American Journal of Clinical Medicine Research. 2015, 3(3), 55-59
DOI: 10.12691/AJCMR-3-3-5
Original Research

Correlation between the Measurements of Serum and Arterial Blood Gas (ABG) Electrolytes in Patients Admitted to the Intensive Care Unit at King Abdul-Aziz Medical City, Riyadh, Saudi Arabia

Abdullah Alanazi1, Nowaf Yousef Al Obaidi2, Farhan Al. Enezi3, Mohammed Khalaf AlMutairi1, Nawfal Aljerian4, Omar Abdullah Alsultan5, Khalid alharbi6 and Shoeb Qureshi7,

1Department of Pediatric Emergency, King Abdulaziz Medical City, National Guards, Riyadh, Saudi Arabia

2Department of Respiratory Therapy College of Applied Medical Science King Saud Bin Abdul-Aziz University, Riyadh, Saudi Arabia

3Intensive Care Unit, King Abdul Aziz Medical City, National Guards, Riyadh, Saudi Arabia

4Department of Emergency, King Abdulaziz Medical City, National Guards, Riyadh, Saudi Arabia

5College of Medicine, Dammam Univeresity, Saudi Arabia

6Department of Psychiatry, King Saud Bin Abdul Aziz University, Riyadh, Saudi Arabia

7Research Methodology Unit, College of Applied Medical Sciences, King Saud Bin Abdul-Aziz University, Riyadh, Saudi Arabia

Pub. Date: September 14, 2015

Cite this paper

Abdullah Alanazi, Nowaf Yousef Al Obaidi, Farhan Al. Enezi, Mohammed Khalaf AlMutairi, Nawfal Aljerian, Omar Abdullah Alsultan, Khalid alharbi and Shoeb Qureshi. Correlation between the Measurements of Serum and Arterial Blood Gas (ABG) Electrolytes in Patients Admitted to the Intensive Care Unit at King Abdul-Aziz Medical City, Riyadh, Saudi Arabia. American Journal of Clinical Medicine Research. 2015; 3(3):55-59. doi: 10.12691/AJCMR-3-3-5

Abstract

Background: The values of electrolytes are measured by both the arterial blood gas analyzer and the auto-analyzers, in arterial and venous blood respectively. Literature reports suggest controversies in comparisons between the results. Concerns have been increased about the precision of the instrument due to difference in results of laboratories, in addition to the time consumed. Materials and Methods: This is a prospective observational study on serum and ABG electrolytes in samples from 53 (34 Male and 19 Female) patients admitted to ICU at King Abdul-Aziz Medical City (KAMC). The analysis was done in Central Laboratory. The results from patients’ file were uploaded to SPSS from excel sheets and statistical analysis was done. Results and Conclusion: The age of patients varied between 14 years and 87 years in both the sexes. The sex wise frequency was 64.151% (males) and 35.85% (females). The pathological reports showed highest incidence of post-Motor Vehicular Accidents (MVA) followed by Community Acquired Pneumonia (CAP) and Respiratory Failure (RF). Comorbidities were infrequent. However; the highest incidence was related to Diabetes (DM) + Hypertension (HTN), followed by HTN alone and subsequently DM alone. SPSS analysis showed correlation between serum electrolytes and ABG electrolytes was significant at 0.01 levels. Correlation between serum and arterial electrolytes was significant, however; related to time it was weakly negative. We conclude that critical decisions can be made by trusting the values obtained through both ABG and Serum levels of the electrolytes.

Keywords

correlation, ABG, serum, electrolytes, prospective, observational, SPSS

Copyright

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References

[1]  C.J. Cox, Acute care testing Blood gases and electrolytes at the point of care. Clin Lab Med. 2001; 21: 321-35.
 
[2]  H. Morimatsu, J. Rocktäschel, R. Bellomo,S. Uchino, D. Goldsmith,G. Gutteridge, Comparison of point-of-care versus central laboratory measurement of electrolyte concentrations on calculations of the anion gap and the strong ion difference. Anesthesiology, 2003; 98: 1077-84.
 
[3]  J.S. Prichard, J.S. French, N. Alvar, Clinical evaluation of the ABL-77 for point-of-care analysis in the cardiovascular operating room. J Extra Corpor Technol. 2006; 38: 128-33.
 
[4]  E. Pungor, Working mechanism of ion-selective electrodes. Pure and Appl. Chem. 1992; 64: 503-507.
 
[5]  D. Kapoor, M. Srivastava, P. Singh, Point of care blood gases with electrolytes and lactates in adult emergencies. Int J CritIllnInj Sci. 2014; 4:216-22.
 
[6]  E. Jacobs, J.J. Ancy, M. Smith, Multi-site performance evaluation of pH, blood gas, electrolyte, glucose, and lactate determinations with the GEM Premier 3000 critical care analyzer. J Near Pat Test Techno, 2002; 1: 135-44.
 
[7]  L.I. Lin, A concordance correlation coefficient to evaluate reproducibility. Biometrics, 1989; 45: 255-68.
 
[8]  J. Kofstad, "Blood Gases and Hypothermia: Some Theoretical and Practical Considerations". Scand J Clin Lab Invest (Suppl), 1996; 224: 21-26.
 
[9]  O. Evliyaoğlu, G. Toprak, A. Tekin, M.K. Başarali, C. Kilinç,L, Effect of pneumatic tube delivery system rate and distance on hemolysis of blood specimens.J Clin Lab Anal. 2012; 26: 66-9.
 
[10]  S.K. Nanda, L. Ray, A.Dinakaran, Agreement of arterial sodium and arterial potassium levels with venous sodium and venous potassium in patients admitted to intensive care unit. J ClinDiagn Res. 2015; 9: BC28-30.
 
[11]  B.N. David, L. Edward, T. Zawada and C.R. Kleeman, The pathophysiology and Clinical Aspects of Hypercalcemic Disorders. West J Med. 1978; 129:278-320.
 
[12]  L. George, L. Evangelos, B. Fotios, E.Moses, Diabetes mellitus and electrolyte disorders.World J. Clin Cases. 2014; 2:488-496.
 
[13]  L. Maurice, B. Volker, A. Peri, G.J. Verbalis, Hyponatremia secondary to the syndrome of inappropriate secretion of antidiuretic hormone (SIADH): therapeutic decision-making in real-life cases. Clin Kidney J. 2013; 6: i1-i20.
 
[14]  J. S. You, Y.S. Park, H.S. Chung, H.S. Lee, Y. Joo, J.W. Park, S.P. Chung S.H. Lee, H.S. Lee, Evaluating the utility of rapid point-of-care potassium testing for the early identification of hyperkalemia in patients with chronic kidney disease in the emergency department. Yonsei Med J. 2014; 55:1348-53.
 
[15]  I. Suresh, M.A. Tagin, J.Anabrees, Is there any correlation between electrolytes in the blood gases report and serum electrolytes report? Research Gate Discussion, June 2013.
 
[16]  A. Jain, I.Subhan, M. Joshi, Comparison of the point-of-care blood gas analyzer versus the laboratory auto-analyzer for the measurement of electrolytes. Int J Emerg Med. 2009; 2: 117-120.
 
[17]  Y.U. Budak, K. Huysal, M. Polat, Use of a blood gas analyzer and a laboratory autoanalyzer in routine practice to measure electrolytes in intensive care unit patients. BMC Anesthesiol. 2012; 3:12-17.