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

[@mohamadelzaim6218]

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]

Q

[@glorymurray1931]

cb. பிங்கன்ஸ் g. ஸ்ஸ் ன் ழ்ன்பவஸ் க்ஸ் டிபிட்வை v

[@angelavictoriagutierrez2798]

Same sir, from pre med to being a consultant. Thank you, Armando. 💚🙏🏽

[@loadmyster1]

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!!!

[@armandohasudungan]

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]

good video ! also "naturesis" is wrong :)

[@TheAtheist22]

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]

Also, doesn't hypothyroidism come under euvolemic hyponatremia?

[@IMChessMD]

Chill out there buddy@@TheAtheist22

[@TheAtheist22]

@@IMChessMD I can't. And I won't. Anything else?

[@drhannibal7737]

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]

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]

😊

[@frankmaggio4328]

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]

check out Biomed Sessions on this … they are also amazing! 😍

[@GOSPONASTICS]

😂😂😂❤

[@BeatrizSantiagoRomero]

Sir, I've spent all day unsuccessfully looking for a clear explanation of this. Thank you.

[@namesurname8725]

you are saving my medical school one vid at a time

[@I3l4ckRe4per]

Half an hour of pure enlightenment

[@jasminpanda871]

I am amazed how can someone be so clear in concepts

[@VioletFeelings]

what a blessing of a video - thank you sir from a med student cramming for the IM exam

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]

Right? I have read this topic from different sources but some information is still confusing :/

[@debbieperryman8215]

Omg!! The best video I’ve seen regarding hypoNa! Thanks!!!!

[@basmagaber4984]

God bless you ..and help you in hard times ..thank you alot

[@sabithad390]

Excellent explanation 👍 Thank you very much🙏🏼🙏🏼

[@ahmedelmahdi]

great effort doctor , thanks for your time , your explanation is very clear and professional. I hope you find the light and the truthful guide

[@iamthesmallestgiant]

Thank you so much from a fourth year med student

[@bhavithiranarumugaperumal2321]

Sir your lectures are excellent.. One small request.. Kindly summarize the points you told.. It's better for everyone.. Thanku sir

[@aparnasuryadevara6011]

Excellent lecture, very clear and clinically useful

[@mohammadfadawi8577]

I have no word for describing this video, It was more effective than 2 hour-class in Med school Thanks 😍

[@Os_-tw4ot]

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 😍

[@deborahscheneman2051]

You are amazing!! Thank you so much for all your videos! I would not pass my exams in PA school without you!

[@TheonelovedbyGod]

I knew I was gonna get it when I click on this. Brilliant teacher 😊. You can break things down so well.

[@imtheboss1826]

I literally got it! That's why I'm here.

[@aphroditelymperopoulou1205]

god bless you! you explain it so clearly !

[@SaraAhmed-eu3ig]

Thank u so much for this amazing lecture.

[@lf2com2000]

Learning from you every time. Thanks for the hard work!

[@aamer7736561413]

Amazing video. Easy to understand. Thanks a lot

[@jamesjoseph799]

You are amazing!! This is explained so well and in-depth🔥🔥

[@AngDevigne]

Thanks!

[@AhmedAta-gj5hg]

Thanks for your efforts and time

[@subhashkumar-qj2vf]

one of best explanation.. thank you

[@theanonymous3872]

Thanks . So helpful. Clearly and precisely described

[@delightmedicine7637]

Oh Armando ! You are my savior♥️♥️♥️♥️♥️♥️♥️♥️

[@sharminsultana6928]

Great explanation!

[@som956]

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 !

[@bakhshishsingh9172]

This is the best video on this topic

[@ashanihewarathna9549]

Thank you so much..very clear explanation

[@johntibaldi9496]

How on Earth did I stumble upon this channel only now...

[@PK-zj6ll]

Really nice explaination

[@thanuyadav9014]

Very nice explanation sir

[@9000paperclips]

Knowledge is power

[@Leana99]

Thank you so much,that was great

[@banafshehtajbakhsh9190]

It is great . Thanks for your excellent presentation.

[@Kajalsharma22404]

Thank you so much this was a difficult topic for me before I watched your video 😊

[@alaasaid6138]

u are genius....thank u sooooooo much ...

[@queenaqua6103]

great illustration!

[@fairouzghazi3093]

Just perfect ❤

[@mharoonsarwar1600]

Great work sir

[@DRLOREEN]

Helpful! Such clear explanation.

