Profile of acid-base disturbances in an intensive care unit of Fortaleza, Ceará, Brazil.
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of Health & Biological Sciences |
Texto Completo: | https://periodicos.unichristus.edu.br/jhbs/article/view/70 |
Resumo: | Introduction: Acid – base disturbances are entities caused by the deregulation of the concentration of bicarbonate ions, the concentration of hydrogen ions and the partial pressure of carbon dioxide in the blood. These disturbances modify most cell fuctions when present, jeopardizing the proper functioning of organs.Methods: Cross-sectional analytical study based upon data collected from medical files of patients in ICU as seen from August 1 to December 31, 2013 at the Dr. José Frota Institute in Fortaleza, Ceará. The variables studied were: age, sex, cause of ICU admission, pH, HCO3-, pO2, pCO2 , glomerular filtration rate ( GFR ), serum potassium concentrarion, serum magnesium concentration, serum creatinine and hemoglobin levels.Results: The most frequent disorders were primary respiratory alkalosis with 33 ( 38,4 % ) cases, 30 ( 34,9 % ) of metabolic alkalosis, 13 ( 15.1% ) of metabolic acidosis, 7 ( 8,2% ) did not present acid-base disorders and respiratory acidosis 3 ( 3,5%). Patients admitted with TBI had respiratory alkalosis as the most common primary disorder, followed by metabolic alkalosis, 16 ( 47,0 % ) and 13 ( 38,2 % ), respectively. The main disturbances were mixed respiratory alkalosis with metabolic alkalosis and respiratory alkalosis with metabolic alkalosis found in 15.12% of patients in each of these combinations. Conclusion:The importance of a detailed evaluation of acid-base disturbances is necessary since these disorders lead to higher mortality rates, so it is necessary to establish the main types of disorders that are associated with a particular cause of hospitalization . |
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Profile of acid-base disturbances in an intensive care unit of Fortaleza, Ceará, Brazil.Medical Sciences; Intensive TherapyAcidosis; Alkalosis; Blood Gas Analysis; Intensive Care UnitMedicineIntroduction: Acid – base disturbances are entities caused by the deregulation of the concentration of bicarbonate ions, the concentration of hydrogen ions and the partial pressure of carbon dioxide in the blood. These disturbances modify most cell fuctions when present, jeopardizing the proper functioning of organs.Methods: Cross-sectional analytical study based upon data collected from medical files of patients in ICU as seen from August 1 to December 31, 2013 at the Dr. José Frota Institute in Fortaleza, Ceará. The variables studied were: age, sex, cause of ICU admission, pH, HCO3-, pO2, pCO2 , glomerular filtration rate ( GFR ), serum potassium concentrarion, serum magnesium concentration, serum creatinine and hemoglobin levels.Results: The most frequent disorders were primary respiratory alkalosis with 33 ( 38,4 % ) cases, 30 ( 34,9 % ) of metabolic alkalosis, 13 ( 15.1% ) of metabolic acidosis, 7 ( 8,2% ) did not present acid-base disorders and respiratory acidosis 3 ( 3,5%). Patients admitted with TBI had respiratory alkalosis as the most common primary disorder, followed by metabolic alkalosis, 16 ( 47,0 % ) and 13 ( 38,2 % ), respectively. The main disturbances were mixed respiratory alkalosis with metabolic alkalosis and respiratory alkalosis with metabolic alkalosis found in 15.12% of patients in each of these combinations. Conclusion:The importance of a detailed evaluation of acid-base disturbances is necessary since these disorders lead to higher mortality rates, so it is necessary to establish the main types of disorders that are associated with a particular cause of hospitalization .Instituto para o Desenvolvimento da EducacaoRodrigues, Renan BarbosaFarias de Araújo, Maria CristinaNascimento, Payron AugustoRodrigues, Patricia BarbosaSoares Pereira, Ricardo VictorPatrocinio, Manoel Claudio Azevedo2014-09-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado por ParesPeer ReviewRevisado por paresapplication/pdfhttps://periodicos.unichristus.edu.br/jhbs/article/view/7010.12662/2317-3076jhbs.v2i3.70.p108-112.2014Journal of Health & Biological Sciences; v. 2, n. 3 (2014): Journal of Health & Biological Sciences; 108-112Journal of Health & Biological Sciences; v. 2, n. 3 (2014): Journal of Health & Biological Sciences; 108-112Journal of Health and Biological Sciences; v. 2, n. 3 (2014): Journal of Health & Biological Sciences; 108-1122317-30762317-308410.12662/2317-3076jhbs.v2i3.2014reponame:Journal of Health & Biological Sciencesinstname:Centro Universitário Christus (Unichristus)instacron:CHRISTUSenghttps://periodicos.unichristus.edu.br/jhbs/article/view/70/65South AmericaDireitos autorais 2016 Journal of Health & Biological Scienceshttp://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccess2017-06-30T21:22:23Zoai:ojs.unichristus.emnuvens.com.br:article/70Revistahttps://periodicos.unichristus.edu.br/jhbs/indexPRIhttps://periodicos.unichristus.edu.br/jhbs/oaisecretaria.jhbs@unichristus.edu.br || editor.jhbs@fchristus.edu.br2317-30762317-3084opendoar:2023-01-13T09:47:10.909442Journal of Health & Biological Sciences - Centro Universitário Christus (Unichristus)true |
dc.title.none.fl_str_mv |
Profile of acid-base disturbances in an intensive care unit of Fortaleza, Ceará, Brazil. |
title |
Profile of acid-base disturbances in an intensive care unit of Fortaleza, Ceará, Brazil. |
