Journal of Nursing Theory and Practice

[Importance of the Hyponatraemia in the Emergency Care]

PÓHR Kitti1, KÖCSE Tamás2, MESTERHÁZI András3, BIERER Gábor3, KARAMÁNNÉ Pakai Annamária4

OCTOBER 30, 2017

Journal of Nursing Theory and Practice - 2017;30(05)

[The aim of the study: Hyponatraemia is the most common electrolyte abnormality in hospitalized patients. Certain drugs (eg, diuretics, antidepressants, and antiepileptics) have been implicated as established causes of either asymptomatic or symptomatic hyponatraemia. Studies proved correlation between hyponatremia and hospital mortality. Hyponatraemia remains asymptomatic in most cases, but if left untreated, it can cause life-threatening situations. Our aim was to examine the frequency of hyponatraemia in our hospital and its impact on the emergency care. Methods: A total of 75 patients were enrolled in the study with purposive sampling. We used descriptive and mathematical statistics with SPSS 22.0 software package for processing non-parametric statistical data. Results: Patients transferred by ambulance or arriving at the ER department came with dizziness, vomiting / diarrhea symptoms. Admission causes, were characteristic symptoms of hyponatraemia as well as non-specific neurological symptoms (headache, dizziness, confusion, unconsciousness) were found (n = 29). In addition, a common complaint of vomiting / diarrhea (n = 12), abdominal pain (n = 10). In particular, the complaint leading to a significant proportion of patients with hyponatraemia was not typical, but it was kind of trauma (n = 12). Nearly half of the patients (n = 36) were revenant. The most common diagnosis was hypertension (34%). 52% were taking medication that typically cause hyponatraemia. There were significant increase in the incidence of hyponatraemia in cases where the patient was taking diuretics. Conclusions: The diagnosis of hyponatraemia is based on the recording history, physical examination, and laboratory tests. Preventive approach would reduce the number of hospital stays due to hyponatraemia, and this may indeed improve patients’ life expectancy. The disease itself is easily remedied, it can cause critical condition due to disregard.]

AFFILIATIONS

  1. Pécsi Tudományegyetem Egészségtudományi Kar, Sürgősségi Ellátási és Egészségpedagógiai Központ, Klinikai Koordinációs és Neveléstudományi Tanszék
  2. Országos Mentőszolgálat-NyDR, Szakoktató, Pécsi Tudományegyetem Egészségtudományi Kar, Sürgősségi Ellátási és Egészségpedagógiai Központ
  3. Markusovszky Egyetemi Oktatókórház
  4. Pécsi Tudományegyetem Egészségtudományi Kar, Ápolástudományi, Alapozó Egészségtudományi és Védőnői Intézet, Védőnői és Prevenciós Tanszék

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