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Electrolyte Imbalances and Dehydration in Children: Biochemical Insights and Nursing Interventions in ICU Settings-An Updated Review

Publish Year: 1403
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_JMCH-7-11_023

تاریخ نمایه سازی: 30 آذر 1403

Abstract:

Electrolyte imbalances and dehydration are prevalent and potentially life-threatening conditions in pediatric intensive care unit (ICU) patients. These issues often arise from infectious diseases, gastrointestinal fluid losses, and metabolic disturbances, potentially leading to complications such as shock, organ dysfunction, and mortality. A thorough understanding of the biochemical pathways underlying these conditions is essential for improving patient outcomes in critical care settings. This review provides an updated overview for healthcare professionals on the pathophysiological mechanisms, diagnostic strategies, and evidence-based nursing interventions for managing dehydration and electrolyte imbalances in pediatric ICU patients. In addition, it explores biochemical pathways, such as the role of respiratory acidosis, and reviews current therapeutic approaches. A comprehensive literature review was conducted, focusing on studies and clinical guidelines published over the past decade. Sources were retrieved from databases such as PubMed and Scopus, emphasizing research on pathophysiology, biochemical mechanisms, clinical evaluation, and nursing practices in the ICU context. This review identifies major contributors to dehydration, including diarrhea, vomiting, fever, and metabolic disorders. It discusses the impact of respiratory acidosis on dehydration severity and highlights common electrolyte imbalances, such as hyponatremia and hyperkalemia. Evidence-based nursing interventions, including early detection, oral and intravenous fluid management, and monitoring of biochemical markers, are presented as key strategies to prevent complications and optimize care. Managing dehydration and electrolyte imbalances in pediatric ICU patients requires prompt diagnosis, a clear understanding of biochemical mechanisms, and effective nursing interventions. Emphasis on early fluid resuscitation, biochemical monitoring, and caregiver education is critical to improving outcomes and preventing complications.

Authors

Abdulrahman Abdullah Dakhel Alharbi

Hospital Oyoun Al-Jawa, Ministry of Health, Saudi Arabia

Fatima Moosa Alalawi

Eastern Health Cluster, Ministry of Health, Saudi Arabia Hazam um Alsahek PHC

Sharifa Hussein Yahya Dabash

Local Center, Ministry of Health, Saudi Arabia

Motlak Dakhil allah Alotaibi

Dawadmi General Hospital, Ministry of Health, Saudi Arabia

Ameenah Mosa Abotaleb Alsadah

Mahayil Health Sector/public health, Ministry of Health, Saudi Arabia

Modhi Nasser Alshammari

Nusring, Health Centre, Ministry of Health, Saudi Arabia

Amsha Naser Sadon Alshamry

Dental center Hafer albaten, Ministry of Health, Saudi Arabia

Musaed Ayaedh Alosaimi

West Dawadmi Health Care Center, Ministry of Health, Saudi Arabia

Omrana Mussa Ali Hemili

Sabya General Hospital, Ministry of Health, Saudi Arabia

Heyam Yehia Hussien Messawa

Abu Arish General Hospital, Ministry of Health, Saudi Arabia

SAMI Abdullah Albesher

AlAsiah General Hospital, Ministry of Health, Saudi Arabia

Ahad Falah Jadaan Al-Dhafiri

Dental center hafer albaten, Ministry of Health, Saudi Arabia

Halimah Abdul Qader Othman Tukruni

Nursing Health center, Ministry of Health, Saudi Arabia

Wafa Awad Awd Almutiry

Durma center, Ministry of Health, Saudi Arabia

Shoug Ogab Alhrbi

Sajer General Hospital, Ministry of Health, Saudi Arabia

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