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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Out of the 22 NBs discharged with a diagnostic code of hypernatremic dehydration, 20 met the criteria for inclusion and 2 were excluded due to evidence of a triggering disease thrombophilia, urinary tract infection [UTI] The mean incidence during the year under study was 0.
Reference of this article.: In agreement with the previous literature, we did not find relevant features in the prenatal or perinatal history in our sample of NBs 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.
Rev Pediatr Aten Primaria. As reference for Spain, the incidence of hypernatremia per live births found in a study in Asturias was 0. We found an association with exclusive breastfeeding, primiparity and greater maternal age.
Two of the newborns were delivered by caesarean section, one due to nonreassuring foetal heart rate tracings and the other due to prolonged labour. The presenting complaints are summarised in Table 1: This condition is underdiagnosed, as it presents with nonspecific symptoms such as lethargy, although some patients become irritable instead.
Its onset typically occurs at about 8 days post birth, varying between 2 and 14 days depending on the study. 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. We retrieved the data from the health records of NBs admitted to our hospital. 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.
Translation of “hipernatremia” in English
The most frequent reasons for seeking care were weight loss, jaundice and irritability. 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, In contrast with the improvement in care hkpo 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 f, which indicates that we need to develop strategies to address this yet unresolved problem.
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.
We have summarised qualitative variables as frequencies with confidence intervals, and quantitative variables as medians with the corresponding interquartile range. Furthermore, the baby may show signs of dehydration such as dry mucous membranes, a sunken fontanel, poor skin turgora malnourished appearance, jaundice, fever, oliguria or anuria or neurologic abnormalities.
It is a potentially severe condition 1,3 that can cause significant neurologic sequelae and even death 4. 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, 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, 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.
We collected data on epidemiological, clinical, laboratory, treatment and outcome variables through the review of health records, followed by their statistical analysis. We performed the statistical analysis defining significance as a p -value of less than 0.
We excluded patients with underlying conditions or concomitant infection.
Hipo e hipernatremia by daniela de la viña on Prezi
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 hio in the catchment area of our sample.
In the remaining cases, the family visited the emergency department in our hospital of their own initiative. 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, One of the limitations of our study, which bipernatremia due to its retrospective design, was that we were unable to obtain data on parental educational attainment.
As occurred in previously published case series, excessive weight loss from birth was a frequent feature, as was the appearance hiop urate crystals in hipernatremiw urine 14, We used the recorded population for our catchment area as the susceptible population for the purpose of calculating the incidence of HND.
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 bipo BF initiation 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.
Hypernatremic dehydration HND in exclusively breastfed newborns NBs is a health problem that started being featured in the literature in the s. Our study is the first in Spain to calculate the incidence of HND in newborns after discharge, identifying primiparity as a relevant maternal risk factor.
Meaning of “hiponatremia” in the Portuguese dictionary
Twenty met the inclusion criteria. Hipernarremia scheduling of a first appointment hipernatrejia 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 We preserved confidentiality by anonymising the data retrieved from health records.
Severe neonatal hypernatremic dehydratation in the initiation of the breastfeeding: The primary variable under study was the serum sodium level measured in a venous blood sample. Other, less frequent reasons to seek care were refusal to feed and appearance of urate crystals in the diaper.
The median age at admission was 5.
HIPONATREMIA – Definition and synonyms of hiponatremia in the Portuguese dictionary
The medium serum creatine level in our sample was 0. There are few studies on its incidence in Spain. The mean length of stay was 6. 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.
We believe that BF provides the best nutrition for the infant, but that it requires adequate monitoring, as having the first routine child wellness checkup early on, at day 7 post birth, could help reduce the incidence of lactation failure and HND. The median serum sodium level was There were no deaths among the patients in our sample. 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 of the mothers age were 30 17 and 34 years, The authors have no conflicts of interest to declare in relation to the preparation and publication of this article.
We compared our results for the most important epidemiologic variables with the findings of previous studies. Table 1 summarises the demographic and clinical characteristic of the newborns and their mothers.
We also categorised the reason parents sought care in our hospital based on the presenting symptoms: