View Contents. Hiponatremia, h.. BIBLIOGRAFÍA. Hiponatremia, hipernatremia y mortalidad en pacientes con nefropatía crónica. Mary E. Choi; Joseph Loscalzo. farsightedness, long-sightedness, hyperopia CD hipermetropía f hipernatremia f hypacusis CE) hipoacusia f hipocapnia f hypocapnia CD hipo- capnia f hipocinesia f ® hypokinesia CE) hi- + m) hipocrómico E«> hypochromic CE) . Hiponatremia e hipernatremia. Jose Miguel Castellón. Hiponatremia hipernatremia. fernandomolinalino. Fisiopatologia trastornos del Sodio.
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We were able to conduct the study thanks to the standardisation of our electronic health records.
We excluded patients with underlying conditions or concomitant infection. The overall frequency of HND in our sample 0. The scheduling of a first appointment at the end of the first week of life could help prevent HND associated with BF or at least reduce its incidence, and also support BF, preventing early discontinuation of BF due to inefficient technique or maternal discouragement hopernatremia The metabolic comorbidities found in our study were similar to those described in other studies in Spain, with mild acidosis detected in half of our sample, although our patients did hipernatermia develop the disorders described in other case series while they received treatment to correct the acidosis 21, The median percentage of weight loss relative to the birth weight was Rev Pediatr Aten Primaria.
We have summarised qualitative variables as frequencies with confidence intervals, and quantitative variables as medians with the corresponding interquartile range. The risk factors for HND described in the literature include inadequate feeding of NBs poor breastfeeding [BF] technique, poor sucking or low milk supplypreterm birth, small for gestational age or low birth weight, maternal primiparity, caesarean delivery, or failure of mothers to identify signs of inadequate feeding early on 4, Table 2 summarises the findings of other diagnostic tests.
In contrast with the improvement in care delivery in other aspects, we did not find a declining trend in incidence in our patients during the period under study, nor in relation to the data from previous studies, which indicates that we need to develop strategies to address this yet unresolved problem.
Our study is the first in Spain to calculate the incidence of HND in newborns after discharge, identifying primiparity as a relevant hipernatremai risk factor. Other variables we took into account were maternal age, parity, type of delivery, sex, gestational age at birth, chronological age at admission, weight at birth, at admission and at discharge, temperature at admission, type of feeding, presence of clinical signs of dehydration, creatinine, blood urea nitrogen BUN and urea levels at admission, serum glucose level at admission, referral to our hospital, previous assessment by another health professional, length of hipernatrmia in hipermatremia, admission to the paediatric intensive care unit PICUneed for additional diagnostic tests, presence of complications, comorbidity and mortality.
The authors have no conflicts of interest to declare in relation to hiprrnatremia preparation and publication of this article.
HIPONATREMIA – Definition and synonyms of hiponatremia in the Portuguese dictionary
It is a potentially severe condition 1,3 that can cause significant neurologic sequelae and even death 4. There are few studies on its incidence in Spain. Hypernatremic dehydration HND in exclusively breastfed newborns NBs is a health problem that ihpo being featured in the literature in the s. None of the patients died or had severe complications. Table uipernatremia summarises the demographic and clinical characteristic of the newborns and their mothers.
In light of these results, it seems advisable to provide information on the warning signs at the time of discharge from the maternity ward, and to schedule the first checkup for the baby at an earlier time.
Two of the newborns were delivered by caesarean section, one due to nonreassuring foetal heart rate tracings and the other due to prolonged labour. We estimated the size of the susceptible population during the period under study at 41 newborns, which corresponded to the newborns delivered in the maternity departments of one secondary level hospital and one tertiary level hospital that are both part of the public health system in the catchment area of our sample.
Meaning of “hiponatremia” in the Portuguese dictionary
Another possibility would be to schedule a visit to measure the NB on the day that they are brought in for the heel prick test, or to establish hiperhatremia programmes for mothers in maternity wards 13, The medium serum creatine level in our sample was 0.
A future prospective study, one which would include an analysis d the impact of the improvement measures proposed here, could be the starting point to decrease the incidence of this health problem. The median serum sodium level was RESULTS We estimated the size of the susceptible population during the period under study at 41 newborns, which corresponded to the newborns delivered in the maternity departments of one secondary level hospital and one tertiary level hospital that are both part of the public health system in the catchment area of our sample.
The median r at admission was 5.
Hipo e hipernatremia by daniela de la viña on Prezi
Some authors have found an association between HND and high sodium concentrations in the breast milk of mothers that have difficulty BF, with absence of the physiological reduction in the concentration of this electrolyte 2, We compared differences in the incidence between the warm seasons spring and summer and the cold seasons autumn and winter by means of the Student hipernatrema test.
Twenty met the inclusion criteria. We found an association with exclusive breastfeeding, primiparity and greater maternal age. Hipernatrrmia aim of our study was to determine the incidence of hospital admission due to severe HND and to describe the associated risk factors for the purpose of proposing preventive measures. The mean gestational age at birth was This condition is underdiagnosed, as it presents with nonspecific symptoms such as lethargy, although some patients become irritable instead.
We used the recorded population for our hipernatremai area as the susceptible population for the purpose of calculating the incidence of HND.
One of the limitations of our study, which was due to its retrospective design, was that we were unable to obtain data on parental educational attainment. Education of health care staff though the development of consensus documents and the implementation of BF support workshops for mothers are measures that succeeded in reducing the incidence of HND in other facilities in Spain 13, We also categorised the reason parents sought care in our hospital based on the presenting symptoms: The most common reasons care was sought in our case series were, with equal frequency, irritability and jaundice, presenting symptoms that were consistent with the literature, which also describes presentations with hypertonia and hyperreflexia, altered level of consciousness or seizures, which were not observed in any of our patients 14, We collected data on epidemiological, clinical, laboratory, treatment and outcome variables through the review of health records, followed by their statistical analysis.
We compared our results for the most important epidemiologic variables with the findings of previous studies. In most cases, the presenting complaints were problems associated with BF with signs that were easily identified in a basic physical examination.