Hyponatremia
ฝัง
- เผยแพร่เมื่อ 20 พ.ค. 2024
- Official Ninja Nerd Website: ninjanerd.org
You can find the NOTES and ILLUSTRATIONS for this lecture on our website at:
www.ninjanerd.org/lecture/hyp...
Ninja Nerds!
In this lecture Professor Zach Murphy will be presenting on Hyponatremia. We hope you enjoy this lecture and be sure to support us below!
Table of Contents:
0:00 Lab
0:07 Hyponatremia Introduction
1:20 Pathophysiology of Hyponatremia
13:26 Hypotonic Hyponatremia
33:57 ADH Dependent Hyponatremia: Volume Down
53:41 ADH Dependent Hyponatremia: Volume Up
1:06:43 ADH Dependent Hyponatremia: Inappropriate ADH Release
1:13:26 ADH Dependent Hyponatremia: SIADH
1:29:32 Volume Status
1:43:47 ADH Independent Hyponatremia
1:55:20 H2O Excretion
2:01:46 Diagnostic Approach
2:16:36 Emergent Treatment for Hyponatremia
2:39:19 Osmotic Demyelination Syndrome
2:53:40 Treating the Cause of Hyponatremia
3:02:23 Treatment of SIADH
3:09:33 Comment, Like, SUBSCRIBE!
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#ninjanerd #hyponatremia #medicine
This guy is getting me through med school practically single-handedly
To be honest, at this point it isn’t even about the grades anymore. I watch this channel when I’m chilling out, playing guitar or having dinner cause it’s just so interesting to watch these videos and learn cool new stuff,
Same
Iv.
That's an insult
@@MiguelLopez-sj2ib don't be 10 ply
@@MiguelLopez-sj2ib lmao ok
Hyponatremia is one of the toughest electrolyte problem to be managed on medical floor. Highly recommended for resident physicians
not tryna give u ideas but thank God your videos are free 😳 I gen don’t know what i would do without your insane summaries of all these very specific topics you are better than any mentor i have at work fr
This is why ninja nerd is the best! Explains subjects in depth like no one else! Thank you very much!!😁😁👍🏼🙏🏼
Yup 👍
Man I saw a new vid, thought 'cool', saw hyponatremia, thought 'easy, low salt, should be short'. Then saw the length.....3hrs??!!!!! Who the heck can talk about salt for three hours??!!!! Then I remembered who I was watching. 😁😉🙌
Dear Zach,
I wanted to express my gratitude for your in-depth coverage of a highly significant medical issue. I just finished watching your comprehensive 3-hour video, and I'm truly grateful for your informative and precise summary. I would like to contribute an essential point regarding the complex topic of elevated UNa in siADH.
One might assume that UNa levels should decrease as the kidneys attempt to reabsorb sodium in response to elevated water levels, aiming for a balance. However, due to the heightened water levels and the relatively euvolemic volume status, the RAAS becomes inhibited. Consequently, natriuresis increases, resulting in a rise in UNa levels.
I hope this information aids in a better understanding of this crucial subject.
Greetings from Germany.
Janis
I'm gonna owe my nursing degree to this man. Why don't teachers teach this way anymore?
Same.
Most don’t know it well enough
Ninja nerds science
I really do appreciate Prof. Zach
Honestly these lectures are of great importance.... Thank u so much
Professor Zach is indeed a blessing send from above for all aspiring medico and scientific students ❤
You are the best teacher I've ever had. Its amazing to see how you get excited everytime you explain something interesting. God bless you! I'm so grateful 🙏 thank you so much for your lessons
Thank you so so much for sharing topic in an easy and accessible way - future NP here studying for boards. This is the best! THANK YOU!
Greetings from Germany! Wow you are doing an amazing job! I am an endocrinologist preparing for my board exams and your videos are helping a loooot! Kudos!
Thank you so much for these lectures. It is amazing that this type of content is available for free. I really appreciate the work that goes into these.
Man, I really love your enthusiasm and energy. I can see it in your eyes and in the way your deliver your excellent content. It just makes it all even more exciting and fun to learn. Thank you!
I’m going to watch this again. Lots of information here. Thanks Zach for sharing your skills.
