Sodium and Potassium Imbalances in the Pediatric Emergency Department: Single-Center Experience

Authors : Dilek KONUKSEVER, Sevinç Püren YÜCEL KARAKAYA
Pages : 85-90
Doi:10.12956/tchd.1086983
View : 54 | Download : 23
Publication Date : 2023-03-22
Article Type : Research Paper
Abstract :Objective: In this study, it was aimed to examine the spectrum of sodium and potassium disorders in a pediatric emergency department. Material and Methods: Our study was cross-sectional and single-center. Patients under the age of 18, who were admitted to the pediatric emergency clinic for any reason except trauma, between 2017 and 2020 and were found to have sodium and/or potassium disorders in their examinations were included in the study. The admission diagnoses and electrolyte levels of the patients were recorded. Electrolyte disturbances were grouped as mild, moderate, and severe. Results: A total of 757 patients were included in the study. Of these, 358 insert ignore into journalissuearticles values(47.3%); were female and 399 insert ignore into journalissuearticles values(52.7%); were male. Single electrolyte disturbance was detected in 649 insert ignore into journalissuearticles values(85.8%); of the participants, while mixed type electrolyte disturbance was detected in 108 insert ignore into journalissuearticles values(14.2%);. The most common electrolyte disturbance in the patients was hyponatremia insert ignore into journalissuearticles values(56%);. This was followed by hyperkalemia insert ignore into journalissuearticles values(27.5%);, hypokalemia insert ignore into journalissuearticles values(19.9%); and hypernatremia insert ignore into journalissuearticles values(10.8%);. Acute gastroenteritis was the most common underlying disease in both the single and mixed electrolyte disorder groups. Conclusion: Our study detects that the most common electrolyte disturbances in pediatric emergency services occur in patients with gastroenteritis. These disorders were often of mild severity. Mild electrolyte disturbances may be subclinical, so routine electrolyte measurement in the pediatric emergency room is important for early diagnosis.
Keywords : elektrolit bozuklukları, Çocuk acil, potasyum, sodyum

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