Clinical profile,etiology,management and outcome of serum electrolyte disturbances in children admitted in pediatric intensive care unit in a tertiary care centre.
2016
This prospective study evaluated the frequency, causes
,management and outcome pattern of sodium, potassium, calcium, chloride disturbances.
Out of 227 patients studied from January 2015-august 2015,236 series (multiple
episodes) of electrolyte disturbances were noted, most common electrolyte abnormality
being hyponatremia (35.2% of cases) ,and is mostly of euvolemic type, the most common
age group being 1month-1year,more in male children, commonest cause being seizures
followed by poisoning. Not all children with electrolyte abnormality have symptoms or E
CG abnormalities
Administration of routine maintenance fluids which are hypotonic may
worsen hyponatremia.Electrolyte disturbances are common in PICU and high index of
suspicion is needed,so that we can prevent electrolyte abnormalities and its
complications.
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