Hyponatremia Explained Clearly - Symptoms, Diagnosis, Treatment
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- Опубликовано: 29 сен 2024
- Understand hyponatremia with this clear explanation from Dr. Seheult of www.medcram.co...
This is video 1 of 4 on hyponatremia.
Get clarity on the differences between hypovolemic hyponatremia, euvolemic hyponatremia, hypervolemic hyponatremia, isotonic hyponatremia, pseudohyponatremia, and more.
Speaker: Roger Seheult, MD
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
Co-founder of www.medcram.co...
MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Antidiuretic Hormone, ADH, SIADH, Pneumonia Treatment, and many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded.
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Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations.
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Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your health care provider.
Wow, It's amazing to learn from teachers who teach with passion. Thanks. "if you can't explain it simply you don't understand it well enough", you've made ir pretty simple.
+Daniela Jaramillo Ramírez Good to hear- thanks
Daniela Jaramillo Ramírez
I've read so many books and attended so many talks but never like this. Many thanks Roger,you have no idea how many people you have had helped. I'm still waiting for hypernatremia.
Glad you found the series useful. We'll put Hypernatremia on the slate for a future lecture. We are doing a vote on our MedCram Facebook page for the next topic to be covered. Take a look if you get a chance.
For all the med students here: know that consumption of mdma can lead to Hyponatremia. So if you have a patient coming from a nightclub, don‘t forget that it could be Hyponatremia and you may save a life.
Please correct the units of sodium in 135 mg/dL to 135 mmol/L or meq/L from 1:35 onwards. That is the unit that the Clinical Chemistry laboratory provides you with.
thanks alot for this incredible teaching videos,,,its the best
again thanks
I went to the doctor and when I got there, I got out of my car and my legs got so weak I was shaking and could barely walk. I had to have help into the doctors office. I had a headache that wouldn't go away. They did blood work and my sodium was very low. I was told to go home and eat alot of salt. Nothing is working. I'm losing my balance and scared I'm going to fall. My legs and feet cramp like crazy. When my legs get weak, I go down and it's like I have no control of my legs at all. I'm scared and don't know what to do
You should seek medical attention immediately.
Same here!! When I got to the emergency room I couldn't turn my head without feeling I would fall down ! Our normal sodium count is 135, i was at 113, as soon as they saw that I was rushed back to a room and admitted, three days latter and I went home with the knowledge that I have hyponatremia , what made my situation worse is my doctor did not do any blood work 3 years ago , he just thought, hey another h.b.p. case! So he gave me lisinoprl with a hydro stripper,( removes sodium by increasing water loss) this just made it worse for my situation, now he's afraid I'll sue, i almost died because of that, i was told that my body was going into protection mode, if I had waited much longer to go in I wouldn't have made it!! Please check your sodium level if you haven't already ! Hope your back to normal!
Sorry, now I see did do blood work! I dont know what they could be thinking ! It's very dangerous to increase sodium to fast, or, too much! They are unfit to care for people!
Thank you so much, very helpful
Great explanations super clear thank you!
Wow! Thank you so much!! You are amazing!
hi i was just wondering if you have any links to the references that you have used? i would like to use this for my assignment but i need to include review papers too!
(hopefully you see this in time)
Coming soon.
from stewart approach of acid base, i think normal saline isnt the best balanced solution for resuscitation
eldwin suputro good
No, it is not. Ringer lactato (Hartman solution) is the best choice.
Hypovoleamic
I think its mEq/L
'hypo' meaning low, 'nat' meaning sodium, 'emia' meaning presence in blood... low sodium presence in blood...😉😉
seriously though, huge thanks for this series🙏
I am living with this nightmare. I have been in and out of rhe hospital constantly thie last few years. I'm tired of it! Came close to dying a few times.
At least now, I know what's going on with me now. Hopefully I can my potassium and sodium right so I can finally feel good again, I and stay healthy. 😊
Hyponatremia and fluids are one of the hardest concepts to grasp--at least in my view--and thankfully you have clearly explained this concept in a way I visualize it and understand it! Thank you SO much! I'm a pharmacy student on a critical care rotation in a burn unit and was told to look up how to to workup/assess and treat hyponatremia and after watching & taking notes on these videos I feel absolutely confident to explain this concept!
