Was watching Armando's videos as a pre-med, as a med-student, and now as a resident. He is gifted at explaining things in a way that helps cement concepts. Brilliant.
Thank you so much !! I struggled 2 hours just to understand the hyponatremia types from my college professor and you made it simple in a couple of minutes you just helped one more guy to perform in the exam tommorow god bless you
I wanted to clarify. Hyponaturaemia is incorrect spelling. I apologise. It should be "Hyponatraemia" or "Hyponatremia". Aside from the spelling the physiology does not change
You should strive to get your words right. Yes, physiology does not change but language matters. And so...another word you’re getting wrong is NATRIURESIS. You spell it and pronounce it as Natruresis. Thank you.
Thanks for the video, excellent work as always. One note though: pseudohyponatremia due to hyperlipemia only happens when measuring Na in serum indirectly. Direct ISE (ion selective electrode) methods are not impacted by this.
In 2O18 I drank to much water and woke up and had a panic attack (think due to low sodium) ever since if my sodium go to low I begin to lose equilibrium in my brain and feel very ill. I also have an anxiety and panic disorder as a result of this event. basically my brain is messed up. Can anybody offer any advice?
Have endocrine and urogenital exams next week and didn't understand the aquaporins and natremia and the T3 T4 effect on heart in Physiology til I watched this video now I know all the Physiology Thanx alot god bless u 😎👌💙
It is "hyponatremia" (American English spelling) or "hyponatraemia" (British English spelling). It means low sodium (Na+) concentration in the blood. There is no such thing as "hyponaturemia" and as such the video title (*edit: and the drawings in the video) are misspelt. ((Low potassium (K+) level is called "hypokalemia" or "hypokalaemia", unrelated to this video, related to above comment reply.))
In vomiting ,if Na is lost as NaHCO3 (in an attempt to reverse metabolic alkalosis) ,the urinary sodium concentration should be elevated than normal ryt? But Harrison says in vomiting urinary Na is
isnot pseudohyponatremia term is only used for isotonic hyponatremia ?? and shouldnot be called for hypertonic hyponatremia ?? my prof told me that ......which is correct ??
I thought kidneys have Na+/HCO3- cotransporter, so both Na+ and HCO3- are reabsorbed into bloodstream from tubules. This would help the low Na+ situation, right? The only reason for hyponatremia from vomiting is from the initial loss of electrolytes (including Na+) in the vomit, right...? :/
Oh, so I think that the alkalemia caused by vomiting (H+ loss) results in DECREASED HCO3- reabsorption. So the Na+/HCO3- cotransporter is less active and keeps Na+ and HCO3- in the urine. I can see how that would cause hyponatremia...
He goes too fast and I have to pause every time to digest each part and how it relates to nursing care. He makes it look like a walk in the park but we need to also understand each process well because it can be connected to a scenario question that requires me to further understand it thoroughly.
Thank you for being the dedicated, thoughtful, and compassionate doctor that you are, you are more honest than I imagined, thank you so much Dr Igudia TH-cam channel for curing my Herpes virus, you are amazing
I think a few things need to be corrected for example, in hypervolemic hypotonic hyponatremia, RAAS plays a big role(not pointed out). Another is that Thyroid hormone is required to suppress ADH, and is a cause of isovolemic hypotonic hyponatremia. I recommend to revise this video. A third is CKD causes isovolemic hypotonic hyponatremia; in those conditions you are not able to produce dilute urine and therefore lose salt I am a great fan of all your videos and lectures by the way. Keep up the great work!!!
Thank you for making this video! In a busy ER, as a Nurse you can't always figure out why the Na is low. We leave that to the docs. Sooner or later you'd like to know why, especially when new Nursing Students show up asking "why?,why?,why?". This video had a lot of awesome info and I'll have to listen to it again but I'm glad a viewed it.
Wouldn't diarrhea and vomiting cause a decrease in urine sodium since the kidneys are still functioning and will reabsorb Na and water through aldosterone/ADH?
Was watching Armando's videos as a pre-med, as a med-student, and now as a resident. He is gifted at explaining things in a way that helps cement concepts. Brilliant.
Q
cb. பிங்கன்ஸ் g. ஸ்ஸ் ன்
ழ்ன்பவஸ் க்ஸ் டிபிட்வை v
Same sir, from pre med to being a consultant. Thank you, Armando. 💚🙏🏽
Thank you so much !! I struggled 2 hours just to understand the hyponatremia types from my college professor and you made it simple in a couple of minutes you just helped one more guy to perform in the exam tommorow god bless you
This is really good but check out Biomed Sessions on this … they are also amazing! I feel like they covered everything you need to know 😍
😊
I wanted to clarify. Hyponaturaemia is incorrect spelling. I apologise. It should be "Hyponatraemia" or "Hyponatremia".
Aside from the spelling the physiology does not change
good video ! also "naturesis" is wrong :)
You should strive to get your words right. Yes, physiology does not change but language matters. And so...another word you’re getting wrong is NATRIURESIS. You spell it and pronounce it as Natruresis. Thank you.
Also, doesn't hypothyroidism come under euvolemic hyponatremia?
Chill out there buddy@@TheAtheist22
@@IMChessMD I can't. And I won't. Anything else?
Sir, I've spent all day unsuccessfully looking for a clear explanation of this. Thank you.
I am amazed how can someone be so clear in concepts
you are saving my medical school one vid at a time
I knew I was gonna get it when I click on this. Brilliant teacher 😊. You can break things down so well.
I literally got it! That's why I'm here.
Half an hour of pure enlightenment
How on Earth did I stumble upon this channel only now...
Excellent explanation 👍
Thank you very much🙏🏼🙏🏼
Learning from you every time. Thanks for the hard work!
Sir your lectures are excellent..
One small request..
Kindly summarize the points you told.. It's better for everyone..
Thanku sir
watching this makes me want to quit nursing school before I get too deep into debt to turn back...
Excellent lecture, very clear and clinically useful
Thanks!
God bless you ..and help you in hard times ..thank you alot
Great explanation!
How about Hyponatremia in CKD with hypertension? Na 123 mmolL. Does it need treatment? If yes will the treatment affecting the hypertension?
I want yo know too
Amazing video. Easy to understand. Thanks a lot
Thanks for your efforts and time
Oh Armando ! You are my savior♥️♥️♥️♥️♥️♥️♥️♥️
one of best explanation.. thank you
u are genius....thank u sooooooo much ...
Thank you so much..very clear explanation
It is great . Thanks for your excellent presentation.
Excelent Dr. very clear!
U r lifesaver. Love u
Knowledge is power
Thank you so much this was a difficult topic for me before I watched your video 😊
Helpful! Such clear explanation.
Just perfect ❤
great illustration!
16 dislikes from students who didn’t pass their exam 😔
Can we have apdf of this
Thanks for the video, excellent work as always. One note though: pseudohyponatremia due to hyperlipemia only happens when measuring Na in serum indirectly. Direct ISE (ion selective electrode) methods are not impacted by this.
ISE is the standard.
there is a formula to calculate Na with glicemia, so you can figure out the real "na" value in hiperglicemia
Thank you so much!!! this was so useful
In 2O18 I drank to much water and woke up and had a panic attack (think due to low sodium) ever since if my sodium go to low I begin to lose equilibrium in my brain and feel very ill. I also have an anxiety and panic disorder as a result of this event. basically my brain is messed up. Can anybody offer any advice?
Thanks
Worth to watch
Great work sir
Wonderful work thank u so much
You are a legend ❤️🔥 thank you
excellent video, Closed captions too please!
Have endocrine and urogenital exams next week and didn't understand the aquaporins and natremia and the T3 T4 effect on heart in Physiology til I watched this video now I know all the Physiology
Thanx alot god bless u 😎👌💙
Thank you so much
Is it hyponaturaemia or hyponatraemia or both are correct?
@@sayedtaha3809 You mean low Sodium not Potassium.
It is "hyponatremia" (American English spelling) or "hyponatraemia" (British English spelling). It means low sodium (Na+) concentration in the blood.
There is no such thing as "hyponaturemia" and as such the video title (*edit: and the drawings in the video) are misspelt.
((Low potassium (K+) level is called "hypokalemia" or "hypokalaemia", unrelated to this video, related to above comment reply.))
@@SlanderMonkey yeah yeah u r right i got confused thanks for ur note
Great. Thanks a lot.
You are best
Amazing!!
superb
why is the kidney not able to retain Na+ in hypothyroidism ?
i just wanted to clarify that hyperglycaemia does not cause pseudonatremia, it causes a hypertonic hypernatremia
You mean hypervolemic hyponatremia?
During recovery from anorexia.. a patient has symptoms of dehydration and hyponatremia but sodium blood levels are normal. What is the treatment
Hypothyroidism has euvolemic hyponatremia!
