ESTIMATION OF HYPERELECTROLYTEMIA DURING INFUSIONS IN INTENSIVE CARE PATIENTS

Abstract

A treatment with hyperosmolale Solutions, containing electrolytes in a high concentration, is frequently necessary. In the case of a retention of electrolytes a dangerous imbalance of homeostasis of the body fluids /dysequilibrum syndrome, failures of cardiac action/ will develop. Therefore a frequent control of the parameters of water-electrolyte metabolism is absolutely necessary during parenteral fluid therapy. Besides of supervision of hematocrite, acid-base balance and blood sugar, the measurement of osmolality and conductance of serum play an important role. For both of these methods microeqipments exist for capillare blood. The electrolytic conductance represents the content of ions in a solution. A special precision conductometer allows the determination of relative small changes of values in the serum. Additional measurements of the concentration of electrolytes in the urine on the same way give a good impression of the actual situation of mineral metabolism. The method is simple /also for unskilled/.

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