Glad to clear things up completely. Thanks for the feedback.
The Unit . It’s not 135 mg/dL .its 135 mEq/L
Not mg it is meq/L is t he Na concentration
Abdelwahab Naas i was looking for this comment
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
What kind of doctor would be able to diagnose disturbances in my osmilality?? Endocrinologist???
What dietary advice would you give to achieve peak osmilality???
Hi doc, is it bad drinking 500ml to 800ml every 2 - 3 hour? I HAVE uti and GERD so lately I've been consuming a lot of water (I think) Please reply. Thank youu
OMG I LOVE YOU DR.SEHEULT! thank you so much for this clear explanation!!!!
Why only the first video is there ? The 3 other videos of the series are hidden 🥲
Me, as a person with no medical knowledge, who takes diuretics and also does ultramarathons in 45 degree (Celsius) weather: 😅
I was cured of this by eating laxative chocolate, is that unusual?
TheTypicalCyclone well that’s good news
that is amazing thank you so much but I cannot find the rest of videos related to hyponatremia .. can anyone send me the videos or links please
What to give in hypervolemic hyponatremia causing cerebral edema?
When you add normal saline at 15:16, the read line is supposed to stay at the vertical level of the purple line right? Because the Na+ concentration doesn't change, right?
BUN: Blood Urea Nitrogen. It is a measure of the amount of nitrogen in the blood in the form of urea, and a measurement of renal function
Helpful for RN students. Thanks!
Brilliant explanation! I just have a question, isn’t the Na conc in ICF different to ECF anyway? The concept would apply to osmolarity though since it’s the same intracellular and extra cellular
Unbelievable that after two years of nursing school, I don't think I ever COMPLETELY understood WHY 0.9% NS was what you used. Thanks so much!
If my pee is clear does it mean i have this
Great video. One error though, at baseline [Na] is not equivalent in ICF and ECF. Na is mostly an ECF ion.
Very clear video, great job! Thanks for creating these series!
One thing I'd like to bring to your attention: from your video it might be incorrectly assumed that intracellular and extracellular sodium concentrations are equal, which they are not (12 mmol/L vs 140 mmol/L respectively).
I really appreciate the way you teach. You made my work way easier. Thank You
I believe my 6 year old is suffering from Hypernatremia. She has seizures often and we can't figure out why. What test should I ask for? Please help!! We are in IL and have great insurance, we are open to try new doctors.
Thanks for your efforts Sir! Seems this was for medical students..Please summarize in lay man language symptoms n treatment so that normal people also have some knowledge
All these videos explaining hyponatremia and SIADH for trainee medicos and other health professionals.
Great. But what about the patient??? How does the patient find out what to do on a new diagnosis??? When I exercise in a warm climate do I just not drink. and become dehydrated. Or do I drink and take a salt tablet?
Do I just give up on a healthy exercise regime???
Where's the information for the layperson and patient???
Does this has a part two? Is there is a video on management?
You can find more of our videos at MedCram.com. This is part of a three-part series on Hyponatremia.
Many Thanks for video lecture. I would really appreciate if you could kindly post the video related with NIV, BiPAP, CPAP and the mechanism involved in these modalities.
This was the most terrifying experience of my life!
would you say y axis is na concentration instead of na? so the area is (na/h20)xh20 which make more sense? good video btw, thnk u!
Your video is amazing!! If possible don't write over on your note, they are already very clear.
High level of patience required to watch this video MAN!!!!
+Merlin Samuelkutty your doing a great job! Keep with it and knowledge will be yours!
Thank you so much! I told some friends about Med Cram and appreciate your help. I would love to see more topics in the future.
I also appreciated your videos on Hypoxemia/Hypoxia.
You should work for Kaplan or come out with your own series covering all subjects from Pharm to Path to Microbiology and so on.
Thank you. Your explanations make it all of it clear and easy to remember.
It's really good to finally understand the basic things here. Thanks
The foundation or basics count in any construction or knowledge building . Great explanation !
Thanks! Could you make more use of different colors in the next videos? It helps with getting the message across more clearly.
Sir you should upload again the video which had 4 or 5 parts it was so explanatory
Thank you for this
Thanks Dr. Seheult. I'm looking for the series of other videos
what is the reason of hyponatremia in pneumonia? what is the relation of pneumonia with hyponatremia?
