Factors Associated with Altered Hydration Status among Critically Ill Adult Patients | ||||
| Alexandria Scientific Nursing Journal | ||||
| Volume 19, Issue 1, July 2017, Page 177-192 PDF (240.42 K) | ||||
| Document Type: Research articles | ||||
| DOI: 10.21608/asalexu.2017.208347 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Shimmaa Mohamed Elsayed* ; Masouda Hassan Abd El-Hamid; Nagwa Ahmed Reda | ||||
| Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||||
| Abstract | ||||
| Maintaining adequate hydration in critically ill patients is primary element of nursing care. However, in critically ill patients, hydration is the missing part of nutritional care and fluid balance disorders are relevant risk factors for morbidity and mortality in those patients. Objective: The current study was conducted to identify factors associated with altered hydration status among critically ill patients. Setting: This study was carried out at the intensive care units (ICUs) of the Alexandria Main University Hospital, namely: the casualty care unit and the general intensive care unit. Subjects: A convenience sample of 110 newly admitted critically ill adult patients to the above mentioned settings were included in the current study. Patients on hemodialysis or peritoneal dialysis and those with length of stay <3 days were excluded from this study. Tools: "Hydration Assessment tool" was used to collect necessary data. Results: The result of current study showed that 68% of the studied sample had fluid volume deficit. The most common factors associated with fluid volume deficit were infection, hyperventilation, impaired skin integrity, unhumidified oxygen therapy, fever, impaired swallowing and hyperglycemia were. While the most common factors associated with fluid volume excess included renal insufficiency and use of steroids medications. Conclusion: Fluid volume deficit is more common than fluid volume excess in the critically ill patients. A significant relationship was found between patients' hydration status alterations and their characteristics. Moreover, it can be concluded that keeping the body well hydrated may seem to be a simple practice. However, it is very difficult, and the assessment of the hydration status in the critically ill patients is challenging. Recommendations: Constant monitoring of fluid intake and output should be done, all factors that contribute to hydration status alterations should be considered and assessed continuously and all markers of hydration should be integrated to identify patients' risk factors for fluid volume deficit or excess. | ||||
| Keywords | ||||
| Hydration; Fluid volume excess; Fluid volume deficit; Critically ill patients | ||||
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