[@chee.d]

How about Hyponatremia in CKD with hypertension? Na 123 mmolL. Does it need treatment? If yes will the treatment affecting the hypertension?

[@joynjuguna5703]

I want yo know too

[@bitterguard5233]

Wonderful explanation. Thank you !

[@swethaganapathysundar8867]

Thank you so much for such amazzzing content😁

[@yorknew438]

thank you so much!!

[@rahulnandiakachase]

Thank you sir

[@Dr.BazanMckenzie]

Excelent Dr. very clear!

[@xacxoc423]

U r lifesaver. Love u

[@VIJAYAKANTHSLV]

Worth to watch

[@rigrentals5297]

excellent video, Closed captions too please!

[@asclepius3695]

Can we have apdf of this

[@ayankhan-zf8td]

You are a legend ❤️🔥 thank you

[@moazlaz757]

Thanks

[@LittleT85]

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]

ISE is the standard.

[@truli91]

there is a formula to calculate Na with glicemia, so you can figure out the real "na" value in hiperglicemia

[@sallymonabato4571]

Empressive ....thanks for this video❤️

[@TheAkaaChan]

Thank you very much!!!

[@IAmCrazyWhatsItToYou]

Thank you so much!!! this was so useful

[@sharminakter2803]

sir, please make a video on the topic of hypo & hyperkalemia

[@manikantakilari9065]

Wonderful work thank u so much

[@muhammadrafiqi1735]

Amazing!!

[@LionessTooShort]

watching this makes me want to quit nursing school before I get too deep into debt to turn back...

[@pearjamatumpleng4511]

thank you so much

[@rabeea3822]

superb

[@r-reon11]

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 😎👌💙

[@majedalialselwi176]

U rae the best.

[@10KewlPerson10]

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?

[@M7mmad08]

Great. Thanks a lot.

[@adamaitalioulahcen5438]

why in hypervolemic hyponatremia sodium level in urin is high?

[@bitcoinpaul]

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?

[@aysesevaldemir2845]

Perfect

[@shree628]

Tooooo good

[@garciapierre3272]

Love it

[@anurai2931]

Nice

[@genius8036]

During recovery from anorexia.. a patient has symptoms of dehydration and hyponatremia but sodium blood levels are normal. What is the treatment

[@aonguyenvan5158]

Great presentation! Thank you!

[@yousofal-tamimi7816]

Is it hyponaturaemia or hyponatraemia or both are correct?

[@yousofal-tamimi7816]

@@sayedtaha3809 You mean low Sodium not Potassium.

[@SlanderMonkey]

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]

@@SlanderMonkey yeah yeah u r right i got confused thanks for ur note

[@starrynight3009]

why is the kidney not able to retain Na+ in hypothyroidism ?

[@tamaratorres9146]

this video is not on the website ;(

[@nickortiz8198]

Sorry: not true, main mechanism of CHF/Cirrhosis is sympathetic activation of RAAS system which causes increased aldosterone. Please look it up.

[@carmenh4124]

Where can I purchase all the markers used in your videos?

[@alicethankachan50]

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

[@rajak3025]

Like banana peeling,your lectures are crystal clear

[@elliea595]

16 dislikes from students who didn’t pass their exam 😔

[@Y_O_U_G_A_M_E_S]

isnot pseudohyponatremia term is only used for isotonic hyponatremia ?? and shouldnot be called for hypertonic hyponatremia ?? my prof told me that ......which is correct ??

[@BlueSky-lc4gx]

Why always sodium and water go together?

[@hjaffar9822]

cerebral pontine myelinosis!!! not cerebral edema Thank you Great Video

[@ravikarki4261]

Can’t understand u said on 10:18

[@natalieniap]

i just wanted to clarify that hyperglycaemia does not cause pseudonatremia, it causes a hypertonic hypernatremia

[@BlueSky-lc4gx]

You mean hypervolemic hyponatremia?

[@silverstarlight9395]

Why will the kidneys not function in hypothyroidism?

[@Mochi-hy6ck]

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]

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...

[@abdulrahamandanlami6897]

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

[@Γιωργοςχ-υ2λ]

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]

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

[@mesoforte]

-emia, meaning presense in blood. -Chubbyemu

[@parichaysharma5128]

Hypothyroidism has euvolemic hyponatremia!