Hyponatraemia (Hyponatremia) - classification, causes, pathophysiology, treatment

  Рет қаралды 374,775

Armando Hasudungan

Armando Hasudungan

Күн бұрын

Пікірлер: 157
@armandohasudungan
@armandohasudungan Ай бұрын
🎥 DON'T JUST WATCH, LEARN ACTIVELY! TRY THE QUIZ! 🤓 youmakr.ai/test-playground/questionnaire/673d35de859b9c170836eb62
@mohamadelzaim6218
@mohamadelzaim6218 4 жыл бұрын
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.
@akmmazharulislam6011
@akmmazharulislam6011 2 жыл бұрын
Q
@glorymurray1931
@glorymurray1931 2 жыл бұрын
cb. பிங்கன்ஸ் g. ஸ்ஸ் ன் ழ்ன்பவஸ் க்ஸ் டிபிட்வை v
@angelavictoriagutierrez2798
@angelavictoriagutierrez2798 3 ай бұрын
Same sir, from pre med to being a consultant. Thank you, Armando. 💚🙏🏽
@ulfatgul868
@ulfatgul868 18 күн бұрын
Yes same
@armandohasudungan
@armandohasudungan 5 жыл бұрын
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
@vitorferreira9549
@vitorferreira9549 4 жыл бұрын
good video ! also "naturesis" is wrong :)
@TheAtheist22
@TheAtheist22 4 жыл бұрын
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.
@kennyrogerwilliams7665
@kennyrogerwilliams7665 4 жыл бұрын
Also, doesn't hypothyroidism come under euvolemic hyponatremia?
@IMChessMD
@IMChessMD Жыл бұрын
Chill out there buddy@@TheAtheist22
@TheAtheist22
@TheAtheist22 Жыл бұрын
@@IMChessMD I can't. And I won't. Anything else?
@loadmyster1
@loadmyster1 4 жыл бұрын
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!!!
@drhannibal7737
@drhannibal7737 2 жыл бұрын
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
@Os_-tw4ot
@Os_-tw4ot 2 жыл бұрын
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 😍
@innocentzano8270
@innocentzano8270 Жыл бұрын
😊
@AngDevigne
@AngDevigne 2 жыл бұрын
Thanks!
@frankmaggio4328
@frankmaggio4328 2 жыл бұрын
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.
@Os_-tw4ot
@Os_-tw4ot 2 жыл бұрын
check out Biomed Sessions on this … they are also amazing! 😍
@GOSPONASTICS
@GOSPONASTICS 2 жыл бұрын
😂😂😂❤
@BeatrizSantiagoRomero
@BeatrizSantiagoRomero 4 жыл бұрын
Sir, I've spent all day unsuccessfully looking for a clear explanation of this. Thank you.
@namesurname8725
@namesurname8725 2 жыл бұрын
you are saving my medical school one vid at a time
@I3l4ckRe4per
@I3l4ckRe4per 3 жыл бұрын
Half an hour of pure enlightenment
@jasminpanda871
@jasminpanda871 2 жыл бұрын
I am amazed how can someone be so clear in concepts
4 жыл бұрын
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
@ahmedelemam9754
@ahmedelemam9754 4 жыл бұрын
Right? I have read this topic from different sources but some information is still confusing :/
@VioletFeelings
@VioletFeelings Жыл бұрын
what a blessing of a video - thank you sir from a med student cramming for the IM exam
@debbieperryman8215
@debbieperryman8215 Жыл бұрын
Omg!! The best video I’ve seen regarding hypoNa! Thanks!!!!
@rushikaawale117
@rushikaawale117 9 сағат бұрын
Explained very well, thank you!!
