Hyponatremia Explained Clearly - Symptoms, Diagnosis, Treatment

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MedCram - Medical Lectures Explained CLEARLY

MedCram - Medical Lectures Explained CLEARLY

Күн бұрын

Пікірлер: 143
@Medcram
@Medcram 12 жыл бұрын
Glad you found the series useful. We'll put Hypernatremia on the slate for a future lecture. We are doing a vote on our MedCram Facebook page for the next topic to be covered. Take a look if you get a chance.
@jmcmanus1803
@jmcmanus1803 9 жыл бұрын
Hyponatremia and fluids are one of the hardest concepts to grasp--at least in my view--and thankfully you have clearly explained this concept in a way I visualize it and understand it! Thank you SO much! I'm a pharmacy student on a critical care rotation in a burn unit and was told to look up how to to workup/assess and treat hyponatremia and after watching & taking notes on these videos I feel absolutely confident to explain this concept!
@merlinsamuelkutty9114
@merlinsamuelkutty9114 6 жыл бұрын
High level of patience required to watch this video MAN!!!!
@Medcram
@Medcram 6 жыл бұрын
+Merlin Samuelkutty your doing a great job! Keep with it and knowledge will be yours!
@danielajaramilloramirez4710
@danielajaramilloramirez4710 9 жыл бұрын
Wow, It's amazing to learn from teachers who teach with passion. Thanks. "if you can't explain it simply you don't understand it well enough", you've made ir pretty simple.
@Medcram
@Medcram 9 жыл бұрын
+Daniela Jaramillo Ramírez Good to hear- thanks
@beemalparajuli5587
@beemalparajuli5587 7 жыл бұрын
Daniela Jaramillo Ramírez
@Medcram
@Medcram 12 жыл бұрын
Glad to clear things up completely. Thanks for the feedback.
@AG20120
@AG20120 12 жыл бұрын
I've read so many books and attended so many talks but never like this. Many thanks Roger,you have no idea how many people you have had helped. I'm still waiting for hypernatremia.
@skomura
@skomura 10 жыл бұрын
I can't believe there are people who don't like this video. Thank You. This is awesome!
@subhash769
@subhash769 4 жыл бұрын
'hypo' meaning low, 'nat' meaning sodium, 'emia' meaning presence in blood... low sodium presence in blood...😉😉 seriously though, huge thanks for this series🙏
@mahershqeir7839
@mahershqeir7839 3 жыл бұрын
Why only the first video is there ? The 3 other videos of the series are hidden 🥲
@Xez1919
@Xez1919 5 жыл бұрын
For all the med students here: know that consumption of mdma can lead to Hyponatremia. So if you have a patient coming from a nightclub, don‘t forget that it could be Hyponatremia and you may save a life.
@MsBethgoodhouse
@MsBethgoodhouse Жыл бұрын
I am living with this nightmare. I have been in and out of rhe hospital constantly thie last few years. I'm tired of it! Came close to dying a few times. At least now, I know what's going on with me now. Hopefully I can my potassium and sodium right so I can finally feel good again, I and stay healthy. 😊
@dr.asadahmad9167
@dr.asadahmad9167 7 жыл бұрын
The Unit . It’s not 135 mg/dL .its 135 mEq/L
@ikramadha
@ikramadha 8 жыл бұрын
It's really good to finally understand the basic things here. Thanks
@AG20120
@AG20120 12 жыл бұрын
That's the best series of lectures I've ever seen! That's awsome
@Fahcina
@Fahcina 10 жыл бұрын
OMG I LOVE YOU DR.SEHEULT! thank you so much for this clear explanation!!!!
@AZ-wg3eg
@AZ-wg3eg 6 жыл бұрын
Helpful for RN students. Thanks!
