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Current Pediatric Research| Volume: 22
November 28-29, 2018 | Dubai, UAE
15th World Congress on
Pediatrics, Clinical Pediatrics and Nutrition
28th International Conference on
Nursing Practice
Joint Event
&
Electrolyte and acid-base balance (Sodium, Potassium and pH) during severe acute malnutrition in
children under 5 years old
Bibole Lubamba Maguy
Jiangnan University, China
In developing countries, poverty and inadequate health
services are responsible for the death of millions of people
yearly, particularly children due to malnutrition, and its
interaction between malnutrition with micro-nutritional
disorders, frequent parasite infections, diarrhea and various
malabsorption-relateddisorders. Someelectrolytedisturbances
thataccompanymalnutritionareevenaggravatedbyinadequate
nutrition. The consequences can be dramatic and lead to a
syndrome of multi-organ failure or even death. Regulation of
the equilibrium of water and Na+ ions are inextricably linked to
arterial pressure and blood volume. The regulation of sodium
ion balance involves the nervous and hormonal mechanisms.
The disorders of the natraemia are associated with the
disorders of the volemia: dehydration or hyperhydration.
Fe+ deficiency has caused anemia in malnourished, and this
anemia causes hyperkalaemia when potassium is released at
the time of the destruction of red blood cells during hemolysis.
Hyponatraemia makes the extracellular medium hyperosmotic.
An excess of K+ ions in the extracellular fluid can be followed by
a loss of excitability of the membranes of neurons and muscle
fibers. The heart is particularly sensitive to the concentration
of K+ ions. Metabolic acidosis is detected as an increase in
plasma anion difference (GA), but without the change in pH or
plasma [HCO3-]. In a situation of pronounced acidosis, with the
depletion of chemical buffers, the potassium ions are released
from the cell in exchange for the H ions in an attempt to reduce
the acidity of the extracellular medium and thereby increase
that of the intracellular environment. Nutritional deficiencies,
whether quantitative or qualitative, are a very common cause
leading to a state of malnutrition. Directly or indirectly, it is the
first cause of acquired immunodeficiency facilitating a large
number of serious microbial infections that can lead to death.
Speaker Biography
BiboleLubambaMaguy isanutritionistanddietician, inher lastyearofmaster’satJiangnan
university, PP China. She has 2 published papers and 5 under the process of publication.
She worked as a nutritionist in the hospitals in DR Congo.
e:
Bibole Lubamba Maguy, Pediatrics and Clinical Pediatrics 2018
& Nursing Practice 2018, Volume 22
DOI: 10.4066/0971-9032-C2-005