Metabolic implications and electrolyte disturbances

1995 ◽  
pp. 83-91
Keyword(s):  
Electrolyte Disturbances

Methodology of ECG Interpretation in the AVA Program

1990 ◽  
Vol 29 (04) ◽  
pp. 337-340 ◽  
Author(s):  
H. A. Pipberger ◽  
H. V. Pipberger ◽  
C. D. McManus
Keyword(s):  
Right Atrial ◽  
Signal Recognition ◽  
Multivariate Statistical ◽  
Reference Base ◽  
T Wave ◽  
Electrolyte Disturbances ◽  
Ecg Criteria ◽  
Wall Injury ◽  
Ecg Leads ◽  
Diagnostic Module

AbstractThe AVA program combines a thirty-year history with an approach that remains innovative; namely: multivariate statistical analysis on orthogonal ECG leads. Its diagnostic reference base includes only diagnoses independently verified by non-ECG criteria. The diagnostic module assesses probabilities of nine alternative disease categories, based on QRS-T parameters; or four other categories in case of conduction defects. Probabilities of left or right atrial overload are also computed. The program also recognizes wall injury, T-wave abnormalities, electrolyte disturbances, myocardial ischemia, and makes differential diagnoses between strain and digitalis effects. An arrhythmia classification module can generate any of 40 rhythm statements. Signal recognition is based on the spatial velocity function. The program has been translated to a microcomputer version.

Critical care management of hydrofluoric acid burns with a negative outcome

2021 ◽  
Vol 14 (6) ◽  
pp. e242187
Author(s):  
Aalekh Prasad ◽  
Heba Ibrahim ◽  
Katherine Mortimore ◽  
Rohan Vandabona
Keyword(s):  
Hydrofluoric Acid ◽  
Care Management ◽  
Vital Role ◽  
Severe Metabolic Acidosis ◽  
Fluoride Ions ◽  
Subcutaneous Injections ◽  
Electrolyte Disturbances ◽  
Severe Burns ◽  
Systemic Reactions ◽  
Critical Care Management

Hydrofluoric acid is a highly corrosive acid widely used in various industries. When in contact with skin it causes local and systemic reactions due to the generation of fluoride ions. Severe burns are associated with high mortality rates, approaching 100%. We present a 21-year-old man with 15% full thickness burns, severe metabolic acidosis, hypoxia and electrolyte disturbances. The burns were treated with topical and subcutaneous injections of calcium gluconate, and the patient was given intravenous fluid, calcium chloride, magnesium and insulin-glucose infusions. Continuous renal replacement therapy was initiated due to the severity of the systemic toxicity. Extracorporeal membrane oxygenation was considered as it plays a vital role when conventional therapies fail. Our patient suffered multiple cardiac arrests and cardiopulmonary resuscitation was conducted several times but despite extensive efforts, he did not survive.

scholarly journals Effect of applying nurses driven electrolyte repletion protocol on electrolyte disturbances control among critically ill patients

2020 ◽  
Vol 10 (4) ◽  
pp. 72
Author(s):  
Mohamed E. Abdelgawad ◽  
Nadia T. Ahmed ◽  
Ahmed M. Elmenshawy
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Improve Patient Care ◽  
University Hospital ◽  
Treatment Modalities ◽  
Control Group ◽  
Electrolyte Disturbances ◽  
Electrolyte Loss

Background and objective: Electrolyte disturbances remain a common lifesaving issue in the intensive care units. They are associated with increased morbidity and mortality. They are mostly resulted secondary to critical illness itself or associated treatment modalities. Therefore, electrolytes repletion should be done effectively and timely. This could be ensured using nurse driven protocols rather than traditional methods of repletion. These protocols are nurse initiated and collaboratively developed. They have been shown to improve patient care outcomes through the provision of high quality care. They are increasingly being used in the critical care setting. Objective: Determine the effect of applying nurses driven electrolytes repletion protocol on electrolytes disturbance control among critically ill patients.Methods: Quasi experimental research design was used. Sixty two critically ill patients with electrolytes loss were enrolled in the study at Alexandria Main University Hospital intensive care units, Egypt. All episodes of electrolyte loss were evaluated. Repletion of electrolyte loss was done according to unit routine for the control group and nurses driven electrolytes repletion protocol for the study group. Episodes of electrolyte disturbances, adverse events and timing of repletion were evaluated.Results: Neurological disorders represent the most encountered diagnosis. The most common cause of electrolyte loss in was the use of diuretics. Furthermore, there was a highly statistical difference between the two groups as regard electrolytes levels, effectiveness and timing of replacement.Conclusions: Application of nurses driven electrolyte repletion protocol resulted in improvements in the effectiveness and timeliness of electrolyte replacement.

scholarly journals Fluid and electrolyte disturbances in patients with long-established ileostomies

Gut ◽  
1962 ◽  
Vol 3 (3) ◽  
pp. 219-223 ◽  
Author(s):  
N. D. Gallagher ◽  
D. D. Harrison ◽  
A. P. Skyring
Keyword(s):  
Electrolyte Disturbances

Fluid and Electrolyte Disturbances

1983 ◽  
pp. 79-91
Author(s):  
Manuel Martínez-Maldonado ◽  
Alfredo García
Keyword(s):  
Electrolyte Disturbances

Acid-base and electrolyte disturbances in patients with diabetes mellitus

2018 ◽  
Vol 74 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Lissa Pipeleers ◽  
Karl Martin Wissing ◽  
Robert Hilbrands
Keyword(s):  
Diabetes Mellitus ◽  
Acid Base ◽  
Electrolyte Disturbances ◽  
Patients With Diabetes

scholarly journals Status Asthmaticus

2017 ◽  
Vol 15 (9-10) ◽  
pp. 269
Author(s):  
J.S Partana
Keyword(s):  
Body Weight ◽  
Status Asthmaticus ◽  
Fluid Administration ◽  
Acid Base Balance ◽  
Acid Base ◽  
Extreme Caution ◽  
Electrolyte Disturbances ◽  
Oxygen Administration ◽  
Base Balance ◽  
Normal Acid

The therapy of status asthmaticus must be rational. Thus it is important to evaluate: 1. the severity and duration of an asthmatic attack. 2. the degree of dehydration. 3. whether infection plays a role. 4. all medication previously administered. 5. any possible complication.Treatment is as follows :Fluid and electrolyte therapy is important not only for the correction of dehydration and electrolyte disturbances but also for preventing inspissation of mucus in the bronchi. The best route of fluid administration is intravenous.Potassium iodide orally administered may be helpful as an expectorant.After hydration and normal acid-base balance have been established, epinephrine may be of benefit.Aminophylline is effective when administered intravenously. It should be used with extreme caution: the dose should not exceed 3 mg per kg of body weight, it should be given slowly and should not be given more frequently than every 8 hours.Corticosteroids should be administered, especially in cases who have received suppressive doses previously.Humidified oxygen administration is of the utmost importance.Antibiotics are recommended when infection is suspected.Management of complications.

scholarly journals Risk factors, electrolyte disturbances and lipid profiles in sudanese patients with stroke

2015 ◽  
Vol 9 (10) ◽  
pp. 324-330
Author(s):  
H. Musa Hassan ◽  
H. Musa Idriss ◽  
M. El Sadig Sarah
Keyword(s):  
Risk Factors ◽  
Lipid Profiles ◽  
Electrolyte Disturbances
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