Hiponatremia e hipokalemia graves, recientes, asociadas a hidroclorotiazida, enalaprila y citalopram.: Caso clínico

We report a 72 years old hypertensive female, treated with enalapril 10 mg/day and hydrochlorothiazide 25 mg/day during three years. She presented a depressive disorder and cytalopram was prescribed in a dose of 10 mg/day. Two weeks before admission, a serum electrolyte analysis disclosed normal res...

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Autores principales:	Riquelme P,Arnoldo, Méndez R,Felipe, Ortiz M,Ana Mireya, Müller O,Hans, Campos O,Carolina, Rocha R,Víctor, Valdivieso D,Andrés
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 1999
Materias:	Antidepressive Agents Diuretic Thiazide Enalapril Hypokalemia Hyponatremia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001000010
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spelling	oai:scielo:S0034-988719990010000102000-03-10Hiponatremia e hipokalemia graves, recientes, asociadas a hidroclorotiazida, enalaprila y citalopram.: Caso clínicoRiquelme P,ArnoldoMéndez R,FelipeOrtiz M,Ana MireyaMüller O,HansCampos O,CarolinaRocha R,VíctorValdivieso D,Andrés Antidepressive Agents Diuretic Thiazide Enalapril Hypokalemia Hyponatremia We report a 72 years old hypertensive female, treated with enalapril 10 mg/day and hydrochlorothiazide 25 mg/day during three years. She presented a depressive disorder and cytalopram was prescribed in a dose of 10 mg/day. Two weeks before admission, a serum electrolyte analysis disclosed normal results and the cytalopram dose was increased to 20 mg/day. The patient was admitted with a hyponatremic encephalopathy with a plasma sodium of 100 mEq/L and a plasma potassium of 2.0 mEq/L. Cytalopram, enalapril and hydrochlorothiazide were discontinued, hypertonic NaCl and KCl were administered. The patient had a favorable evolution with a remarkable improvement of her symptoms.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.127 n.10 19991999-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001000010es10.4067/S0034-98871999001000010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Antidepressive Agents Diuretic Thiazide Enalapril Hypokalemia Hyponatremia
spellingShingle	Antidepressive Agents Diuretic Thiazide Enalapril Hypokalemia Hyponatremia Riquelme P,Arnoldo Méndez R,Felipe Ortiz M,Ana Mireya Müller O,Hans Campos O,Carolina Rocha R,Víctor Valdivieso D,Andrés Hiponatremia e hipokalemia graves, recientes, asociadas a hidroclorotiazida, enalaprila y citalopram.: Caso clínico
description	We report a 72 years old hypertensive female, treated with enalapril 10 mg/day and hydrochlorothiazide 25 mg/day during three years. She presented a depressive disorder and cytalopram was prescribed in a dose of 10 mg/day. Two weeks before admission, a serum electrolyte analysis disclosed normal results and the cytalopram dose was increased to 20 mg/day. The patient was admitted with a hyponatremic encephalopathy with a plasma sodium of 100 mEq/L and a plasma potassium of 2.0 mEq/L. Cytalopram, enalapril and hydrochlorothiazide were discontinued, hypertonic NaCl and KCl were administered. The patient had a favorable evolution with a remarkable improvement of her symptoms.
author	Riquelme P,Arnoldo Méndez R,Felipe Ortiz M,Ana Mireya Müller O,Hans Campos O,Carolina Rocha R,Víctor Valdivieso D,Andrés
author_facet	Riquelme P,Arnoldo Méndez R,Felipe Ortiz M,Ana Mireya Müller O,Hans Campos O,Carolina Rocha R,Víctor Valdivieso D,Andrés
author_sort	Riquelme P,Arnoldo
title	Hiponatremia e hipokalemia graves, recientes, asociadas a hidroclorotiazida, enalaprila y citalopram.: Caso clínico
title_short	Hiponatremia e hipokalemia graves, recientes, asociadas a hidroclorotiazida, enalaprila y citalopram.: Caso clínico
title_full	Hiponatremia e hipokalemia graves, recientes, asociadas a hidroclorotiazida, enalaprila y citalopram.: Caso clínico
title_fullStr	Hiponatremia e hipokalemia graves, recientes, asociadas a hidroclorotiazida, enalaprila y citalopram.: Caso clínico
title_full_unstemmed	Hiponatremia e hipokalemia graves, recientes, asociadas a hidroclorotiazida, enalaprila y citalopram.: Caso clínico
title_sort	hiponatremia e hipokalemia graves, recientes, asociadas a hidroclorotiazida, enalaprila y citalopram.: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	1999
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001000010
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Hiponatremia e hipokalemia graves, recientes, asociadas a hidroclorotiazida, enalaprila y citalopram.: Caso clínico

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