Assessment of Electrolyte Disturbances Risk Factors among Traumatic Brain Injury | ||||
| Alexandria Scientific Nursing Journal | ||||
| Volume 27, Issue 3, September 2025, Page 85-96 PDF (247.78 K) | ||||
| Document Type: Research articles | ||||
| DOI: 10.21608/asalexu.2025.450080 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Georges IRAMBONA* 1; Nadia Taha Mohamed Ahmed,2; Bassem Nashaat Beshay Michael3; Haitham Mokhtar Mohamed Abdallah4 | ||||
| 1Anesthesia-Intensive care, Burundi | ||||
| 2Professor Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University. | ||||
| 3Assistant Professor Critical Care Medicine, Faculty of Medicine, Alexandria University | ||||
| 4, Lecturer Critical Care and Emergency Nursing,Faculty of Nursing, Alexandria University. | ||||
| Abstract | ||||
| Background: Electrolyte disorders are linked to cardiovascular emergencies, such as cardiac dysrhythmias and arrest, complicating resuscitation efforts. Without timely monitoring and management, these issues can lead to severe complications, including death. Traumatic brain injury (TBI) patients frequently experience electrolyte disturbances due to various risk factors, necessitating close monitoring by nurses to detect and prevent life-threatening disorders, thereby improving patient outcomes. Objective: This study aimed to assess the risk factors of electrolyte disturbances among TBI patients. Settings: Data were collected from five adult ICUs at Alexandria Main University Hospital, ensuring a diverse patient population. Subjects: A convenience sample of 140 patients aged 18-65 years with confirmed TBI was selected using power analysis and sample size software (PASS 2020). Tool: The "Electrolyte Disturbances Risk Factors Assessment Tool," adopted from Chala Kenenisa Edae et al. (2020), was utilized for systematic data collection, demonstrating validity and reliability (Cronbach’s α = 0.76). This tool encompassed relevant clinical data, including demographic and laboratory values. Results: Significant risk factors for sodium disturbances included: SIADH: P=0.019, Hypervolemia: P=0.038 and Hyperglycemia: P=0. 047.For potassium disturbances, significant associations were found with: SIADH: P=0.029. Hypovolemia a: P=0.033, Acute Renal Failure (ARF): P=0.036 and Hypervolemia: P=0. 038.Conclusion: Key risk factors for electrolyte disturbances in TBI patients are SIADH, hyperglycemia, hypovolemia, hypervolemia, and ARF. This underscores the necessity for proactive nursing interventions. Recommendations: critical care nurses should enhance monitoring practices and consider assessing additional electrolytes, such as calcium and magnesium, to improve patient outcomes and reduce complications. | ||||
| Keywords | ||||
| Keywords: Electrolyte disturbances; risk factors; Traumatic Brain Injury Patients | ||||
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