@Otonyable
@Otonyable 3 жыл бұрын
Thanks Dr. Seheult. I'm looking for the series of other videos
@bellahashh7197
@bellahashh7197 8 жыл бұрын
I really appreciate the way you teach. You made my work way easier. Thank You
@abdulnaas
@abdulnaas 10 жыл бұрын
Not mg it is meq/L is t he Na concentration
@ffs9026
@ffs9026 6 жыл бұрын
Abdelwahab Naas i was looking for this comment
@Y_O_U_G_A_M_E_S
@Y_O_U_G_A_M_E_S 4 жыл бұрын
that is amazing thank you so much but I cannot find the rest of videos related to hyponatremia .. can anyone send me the videos or links please
@feyth85
@feyth85 11 жыл бұрын
Very clear video, great job! Thanks for creating these series! One thing I'd like to bring to your attention: from your video it might be incorrectly assumed that intracellular and extracellular sodium concentrations are equal, which they are not (12 mmol/L vs 140 mmol/L respectively).
@delsol7878
@delsol7878 12 жыл бұрын
I'm probably one of the most stingy person to give "Like". This definitely deserves one. Great lecture.
@rajg4512
@rajg4512 Жыл бұрын
Thanks for your efforts Sir! Seems this was for medical students..Please summarize in lay man language symptoms n treatment so that normal people also have some knowledge
@Medcram
@Medcram 8 жыл бұрын
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
@Dan0rioN
@Dan0rioN 6 жыл бұрын
What kind of doctor would be able to diagnose disturbances in my osmilality?? Endocrinologist???
@Dan0rioN
@Dan0rioN 6 жыл бұрын
What dietary advice would you give to achieve peak osmilality???
@Alibm80
@Alibm80 12 жыл бұрын
BUN: Blood Urea Nitrogen. It is a measure of the amount of nitrogen in the blood in the form of urea, and a measurement of renal function
@schnicklefritz3754
@schnicklefritz3754 5 жыл бұрын
I went to the doctor and when I got there, I got out of my car and my legs got so weak I was shaking and could barely walk. I had to have help into the doctors office. I had a headache that wouldn't go away. They did blood work and my sodium was very low. I was told to go home and eat alot of salt. Nothing is working. I'm losing my balance and scared I'm going to fall. My legs and feet cramp like crazy. When my legs get weak, I go down and it's like I have no control of my legs at all. I'm scared and don't know what to do
@Medcram
@Medcram 5 жыл бұрын
You should seek medical attention immediately.
@petesahli3967
@petesahli3967 5 жыл бұрын
Same here!! When I got to the emergency room I couldn't turn my head without feeling I would fall down ! Our normal sodium count is 135, i was at 113, as soon as they saw that I was rushed back to a room and admitted, three days latter and I went home with the knowledge that I have hyponatremia , what made my situation worse is my doctor did not do any blood work 3 years ago , he just thought, hey another h.b.p. case! So he gave me lisinoprl with a hydro stripper,( removes sodium by increasing water loss) this just made it worse for my situation, now he's afraid I'll sue, i almost died because of that, i was told that my body was going into protection mode, if I had waited much longer to go in I wouldn't have made it!! Please check your sodium level if you haven't already ! Hope your back to normal!
@petesahli3967
@petesahli3967 5 жыл бұрын
Sorry, now I see did do blood work! I dont know what they could be thinking ! It's very dangerous to increase sodium to fast, or, too much! They are unfit to care for people!
@eyeofthetiger0030
@eyeofthetiger0030 11 жыл бұрын
Thank you so much! I told some friends about Med Cram and appreciate your help. I would love to see more topics in the future. I also appreciated your videos on Hypoxemia/Hypoxia. You should work for Kaplan or come out with your own series covering all subjects from Pharm to Path to Microbiology and so on.
@pattigmullins
@pattigmullins 12 жыл бұрын
Unbelievable that after two years of nursing school, I don't think I ever COMPLETELY understood WHY 0.9% NS was what you used. Thanks so much!
@wongguge7013
@wongguge7013 4 жыл бұрын
Your video is amazing!! If possible don't write over on your note, they are already very clear.
@beatajarzynska5851
@beatajarzynska5851 7 жыл бұрын
Thank you. Your explanations make it all of it clear and easy to remember.
@KhayGil
@KhayGil 4 жыл бұрын
Hi doc, is it bad drinking 500ml to 800ml every 2 - 3 hour? I HAVE uti and GERD so lately I've been consuming a lot of water (I think) Please reply. Thank youu
@MustafaMohamed-gy9nn
@MustafaMohamed-gy9nn 5 жыл бұрын
Does this has a part two? Is there is a video on management?
