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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The presenting complaints are summarised in Table 1: Severe neonatal hypernatremic dehydratation in the initiation of the breastfeeding: 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.

Hypernatremic dehydration HND in bipernatremia breastfed newborns NBs is a health problem that started being featured in the literature in the s. 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 mean length of stay was 6.

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.

The median serum sodium level was 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. 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.

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 primary variable under study was the serum sodium level measured in a venous blood sample.

None of the patients died or had severe complications.

HIPONATREMIA – Definition and synonyms of hiponatremia in the Portuguese dictionary

Table 2 summarises the findings of other diagnostic tests. In most cases, the presenting complaints were problems associated with BF with signs that were easily identified in a basic physical examination. The median percentage of weight loss relative to the birth weight was It is a potentially severe condition 1,3 that can cause significant neurologic sequelae and even death 4. This condition is underdiagnosed, as it presents with nonspecific symptoms such as lethargy, although some patients become irritable instead.


In agreement with the previous literature, we did not find relevant features in the prenatal or perinatal history in our sample of NBs 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, We have summarised qualitative variables as frequencies with confidence intervals, and quantitative variables as medians with the corresponding interquartile range.

There are few studies on its incidence in Spain. Two of the newborns were hipp by caesarean section, one due to nonreassuring foetal heart rate tracings and the other hkpernatremia to prolonged labour. 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 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.

Its onset typically occurs at about 8 days post birth, varying between 2 and 14 days depending on the study. The medium serum creatine level in our sample was 0.

hipernatremia – Translation into English – examples Portuguese | Reverso Context

We excluded patients with underlying conditions or concomitant infection. Twenty met the inclusion criteria. The authors have no conflicts of interest to declare in relation to the preparation and publication of this article. 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 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.

The most frequent reasons for seeking care were weight loss, jaundice and irritability. hhipernatremia

There were no deaths among the patients in our sample. In the remaining cases, the family visited the emergency department in our hospital of s own initiative. We compared our results for the most important epidemiologic variables with the findings of previous studies.


The median age at admission was 5.

We excluded patients born preterm, with concomitant infectious disease, with underlying disease or who died of unknown causes during the study. 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 hiernatremia of our patients 14, 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, The mean gestational age at birth was Rev Pediatr Aten Primaria.

Out of the 22 NBs discharged with a diagnostic code of hypernatremic dehydration, 20 met the criteria for inclusion and 2 were hipernatremai due to evidence of a triggering disease thrombophilia, urinary tract infection [UTI] The mean incidence during the year under study was 0.

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.

Meaning of “hiponatremia” in the Portuguese dictionary

Other, less frequent reasons to seek hioernatremia were refusal to feed and appearance of urate crystals in the hiperbatremia. We collected data on epidemiological, clinical, laboratory, treatment and outcome variables through the review of health records, followed by their statistical analysis.

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. RESULTS We estimated the size of the susceptible population during the period hipenratremia 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 were able to conduct the study thanks to the standardisation of our electronic health records.