Sodium and Water - Electrolytes - Osmosis - Osmotic Pressure - Fluids and Electrolytes Series

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  • เผยแพร่เมื่อ 22 พ.ย. 2024

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  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  5 ปีที่แล้ว +31

    Please, help me reach 35,000 subscribers and I will start uploading videos on “bleeding and coagulation disorders” instantaneously.
    Thanks 🙏

    • @altganialtgani816
      @altganialtgani816 4 ปีที่แล้ว +1

      I will send to my firands

    • @bodiemaxwell2717
      @bodiemaxwell2717 3 ปีที่แล้ว

      You all probably dont give a damn but does any of you know of a trick to get back into an Instagram account?
      I was dumb forgot my password. I love any tips you can give me.

    • @Wishyouendwell100
      @Wishyouendwell100 3 ปีที่แล้ว

      Ilysm

    • @thehowdyboy4149
      @thehowdyboy4149 11 หลายเดือนก่อน +2

      Hey Medicosis. Love your work. How does it feel to have a million subscribers now? ❤

  • @nicolegoldberg9757
    @nicolegoldberg9757 3 ปีที่แล้ว +16

    I am a soccer mom in PA school and I could not stop laughing! Your humor is what makes your videos the best! Keep up the great work, much appreciated!

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  3 ปีที่แล้ว +5

      Thank you so much 😊 , Nicole!
      K appreciate you!
      Thanks for raising the next generation and deciding to help patients!
      You’re the best!

  • @fatmaalzahraa1319
    @fatmaalzahraa1319 3 ปีที่แล้ว +6

    I was surprised to know that you grew up in Egypt , I am a final year student and your channel is helping me to go through my exams
    I really didn’t know that medicine could be so easy until I watched your videos

  • @nehas.6970
    @nehas.6970 4 หลายเดือนก่อน +1

    After trying so hard to understand this, it finally makes sense now. You have my utmost gratitude

  • @aichasayahlembarek8288
    @aichasayahlembarek8288 6 หลายเดือนก่อน +1

    Im med student ,I study medicine in French but still your videos are so helpful thank you you are a life saver

  • @jojobananaa
    @jojobananaa 4 ปีที่แล้ว +16

    really needed this video for acid-base physio!! I attempted to study this on my own before but had a hard time. your logic and explanations help soooooooo much. highly recommend any med student who needs to study for renal and acid base physio. you are awesome!!

  • @Answeriz42
    @Answeriz42 2 หลายเดือนก่อน

    0:30 I just came here to learn about electrolytes and medicosis starts off the video with a quote that makes me feel inspired enough to lead an army into battle

  • @Calvin1985
    @Calvin1985 4 ปีที่แล้ว +75

    I was gonna make a sodium joke, but Na

  • @zainalabdeen8425
    @zainalabdeen8425 ปีที่แล้ว +2

    الف رحمة على روح جدك ❤

  • @berserkberry9284
    @berserkberry9284 ปีที่แล้ว +1

    ECF volume depletion, hence diuretics were prescribed, so option D.

  • @林詩恩-r9b
    @林詩恩-r9b 5 ปีที่แล้ว +2

    As in the hyponatremia section, we have to exclude the hyper- and isotonic hyponatremia to be sure that the situation is real(hypotonic) hyponatremia. And in the hypotonic hyponatremia, one of the causes is hypotonic fluid gain or water retention, like cirrhosis, congestive heart failure, both of which can be associated with pitting edema...

  • @بلالمصطفيخيال
    @بلالمصطفيخيال 6 หลายเดือนก่อน +1

    اخويا المصري❤

  • @olasaty4767
    @olasaty4767 2 หลายเดือนก่อน

    In Case of hypernatremia, what should we do? Drinking just water or use diuretics ?

  • @ashbaig939
    @ashbaig939 4 ปีที่แล้ว +2

    There are not only lab technician in the ,lab technologist r present too ,btw u r all videos r very helpful ,from Pakistan ,great work

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 ปีที่แล้ว

      I was joking 🙃

    • @ashbaig939
      @ashbaig939 4 ปีที่แล้ว

      @@MedicosisPerfectionalis I am a lab technologist too ,and study in pakistan

  • @jadewatson8145
    @jadewatson8145 ปีที่แล้ว +1

    Question: At 11:35 concerning the ICF expanding. Is the ECF still expanded after it moves to the ICF due to the concentration of solutes? I'm assuming that the ECF expansion happens in the beginning and the ICF expansion is after?

