thank you team louisvillelectures. the efforts you have taken is immensely helpful for medical trainees like me..who don't have availability of such brilliant lectures...I would like to make a point here too...thta despite a enlightening talk certain aspect of the lecture were not explained like restriction volume determination, calculations were also a bit miscalculated. keep on the good work...but a little more explanations in the talk shall be all the more welcoming....as we 5-10 students together play this lecture as a real one. Many thanks again.
At 35.30, about diff between euvolemia and hypovolemia, shouldn’t low urinary k and Na be a sign of dehydration/hypovolemia rather than euvolemia ? Since a dehydrated pt is trying to conserve as much na and water as possible, so excreting less in urine.
Hi I have a question. On the slide around 11:20 minutes mark. How do you know that peeing out 2L free water would result in an increase in Na by 6? Is there a formula for the risk in Na?
TBW X Na = constant (assuming a constant state)...so 42X114= 40XNa>>>>(42X114)/40 will be the sodium content of 40 its of tbw, i.e. 119.....that is somewhat 5 meq higher...ref. Paul marino
thank you team louisvillelectures. the efforts you have taken is immensely helpful for medical trainees like me..who don't have availability of such brilliant lectures...I would like to make a point here too...thta despite a enlightening talk certain aspect of the lecture were not explained like restriction volume determination, calculations were also a bit miscalculated. keep on the good work...but a little more explanations in the talk shall be all the more welcoming....as we 5-10 students together play this lecture as a real one. Many thanks again.
Great opportunity to get our basics right...
Ty team
She is a wonderful speaker. Please upload more lectures.
We agree! Feel free to check out our website to see more lectures! Enjoy! www.louisvillelectures.org/test-imls-home-page
At 35.30, about diff between euvolemia and hypovolemia, shouldn’t low urinary k and Na be a sign of dehydration/hypovolemia rather than euvolemia ? Since a dehydrated pt is trying to conserve as much na and water as possible, so excreting less in urine.
I agree with you. If urine Na is low that suggest hypovolemia not euvolemia
Hi I have a question. On the slide around 11:20 minutes mark. How do you know that peeing out 2L free water would result in an increase in Na by 6? Is there a formula for the risk in Na?
Thang Nguyen agreed id like to know too
TBW X Na = constant (assuming a constant state)...so 42X114= 40XNa>>>>(42X114)/40 will be the sodium content of 40 its of tbw, i.e. 119.....that is somewhat 5 meq higher...ref. Paul marino
Nicely done! But bicarb only works if they're acidotic.
case 2...could any one plz tell why water restrictions to 800ml/day....I'll be thankful...
great lecture! thank you very much