Majid Khan incompletely understood, but the syndrome of inappropriate antidiuretic hormone secretion is felt to play a significant role possibly secondary to inflammatory mediators (cytokines etc)
You are really world class!
I drank 1.25 litres of water in the space of 30 seconds and woke up a few hours later and started vomiting. I have the worst stomach pain I’ve ever experienced, and can’t sleep. Do I have this condition and will I die 😥😓. I am actually so worried someone pls tell me if that amount of water is enough to kill me
+Nudist Priest 1.25 liters is not a dangerous amount of water. Look for something else with consultation with a physician.
is dat if medicine for hypothyroid is stopped for few days may cause hyponatremia
Thanks so much; you do an excellent job on these. I'd love to see you handle all the electrolyte disorders commonly found on Step 2, etc. as well as renal tubular acidoses. Great work!
Great lecture!! Thank you!!!
Excellent
thanks so much
can anybody tell me what software is that!!!! (drawing one)
We can measured osmolality using instrument..such as Advance Osmometer 3320...Will that be different??
Jon Goh could be if osmolar gap typically very similar numbers between measured serum osmolality and calculated osmolality. Other minor contributors to osmolality not typically factored in due to negligible contribution to osmolality
No, because you are only measuring the nitrogen attached to the urea (and not the exogenous nitrogen).
That's the best series of lectures I've ever seen! That's awsome
at 2:44 units of osmolality is mosm/kg and not what is stated!
why ecf Na conc remain same on adding i/v N/S?
I can't believe there are people who don't like this video. Thank You. This is awesome!
Holy sh!? Speaking Alien language 🤪
It´s not the same 135 mEq/l and 135 mg/dl. Because 1 mEq/L = 2.3 mg/dl
Thank you for the comment, Yes, I meant to say 135 mmol/L (not mg/L)...We have an annotation on the video (but apparently annotations are not visible on mobile devices).
I'm probably one of the most stingy person to give "Like". This definitely deserves one. Great lecture.
i searched videos for hypernatremia but i didnt find,,,can you help me please?
Amazing series. Very helpful video series.
Any translation for laypeople?
Thank you for catching this mistake. An annotation at 2:37 has been added to correct it.
Huge request, Dr. Seheult: could you please do lectures on basics of pharmacology?
Thank you for all your great videos!
+Irina Kim Thanks for the good suggestion on a pharm series!
Why the other videos are private?
What does it do to u how it happen
thank you for your help
Thank you!
thank u so much sir...!!!
Thanks a lot for your time and help!!!!
thank you! do you have any pharmacology related lectures?
wow! u are awsome, you realy helped me. thank u so much.
+nastaran p Good to hear- thank you for the comment
Could someone drinking too much beer cause it?
Glenda Williams Yes.
Thank you
Ringer lactate is best to expand ecf
Great video, thank you so much!!!
Totally what I expect from a doctor! xxx
Brilliant!! loved it.
Amazing explanation ❤
Na 135 mEq/L is equal to 135 mg/dL , is it ?
+para math yes.
+MEDCRAMvideos my mistake should be the latter
Why were the rest of the videos made private?
They are at Medcram.com
MedCram - Medical Lectures Explained CLEARLY ah thank you!
I drank 4 water bottles in 20 minutes is this bad?
Yeah, you should never consume a lot of water in a short amount of time. It can cause hyponatremia.
Youll have to call poison control asap. There have been case reports of drinking that much water turning young men gay. Goodluck and keep us posted.
lmao.
I’ve had hyponatremia every summer since 2016, due to my epilepsy rx. My symptoms cause: confusion, restlessness, loss of appetite, lightheadedness, pressure on head, and fatigue. Last August was the worst. I waited too long and it felt like I had a bunch of weight on my head, I could barely speak, and my legs felt really heavy. I wish I didn’t have to continue to get this because it’s not fun. There’s only so much salt I can eat.
Absolutely brilliant! Thanks so much Doc :)
thanks dr for the amazing series! i have a presentation on hyponatremia and ur lectures are the best reference!
i hv a suggestion: could u plz do lectures on antiarrythmics and explain the physiology underlying them.. this is a vry tough topic fr me and i would appreciate that so much.. thx :)
Saw all four videos for topic, I have a better understanding. Awesome job!!!