HIPO E HIPERNATREMIA PDF

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.

Author: Akinoshicage Daik
Country: Turkmenistan
Language: English (Spanish)
Genre: Photos
Published (Last): 27 December 2014
Pages: 354
PDF File Size: 6.17 Mb
ePub File Size: 19.78 Mb
ISBN: 684-5-81809-318-8
Downloads: 73044
Price: Free* [*Free Regsitration Required]
Uploader: Metaur

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 stay in days, admission to the paediatric intensive care unit PICUneed for additional diagnostic tests, presence of complications, comorbidity and mortality.

We estimated the size of the susceptible hipeernatremia 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 percentage of weight loss relative to the birth weight was Although the actual incidence of HND in Spain is unknown, it is considered a significant public health problem due to its hipernatremla the estimated incidence is 1.

As occurred in previously published case series, excessive weight loss from birth was a frequent feature, as was the appearance of urate crystals in the urine 14, The 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.

Hi;ernatremia presenting complaints are summarised in Hipernatrejia 1: There were no deaths among the patients in our sample.

HIPONATREMIA – Definition and synonyms of hiponatremia in the Portuguese dictionary

Table 2 summarises the findings of other diagnostic tests. In our sample, all cases had onset within 15 days from birth, with a median age at admission that was slightly greater compared to the age reported in other case series, which can probably be explained by our study focusing on newborns admitted after discharge from the maternity ward.

Reference of this article.: The median age at admission was 5.

The mean length of stay was hipernayremia. The medium serum creatine level in our sample was 0. In the remaining cases, the family visited the emergency department in our hospital of their own initiative. We also categorised the reason parents hipernatermia care in our hospital based on the presenting symptoms: In contrast with the improvement in care delivery in other aspects, we did not find a declining trend in incidence in our patients during hipl 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.

  GOWIN TKS-202 PDF

We preserved confidentiality by anonymising the data retrieved from health records. The hipeernatremia common reasons care hipernatremiaa 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 compared our results for the most important epidemiologic variables with the findings of previous studies.

In agreement with the previous literature, we did not find relevant features in the prenatal or perinatal history in our sample of NBs 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.

hipernatremia – Translation into English – examples Portuguese | Reverso Context

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. Other, less frequent reasons to seek care were refusal to feed and appearance of urate crystals in the diaper.

Contrary to other studies, we did not find an association with caesarean delivery, as in Spain this intervention usually does not entail a delay of more than 12 hours in BF initiation The most frequent reasons for seeking care were weight loss, jaundice and irritability. 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.

There are few studies on its incidence in Spain. 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 None of the patients died or had severe complications.

We excluded patients born preterm, with concomitant infectious disease, with underlying disease or who died of unknown causes during the study. It is a potentially severe condition 1,3 that can cause significant neurologic sequelae and even death 4. 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 education programmes for mothers in maternity wards 13, In our well-child programme, the first check-up visit is scheduled at 15 days post birth, which in our opinion is too late to detect problems derived from inadequate BF in at-risk NBs, as our data imply.

  AMDOCS PLACEMENT PAPERS 2011 WITH ANSWERS PDF

Most mothers in our sample were primiparous, and the median maternal age was 34 years, which was consistent with previous studies where the median ages hipernarremia the mothers age were 30 17 and 34 years, Our study is the first in Spain to calculate the incidence of HND in newborns after discharge, identifying primiparity as a hippo maternal risk factor.

Translation of “hipernatremia” in English

As reference for Spain, the incidence of hypernatremia per live births found in a study in Asturias was 0. 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 t test.

The primary variable under study was the serum sodium level measured in a venous blood sample. We have summarised qualitative variables as frequencies with confidence intervals, and quantitative variables as medians with the corresponding interquartile range. 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 found an association with exclusive breastfeeding, primiparity and greater maternal age.

Twenty met the inclusion criteria. Severe neonatal hypernatremic dehydratation in the initiation of the breastfeeding: We performed the statistical analysis defining significance as a p -value of less than 0. The mean gestational age at birth was 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 not develop the disorders described in other case series while they received treatment to correct the acidosis 21, 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.

Meaning of “hiponatremia” in the Portuguese dictionary

In most cases, the presenting complaints were problems associated with BF with signs that were easily identified in a basic physical examination. Its onset typically occurs at about 8 days post birth, varying between 2 and 14 days depending on the study. A future prospective study, one which would include an analysis of the impact of the improvement measures proposed here, could be the starting point to decrease the incidence of this health problem.