Patterns of Acid Base Balance and Plasma Electrolyte Concentrations in Post Surgical Digestive Patients

  • T. Murad El Fuad Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • Efori Gea Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • Chaerul Yael Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • Munar Lubis Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
Keywords: acid base balance; plasma electrolyte concentration; surgical digestive

Abstract

Patterns of acid-base balance and plasma electrolyte concentrations of postsurgical digestive patients were studied retrospectively. The patients were treated at the Pediatric ICU Dr. Pirngadi Hospital, Medan, during the period of February 1991 through January 31 1992. There were 131 patients admitted to the Pediatric ICU, 67 (51.1 %) of them had had gastrointestinal surgery. Arterial blood gas and I or plasma electrolyte examinations were done in 92% of patients within 12 hours of admission. In 50 patients both blood gas and electrolyte concentration values were examined; 6 of them died. One out of 14 patients who had only serum electrolyte concentration values died. One out of 3 patients who had neither blood gas nor plasma electrolyte concentration values died. Acid-base imbalances were found in 66% of those 50 patients, consisting of 28% metabolic acidosis, 12% respiratory alkalosis, 8% respiratory acidosis, and 6% metabolic alkalosis. Hyponatremia was found in 68.4% of the survivors and in 2 out of 6 patients who died. No hypernatremia was found in any of the patients. Hypokalemia was found in 24.6% of patients survived; and none in those who died. Hyperkalemia was encountered in 24.6% of those who survived. The overall mortality of patients who had undergone gastrointestinal surgery in the Pediatric ICU, Pirngadi Hospital, was 8/67 (11.9%).

References

1. Muhardi, Tampubolon QE, Suntoro. Analisa gas darah dalam penatalaksanaan pasien di Intensive Care Unit; Balai Penerbit Fakultas Kedokteran Ul; Jakarta; 1989; 235-43.
2. Burrell L Zeb Jr, Burrell OL. Fluid electrolyte and Pediatric decision making. Philadelphia: BC acid base problems. In Critical care; 3rd ed; St. Decker Inc; 1985: 82-3.Stephan Behrman ed; Louis, C.V. Mosby; 1977; 270-88.
3. Corral JH. Disturbances in acid base balance. In name editor Water, electrolyte, and acid base metabolism; Diagnosis and management. 2nd ed Philadelphia; editor JB Lippincott, 1989; 206-86.
4. Falkner B, Gazdicc MA. Fluid and electrolyte; In Sol S Zimmerman; Philadelphia, W8 Saunders; 1985; 55-61 .
5. Hansen R. Hyponatremia; in Don H (Ed) Decision making in critical care. BC Decker. Inc; Toronto; 1985; 154-5.
6. Kappy MS. Hyperkalemia; in Behrman s (Ed) Pediatric decision making. Philadelphia: BC Decker Inc; Philadelphia; 1985; 82-3.
7. Lindenfeld SM. Hyperkalemia; in Don H (Ed) in critical care. Toronto: BC Decker Inc, 1985; 156-7.
8. Swenson. Fluid and electrolyte in pediatric surgery, Jhon G. Raffensperger ed; Fifth Ed; Appleton & Lange 1990; 73-9.
Published
2019-01-24
How to Cite
1.
El Fuad TM, Gea E, Yael C, Lubis M. Patterns of Acid Base Balance and Plasma Electrolyte Concentrations in Post Surgical Digestive Patients. PI [Internet]. 24Jan.2019 [cited 29Mar.2024];33(7-8):173-1. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2094
Section
Pediatric Gastrohepatology
Received 2019-01-24
Published 2019-01-24