Ionic Disorders in the Multipurpose Intensive Care Unit of the Zinder National Hospital (HNZ)

Author(s): Hassan ML, Magagi A, Maikassoua M, Hassan, Gagara M, Daddy H, Abdou Ga, Chaibou MS.

Ionic disorders are common in intensive care. These disorders can cause several symptoms that can sometimes be life-threatening Patients. The objective of the study is to determine the epidemiological aspects of ionic disorders in the intensive care unit of HNZ. Methodology: This was a descriptive study with prospective data collection over a period of 8 months carried out in the HNZ multipurpose intensive care unit. Results: During this study, 115 patients were admitted to intensive care. 56 Patients either 48.69% had ionic disorders. The male sex predominated with Sex- ratio of 1.94. The average age was 51.01±22.04 ears with extremes of 5 and 88 years. The socio-economic level was low in 55.35%.The history of HTA was found in 25% of cases. More than four out of five patients were impaired consciousness on admission, 51.78% were dehydrated. The Pathologies Neurological and nephrological were the most found and represented 60.71%. Hypernatremia was found In 58.92% of cases, Hyponatremia in 28.58% All diagnostics at admission. Hyperkalemia in 19.64%, hypokalemia in 30.36%, dyscalcemia about 71, 4% and dyschloremia 80.3%. The evolution was marked by the death of 16 patients, or 28.58% of lethality. Conclusion: Electrolyte disorders are common in intensive care dominated by dysnatremia. They constitute an important pejorative factor on the prognosis of patients admitted to intensive care. Work is needed to specify the etiological and adequate management electrolyte disorders in intensive care, in order to Improve the prognosis.