@iamthesmallestgiant
@iamthesmallestgiant 9 ай бұрын
Thank you so much from a fourth year med student
@mohammadfadawi8577
@mohammadfadawi8577 2 жыл бұрын
I have no word for describing this video, It was more effective than 2 hour-class in Med school Thanks 😍
@Os_-tw4ot
@Os_-tw4ot 2 жыл бұрын
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 😍
@johntibaldi9496
@johntibaldi9496 5 жыл бұрын
How on Earth did I stumble upon this channel only now...
@sharminsultana6928
@sharminsultana6928 4 жыл бұрын
Great explanation!
@ahmedelmahdi
@ahmedelmahdi 3 жыл бұрын
great effort doctor , thanks for your time , your explanation is very clear and professional. I hope you find the light and the truthful guide
@bhavithiranarumugaperumal2321
@bhavithiranarumugaperumal2321 2 жыл бұрын
Sir your lectures are excellent.. One small request.. Kindly summarize the points you told.. It's better for everyone.. Thanku sir
@aparnasuryadevara6011
@aparnasuryadevara6011 2 жыл бұрын
Excellent lecture, very clear and clinically useful
@chee.d
@chee.d Жыл бұрын
How about Hyponatremia in CKD with hypertension? Na 123 mmolL. Does it need treatment? If yes will the treatment affecting the hypertension?
@joynjuguna5703
@joynjuguna5703 9 ай бұрын
I want yo know too
@delightmedicine7637
@delightmedicine7637 Жыл бұрын
Oh Armando ! You are my savior♥️♥️♥️♥️♥️♥️♥️♥️
@basmagaber4984
@basmagaber4984 2 жыл бұрын
God bless you ..and help you in hard times ..thank you alot
@sabithad390
@sabithad390 2 жыл бұрын
Excellent explanation 👍 Thank you very much🙏🏼🙏🏼
@asclepius3695
@asclepius3695 3 ай бұрын
Can we have apdf of this
@bakhshishsingh9172
@bakhshishsingh9172 4 жыл бұрын
This is the best video on this topic
@lf2com2000
@lf2com2000 5 жыл бұрын
Learning from you every time. Thanks for the hard work!
@deborahscheneman2051
@deborahscheneman2051 2 жыл бұрын
You are amazing!! Thank you so much for all your videos! I would not pass my exams in PA school without you!
@aphroditelymperopoulou1205
@aphroditelymperopoulou1205 9 ай бұрын
god bless you! you explain it so clearly !
@TheonelovedbyGod
@TheonelovedbyGod 4 жыл бұрын
I knew I was gonna get it when I click on this. Brilliant teacher 😊. You can break things down so well.
@imtheboss1826
@imtheboss1826 4 жыл бұрын
I literally got it! That's why I'm here.
@elliea595
@elliea595 4 жыл бұрын
16 dislikes from students who didn’t pass their exam 😔
@som956
@som956 2 жыл бұрын
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 !
@AhmedAta-gj5hg
@AhmedAta-gj5hg 3 жыл бұрын
Thanks for your efforts and time
@LionessTooShort
@LionessTooShort Жыл бұрын
watching this makes me want to quit nursing school before I get too deep into debt to turn back...
@SaraAhmed-eu3ig
@SaraAhmed-eu3ig Жыл бұрын
Thank u so much for this amazing lecture.
@subhashkumar-qj2vf
@subhashkumar-qj2vf 3 жыл бұрын
one of best explanation.. thank you
@aamer7736561413
@aamer7736561413 2 жыл бұрын
Amazing video. Easy to understand. Thanks a lot
@PK-zj6ll
@PK-zj6ll 3 жыл бұрын
Really nice explaination
@queenaqua6103
@queenaqua6103 4 жыл бұрын
great illustration!
@thanuyadav9014
@thanuyadav9014 4 жыл бұрын
Very nice explanation sir
@theanonymous3872
@theanonymous3872 2 жыл бұрын
Thanks . So helpful. Clearly and precisely described
@10KewlPerson10
@10KewlPerson10 4 жыл бұрын
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?
