DOI: 10.36347/sjams.2020.v08i08.031

Pages: 1940-1943

Introduction: Diarrhea is a condition in which faeces are discharged from the bowels frequently and in a liquid form. Dehydration is a very common phenomenon of diarrhea. Severe dehydration may cause electrolyte and acid-base imbalance in human body. So electrolyte and acid-base status analysis is a vital part of treating children with acute diarrhea. Aim of the study: The aim of this study was to evaluate the electrolyte and acid-base status in children with dehydration caused by acute diarrhea. Methods: This was a prospective observational study and was conducted in Sitakund Upazila Health Complex, Sitakund, Bangladesh during the period from January 2017 to December 2018. In total 162 children aged within 5 years admitted to the mentioned hospital with dehydration caused by acute diarrhea ware selected as the study population. Result: In our study we found 53.70% (n=87) patients had isonatremic dehydration (Na+: 135-145 mEq/L) followed by 44 (27.16%) patients who had hyponatremic dehydration (Na+<135 mEq/L). Among those 27.16% patients 4.94% had Na+<120 mEq/L. On the other hand, 31 (19.13%) children had hypernatremic dehydration (Na+>145mEq/L). Among those 19.13% children 1.23% (n=2) patients had Na+>160 mEq/L. Besides these, among total study population hypokalemia (serum K+<3.5 mEq/l) were in 67.90% (n=110) patients and hyperkalemia (serum K+>4.5mEq/l) were in 6.17% (n=10) patients. So 25.93% (n=42) patients had normal serum potassium level. In our study out of total 162 patients 50% (n=81) had normal pH levels (7.35-7.45). We found Acidosis (pH <7.35) was present in 34.56% (n=56) of patients and 15.43% (n=25) cases had alkalosis (pH >7.45) in the study. Severe acidosis (pH <7.15) was present in 14.81% (n=24) patients. Conclusion: The aim of this study was to evaluate the electrolyte and acid-base status in children with dehydration caused by acute diarrhea. Besides the findings regarding of this aim, socio-economic status of the participants also may be........