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Relationship between lactate values and mortality in patients with haemorrhagic shock in an emergency unit
Dissertation (MCur)--University of Pretoria, 2011.
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University of Pretoria
2013
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| _version_ | 1867613731650797568 |
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| access_status_str | Open Access |
| author2 | Heyns, Tanya |
| author_browse | Heyns, Tanya |
| author_facet | Heyns, Tanya |
| collection | Thesis |
| dc_rights_str_mv | © 2011, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (MCur)--University of Pretoria, 2011. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/29728 |
| institution | University of Pretoria (South Africa) |
| last_indexed | 2026-06-10T12:40:48.647Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2013 |
| publishDateRange | 2013 |
| publishDateSort | 2013 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/29728 Relationship between lactate values and mortality in patients with haemorrhagic shock in an emergency unit Heyns, Tanya Hattingh, S.P. zarrabin@gmail.com Zarrabi, Eleonora Natali Haemorrhagic shock End points Emergency unit Emergency nurse practitioner Mortality rate Serum blood lactate levels Level i hospital Triage Trauma UCTD Dissertation (MCur)--University of Pretoria, 2011. Introduction : Trauma is the leading cause of death in patients between the ages of 1-44 years in South Africa. Taking these statistics into consideration it is essential to better resuscitation strategies in order to improve outcome of trauma patients. Compensated and uncompensated haemorrhagic shock is frequently under diagnosed in trauma patients, which has a definitive effect on mortality. Concerns about inadequate monitoring of patients through the use of only physiological end points are raised. Methods : A comprehensive literature review was conducted on resuscitation strategies for patients presenting with haemorrhagic shock. Physiological and metabolic end points of resuscitation were identified to guide resuscitation strategies. A quantitative, retrospective, non-experimental, descriptive, correlational and crosssectional research design was chosen for this study. Data was collected by using biophysical measures, namely clinical audit checklists. Results : Lactate was identified as a good indicator to predicting mortality in patients presenting with shock caused by haemorrhage. Special consideration to patients’ age and physiological status should be made during resuscitation. The consequence of delayed resuscitation in haemorrhagic shock patients is associated with an increase in mortality that can be prevented. It is found that serum blood lactate levels taken over time are good predictors of patient survival rates. Patients presenting with a raised serum blood lactate level for more than 24-hours has an increase in mortality rate. Conclusion : Emergency nurse practitioners are responsible for the monitoring of patients admitted to the emergency unit with haemorrhagic shock. The use of serum lactate levels during the first 24-hours of the resuscitation of patients with haemorrhage can assist with the implementation of strategies to reverse the effect haemorrhagic shock on cellular level in these patients. Nursing Science unrestricted 2013-09-07T16:25:10Z 2011-11-24 2013-09-07T16:25:10Z 2011-09-09 2011-11-24 2011-11-23 Dissertation Zarrabi, EN 2011, Relationship between lactate values and mortality in patients with haemorrhagic shock in an emergency unit, MCur dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/29728 > E11/9/232/gm http://hdl.handle.net/2263/29728 http://upetd.up.ac.za/thesis/available/etd-11232011-132542/ © 2011, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | Haemorrhagic shock End points Emergency unit Emergency nurse practitioner Mortality rate Serum blood lactate levels Level i hospital Triage Trauma UCTD Relationship between lactate values and mortality in patients with haemorrhagic shock in an emergency unit |
| title | Relationship between lactate values and mortality in patients with haemorrhagic shock in an emergency unit |
| title_full | Relationship between lactate values and mortality in patients with haemorrhagic shock in an emergency unit |
| title_fullStr | Relationship between lactate values and mortality in patients with haemorrhagic shock in an emergency unit |
| title_full_unstemmed | Relationship between lactate values and mortality in patients with haemorrhagic shock in an emergency unit |
| title_short | Relationship between lactate values and mortality in patients with haemorrhagic shock in an emergency unit |
| title_sort | relationship between lactate values and mortality in patients with haemorrhagic shock in an emergency unit |
| topic | Haemorrhagic shock End points Emergency unit Emergency nurse practitioner Mortality rate Serum blood lactate levels Level i hospital Triage Trauma UCTD |
| url | http://hdl.handle.net/2263/29728 http://upetd.up.ac.za/thesis/available/etd-11232011-132542/ |