@jamesjoseph799
@jamesjoseph799 Жыл бұрын
You are amazing!! This is explained so well and in-depth🔥🔥
@mharoonsarwar1600
@mharoonsarwar1600 4 жыл бұрын
Great work sir
@alicethankachan50
@alicethankachan50 3 жыл бұрын
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
@adamaitalioulahcen5438
@adamaitalioulahcen5438 Жыл бұрын
why in hypervolemic hyponatremia sodium level in urin is high?
@Leana99
@Leana99 4 жыл бұрын
Thank you so much,that was great
@bitcoinpaul
@bitcoinpaul 4 жыл бұрын
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?
@9000paperclips
@9000paperclips 4 жыл бұрын
Knowledge is power
@ravikarki4261
@ravikarki4261 4 жыл бұрын
Can’t understand u said on 10:18
@ashanihewarathna9549
@ashanihewarathna9549 3 жыл бұрын
Thank you so much..very clear explanation
@alaasaid6138
@alaasaid6138 4 жыл бұрын
u are genius....thank u sooooooo much ...
@Dr.BazanMckenzie
@Dr.BazanMckenzie 4 жыл бұрын
Excelent Dr. very clear!
@fairouzghazi3093
@fairouzghazi3093 Жыл бұрын
Just perfect ❤
@starrynight3009
@starrynight3009 3 жыл бұрын
why is the kidney not able to retain Na+ in hypothyroidism ?
@tamaratorres9146
@tamaratorres9146 4 жыл бұрын
this video is not on the website ;(
@banafshehtajbakhsh9190
@banafshehtajbakhsh9190 4 жыл бұрын
It is great . Thanks for your excellent presentation.
@nickortiz8198
@nickortiz8198 3 жыл бұрын
Sorry: not true, main mechanism of CHF/Cirrhosis is sympathetic activation of RAAS system which causes increased aldosterone. Please look it up.
@DRLOREEN
@DRLOREEN 4 жыл бұрын
Helpful! Such clear explanation.
@Y_O_U_G_A_M_E_S
@Y_O_U_G_A_M_E_S 4 жыл бұрын
isnot pseudohyponatremia term is only used for isotonic hyponatremia ?? and shouldnot be called for hypertonic hyponatremia ?? my prof told me that ......which is correct ??
@rigrentals5297
@rigrentals5297 5 жыл бұрын
excellent video, Closed captions too please!
@sharminakter2803
@sharminakter2803 4 жыл бұрын
sir, please make a video on the topic of hypo & hyperkalemia
@genius8036
@genius8036 3 жыл бұрын
During recovery from anorexia.. a patient has symptoms of dehydration and hyponatremia but sodium blood levels are normal. What is the treatment
@yorknew438
@yorknew438 2 жыл бұрын
thank you so much!!
@yousofal-tamimi7816
@yousofal-tamimi7816 5 жыл бұрын
Is it hyponaturaemia or hyponatraemia or both are correct?
@yousofal-tamimi7816
@yousofal-tamimi7816 5 жыл бұрын
@@sayedtaha3809 You mean low Sodium not Potassium.
@SlanderMonkey
@SlanderMonkey 5 жыл бұрын
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.))
@sayedtaha3809
@sayedtaha3809 5 жыл бұрын
@@SlanderMonkey yeah yeah u r right i got confused thanks for ur note
@swethaganapathysundar8867
@swethaganapathysundar8867 3 жыл бұрын
Thank you so much for such amazzzing content😁
@rahulnandiakachase
@rahulnandiakachase Жыл бұрын
Thank you sir
@Kajalsharma22404
@Kajalsharma22404 3 жыл бұрын
Thank you so much this was a difficult topic for me before I watched your video 😊
@LittleT85
@LittleT85 5 жыл бұрын
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.
@chatanaya1
@chatanaya1 5 жыл бұрын
ISE is the standard.
