Prevention of metabolic alkalosis following heart surgery
| Autor: | John V. Redingion, Reuben R. Lewis, Jerome Harold Kay, Bernard G. Krohn, Oscar Magidson, Harold K. Tsuji |
|---|---|
| Rok vydání: | 1968 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Urinary potassium loss business.industry Potassium Insulin medicine.medical_treatment Metabolic alkalosis chemistry.chemical_element Liter Urine medicine.disease Surgery Serum potassium chemistry Internal medicine medicine Cardiology In patient Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 56:748-753 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/s0022-5223(19)42801-8 |
| Popis: | Summary 1. Metabolic alkalosis with large urinary potassium loss occurs commonly after heart surgery. 2. In 20 consecutive patients an attempt was made to prevent metabolic alkalosis by giving enough potassium chloride, starting immediately after heart surgery, to replace the daily urinary loss of potassium. 3. Metabolic alkalosis was prevented and serum potassium concentration remained below 6 mEq. per liter. All patients recovered and left the hospital in good condition. 4. In patients who lost 160 mEq. of potassium in the urine per 24 hours, metabolic alkalosis could sometimes be prevented by replacing roughly 60 per cent of the loss. 5. In patients who had a very poor myocardium, more than 300 mEq. of potassium was lost in the urine each 24 hours. It was necessary to replace all of the potassium loss in such cases to avoid or correct metabolic alkalosis. In such cases, insulin was needed to keep the serum potassium concentration below 6 mEq. per liter. The authors express their appreciation to Mary Ann Dunn, R.N., and to the other nurses of Surgical Care Unit No. 2 at St. Vincent's Hospital for their contributions to this study. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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