common Types Of Acid-Base Disturbances Among Critically Ill Patients In Intensive Care Unit | ||
| Assiut Scientific Nursing Journal | ||
| Article 13, Volume 8, Issue 21, June 2020, Pages 125-136 PDF (936.98 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asnj.2020.33825.1022 | ||
| Authors | ||
| Bander A. Musleh1; Mohamed Hassan Bakri2; Mervat A. Abd-ElAziz3; Mogedda M. Mehany4 | ||
| 1Clinical Nurse Specialist in National Oncology Center Sana'a- Yemen. | ||
| 2Professor of Anesthesia and Intensive Care Unit, Faculty of Medicine, Assiut University, Egypt. | ||
| 3Assistant professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt | ||
| 4Assistant professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt. | ||
| Abstract | ||
| Background: Acid-base disturbances are common in critically ill patients and pose a great burden in the management of the underlying condition. Aim: To explore the common types of acid-base disturbances among the critically ill patients in ICU. Design: A descriptive study design was utilized. Setting: This study was carried out in the Trauma and general Intensive Care Units at Assiut university hospital. Sample: Eighty adult male and female patients admitted to trauma and general ICUs. Tools: Three tools were used in this study, patient assessment tool, APACHE II tool, and Acid-base parameters assessment tool. Result: Eighty patients suffered from acid-base disorders with mean age (41.88 ±13.39) years. The mean pH on admission was (7.34 ±0.13), the mean length of ICU stay was (10.90 ±7.86). Respiratory alkalosis was the most frequent of simple acid-base disturbance (73.8%) followed by metabolic alkalosis (33.8%), respiratory acidosis (32.5%). Mixed acid-base disorders were relatively less frequent, the common combination was metabolic acidosis with respiratory acidosis (15.0%). Conclusion: Acid-base disturbance are common among critically ill patients presenting at the ICU. Respiratory alkalosis was the most frequent simple acid-base disturbance was observed among such group of patients. Recommendation: Acid-base disturbance should be monitored closely, diagnosed early, and managed correctly during hospitalization | ||
| Keywords | ||
| Acid-base Disturbances; Critically Ill Patients &ICU | ||
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