Pendekatan Klinis Terpadu dan Holistik dalam Penatalaksanaan Gangguan Elektrolit pada Pasien Rumah Sakit
DOI:
https://doi.org/10.61132/vitamin.v4i1.2085Keywords:
lectrolyte Disturbances, Hyperkalemia, Hypernatremia, Hyponatremia, HypokalemiaAbstract
Electrolytes are essential minerals that play a critical role in various physiological processes within the body, including the maintenance of fluid balance, proper neuromuscular function, and the transmission of nerve impulses. They are vital for the stability of the heart and other crucial organs. When electrolyte levels become imbalanced, as seen in conditions such as hyponatremia (low sodium), hypernatremia (high sodium), hypokalemia (low potassium), hyperkalemia (high potassium), and hypocalcemia (low calcium), serious health issues can arise. These imbalances can result from factors like malnutrition, excessive losses through the kidneys or gastrointestinal tract, hormonal disorders, and certain systemic diseases. Understanding the underlying pathophysiological mechanisms and clinical manifestations of these disturbances is essential for effective diagnosis and treatment. Healthcare providers must identify the root causes of electrolyte imbalances while assessing their severity to implement appropriate management strategies. This often involves gradually correcting electrolyte levels to mitigate the risk of life-threatening complications such as arrhythmias, cerebral edema, and neurological impairment. By fostering a comprehensive understanding of electrolyte imbalances, healthcare professionals can improve diagnostic accuracy and therapeutic effectiveness, ultimately leading to better patient outcomes. This knowledge is crucial in minimizing morbidity and mortality associated with these disruptive conditions, ensuring that individuals receive prompt and effective care to restore balance and maintain overall health.
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Adrogué, H. J., Tucker, B. M., & Madias, N. E. (2022). Diagnosis and management of hyponatremia: A review. JAMA, 328(3), 280–291. https://doi.org/10.1001/jama.2022.11176
Buffington, M. A., & Abreo, K. (2016). Hyponatremia: A review. Journal of Intensive Care Medicine, 31(4), 223–236. https://doi.org/10.1177/0885066614566794
Guyton, A. C., & Hall, J. E. (2007). Buku ajar fisiologi kedokteran. Elsevier.
Hall, J. E. (2016). Guyton and Hall textbook of medical physiology (Jordanian ed.). Elsevier Health Sciences.
Jameson, J. L., et al. (2018). Harrison’s principles of internal medicine (20th ed.). McGraw-Hill Education.
Johan, M. (2021). Evaluasi dan tatalaksana hipernatremia. Cermin Dunia Kedokteran, 48(6), 359–362. https://doi.org/10.55175/cdk.v48i6.1441
Kasper, D. L., Fauci, A. S., Hauser, S. L., Longo, D. L., Jameson, J. L., & Loscalzo, J. (2015). Harrison’s principles of internal medicine (19th ed., Vol. 1). McGraw-Hill.
Loho, T., Wibisono, L. K., Siregar, P., Madjid, A., & Moenadjat, Y. (2012). Gangguan keseimbangan air-elektrolit dan asam-basa: Fisiologi, patofisiologi, diagnosis dan tatalaksana.
Mount, D. B. (2016). Fluid and electrolyte disturbances. In D. L. Kasper et al. (Eds.), Harrison’s principles of internal medicine (19th ed.). McGraw-Hill.
Nathania, M. (2019). Hipokalemia: Diagnosis dan tatalaksana. Cermin Dunia Kedokteran, 46(2), 103–108.
Nickless, G., & Hindley, B. (2022). Electrolyte disturbances: Causes and management. Pharmaceutical Journal, 309(7964).
Oktari, W., Deli, H., & Hasneli, Y. (2021). Gambaran status elektrolit pasien yang dirawat di intensive care unit (ICU). Link, 17(1), 14–21. https://doi.org/10.31983/link.v17i1.6327
Seay, N. W., Lehrich, R. W., & Greenberg, A. (2020). Diagnosis and management of disorders of body tonicity—Hyponatremia and hypernatremia: Core curriculum 2020. American Journal of Kidney Diseases, 75(2), 272–286. https://doi.org/10.1053/j.ajkd.2019.07.014
Seba, M. C., Mathew, A. T., Rekha, S., & Prasobh, G. R. (n.d.). A review of treatment options for electrolyte imbalance and dietary sources to restore electrolyte imbalance: Including electrolyte imbalance in patients with severe coronavirus.
Setyawan, Y. (2021). Hipernatremia dan penatalaksanaannya. Medical Scope Journal, 2(2). https://doi.org/10.35790/msj.2.2.2021.32693
Siregar, P. (2014). Gangguan keseimbangan air dan elektrolit. In Buku ajar ilmu penyakit dalam (6th ed.). PAPDI.
Tinawi, M. (2020). Hyponatremia and hypernatremia: A practical guide to disorders of water balance. Archives of Internal Medicine Research, 3(1), 74–95. https://doi.org/10.26502/aimr.0025
Tyas, R. A., Damayanti, W., & Arguni, E. (2018). Prevalensi gangguan elektrolit serum pada pasien diare dengan dehidrasi usia kurang dari 5 tahun di RSUP Dr. Sardjito tahun 2013–2016. Sari Pediatri, 20(1), 37–42. https://doi.org/10.14238/sp20.1.2018.37-42
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