Musleh, B., bakri, M., Abd-ElAziz, M., Mehany, M. (2020). Respiratory Acid-Base Disorders and Related Risk Factors in Critically Ill Patients. Assiut Scientific Nursing Journal, 8(20.00), 68-78. doi: 10.21608/asnj.2020.87272
Bander A. Musleh; Mohammed H. bakri; Mervat A. Abd-ElAziz; Mogedda M. Mehany. "Respiratory Acid-Base Disorders and Related Risk Factors in Critically Ill Patients". Assiut Scientific Nursing Journal, 8, 20.00, 2020, 68-78. doi: 10.21608/asnj.2020.87272
Musleh, B., bakri, M., Abd-ElAziz, M., Mehany, M. (2020). 'Respiratory Acid-Base Disorders and Related Risk Factors in Critically Ill Patients', Assiut Scientific Nursing Journal, 8(20.00), pp. 68-78. doi: 10.21608/asnj.2020.87272
Musleh, B., bakri, M., Abd-ElAziz, M., Mehany, M. Respiratory Acid-Base Disorders and Related Risk Factors in Critically Ill Patients. Assiut Scientific Nursing Journal, 2020; 8(20.00): 68-78. doi: 10.21608/asnj.2020.87272
Respiratory Acid-Base Disorders and Related Risk Factors in Critically Ill Patients
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
Abstract Background: Respiratory acid-base disorders are commonly seen in the critical care setting and can occur independently or coexist with metabolic acid-base disorders. Aim of the study: To explore the pattern of respiratory acid-base disorders and related risk factors in critically ill patients. Design: the descriptive design was utilized in this study. Setting: This study was carried out in the Trauma and general Intensive Care Unit at Assiut university hospital. Sample: fifty patients admitted to trauma and general Intensive Care Unit. Tools: Four tools were used in this study, patient assessment tool, APACHE II tool, Acid-base parameters assessment tool, and Risk factors assessment tool. Result: A total of 50 patients most of them were male with a mean age of 40.37 ± 13.86 in the survivors versus 47.75 ± 11.86 in non-survivor. APACHE II score was significant in non-survivor group confirmed by (P = 0.000), (P = 0.003) respectively.The incidences of respiratory alkalosis (52%), respiratory acidosis (24%) were higher in the survivor group. The significant risk factor was iatrogenic(drugs, mechanical ventillation). Conclusion: Respiratory acid-base disorders are common in critically ill patients mainly respiratory alkalosis and the major related risk factor was an iatrogenic.
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