Trastornos hidroelectrolíticos. Manifestaciones clínicas y tratamiento

IF 1.1 Q3 NURSING Enfermeria Intensiva Pub Date : 2022-10-01 DOI:10.1016/j.enfi.2022.07.005
J.A. Fernández-Castillo RN, MsN , M. Carrasco-Campos RN, MsN, PhDc , A. Mateos-Dávila RN, MsN, PhDc , Y.G. Santana-Padilla RN, MsN, PhD
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Abstract

The concept «homeostasis» is related to a normal and relatively constant maintenance in the total volume and distribution of water in the body. For its maintenance it is very important that the excretion of water and electrolytes correspond precisely to its input.

A description of the most important ions is developed in this article. It is structured by describing optimal levels, followed by their main role in the body.

The situation of excess or deficiency of each ion is described. Associated with each situation of abnormality, the most frequent causes, the clinical manifestations, and the appropriate treatments are listed.

It is considered very important to know the function of potassium, calcium, magnesium, phosphorus or sodium and the problems that their imbalances can generate, aiming at the precise application of each of the extracorporeal therapies and the most appropriate treatment bags in each case.

Finally, a table of the composition of some treatment bags in continuous purifying therapies is offered based on the description offered by their own laboratories.

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hidroelectrolíticos疾患。临床表现及治疗
“体内平衡”的概念与体内水的总量和分布的正常和相对恒定的维持有关。为了维持它,水和电解质的排泄与它的输入精确对应是非常重要的。本文对最重要的离子进行了描述。它的结构是描述最佳水平,然后是它们在体内的主要作用。描述了每种离子的过剩或不足情况。根据每种异常情况,列出了最常见的原因、临床表现和适当的治疗方法。了解钾、钙、镁、磷或钠的功能及其失衡可能产生的问题是非常重要的,目的是精确应用每种体外疗法和每种情况下最合适的治疗袋。最后,根据各自实验室提供的描述,给出了一些连续净化疗法中治疗袋的成分表。
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来源期刊
CiteScore
2.50
自引率
23.10%
发文量
48
期刊介绍: Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.
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