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when after 48 hours she was re-assessed, the patient was already normotense and her natremia had increased to 138 mmol/l.
cuando a las 48 horas reevaluamos a la paciente estaba ya normotensa y su natremia se había elevado a 138 mmol/l.
after initiating that treatment, the patient´s natremia was normalized and she was discharged from the hospital (tables 1 and 2).
tras el inicio de estas medidas terapéuticas la paciente normalizó su natremia y pudo ser dada de alta (tablas 1 y 2).
it is already known that hyponatremia secondary to a disbalance of water/sodium, is caused by the alteration of the relationship of sodium/water which natremia represents.
sabemos que en la hiponatremia secundaria a un disbalance del agua o del sodio, se generan a raíz de la alteración de la relación sodio/agua que precisamente la natremia representa.
as a consequence of this, the concentration of sodium in the intravascular compartment would decrease and so would natremia 1-2. something similar would happen in states of malnutrition, where even in the case of normal kalemia, the intracellular deficit of potassium would induce hiponatremia due to this mechanism3.
como consecuencia de esto disminuiría la concentración de sodio intravascular y por ende la natremia1-2. algo similar sucede en los estados de desnutrición, donde aun con kalemia normal, el déficit intracelular de potasio induciría hiponatremia3.