@Medcram
@Medcram 5 жыл бұрын
You can find more of our videos at MedCram.com. This is part of a three-part series on Hyponatremia.
@rahul.chheda
@rahul.chheda 8 ай бұрын
What to give in hypervolemic hyponatremia causing cerebral edema?
@a.basitkhan221
@a.basitkhan221 9 жыл бұрын
Great video. One error though, at baseline [Na] is not equivalent in ICF and ECF. Na is mostly an ECF ion.
@blinky1892
@blinky1892 6 жыл бұрын
When you add normal saline at 15:16, the read line is supposed to stay at the vertical level of the purple line right? Because the Na+ concentration doesn't change, right?
@laurentiu244
@laurentiu244 8 жыл бұрын
The foundation or basics count in any construction or knowledge building . Great explanation !
@fitness5437
@fitness5437 6 жыл бұрын
hi i was just wondering if you have any links to the references that you have used? i would like to use this for my assignment but i need to include review papers too! (hopefully you see this in time)
@muabuon378
@muabuon378 Жыл бұрын
Brilliant explanation! I just have a question, isn’t the Na conc in ICF different to ECF anyway? The concept would apply to osmolarity though since it’s the same intracellular and extra cellular
@yolandawilliamson1644
@yolandawilliamson1644 5 жыл бұрын
This was the most terrifying experience of my life!
@nkbudd
@nkbudd 11 жыл бұрын
Thanks so much; you do an excellent job on these. I'd love to see you handle all the electrolyte disorders commonly found on Step 2, etc. as well as renal tubular acidoses. Great work!
@dellinspiron17200
@dellinspiron17200 12 жыл бұрын
Many Thanks for video lecture. I would really appreciate if you could kindly post the video related with NIV, BiPAP, CPAP and the mechanism involved in these modalities.
@ceciliaconti51
@ceciliaconti51 3 жыл бұрын
I believe my 6 year old is suffering from Hypernatremia. She has seizures often and we can't figure out why. What test should I ask for? Please help!! We are in IL and have great insurance, we are open to try new doctors.
@alanoudalessa400
@alanoudalessa400 5 жыл бұрын
Why the other videos are private?
@romeolhk1008
@romeolhk1008 7 жыл бұрын
You are really world class!
@irinakim6978
@irinakim6978 9 жыл бұрын
Huge request, Dr. Seheult: could you please do lectures on basics of pharmacology? Thank you for all your great videos!
@Medcram
@Medcram 9 жыл бұрын
+Irina Kim Thanks for the good suggestion on a pharm series!
@bicko2012
@bicko2012 4 жыл бұрын
Sir you should upload again the video which had 4 or 5 parts it was so explanatory
@sanjayperkar
@sanjayperkar 7 жыл бұрын
Amazing series. Very helpful video series.
@fongg2
@fongg2 7 жыл бұрын
Thanks! Could you make more use of different colors in the next videos? It helps with getting the message across more clearly.
@akinazlan
@akinazlan 7 жыл бұрын
would you say y axis is na concentration instead of na? so the area is (na/h20)xh20 which make more sense? good video btw, thnk u!
@belovedmess.4699
@belovedmess.4699 11 жыл бұрын
thank you! do you have any pharmacology related lectures?
@subhosmito
@subhosmito 12 жыл бұрын
at 2:44 units of osmolality is mosm/kg and not what is stated!
@deulofeu2011
@deulofeu2011 8 жыл бұрын
Great lecture!! Thank you!!!
@knowledgezone4373
@knowledgezone4373 9 жыл бұрын
what is the reason of hyponatremia in pneumonia? what is the relation of pneumonia with hyponatremia?
@fullnelsondnb
@fullnelsondnb 6 жыл бұрын
Majid Khan incompletely understood, but the syndrome of inappropriate antidiuretic hormone secretion is felt to play a significant role possibly secondary to inflammatory mediators (cytokines etc)
@1971avhigh1989
@1971avhigh1989 11 жыл бұрын
Saw all four videos for topic, I have a better understanding. Awesome job!!!