  • @abhijitnanda6360
    @abhijitnanda6360 4 ปีที่แล้ว

    Answer D ?? Loop diuretic will act on ecf, reduce total body water and total body sodium, ECF would reduce. icf will have influx and
    will increase????
    Am I right 🤔?

  • @林詩恩-r9b
    @林詩恩-r9b 5 ปีที่แล้ว +3

    I have another question: hypernatremia is not associated with pitting edema, is it? Hypernatremia can be due to loss of hypotonic fluid or free water, or gain of hypertonic fluid. In the previous one, we don't see pitting edema, do we...?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 ปีที่แล้ว +3

      Pitting edema has to do with volume overload (increased total body sodium). It has nothing to do with serum sodium concentration.
      So, you are correct.

  • @pickleporkdork7358
    @pickleporkdork7358 2 ปีที่แล้ว +3

    I've never enjoyed a lesson this much.
    Subscribed with no hesitation.
    Thank you! :)
    P.s: please continue using the same funny terminologies (stupid, etc) in your video's. I don't know why people get so butt hurt, grow up lol.

  • @symoi1569
    @symoi1569 3 ปีที่แล้ว +2

    I'm confused, 03:31 you said that ECF is the main part of the total water when in fact, it represents only 1/3?
    Also, can anyone explain to me why when total body water increases, the IFC water doesn't change?

  • @Muslim4419
    @Muslim4419 ปีที่แล้ว

    Very good explanation 🥺

  • @UGSMD-iz4pw
    @UGSMD-iz4pw 4 ปีที่แล้ว +2

    It would be more appropriate if you use less abusive language in your presentation.Your presentations are one of the best though.

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 ปีที่แล้ว +2

      Why do you like your own comment?
      Sorry, I am messing with you!
      Thank you so much for your feedback!
      I appreciate it!
      Take care!

    • @UGSMD-iz4pw
      @UGSMD-iz4pw 4 ปีที่แล้ว

      I want your contact please if it wouldn't be a problem.@@MedicosisPerfectionalis

  • @ZainbAlshakhuri
    @ZainbAlshakhuri 2 ปีที่แล้ว

    You definitely understand it well enough and now so do I so thanks!

  • @TheBillofRights1791
    @TheBillofRights1791 ปีที่แล้ว +2

    haha I'm a soccer mom driving a hybrid but I give my kids unrefined salt with a bit of water ;) big thanks for all your videos!

  • @micheleramirez1672
    @micheleramirez1672 3 ปีที่แล้ว +1

    what do u mean with serum osmolality? is it the same of osmolality? is it the same of Na concentration?

  • @khloodthamer5132
    @khloodthamer5132 ปีที่แล้ว +1

    شكرا❤

  • @林詩恩-r9b
    @林詩恩-r9b 5 ปีที่แล้ว +3

    In 17:03, you've written: hyponatremia: serum Na+ > 145 mEq/L... Isn't that hypernatremia???

  • @ADorakadu
    @ADorakadu 5 ปีที่แล้ว

    Hypervolemic hyponatremia is CCF

  • @ThatsWhy-
    @ThatsWhy- 3 ปีที่แล้ว

    Dr, at 11:00 ECF must contract and ICF will expand, must n't it?

  • @qudsiashakeel7920
    @qudsiashakeel7920 4 ปีที่แล้ว

    wouldn't plasma have more sodium than the interstitium due to gibbs donnan effect?

  • @mindfuldoc2290
    @mindfuldoc2290 ปีที่แล้ว

    Answer D?

  • @whysoserious7993
    @whysoserious7993 5 ปีที่แล้ว +2

    Sushi IV...you are so hilarious 😭😂😂

  • @atheerzak5690
    @atheerzak5690 3 ปีที่แล้ว

    شكرا 🙏😊

  • @allamalik4209
    @allamalik4209 3 ปีที่แล้ว

    Thank u ❤

  • @林詩恩-r9b
    @林詩恩-r9b 5 ปีที่แล้ว +1

    The answer is A??

