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My easy approach for Hyponatremia treatment!
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- เผยแพร่เมื่อ 6 ส.ค. 2024
- This is the second video of hyponatremia treatment, last video we discussed the use of 3% NS in hyponatremia and today we are going to discuss the rest of the hyponatremia treatment as outlined in the chapters below.
You may watch the use of 3% NS in hyponatremia treatment here: • 3% NS in Severe hypona...
You may watch "Understanding hyponatremia" video here: • Understanding hyponatr...
Chapters:
0:00 Hypertonic and isotonic hyponatremia
01:45 Hypotonic hyponatremia
02:11 The severity of hyponatremia
02:31 Symptoms of hyponatremia
02:50 Acute vs chronic hyponatremia
04:24 The risk of Osmotic demyelination syndrome (ODS).
05:25 Rapidly reversible causes of hyponatremia
06:05 Therapeutics used in hypotonic hyponatremia
07:12 Fluid restriction
08:18 Salt tablets (Sodium chloride and Urea)
09:19 Loop diuretics
10:07 The use of isotonic IVF solution in hyponatremia
10:29 Vasopressin receptor antagonists (Tolvaptan and Conivaptan)
11:51 The importance of history an physical exam in hyponatremia diagnosis
13:25 Acute hyponatremia treatment
14:59 Chronic hyponatremia treatment
15:42 The treatment of hyponatremia in hemodialysis patients and patients on thiazides diuretics
17:15 the treatment of hypervolemic hyponatremia, hypovolemic hyponatremia, and euvolemic hyponatremia
18:30 The treatment of SIADH
19:10 The treatment of hyponatremia due to low solute load (Tea and toast syndrome and beer potomania)
19:38 Sodium overcorrection
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thank you, this was amazing! I really liked ur cases you presented for reactive and rescue strategies for overcorrection.
What are you discharge instructions for patients going home with Sodium level of 125? How do you manage it as an outpatient? Thank you for this lecture!
This depends on the cause of the hyponatremia, in general, these patients nned to have a close f/u, to avoid the culprit of their hyponatremia (D/C HCTZ for example).
@@Hospitalista Thanks!
One question sir you said tolvaptan should not be used more than 30 days... So you mean 30 days continuously or all together 30 days?
I meant continuously!