TO STUDY ABOUT THE ELECTROLYTE IMBALANCES DURING AN ACUTE EXACERBATION OF COPD AT AIMS, DEWAS

Abstract

Background & Method: All patients admitted in Respiratory Medicine ward of Amaltas Institute of Medical Sciences, Dewas, M.P. with diagnosis of Acute Exacerbation of COPD. Study will be conducted on 86 patients of acute exacerbation of COPD from the Department of TB and Chest at Amaltas Institute of Medical Sciences, Dewas, M.P. and 20 age- sex matched healthy community control.

Result: The mean age of 86 patients diagnosed with acute exacerbation of COPD and fulfilled all inclusion criteria (Cases) was 60.7 ± 11.5 and mean age in the Healthy control group was 59.75 ± 6.65. The difference was found to be statistically not significant with a P-value of 0.735. The mean Serum Sodium of Patients in the Case Group was 128.85 ± 3.17 and that of the control group was 138.81 ± 1.69. The mean Serum Potassium of Patients in the Case Group was 3.293 ± 0.684 and that of the control group was 4.191 ± 0.272.

The mean FEV1 of Patients in the Case Group was 51.8 ± 10.2 and that of the control group was 87.30 ± 4.96.

Conclusion: Electrolyte imbalances are quiet common during acute exacerbations of COPD Routine Serum electrolytes should be done in all patients admitted with acute exacerbation of COPD and should be corrected if necessary. Routine screening for electrolyte imbalances and correction are very necessary as it reduces the quality of life, increases exacerbations following one year and even may cause mortality.

Keywords: tuberculosis, drug resistance &incidence.