@Courier61x
@Courier61x 4 жыл бұрын
Thank you for this
@jongym
@jongym 9 жыл бұрын
We can measured osmolality using instrument..such as Advance Osmometer 3320...Will that be different??
@fullnelsondnb
@fullnelsondnb 6 жыл бұрын
Jon Goh could be if osmolar gap typically very similar numbers between measured serum osmolality and calculated osmolality. Other minor contributors to osmolality not typically factored in due to negligible contribution to osmolality
@seetharamansuba7391
@seetharamansuba7391 8 жыл бұрын
is dat if medicine for hypothyroid is stopped for few days may cause hyponatremia
@subhosmito
@subhosmito 12 жыл бұрын
Please correct the units of sodium in 135 mg/dL to 135 mmol/L or meq/L from 1:35 onwards. That is the unit that the Clinical Chemistry laboratory provides you with.
@tyzer32
@tyzer32 5 жыл бұрын
Why were the rest of the videos made private?
@Medcram
@Medcram 5 жыл бұрын
They are at Medcram.com
@tyzer32
@tyzer32 5 жыл бұрын
MedCram - Medical Lectures Explained CLEARLY ah thank you!
@escesc14
@escesc14 12 жыл бұрын
Thanks a lot for your time and help!!!!
@ashoksarker9452
@ashoksarker9452 8 жыл бұрын
why ecf Na conc remain same on adding i/v N/S?
@Meriem-zv5zq
@Meriem-zv5zq 6 жыл бұрын
Amazing explanation ❤
@ShubhamVerma-bc2vk
@ShubhamVerma-bc2vk 5 жыл бұрын
Excellent
@Medcram
@Medcram 12 жыл бұрын
Thank you for catching this mistake. An annotation at 2:37 has been added to correct it.
@sohailasghar8471
@sohailasghar8471 6 жыл бұрын
Ringer lactate is best to expand ecf
@ramzeschavez
@ramzeschavez 10 жыл бұрын
can anybody tell me what software is that!!!! (drawing one)
@TheFay7
@TheFay7 9 жыл бұрын
Thank you so much, very helpful
@ShipleyTV66
@ShipleyTV66 12 жыл бұрын
Great explanations super clear thank you!
@MrAlimuhsin
@MrAlimuhsin 12 жыл бұрын
i searched videos for hypernatremia but i didnt find,,,can you help me please?
@subhasishdeb
@subhasishdeb 12 жыл бұрын
Brilliant!! loved it.
@axashashamz4605
@axashashamz4605 11 жыл бұрын
Totally what I expect from a doctor! xxx
@MrAlimuhsin
@MrAlimuhsin 12 жыл бұрын
thanks alot for this incredible teaching videos,,,its the best again thanks
@suzannahjames526
@suzannahjames526 2 жыл бұрын
Any translation for laypeople?
@tnagan
@tnagan 11 жыл бұрын
Absolutely brilliant! Thanks so much Doc :)
@lksdgvuwni
@lksdgvuwni 12 жыл бұрын
Great video, thank you so much!!!
@constantion305
@constantion305 12 жыл бұрын
Wow! Thank you so much!! You are amazing!
@nudistpriest2988
@nudistpriest2988 6 жыл бұрын
I drank 1.25 litres of water in the space of 30 seconds and woke up a few hours later and started vomiting. I have the worst stomach pain I’ve ever experienced, and can’t sleep. Do I have this condition and will I die 😥😓. I am actually so worried someone pls tell me if that amount of water is enough to kill me
@Medcram
@Medcram 6 жыл бұрын
+Nudist Priest 1.25 liters is not a dangerous amount of water. Look for something else with consultation with a physician.
@biketheplanet1
@biketheplanet1 6 жыл бұрын
All these videos explaining hyponatremia and SIADH for trainee medicos and other health professionals. Great. But what about the patient??? How does the patient find out what to do on a new diagnosis??? When I exercise in a warm climate do I just not drink. and become dehydrated. Or do I drink and take a salt tablet? Do I just give up on a healthy exercise regime??? Where's the information for the layperson and patient???
