Hypernatremia | Pathophysiology, Etiologies, Consequences, and Treatment

[@clinicalnutritionuniversity]

NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa ________________________________ This video was recorded at a speed to accommodate all learners. If you're a fast learner, listen at 1.25x or 1.5x by adjusting the playback speed under Settings.

[@majahribar7061]

Hey Mitchell, just wanted to tell you that your videos are amazingly done, very informative, clear and simple too understand! I love how your videos look as well! Soon I am starting my internship at a rehabilition center here in Slovenia, Europe and your videos helped me to rewake my knowledge and passion for nutrition. Today I just finished my 2 week marathon of your videos, loved every second of it. Hope you're doing well and I can't wait for more of your content :)

[@clinicalnutritionuniversity]

Congrats on making your way all the way through them! I’m so glad you enjoy my work and I thank you for the support. I’ll have a video out on hyponatremia as soon as I can.

[@janaekinikin3172]

Thank you so much for these videos. I purchased your book and a going through the case studies. Hopefully, watching the videos and the case studies will increase my confidence to be a clinical dietitian.

[@matteo4605]

Can you talk about hyponatremia and other electrolytes imbalances? This topic is interesting

[@clinicalnutritionuniversity]

Absolutely! That is the plan. I’ve been working on hyponatremia the past few days. Will probably have the video done in 2-3 weeks.

[@matteo4605]

@@clinicalnutritionuniversity perfect! And if i want to go deeper on this topic as a dietetic student what do you suggest? Is there a book or something else that i should look for?

[@clinicalnutritionuniversity]

@@matteo4605 if you have access to it, Springer Nature has a textbook called Fluid, Electrolyte, and Acid-Base Disorders that I think is quite nice. Beyond that, I don’t know any good books that cover all the relevant topics. I usually just find individual review articles for each one.

[@sharonngongo175]

Great video! Thanks 😊

[@clinicalnutritionuniversity]

So glad you enjoyed it. Thanks!

[@morbidlysobeast2387]

Great content as usual. One question regarding the free water deficit, is that given additionally to the total fluids the patient is receiving from EN and flushes or do we adjust the flushes so that the total fluid is equal the calculated free water deficit?

[@clinicalnutritionuniversity]

@@morbidlysobeast2387 Thank you for watching! The free water deficit is just the estimated amount needed to get the sodium within range, so you can go either way. You could keep the flushes you have and just give additional to erase it, or you could adjust the flushes to erase it. The latter is best for attacking a smaller deficit and when there is obvious recurring water loss that you expect to continue happening.

[@morbidlysobeast2387]

@@clinicalnutritionuniversity so for example if a patient is receiving 2 L from the feed and flushes and the deficit is 2.2 L, their total fluid intake should be 4.2 L to correct the deficit, correct?

[@clinicalnutritionuniversity]

@@morbidlysobeast2387 It may not need to be exactly 4.2 liters, but it usually ends up being more than the amount predicted by the formula because the formula doesn’t account for the water losses that continue to occur (some of which are obligatory like respiration, losses to through skin, etc.).

[@morbidlysobeast2387]

@@clinicalnutritionuniversity makes sense. thanks.