ELECTROLYTE DISTURBANCES IN CRITICALLY ILL PATIENTS.

Background:- Critically ill child is any child needs supportive treatment for its biological function either by drugs or mechanical ventilation & is usually associated by disturbances in Electrolytes due to different associated factors. Objective:- The aim of our work is to measuring level of sodium, potassium, and calcium, in critically ill patient Methods:- The study was conducted at pediatric Intensive Care Units ( PICUS ) of the Pediatric Department, Benha University Hospitals during the period from February 2015 to April 2015, on females and males equally from 1month to 18 years needing supportive treatment by drugs or mechanical ventilators. Demographic Data were collected & Full examination was done and Blood samples were taken to do Complete blood count, C-reactive protein, Liver function test, Kidney function test, Arterial blood gases & serum electrolytes as serum Ca, Na & K level. Results:- Hypocalcemia is more common in our PCIU 71.7% of cases with PRISM score mean of (23.0?11.42 (5-47) ) with Death prediction of (39.07?23.51 (9-75)), Hypercalcemia is less common 2.5% of cases with PRISM score mean of (43.67?1.53(42-45)) & Death prediction of (75.0?0.0 (75-75) ), Hypokalemia is more common 38.8% of cases with PRISM score of (25.04?8.21 (8-38) ) and Death prediction of (44.52?20.49 (9-75) ), Hyperkalemia is less common 22.5% of cases with PRISM score of (27.44?13.58 (10-47)) and Death prediction of (47.22?24.91 (15-75)), Na level of no significance relation with critically ill children. Conclusion:- Critically ill children, hypocalcemia& hypokalemia are more common among children but hyperkalemia & hypercalcemia are associated with high level of PRISM score & Death Prediction