Medication-related electrolyte imbalances in ICUs: Challenges and nursing strategies

Abstract

Medication-relatedrnelectrolyte imbalances, such as hyponatremia, hyperkalemia, and hypomagnesemia,rnare prevalent in intensive care units (ICUs), complicating the management ofrncritically ill patients. These imbalances, often induced by drugs likerndiuretics, corticosteroids, and antimicrobials, pose significant challenges duernto their complex pathophysiology and the high acuity of ICU patients. Nursesrnplay a pivotal role in early detection, monitoring, and management, yetrnknowledge gaps and systemic barriers hinder optimal care. This review examinesrnthe causes, challenges, and nursing strategies for managing medication-relatedrndyselectrolytemia in ICUs, emphasizing the need for standardized protocols andrnenhanced education. Recommendations include nurse-driven protocols,rninterprofessional collaboration, and targeted training to improve patientrnoutcomes.