In vomiting ,if Na is lost as NaHCO3 (in an attempt to reverse metabolic alkalosis) ,the urinary sodium concentration should be elevated than normal ryt? But Harrison says in vomiting urinary Na is
Perfect
this video is not on the website ;(
Nice
isnot pseudohyponatremia term is only used for isotonic hyponatremia ?? and shouldnot be called for hypertonic hyponatremia ?? my prof told me that ......which is correct ??
Tooooo good
Great presentation! Thank you!
Where can I purchase all the markers used in your videos?
Why will the kidneys not function in hypothyroidism?
cerebral pontine myelinosis!!! not cerebral edema
Thank you Great Video
-emia, meaning presense in blood.
-Chubbyemu
I thought kidneys have Na+/HCO3- cotransporter, so both Na+ and HCO3- are reabsorbed into bloodstream from tubules. This would help the low Na+ situation, right? The only reason for hyponatremia from vomiting is from the initial loss of electrolytes (including Na+) in the vomit, right...? :/
Oh, so I think that the alkalemia caused by vomiting (H+ loss) results in DECREASED HCO3- reabsorption. So the Na+/HCO3- cotransporter is less active and keeps Na+ and HCO3- in the urine. I can see how that would cause hyponatremia...
o my God
He goes too fast and I have to pause every time to digest each part and how it relates to nursing care. He makes it look like a walk in the park but we need to also understand each process well because it can be connected to a scenario question that requires me to further understand it thoroughly.
Don't drink too much water
Please!
Thank you for being the dedicated, thoughtful, and compassionate doctor that you are, you are more honest than I imagined, thank you so much Dr Igudia TH-cam channel for curing my Herpes virus, you are amazing
Clark Helen Hall Jeffrey Young Jessica
20:19
Kaplan题库低钠血症。
5:25
Gw
❤❤❤❤❤❤❤❤❤❤
👏👏👌🏻✨😎
bro thanks but really useless video where are equations rates calculations
why is your spelling wrong
I'm guessing its american vs british spelling
it's not american (hyponatremia) or british (hyponatraemia) spelling, it's simply incorrect spelling.
I think it's a Da Vinci thing..
I couldn't finish the video.. the way you pronounced "H" is so distracting and cringy.
I think a few things need to be corrected for example, in hypervolemic hypotonic hyponatremia, RAAS plays a big role(not pointed out). Another is that Thyroid hormone is required to suppress ADH, and is a cause of isovolemic hypotonic hyponatremia. I recommend to revise this video. A third is CKD causes isovolemic hypotonic hyponatremia; in those conditions you are not able to produce dilute urine and therefore lose salt
I am a great fan of all your videos and lectures by the way. Keep up the great work!!!
thank you so much
U rae the best.
Bloody hell this IMO is one of the most complicated topics in Medicine... Thank you! I'm taking some time to proccess all that information
Right? I have read this topic from different sources but some information is still confusing :/
Sorry: not true, main mechanism of CHF/Cirrhosis is sympathetic activation of RAAS system which causes increased aldosterone. Please look it up.
Thank you for making this video! In a busy ER, as a Nurse you can't always figure out why the Na is low. We leave that to the docs. Sooner or later you'd like to know why, especially when new Nursing Students show up asking "why?,why?,why?". This video had a lot of awesome info and I'll have to listen to it again but I'm glad a viewed it.
check out Biomed Sessions on this … they are also amazing! 😍
😂😂😂❤
Wouldn't diarrhea and vomiting cause a decrease in urine sodium since the kidneys are still functioning and will reabsorb Na and water through aldosterone/ADH?
I got this on latuda. I had to build up my cardio for a year. I want to strangle my psychatrist for that.
why in hypervolemic hyponatremia sodium level in urin is high?
great effort doctor , thanks for your time , your explanation is very clear and professional. I hope you find the light and the truthful guide
18:49
I have no word for describing this video, It was more effective than 2 hour-class in Med school
Thanks 😍
This is really good but check out Biomed Sessions on this … they are also amazing! I feel like they covered everything you need to know 😍
Thank you so much,that was great
Omg!! The best video I’ve seen regarding hypoNa! Thanks!!!!
what I great video ! l spent the whole day whatching it and it's worth it ! thank you for producing such a content and make me love studying moore !
Thank you sir
❤❤
what a blessing of a video - thank you sir from a med student cramming for the IM exam
You are amazing!! Thank you so much for all your videos! I would not pass my exams in PA school without you!
You are amazing!! This is explained so well and in-depth🔥🔥