spellingShingle |
Profile of acid-base disturbances in an intensive care unit of Fortaleza, Ceará, Brazil. Rodrigues, Renan Barbosa Medical Sciences; Intensive Therapy Acidosis; Alkalosis; Blood Gas Analysis; Intensive Care Unit Medicine |
title_short |
Profile of acid-base disturbances in an intensive care unit of Fortaleza, Ceará, Brazil. |
title_full |
Profile of acid-base disturbances in an intensive care unit of Fortaleza, Ceará, Brazil. |
title_fullStr |
Profile of acid-base disturbances in an intensive care unit of Fortaleza, Ceará, Brazil. |
title_full_unstemmed |
Profile of acid-base disturbances in an intensive care unit of Fortaleza, Ceará, Brazil. |
title_sort |
Profile of acid-base disturbances in an intensive care unit of Fortaleza, Ceará, Brazil. |
author |
Rodrigues, Renan Barbosa |
author_facet |
Rodrigues, Renan Barbosa Farias de Araújo, Maria Cristina Nascimento, Payron Augusto Rodrigues, Patricia Barbosa Soares Pereira, Ricardo Victor Patrocinio, Manoel Claudio Azevedo |
author_role |
author |
author2 |
Farias de Araújo, Maria Cristina Nascimento, Payron Augusto Rodrigues, Patricia Barbosa Soares Pereira, Ricardo Victor Patrocinio, Manoel Claudio Azevedo |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
|
dc.contributor.author.fl_str_mv |
Rodrigues, Renan Barbosa Farias de Araújo, Maria Cristina Nascimento, Payron Augusto Rodrigues, Patricia Barbosa Soares Pereira, Ricardo Victor Patrocinio, Manoel Claudio Azevedo |
dc.subject.por.fl_str_mv |
Medical Sciences; Intensive Therapy Acidosis; Alkalosis; Blood Gas Analysis; Intensive Care Unit Medicine |
topic |
Medical Sciences; Intensive Therapy Acidosis; Alkalosis; Blood Gas Analysis; Intensive Care Unit Medicine |
description |
Introduction: Acid – base disturbances are entities caused by the deregulation of the concentration of bicarbonate ions, the concentration of hydrogen ions and the partial pressure of carbon dioxide in the blood. These disturbances modify most cell fuctions when present, jeopardizing the proper functioning of organs.Methods: Cross-sectional analytical study based upon data collected from medical files of patients in ICU as seen from August 1 to December 31, 2013 at the Dr. José Frota Institute in Fortaleza, Ceará. The variables studied were: age, sex, cause of ICU admission, pH, HCO3-, pO2, pCO2 , glomerular filtration rate ( GFR ), serum potassium concentrarion, serum magnesium concentration, serum creatinine and hemoglobin levels.Results: The most frequent disorders were primary respiratory alkalosis with 33 ( 38,4 % ) cases, 30 ( 34,9 % ) of metabolic alkalosis, 13 ( 15.1% ) of metabolic acidosis, 7 ( 8,2% ) did not present acid-base disorders and respiratory acidosis 3 ( 3,5%). Patients admitted with TBI had respiratory alkalosis as the most common primary disorder, followed by metabolic alkalosis, 16 ( 47,0 % ) and 13 ( 38,2 % ), respectively. The main disturbances were mixed respiratory alkalosis with metabolic alkalosis and respiratory alkalosis with metabolic alkalosis found in 15.12% of patients in each of these combinations. Conclusion:The importance of a detailed evaluation of acid-base disturbances is necessary since these disorders lead to higher mortality rates, so it is necessary to establish the main types of disorders that are associated with a particular cause of hospitalization . |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-09-12 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Avaliado por Pares Peer Review Revisado por pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.unichristus.edu.br/jhbs/article/view/70 10.12662/2317-3076jhbs.v2i3.70.p108-112.2014 |
url |
https://periodicos.unichristus.edu.br/jhbs/article/view/70 |
identifier_str_mv |
10.12662/2317-3076jhbs.v2i3.70.p108-112.2014 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.unichristus.edu.br/jhbs/article/view/70/65 |
dc.rights.driver.fl_str_mv |
Direitos autorais 2016 Journal of Health & Biological Sciences http://creativecommons.org/licenses/by-nc-sa/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos autorais 2016 Journal of Health & Biological Sciences http://creativecommons.org/licenses/by-nc-sa/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.coverage.none.fl_str_mv |
South America |
dc.publisher.none.fl_str_mv |
Instituto para o Desenvolvimento da Educacao |
publisher.none.fl_str_mv |
Instituto para o Desenvolvimento da Educacao |
dc.source.none.fl_str_mv |
Journal of Health & Biological Sciences; v. 2, n. 3 (2014): Journal of Health & Biological Sciences; 108-112 Journal of Health & Biological Sciences; v. 2, n. 3 (2014): Journal of Health & Biological Sciences; 108-112 Journal of Health and Biological Sciences; v. 2, n. 3 (2014): Journal of Health & Biological Sciences; 108-112 2317-3076 2317-3084 10.12662/2317-3076jhbs.v2i3.2014 reponame:Journal of Health & Biological Sciences instname:Centro Universitário Christus (Unichristus) instacron:CHRISTUS |
instname_str |
Centro Universitário Christus (Unichristus) |
instacron_str |
CHRISTUS |
institution |
CHRISTUS |
reponame_str |
Journal of Health & Biological Sciences |
collection |
Journal of Health & Biological Sciences |
repository.name.fl_str_mv |
Journal of Health & Biological Sciences - Centro Universitário Christus (Unichristus) |
repository.mail.fl_str_mv |
secretaria.jhbs@unichristus.edu.br || editor.jhbs@fchristus.edu.br |
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1797052855244292096 |