ELECTROLYTE ABNORMALITIES IN CRITICALLY ILL CHILDREN

Keerthidarshini Khanappan, S S Kalyanshettar, S V Patil, Bhavana lakhkar, R H Gobbur, A S Akki

Abstract


OBJECTIVES: To study the frequency of electrolyte and blood glucose imbalance at admission in children admitted to a Pediatric Intensive Care
Unit (PICU).
METHOD: Prospective study comprising of critically ill children admitted in Pediatric ICU of a tertiary care centre of North Karnataka from
November 2015 to April 2017.
RESULTS: One hundred and fty three patients aged 1mo to 15y, were admitted to the PICU during the study period. The mean age was 4.8 y. The
male: female ratio was 1.2:1.128 patients (83.7%) had electrolyte abnormality. Hypochloremia was the most common electrolyte abnormality,
followed by hyponatremia, hyperglycemia. Most common system involved was CNS, followed by Respiratory illness. Out of the 153 patients,
96.1% were discharged, 3.3% were discharged against medical advice, 0.7% died.
CONCLUSION: Serum electrolyte and blood glucose abnormalities are very common in critically ill patients and can lead to fatal consequences.
In view of these facts, a routine estimation of serum electrolytes and blood glucose should be considered in all patients getting admitted to PICU.


Keywords


Picu, Electrolyte Abnormalities, Sodium, Potassium, Calcium, Chloride.

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