Differences In The Values of Pre And Post -nephrolitotomy Percutaneous (PCNL) In Patients With Nephrolitiasis In H. Adam Malik Medan Hospital
Differences in Electrolyte Values Before and After Percutaneous Nephrolitotomy (PCNL) in Patients with Nephrolitiasis in H. Adam Malik Medan General Hospital
Percutaneous nephrolitotomy (PCNL) is a minimally invasive medical procedure that has become a popular option for treating kidney stones. This procedure involves artificial occlusion of the kidney pelvic system and irrigation to increase visibility when lifting kidney stones. Although irrigation is carried out using isotonic fluid, this procedure still carries a risk of fluid absorption into the intravascular circulation, which can affect the patient's hemodynamic and electrolyte levels. This study aims to identify differences in electrolyte serum levels in patients who undergo PCNL at H. Adam Malik Hospital Medan, with the hope of providing useful information in clinical practice.
Percutaneous nephrolitotomy (PCNL) is a medical procedure that is considered as an option therapy for dealing with kidney stones. This procedure is becoming popular because of its minimum invasive advantages and relatively affordable costs compared to open operations. During the PCNL procedure, artificial occlusion is performed on the kidney pelvic system and the irrigation process to increase visibility when lifting kidney stones. Although irrigation is carried out using isotonic fluid, this procedure still has a risk of absorption of fluid into intravascular circulation. This absorption can affect the patient's hemodynamic and has the potential to affect their electrolyte levels before and after the procedure is carried out.
This study uses an analytic design with a cross-sectional approach. The sample was taken using a consecutive sampling technique in accordance with the criteria of inclusion and exclusion in patients who had undergone PCNL procedures, with a total of 47 patients. Data was collected during the period February to June 2020. The study aimed to identify differences in electrolyte serum levels in patients who undergo PCNL at H. Adam Malik Hospital Medan.
The results of the analysis showed that sodium levels before and after PCNL had an average difference of 1.90, with a P> 0.05 value, which indicated that this difference was not statistically significant. In addition, potassium levels show the average difference of 0.47, also with a P> 0.05 value, so that both sodium and potassium do not show significant differences. Chloride levels also have an average difference of 0.45, and with the same P value, which is> 0.05, shows the same thing.
The results of this study indicate that there is no significant difference between electrolyte content before and after the PCNL procedure is based on the duration of the action. This finding provides important insights for medical practitioners regarding the stability of electrolyte levels in patients who undergo percutaneous nephrolitotomy. Although the PCNL procedure brings a risk of fluid absorption, not all patients will experience significant changes in their electrolyte levels. This shows that the success and safety of this procedure is maintained, even in the process of irrigation with isotonic fluid.
From the results of this study, it can be concluded that there is no significant difference between electrolyte content before and after the PCNL procedure is based on the duration of the action. This finding provides important insights for medical practitioners regarding the stability of electrolyte levels in patients who undergo percutaneous nephrolitotomy. A more in-depth further research may be needed to explore other factors that have the potential to affect electrolyte levels in patients undergoing PCNL, such as comorbidity, kidney stones, and other medical history.
This information can provide a stronger foundation for medical personnel in planning and managing the care of patients who experience nephrolitiasis, as well as assist in making better clinical decisions. The study's findings can also contribute to the development of guidelines for the management of patients undergoing PCNL, taking into account the potential risks and benefits of the procedure.
This study has several limitations that should be considered when interpreting the results. The sample size was relatively small, and the study was conducted in a single hospital setting. Further research is needed to confirm the findings of this study and to explore the generalizability of the results to other populations.
Future studies should aim to explore other factors that have the potential to affect electrolyte levels in patients undergoing PCNL, such as comorbidity, kidney stones, and other medical history. Additionally, studies should aim to investigate the long-term effects of PCNL on electrolyte levels and overall patient outcomes.
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Percutaneous nephrolitotomy (PCNL) is a minimally invasive medical procedure that has become a popular option for treating kidney stones. This study aims to identify differences in electrolyte serum levels in patients who undergo PCNL at H. Adam Malik Hospital Medan. The results of the analysis showed that sodium, potassium, and chloride levels do not show significant differences before and after the PCNL procedure. This finding provides important insights for medical practitioners regarding the stability of electrolyte levels in patients who undergo percutaneous nephrolitotomy.
Frequently Asked Questions (FAQs) About Percutaneous Nephrolitotomy (PCNL) and Electrolyte Levels
Q: What is percutaneous nephrolitotomy (PCNL)? A: PCNL is a minimally invasive medical procedure that is used to treat kidney stones. It involves making a small incision in the back to insert a scope and instruments to break up and remove the stones.
Q: What are the risks of PCNL? A: The risks of PCNL include bleeding, infection, and damage to the surrounding tissues. Additionally, there is a risk of fluid absorption into the intravascular circulation, which can affect the patient's hemodynamic and electrolyte levels.
Q: What are electrolyte levels, and why are they important? A: Electrolyte levels refer to the concentration of essential minerals such as sodium, potassium, and chloride in the blood. These minerals play a crucial role in maintaining proper bodily functions, including nerve and muscle function, hydration, and pH balance.
Q: What are the potential effects of PCNL on electrolyte levels? A: PCNL can affect electrolyte levels due to the risk of fluid absorption into the intravascular circulation. This can lead to changes in sodium, potassium, and chloride levels, which can have serious consequences if not properly managed.
Q: What are the findings of the study on PCNL and electrolyte levels? A: The study found that there is no significant difference between electrolyte content before and after the PCNL procedure. This suggests that the procedure does not have a significant impact on electrolyte levels.
Q: What are the implications of the study's findings? A: The study's findings provide important insights for medical practitioners regarding the stability of electrolyte levels in patients who undergo PCNL. This information can help medical personnel plan and manage the care of patients who experience nephrolitiasis.
Q: What are the limitations of the study? A: The study has several limitations, including a small sample size and a single hospital setting. Further research is needed to confirm the findings of this study and to explore the generalizability of the results to other populations.
Q: What are the future directions for research on PCNL and electrolyte levels? A: Future studies should aim to explore other factors that have the potential to affect electrolyte levels in patients undergoing PCNL, such as comorbidity, kidney stones, and other medical history. Additionally, studies should aim to investigate the long-term effects of PCNL on electrolyte levels and overall patient outcomes.
Q: What can patients do to manage their electrolyte levels during PCNL? A: Patients can work with their healthcare provider to manage their electrolyte levels during PCNL. This may involve monitoring electrolyte levels closely, adjusting medications as needed, and following a strict diet and hydration plan.
Q: What are the potential complications of PCNL on electrolyte levels? A: The potential complications of PCNL on electrolyte levels include changes in sodium, potassium, and chloride levels, which can lead to serious consequences such as cardiac arrhythmias, muscle weakness, and seizures.
Q: How can medical personnel use the study's findings to improve patient care? A: Medical personnel can use the study's findings to improve patient care by being aware of the potential risks and benefits of PCNL on electrolyte levels. This can help them plan and manage the care of patients who experience nephrolitiasis more effectively.
Q: What are the next steps for research on PCNL and electrolyte levels? A: The next steps for research on PCNL and electrolyte levels include conducting further studies to confirm the findings of this study and to explore the generalizability of the results to other populations. Additionally, studies should aim to investigate the long-term effects of PCNL on electrolyte levels and overall patient outcomes.