Newborn with omphalitis and hypernatremic dehydration. The hiponatremia is a frecuently event in our enviroment, it is a desafy because to diverse etiology, the complications of their natural evolution become severity and to fatalytis. Hiponatremia dos sintomas ao diagnostico e tratamento. Morbidity and mortality are significantly increased in patients with symptomatic hyponatremia in contrast to patients whose sodium concentration is normal. Two elderly males 74 and 78 yearold presenting with impaired consciousness and low plasma sodium after an episode of diarrhea and a 56yearold male presenting with impaired consciousness after an episode of vomiting. Under normal conditions sodium is the main determinant of plasma osmolality, and its homeostasis depends primarily on water balance. The acute afections of center sistem nervous as the strokeacv and head trauma produce alterations in the sodio homeostasis for various mechanisms. Revision 71 gicas 24,7% y lesion renal aguda, todas con signifi cancia estadistica. Hyponatremia may be euvolemic, hypovolemic or hypervolemic. First,adiagnostic evaluation is aimed at identifying the.
Alterations in plasma osmolality are related to changes in cell volume, which are the pathophysiological substrate of serious diseases. First,adiagnostic evaluation is aimed at identifying the pathogenesis and putative causes of hyponatremia, the casespeci. Proper interpretation of the various laboratory tests helps to differentiate the various types of hyponatremia. Hiponatremia hipervolemica sodio urinario 20 meql pdf. Hyponatremia is an important and common clinical problem. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. This document is written on behalf of erbp which is an official body of the eraedta european renal association european dialysis and transplant. Hyponatremia is the most common electrolyte imbalance in clinical practice.