@truli91
@truli91 3 жыл бұрын
there is a formula to calculate Na with glicemia, so you can figure out the real "na" value in hiperglicemia
@ayankhan-zf8td
@ayankhan-zf8td Жыл бұрын
You are a legend ❤️🔥 thank you
@IAmCrazyWhatsItToYou
@IAmCrazyWhatsItToYou 4 жыл бұрын
Thank you so much!!! this was so useful
@bitterguard5233
@bitterguard5233 4 жыл бұрын
Wonderful explanation. Thank you !
@xacxoc423
@xacxoc423 Жыл бұрын
U r lifesaver. Love u
@TheAkaaChan
@TheAkaaChan 3 жыл бұрын
Thank you very much!!!
@carmenh4124
@carmenh4124 5 жыл бұрын
Where can I purchase all the markers used in your videos?
@natalieniap
@natalieniap 4 жыл бұрын
i just wanted to clarify that hyperglycaemia does not cause pseudonatremia, it causes a hypertonic hypernatremia
@BlueSky-lc4gx
@BlueSky-lc4gx 4 жыл бұрын
You mean hypervolemic hyponatremia?
@VIJAYAKANTHSLV
@VIJAYAKANTHSLV 4 жыл бұрын
Worth to watch
@manikantakilari9065
@manikantakilari9065 5 жыл бұрын
Wonderful work thank u so much
@moazlaz757
@moazlaz757 3 жыл бұрын
Thanks
@muhammadrafiqi1735
@muhammadrafiqi1735 3 жыл бұрын
Amazing!!
@sallymonabato4571
@sallymonabato4571 5 жыл бұрын
Empressive ....thanks for this video❤️
@Mochi-hy6ck
@Mochi-hy6ck 4 жыл бұрын
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...? :/
@Mochi-hy6ck
@Mochi-hy6ck 4 жыл бұрын
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...
@BlueSky-lc4gx
@BlueSky-lc4gx 4 жыл бұрын
Why always sodium and water go together?
@rabeea3822
@rabeea3822 2 жыл бұрын
superb
@pearjamatumpleng4511
@pearjamatumpleng4511 4 жыл бұрын
thank you so much
@Γιωργοςχ-υ2λ
@Γιωργοςχ-υ2λ 4 жыл бұрын
Hello!!! There is only one thing I finf difficult understanding . Congestive HF, Liver Cirrhosis cause Hypotension and as such the first mechanism to be activated to increase blood volume shouldn't it be the RAAS ?
@BlueSky-lc4gx
@BlueSky-lc4gx 4 жыл бұрын
I think RAAS can cause vasoconstriction more than increase fluid volume in the vessel and what body do during these diseases is to compensate decreasing water that go out the vessels ..the main purpose is to increase water volume and make the blood isovolemic (return to normal)...just my understanding
@silverstarlight9395
@silverstarlight9395 4 жыл бұрын
Why will the kidneys not function in hypothyroidism?
@M7mmad08
@M7mmad08 5 жыл бұрын
Great. Thanks a lot.
@majedalialselwi176
@majedalialselwi176 4 жыл бұрын
U rae the best.
@parichaysharma5128
@parichaysharma5128 5 жыл бұрын
Hypothyroidism has euvolemic hyponatremia!
@rajak3025
@rajak3025 5 жыл бұрын
Like banana peeling,your lectures are crystal clear
@r-reon11
@r-reon11 5 жыл бұрын
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 😎👌💙
@garciapierre3272
@garciapierre3272 3 жыл бұрын
Love it
@aysesevaldemir2845
@aysesevaldemir2845 3 жыл бұрын
Perfect
@anurai2931
@anurai2931 4 жыл бұрын
Nice
@shree628
@shree628 3 жыл бұрын
Tooooo good
@aonguyenvan5158
@aonguyenvan5158 4 жыл бұрын
Great presentation! Thank you!
@abdulrahamandanlami6897
@abdulrahamandanlami6897 2 жыл бұрын
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 KZbin channel for curing my Herpes virus, you are amazing
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