sodio

Question 1

hiponatremia verdadera

Answer 1

cocentracones de osmolaridad serica <280

Question 2

clinica hiponatremia

Answer 2

cefalea, letargia, coma, muerte

Question 3

hipoNa <120 (grave)

Answer 3

UCI

Question 4

tx hiponatremia

Answer 4

1- 150ml sol salina 0.3% 10-20 min
- evita edema cerebral (agudo)

2- NaCl 0.9%
- evita sx de diesmielinizacion (cronico)

3- diureticos + manito

Question 5

hiponatremia cronica

Answer 5

correccion 4-5 mEq

Question 6

sx de diesmilinizacion

Answer 6

daño de mielina anervios de SNC por aumento repentino de osmolaridad

a nivel pontino central

Question 7

como sacar ACT

Answer 7

kg x 0.6 hombres

kg x 0.5 mujeres

Question 8

ACT

Answer 8

(ACT + na / 140 ) - 1

Question 9

excresion de na

Answer 9

> 600 mg

Question 10

cc de hipernatremia

Answer 10

confusion, convulsiones, HIPERREFLEXIA, deshidratacion, hipotension ortostatica

Question 11

clasificacion

Answer 11

leve - 145 - 150
mod 151-159
grave >160

Question 12

tx para hipernatremia

Answer 12

1- sol sal 0.9%
2- dextrosa al 5% o sol sal 0.45%

Question 13

hipernatremia euvolemica

Answer 13

DM insipida central o nefrogenica

Question 14

hipernatremia siempre siempre es

Answer 14

estado hiperosmolar hipertonico