MA failed to decrease at 24 hours in the subgroup,

which went on to develop muti- organ dysfunction, necessitating organ support. Appropriate interventions viz. quicker administration of right antibiotic and fluid resuscitation was associated with a decrease in MA. MA also decreased in the subgroup, who received steroids. Higher doses of insulin, rather than actual glucose level was seen to decrease MA in non-diabetics. A higher ratio of VEGF/ sFLT level on admission was associated with gretaer MA (p = 0.0079). However, it was a rising level of sFlt at 24 hours, which correlated with mortality. Conclusions: Microalbuminuria, a manifestation of endothelial dysfunction, was more in patients with SIRS due to sepsis and those find more who developed multi organ dysfunction.

Interventions like right antibiotic, fluid resuscitation, insulin, steroids, where indicated, helped to decrease MA. A high VEGF/sFLT ratio correlated with higher MA but a rising sFlt portended a poor outcome. BUNANI EUNICE, DUMDUM Cagayan de Oro Medical Center Background: Renal nurses develop their expertise over time and in the exercise of their professional skills deliver the essence of safe, competent, and compassionate care. The knowledge, attitude and skills of a nurse develop progressively where complexities of clinical procedures and experiences are intertwined. Objective: This study identifies whether Quality Patient Dialysis Outcomes (QPDO) were directly affected by eleven key areas of nurse responsibility used when evaluating renal staff competency Ibrutinib order (SC). Methods: 59 Staff Nurses were appraised evaluating SC while 525 hemodialysis patients were evaluated using the QPDO parameters. Univariate linear regression and Pearson rho moment correlation were used to build Glycogen branching enzyme relationships. Results: Data indicated both increase and decrease trends in relation to staff competency. Competencies related to Health Education (172.6), Communication (147.5), Records

Management (141.6), Safe and Quality Nursing Care (135.0), and Management of Resources (133.5) demonstrated increase trends. Competencies related to Research ( −35.2), Quality Improvement ( −12.3), and Legal Responsibility ( −6.68) were relatively decreased as the period of competency evaluation progressed. It was notable that QPDO related to Kt/V, Albumin, Hemoglobin, and Hematocrit Levels were directly proportional to increasing extent of SC ρ = (+0.61) while calcium and phosphorus levels were directly associated to areas where staff were demonstrated an decreasing trend ρ = (+0.66). Conclusion & Application to Practice: The eleven key areas of responsibility used to measure SC in a periodic evaluation demonstrated a strong correlation to the increasing extent of QPDO. Additionally, as the nurses progressed to becoming expert a direct correlation to the QPDO was notable.