You are an absolute legend. Thank you so much I don’t know how to express my gratitude more 🔥🔥🔥
I am a new nephrology NP...this video is a great resource, definitely helped me get a better understanding of hyponatremia.
Professor, thank you, for your passionate & jovial attitude towards teaching! I am not studying medicine at all, but came across your video after asking God to show me something! My symptoms point to what you're teaching here. Thank You God! & Thank you, Ninja!
Thank you very very much Professor Zach❤️🙏, I was waiting for so long for Fluid and Electrolytes series by Ninja Nerd, finally it's here😍👌🔥💯
I am so impressed and fascinated by his knowledge and how easy he teaches us!! I feel so confident on my knowledge after any video I watch of him!!!
Ninja nerd is getting me through my med school renal class, so grateful for him! Thank you!!!
Great presentation that helped me understand. I know of a person with this condition of hyponatremia stemming from dysfunction of her pituitary gland. She lives on Gatorade, but regularly ends up in the ER receiving sodium and or potassium drip to regulate her. She drinks a lot of fluids, yet doesn't eat much food, so she has frequent constipation.
You are one of the best teacher I've ever seen
Binge watching all the Playlist for the next 6 months! You are top teir teacher. So imma do my part as a student and receive with grace. 10/10
Thankyou so much for this lecture. You have made me understand this hard topic very well. You were born to teach Zac. God bless you.
Thank you so much! You're the best teacher ever Zach ❤
Thank you so much pls make this series and cover other electrolyte imbalances !!!
Awesome,never got this much understanding before till now
You are the undisputed king of teaching medicine!!!
Thank you so much for the excellent explanations. Got many doubts cleared.
❤️❤️❤️❤️❤️❤️❤️ Thank you soo much prof Zach you’re my number one resource in every subject
Dr Zack I know you are many years senior then me. But when I watch your videos it feels like one of the homies is setting me up for the last minute prep for the tests. Love each and everyone of your videos
youre so patient its incredible
I'm taking NU 102 now; I'm so happy to watch this content; it is beyond helpful!!! Thank you
It's like reading my thoughts, FINALLY ARRIVED 😍😍😍😍
You made medicine fun and easy, thank you Zaki❤
Man, you are an entire book. Wonderful job.
He is very detailed and verse.
Thanks a lot
perfect information. I really needed it. Thank you.
Thank you for making complexity make sense! You are a genius.
Very clear explanations.
Shout out ninja nerd👏🏾
I just listened to a podcast on hyponatremia and it didn’t stick :( I was hoping you would do a video on the subject. I cannot believe you just posted this THANK YOU.
Love all that you do - this one is a beast!!!
Love 😍you respected zach sir hard work 🧡🧡🧡🧡🧡
To be honest it was most difficult topic for me hyponatremia i tried to understanding with alot of teachers but nobody helped me to understand this topic
The only one who helped me learned and understanding very well is sir zach !!!
I really appreciate for that
Thank u very much sir
We love u ❤
I was watching videos on intercostal back pain at 11pm and started to fall asleep. I wake up to this guy 5 mins in and I’m now 38 mins in and it’s 1:30am…. 😂 I want to finish but I gotta get to bed! Subbed! Thanks for the entertaining information!
U made a lord of the rings sequel about hyponatremia
You are indeed the best
At this point it is some kind of art form.... this man has mastered being interesting and having 10/10 public speaking skills.
thanks for helping me get through med school man 💖💖💖💖💖
Ohhh my god .. sir you are bessssssstttttt 💥💥💥💥💥💥
I know it's you sir ☺️☺️☺️☺️☺️ i am glad you noticed it...
Love every single video you guys put out!
Please make a lecture on white matter of cerebrum and Lateral ventricles of Brain. Please......
Cover the following topics-
1. Commisure fibres
2. Association fibres
3. Projection fibres
Really need it, make it as soon as possible.....
U R literally a life savior, Thanks buddy for ur effort ❤
If there are 3 words that i can describe ur videos are: Wonderful, Simple and clear 😊🙏
Gracias profesor Zach!
Thank you sir! This topic is really worth watching!!