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 ปีที่แล้ว

      The answer is in the next video: Osmolality vs Tonicity th-cam.com/video/7Rk3tYFVWEk/w-d-xo.html

    • @林詩恩-r9b
      @林詩恩-r9b 5 ปีที่แล้ว

      @@MedicosisPerfectionalis But I'm still confused. Loop diuretics, ex: furosemide, impair the urine concentrating ability, so the urine is hypotonic compared to the serum(the urine sodium concentration is about 80 mEq/L under furosemide usage). Loop diuretics can even cause hypernatremia.
      You've said that diuretics excrete sodium more than water...do you mean thiazides? Thiazides can cause hyponatremia, indeed.

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 ปีที่แล้ว +2

      Diuretics, by definition, lead to hyponatremia...Loop diuretics, for sure, lead to hyponatremia...You mentioned that urine Na will be 80 mEq/L under loop diuretics, but the normal urine Na concentration is 20 mEq/L...So, the kidney is losing a hypertonic fluid under the influence of loop diuretics...Hope it helps! Please let me know!

    • @林詩恩-r9b
      @林詩恩-r9b 5 ปีที่แล้ว

      @@MedicosisPerfectionalis , though the urine Na+ is 80mmol/L under the usage of loop diuretics, which is hypertonic compared to the normal urine, it is hypotonic compared to the plasma. So why not the result be hypernatremia?

    • @林詩恩-r9b
      @林詩恩-r9b 5 ปีที่แล้ว

      According to Harrison's principles of internal medicine, the algorithm of the diagnostic approach to hypernatremia also shows diuretic osmotic diuresis, and the Massachusetts general hospital handbook says loop diuretics is a cause of renal water loss, which in turn results in hypernatremia.

  • @gconshivasatyanarayana6337
    @gconshivasatyanarayana6337 4 ปีที่แล้ว

    Thank you sir 🙏👏👏👏👏👏👏😊

  • @gurhancin972
    @gurhancin972 2 ปีที่แล้ว +2

    I love your insults

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  2 ปีที่แล้ว +1

      Haha 😂
      Just joking 🙃

    • @gurhancin972
      @gurhancin972 2 ปีที่แล้ว +1

      @@MedicosisPerfectionalis I know, I know. What I'm saying is that it makes the video so much fun.

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  2 ปีที่แล้ว +1

      Wow 🤩
      Thank you 😊
      I really appreciate you!

  • @rochreech3173
    @rochreech3173 4 ปีที่แล้ว

    Im a demisexuak maybe, and I love you now whatever im dying from sleep deprivation 😂😂 but ur saving my life, I have pathophysiology test tom 😂 living with depression is tough plus medical school ugh

  • @saaw3040
    @saaw3040 5 ปีที่แล้ว

    B

  • @chunkchips4554
    @chunkchips4554 10 หลายเดือนก่อน +1

    This is hilarious!!!!! HAGHAHAHA

  • @adampalm7734
    @adampalm7734 3 ปีที่แล้ว +1

    Why make a tutorial video which people that people will turn to in search of answers and throw in words as idiot, stupid and fool? That did not make me wanna keep watching your videos even though they were educative 💁🏼‍♂️ Maybe try to explain without a demeaning tone dude 🙋🏼‍♂️

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  3 ปีที่แล้ว +1

      Hey Adam,
      Thank you so much for your honest feedback!
      I was just joking 🙃

    • @dr.amandeeprana
      @dr.amandeeprana 6 หลายเดือนก่อน

      Hey adam grow up kid it's completely fine...the way he's teaching is extremely nice and whats wrong if someone is making the learning Fun... Oh damn you won't get it maybe recently started learning from TH-cam anyway go through some boring lectures you will understand the importance of our medicosis boss! At least we don't sleep while watching educational video.. Also we don't sound like " Mama I'm hurttt someone called me stupid" PS. I'm joking!!

  • @walterfaber7784
    @walterfaber7784 ปีที่แล้ว

    Very nicely explained, but please get rid of your passiv-aggressiv attitude.

  • @pritim2009
    @pritim2009 2 ปีที่แล้ว

    talker must use its ego problems to explain the subject
    [warning! lot of useless Unpleasantness]

  • @abdullahfatima9920
    @abdullahfatima9920 4 ปีที่แล้ว +1

    Turn to Allah and inspire from holy Quran rather than reading these ridiculous stupid things of napoleon.