This report is presented because of the importance of timely diagnosis and treatment of. Hyponatremia is the most common electrolyte imbalance in clinical practice. Alterations in plasma osmolality are related to changes in cell volume, which are the pathophysiological substrate of serious diseases. Inigo les bujanda hospital universitario cruces barakaldo 2. Party systems, political alternation and ideology in the south cone argentina, brazil, chile and uruguay constanza moreira abstract the aim of this article is to analyze the alternation of political parties in government, which has taken place in argentina, brazil, chile and.
Hypervolemic hyponatremia, also known as dilutional hyponatremia, occur when there is disproportionate reten. Hiponatremia dos sintomas ao diagnostico e tratamento. Scielo scientific electronic library online concytec peru calle grimaldo del solar 346 miraflores lima peru tel 51 1 3990030 anexo 1404. Under normal conditions sodium is the main determinant of plasma osmolality, and its homeostasis depends primarily on water balance. Introduction defined as sodium concentration hyponatremia is known to be one of the most common electrolyte abnormalities and can cause seizures, brain edema, encephalopathy, and even death 4,5. Scielo, the scientific electronic library online scielo is an electronic virtual library covering a selected collection of chilean scientific journals. Assess chilean public and private health insurance schemes performance and its effects on health inequalities. Severe hyponatremia occurring as the presenting feature of hypopituitarism secondary to pituitary adenomas is rare. The acute afections of center sistem nervous as the strokeacv and head trauma produce alterations in the sodio homeostasis for various mechanisms. Hyponatremia may be euvolemic, hypovolemic or hypervolemic. Colecciones regionales scielo brasil, scielo chile, scielo cuba, scielo colombia, etc.
A nuclear magnetic resonance was performed where a grade iii sellar diaphragm herniation was diagnosed. 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. 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. Hypernatremia, hyponatremia, siadh, cerebral saltwasting syndrome, insipidus diabetes. Hyponatremia in cirrhosis, arbitrarily defined as a low serum plasma sodium concentration of meql, is a fairly common complication 1.
Scielo scientific electronic library online is a bibliographic database, digital library, and. Age and gender as risk factors for hyponatremia and hypernatremia. Introduccion procesos patologicos cuya caracteristica comun eshiponatremia 2. Hyponatremia has been reported to be poor clinical outcome such as mortality in general population, dialyzed patients and those with heart failure, cirrhosis and sepsis 6,7,8. Seroepidemiology of human toxoplasmosis in chile scielo. Despite this, sodium disorders are underdiagnosed, undertreated, and often handled improperly. When the time frame of hyponatremia cannot be established with con. Hyponatremia is the most common electrolyte imbalance in hospitalized patients. Hypovolemic hyponatre mia is associated with significant loss of extracellular fluid. Scielo colombia scientific electronic library online. Chiles national research agency conicyt asks to be considered as pilot project outside of brazil. From latin america and the caribbean, the following countries, with active national focal points, have journal collections in scielo. The prevalence of hyponatremia was 34%, with a predominance of.
Scielo scientific electronic library online es una. Argentina and chile in comparative perspective the majority parties, the fragmentation of the argentinian partypolitical system is coming into sharper focus. Scielo scientific electronic library online united nations. Hyponatremia and the syndrome of inappropriate secretion of antidiuretic hormone associated with the use of selective serotonin reuptake inhibitors. Alterations in plasma osmolality are related to changes in cell volume, which. It is still not clear if there is a direct causal relationship. Patient survival time following transplantation is excellent. Hyponatremia is defined as a decrease in the serum sodium concentration to a level below 6 mmol per liter. Factors associated with communityacquired hyponatremia. Party systems, political alternation and ideology in the. It is associated with several unfavorable endpoints such as.
Scielo scientific electronic library online is a bibliographic database, digital library, and cooperative electronic publishing model of open access journals. Challenge with the same d rug resulted in re c u rrence of the hyponatremia in 66,7%. Treatment varies with the nature of onset acute or chronic, severity and symptoms. Even though modern democratic societies accept the inviolability of individuals physical integrity as an essential part of their constitutions, there is a difficult trade off between the protection of citizens rights and the use of force to. It has been unclear whether hyponatremia that develops from treatment with one ssri will recur if a second one is introduced. Scielo was created to meet the scientific communication needs of developing countries and provides an efficient way to increase visibility and access to scientific literature originally established in brazil in 1997, today there are 16.
Proper interpretation of the various laboratory tests helps to differentiate the various types of hyponatremia. One of the explanations is the fact that argentina holds legislative elections with closed lists, thus obliging voters to choose parties. Brasil, chile, colombia, costa rica, cuba, espana, mexico, paraguay, peru. Hyponatremia is an important and common clinical problem. Liver transplantation is the therapy of choice for patients with terminal liver disease. Dilutional hyponatremia has proven to be a prognostic factor for patients with cirrhosis. Valdez cepeda y alfredo lara herrera editores proy. Hyponatremia is common in clinical practice, and is associated with morbidity and mortality by itself or in relation to its treatment. Whereas hypernatremia always denotes hypertonicity, hyponatremia can be associated with. Regional collections scielo brazil, scielo chile, scielo cuba, scielo colombia, etc.