Electrolyte Management for Medical Students and Residents: Beyond the Basics!

Hi, I'm Prerak Juthani - an internal medicine resident at Stanford and I'm here to talk all things electrolytes! Electrolytes are an essential part of our day to day management of patients in the hospital. Today, we will be talking specifically about electrolytes when they are LOW (hypomagnesemia, hypocalcemia, hyponatremia, etc.)
With that being said, are you feeling salty about electrolytes? Drowning in a sea of confusing lab values? Dive deeper than just "K+ go boom, Ca++ go numb" with this practical guide for Internal Medicine residents. We'll crack the code of electrolyte imbalances, delving into the diagnosis and management of hypokalemia, hypomagnesemia, hypocalcemia, and more.
Whether you're a nervous intern facing your first K+ conundrum or a seasoned resident seeking advanced electrolyte wisdom, this video is your passport to electrolyte enlightenment. Ditch the fear, embrace the science, and conquer the electrolyte jungle with confidence.
Details for this video are in the time stamps below and we will also describe how you can manage hyponatremia and hypokalemia and how much you can expect potassium to increase if you replete appropriately (same with calcium and magnesium!).
Forget rote memorization and textbook jargon. This video is your on-call coach, packed with real-world clinical pearls and actionable tips.
Different ways to connect with me (so sorry in advance it takes me a bit to respond since residency is destroying my time haha):
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Here are some of my more popular videos:
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TIME STAMPS:
00:00-01:50 - Introduction and Why This is Important (Will be speaking about electrolytes when they are LOW)
01:51-03:49 - Hyponatremia - Why it's INSANELY More Complicated than you Think!
03:49-06:59 - Hypokalemia and how to correct it!
06:59-07:23 - Hypomagnesemia and how to correct it!
07:23-09:45 - HypoCAlcemia and how to correct it!
09:45-11:18 - HypoPhosphatemia and how to correct it!

[@survivalofthebitches971]

Great series, thank you so much!!

[@itsneuro]

M3 here-there is increasing evidence that we should NOT be correcting calcium for albumin levels, especially in critically ill patients! The reason for this is that pH and levels of other small anions (phosphate, lactate, etc.) modulate the binding of calcium to albumin and the simple 0.8 correction factor equation we’re taught in med school does not account for these. In addition, the binding between calcium and albumin is not a linear relationship as the correction equation assumes. If there’s any concern of hypocalcemia, it’s always better just to check an ionized calcium and going from there.