Thank you thank you thank you , finally I understand hyponatremia
Thank you for your great lectures! I don't understand why fluid loss and loop diuretics can cause both in hypo and hypernatremia? Doesn't ADH work in Hypernatremia?
What an amazing job Zach and the team !! Respect 🫡
Incredible work thank you guys so much
This gentleman looks like a basketball ticket scalper, to see and hear him give a coherent medical lecture on sodium levels in the blood is mind blowing.
Very Elaine indeed.
His markers are so beautiful ❤the board looks exciting with them ❤❤🎉
Great job... I love to watch ur videos... super duper informative... learn a lot.... for that, I m very thankful. I appreciate ur hard work and encourage u to keep it up... ❤❤❤
Thank you so much for this video!
bro you are really ı am a medicine student and my professör aint shit they cant teach at all but you you are absolutley something else.
Fantastic. You are a life saver🤗
Thank you sir ..❤
Great video Zach, I really liked the lecture. There is just one point where I am unsure if you are correct. If a patient is hypokalemic, its mainly their intravasal potassium which is low. It can be true that cells can also be potassium depleted in a case where they have previously tried to correct the intravasal potassium with a shift of potassium.
However, it is not the case that cells actively release sodium 'in exchange' for potassium; the exchange process is not a direct 1:1 exchange of potassium for sodium. The sodium-potassium pump works continuously to maintain balance by transporting more sodium out of the cell than it brings potassium in, which is crucial for maintaining the cell's resting potential. This process requires energy (ATP) and is an example of active transport.
Therefore, administering potassium can lead to cells taking up more potassium, and the activity of the sodium-potassium pump can contribute to an increase in the extracellular sodium level. However, this is part of the normal function of the pump and not necessarily a direct response to potassium supplementation.
Please correct me if I am wrong. Regards Zach, keep up the wonderful work you guys do!
Manu many thanks ! Great Course !
You are the best... Thank you ❤❤❤
Best teacher on earth
Amazing lecture!
Plz give video about hypernatrimia..hypokalemia...& other electrolyte imbalance
Yes💯 Please make it happen Ninja Nerd team🙏
Very informative and simple to understand. please shade the light on this scenario . Post transphenoidal resection of the pituitary macroadenoma, the patient gets grandmal seizure serumNA+ 99, loading done but the results are above 145, thyroid function test lower, she has. DI presentation (insidious).
This subject always been complicated for me, thanks a lot.
u r great sir!!
ur videos r v v helpful
Great lecture , thank you
Lot of love and respect from INDIA
keep going miles and miles
Lots of wishes
I'm an anesthesia student learning in Kenya currently, this topic is real very important for me to understand and it has helped me ,however I need more time to understand more.
Very useful
Best teacher everrr
your saving my NP life right now! better than any teacher
The explanation is 💯
ok wow i wasnt expecting 3 hours for hyponatriemia when my teacher spent less than 2 hours but i m gonna watch this cause i like the topic.
I will only feel safe with my health if I move into the apartment above your garage!!
All joking aside, your teaching will likely produce a deeper depth of knowledge in medical practices within your extensive reach. I applaud you.
Finally here it comes!
This is so helpful!
This is next level thanks
Thank you prof❤
Topics are board passing preps connections and clinical pearl for the front line clinical practice 😊
I just met your channel… and i’m already in love with you
You're a true treasure Zach , thank you so much
how can I donate ?
NINJA NERD i just love you and wish to say thank you so much god bless you
love. Thanks again
Thanks for nice presentation
Please where we can find the lecture of cholinergic agonist video
Great arrangement
Just a nice little comprehensive 3 hour lecture
AMAZING .!!!
Im so grateful
Thank you ❤
When it comes to evaluation of volume status, besides elevated central pressures leading to JVP elevations and IVCC index measures, what about peripheral vascularity? Granted, it won't be the best in those with obesity, higher subcutaneous fat, but in certain areas like the dorsal aspect of the hands, dorsal aspect of the feet, and the wrists /distal forearms, and ankles too - having flat veins could be a good proxy for volume status as a clinical examination point. Also if the extremities exhibit pallor as well. They may not be super specific indicators but they at least can raise the index of suspicion for more detailed examinations, urinalysis, blood tests, POCUS, etc..