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Article
Electrolyte Disturbance in Asphyxiated Neonates in Maternity Hospital in Erbil, Iraq

Author: Barzan Abdullah Hasan, Morouge Hashem Al‑Ani1
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2019 Volume: 16 Issue: 4 Pages: 331-334
Publisher: Babylon University جامعة بابل

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Abstract

Background: Perinatal asphyxia is the worldwide most common cause of neonatal morbidity and mortality. It accounts for about 25% of allneonatal deaths. Electrolyte disturbances are the most common problem of asphyxiated neonates. This study measures the serum sodium,potassium, and calcium levels in asphyxiated neonates. Objective: The objective is to study serum calcium, serum potassium, and serum sodiumlevels in asphyxiated newborns of different severity in the early neonatal period and compare with controls. Materials and Methods: Theserum potassium, sodium, and calcium levels of asphyxiated neonates were measured in postnatal period. Neonates were included accordingto the Apgar score and clinical examination. The measured electrolyte values were compared with the normal neonates. Results: From 50asphyxiated neonates, 17 had hyponatremia, 6 had hyperkalemia, and 4 had hypocalcemia. The serum sodium and potassium levels showedstatistically significant (P < 0.00) with the different degree of asphyxia, but calcium levels were not statistically significant (P = 0.06). Therewas a negative linear correlation with sodium and calcium levels but with the serum potassium levels was positive. Conclusions: Hyponatremiawas significant in all stages of birth asphyxia, hyperkalemia was significant with increased severity of birth asphyxia, and hypocalcemia wasnot significant.


Article
HYPONATREMIA IN A GROUP OF IRAQI PATIENTS WITH STROKE

Author: Abdul-Kareem K. Al-Khazraji عبد الكريم كاظم الخزرجي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2016 Volume: 14 Issue: 2 Pages: 191-196
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: Hyponatremia is a common electrolyte disorder encountered in patients of stroke, which is usually either due to inappropriate secretion of antidiuretic hormone (SIADH) or cerebral salt wasting syndrome (CSWS). Making an accurate diagnosis is important because the treatment of each condition is quite different. Objectives:We conducted this study to determine the incidence and etiology of hyponatremia in patients of stroke.Methods:A cross sectional study of 100 patients diagnosed to have stroke (50 ischemic, 50 hemorrhagic) based on clinical history, examination and brain images. Patients were evaluated for hyponatremia (serum sodium < 135 mmol/L) during the second week of their admission. Results:Out of 100 patients, 17 patients had hyponatremia, all Patients with serum sodium level in hyponatremic range were limited to patients with hemorrhagic stroke, while no patients with ischemic stroke had a low serum sodium level, this difference was significantly different, P-value was < 0.001.Conclusion:Incidence of hyponatremia in our study population was 17%, all Patients with hyponatremia were limited to patients with hemorrhagic stroke, in patients of hyponatremia; 82% were having SIADH and 18% were having CSWS.Keywords: Hyponatremia, ischemic stroke, hemorrhagic stroke, syndrome of inappropriate antidiuretic hormone, cerebral salt wasting syndrome.

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