Enfoque práctico para el diagnóstico y tratamiento de los estados poliúricos en pacientes con injuria cerebral aguda

In patients with acute cerebral injury, polyuric states can potentially trigger, maintain and aggravate the primary neurological damage, due to hypovolemia, arterial hypotension and alterations of osmolarity. The true incidence of the condition in this population is unknown. A widely validated defin...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Godoy,Daniel Agustín, Álvarez,Erica, Campi,Verónica, Soler,Caridad, Masotti,Luca, Di Napoli,Mario
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2013
Materias:	Diabetes insipidus Hyponatremia Osmolar concentration Polyuria
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000500010
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872013000500010
record_format	dspace
spelling	oai:scielo:S0034-988720130005000102013-09-26Enfoque práctico para el diagnóstico y tratamiento de los estados poliúricos en pacientes con injuria cerebral agudaGodoy,Daniel AgustínÁlvarez,EricaCampi,VerónicaSoler,CaridadMasotti,LucaDi Napoli,Mario Diabetes insipidus Hyponatremia Osmolar concentration Polyuria In patients with acute cerebral injury, polyuric states can potentially trigger, maintain and aggravate the primary neurological damage, due to hypovolemia, arterial hypotension and alterations of osmolarity. The true incidence of the condition in this population is unknown. A widely validated definition of polyuric state is lacking and its etiology is multifactorial. There are two principal classes of polyuria: a) aqueous polyuria with diabetes insipidus as the main cause; and b) osmotic polyuria in which sodium, glucose or ureaplay the main role. Polyuric states are in close association with disorders of water and sodium metabolism and with alterations in acid-base balance. A detailed analysis of the history, clinical picture and simple laboratory determinations in blood and urine, are required for an adequate assessment of these polyuric states. The problem must be faced with pathophysiological reasoning and a systematic and sequential approach, because each disorder needs a specific therapy.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.5 20132013-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000500010es10.4067/S0034-98872013000500010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Diabetes insipidus Hyponatremia Osmolar concentration Polyuria
spellingShingle	Diabetes insipidus Hyponatremia Osmolar concentration Polyuria Godoy,Daniel Agustín Álvarez,Erica Campi,Verónica Soler,Caridad Masotti,Luca Di Napoli,Mario Enfoque práctico para el diagnóstico y tratamiento de los estados poliúricos en pacientes con injuria cerebral aguda
description	In patients with acute cerebral injury, polyuric states can potentially trigger, maintain and aggravate the primary neurological damage, due to hypovolemia, arterial hypotension and alterations of osmolarity. The true incidence of the condition in this population is unknown. A widely validated definition of polyuric state is lacking and its etiology is multifactorial. There are two principal classes of polyuria: a) aqueous polyuria with diabetes insipidus as the main cause; and b) osmotic polyuria in which sodium, glucose or ureaplay the main role. Polyuric states are in close association with disorders of water and sodium metabolism and with alterations in acid-base balance. A detailed analysis of the history, clinical picture and simple laboratory determinations in blood and urine, are required for an adequate assessment of these polyuric states. The problem must be faced with pathophysiological reasoning and a systematic and sequential approach, because each disorder needs a specific therapy.
author	Godoy,Daniel Agustín Álvarez,Erica Campi,Verónica Soler,Caridad Masotti,Luca Di Napoli,Mario
author_facet	Godoy,Daniel Agustín Álvarez,Erica Campi,Verónica Soler,Caridad Masotti,Luca Di Napoli,Mario
author_sort	Godoy,Daniel Agustín
title	Enfoque práctico para el diagnóstico y tratamiento de los estados poliúricos en pacientes con injuria cerebral aguda
title_short	Enfoque práctico para el diagnóstico y tratamiento de los estados poliúricos en pacientes con injuria cerebral aguda
title_full	Enfoque práctico para el diagnóstico y tratamiento de los estados poliúricos en pacientes con injuria cerebral aguda
title_fullStr	Enfoque práctico para el diagnóstico y tratamiento de los estados poliúricos en pacientes con injuria cerebral aguda
title_full_unstemmed	Enfoque práctico para el diagnóstico y tratamiento de los estados poliúricos en pacientes con injuria cerebral aguda
title_sort	enfoque práctico para el diagnóstico y tratamiento de los estados poliúricos en pacientes con injuria cerebral aguda
publisher	Sociedad Médica de Santiago
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000500010
work_keys_str_mv	AT godoydanielagustin enfoquepracticoparaeldiagnosticoytratamientodelosestadospoliuricosenpacientesconinjuriacerebralaguda AT alvarezerica enfoquepracticoparaeldiagnosticoytratamientodelosestadospoliuricosenpacientesconinjuriacerebralaguda AT campiveronica enfoquepracticoparaeldiagnosticoytratamientodelosestadospoliuricosenpacientesconinjuriacerebralaguda AT solercaridad enfoquepracticoparaeldiagnosticoytratamientodelosestadospoliuricosenpacientesconinjuriacerebralaguda AT masottiluca enfoquepracticoparaeldiagnosticoytratamientodelosestadospoliuricosenpacientesconinjuriacerebralaguda AT dinapolimario enfoquepracticoparaeldiagnosticoytratamientodelosestadospoliuricosenpacientesconinjuriacerebralaguda
_version_	1718436690440224768

Enfoque práctico para el diagnóstico y tratamiento de los estados poliúricos en pacientes con injuria cerebral aguda

Ejemplares similares