General characteristics of patients with electrolyte imbalance admitted to emergency department.
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TLDR
Elect Electrolyte imbalances are of particular importance in the treatment of ED patients, and ED physicians must be acknowledged of their fluid-electrolyte balance dynamics and general characteristics.Abstract:
RESULTS: The mean age of the patients was 59.28±16.79, and 55% of the patients were male. The common symptoms of the patients were dyspnea (14.7%), fever (13.7%), and systemic deterioration (11.9%); but the most and least frequent electrolyte imbalances were hyponatremia and hypermagnesemia, respectively. Most frequent fi ndings in physical examination were confusion (14%), edema (10%) and rales (9%); and most frequent pathological findings in ECG were tachycardia in 24%, and atrial fi brillation in 7% of the patients. Most frequent comorbidity was malignancy (39%). Most frequent diagnoses in the patients were sepsis (11%), pneumonia (9%), and acute renal failure (7%). CONCLUSIONS: Electrolyte imbalances are of particular importance in the treatment of ED patients. Therefore, ED physicians must be acknowledged of their fl uid-electrolyte balance dynamics and general characteristics.read more
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References
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TL;DR: Routine inclusion of serum Mg analysis in the electrolyte panel will enhance the clinical recognition and treatment of hypomagnesemic Mg-depleted patients, and close attention must be paid to optimizing K replenishment in hypokalemic patients by concurrent treatment of any accompanying hypomgnesemia to avoid the problem of refractory K repletion.
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Serum phosphate abnormalities in the emergency department.
Joseph Shiber,Amal Mattu +1 more
TL;DR: Mild asymptomatic hyperphosphatemia is commonly managed in renal failure by limiting dietary intake and reducing absorption with phosphate-binding salts, and Hemodialysis may be required for severe hyperph phosphatemia with symptomatic hypocalcemia.