Musleh, B., Bakri, M., Abd-ElAziz, M., Mehany, M. (2020). Explore The Common Types Of Acid-Base Disturbances Among Critically Ill Patients In Intensive Care Unit. Assiut Scientific Nursing Journal, 8(21), 125-136. doi: 10.21608/asnj.2020.33825.1022
Bander A. Musleh; Mohamed Hassan Bakri; Mervat A. Abd-ElAziz; Mogedda M. Mehany. "Explore The Common Types Of Acid-Base Disturbances Among Critically Ill Patients In Intensive Care Unit". Assiut Scientific Nursing Journal, 8, 21, 2020, 125-136. doi: 10.21608/asnj.2020.33825.1022
Musleh, B., Bakri, M., Abd-ElAziz, M., Mehany, M. (2020). 'Explore The Common Types Of Acid-Base Disturbances Among Critically Ill Patients In Intensive Care Unit', Assiut Scientific Nursing Journal, 8(21), pp. 125-136. doi: 10.21608/asnj.2020.33825.1022
Musleh, B., Bakri, M., Abd-ElAziz, M., Mehany, M. Explore The Common Types Of Acid-Base Disturbances Among Critically Ill Patients In Intensive Care Unit. Assiut Scientific Nursing Journal, 2020; 8(21): 125-136. doi: 10.21608/asnj.2020.33825.1022
Explore The Common Types Of Acid-Base Disturbances Among Critically Ill Patients In Intensive Care Unit
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