@mouseymedic
@mouseymedic 11 жыл бұрын
this might have been mentioned before, but you said 0.9% saline, but .09% was written at 14:30. Also thanks many times for this lecture series - easily one of the best on youtube!
@winwin-cd1bx
@winwin-cd1bx 9 жыл бұрын
from stewart approach of acid base, i think normal saline isnt the best balanced solution for resuscitation
@rajeevsingh7075
@rajeevsingh7075 7 жыл бұрын
eldwin suputro good
@karinasz8621
@karinasz8621 6 жыл бұрын
No, it is not. Ringer lactato (Hartman solution) is the best choice.
@GlitchYTU
@GlitchYTU 9 жыл бұрын
What does it do to u how it happen
@MaysYIsmail
@MaysYIsmail 9 жыл бұрын
thanks dr for the amazing series! i have a presentation on hyponatremia and ur lectures are the best reference! i hv a suggestion: could u plz do lectures on antiarrythmics and explain the physiology underlying them.. this is a vry tough topic fr me and i would appreciate that so much.. thx :)
@nastaranp4687
@nastaranp4687 9 жыл бұрын
wow! u are awsome, you realy helped me. thank u so much.
@Medcram
@Medcram 9 жыл бұрын
+nastaran p Good to hear- thank you for the comment
@steelmonki
@steelmonki 8 жыл бұрын
thanks so much
@rashatariq5367
@rashatariq5367 9 жыл бұрын
thank you for your help
@moba3537
@moba3537 4 жыл бұрын
Thank you
@sickwiditcs
@sickwiditcs 9 жыл бұрын
Thank you!
@paramath2992
@paramath2992 8 жыл бұрын
Na 135 mEq/L is equal to 135 mg/dL , is it ?
@Medcram
@Medcram 8 жыл бұрын
+para math yes.
@Medcram
@Medcram 8 жыл бұрын
+MEDCRAMvideos my mistake should be the latter
@criminaldegrassi
@criminaldegrassi 7 жыл бұрын
It´s not the same 135 mEq/l and 135 mg/dl. Because 1 mEq/L = 2.3 mg/dl
@Medcram
@Medcram 7 жыл бұрын
Thank you for the comment, Yes, I meant to say 135 mmol/L (not mg/L)...We have an annotation on the video (but apparently annotations are not visible on mobile devices).
@hfaith81
@hfaith81 4 жыл бұрын
I’ve had hyponatremia every summer since 2016, due to my epilepsy rx. My symptoms cause: confusion, restlessness, loss of appetite, lightheadedness, pressure on head, and fatigue. Last August was the worst. I waited too long and it felt like I had a bunch of weight on my head, I could barely speak, and my legs felt really heavy. I wish I didn’t have to continue to get this because it’s not fun. There’s only so much salt I can eat.
@sampatel9653
@sampatel9653 12 жыл бұрын
thank u so much sir...!!!
@Alibm80
@Alibm80 12 жыл бұрын
No, because you are only measuring the nitrogen attached to the urea (and not the exogenous nitrogen).
@rdseheult
@rdseheult 12 жыл бұрын
Coming soon.
@SabeSilver
@SabeSilver 6 жыл бұрын
I was cured of this by eating laxative chocolate, is that unusual?
@Walsh25
@Walsh25 5 жыл бұрын
TheTypicalCyclone well that’s good news
@Whammytap
@Whammytap 11 ай бұрын
Me, as a person with no medical knowledge, who takes diuretics and also does ultramarathons in 45 degree (Celsius) weather: 😅
@swish007
@swish007 8 жыл бұрын
this happened to me a few days ago.. it was absolutely hands down the worst experience in my life. i thought i might die or else i would end up permanently brain damaged. i think i was VERY close to having a full on seizure and becoming unresponsive.. luckily i got an iv with sodium drip and it managed to fix it (albeit after many more hours of pain). they were giving me valium and morphine and it barely touched the pain i was feeling. i couldn't hold still. my limbs were just jerking all over the place. even the valium didn't really stop it.. just slowed my twitching down a little
@NorthernRailsTrainsInTheNorth
@NorthernRailsTrainsInTheNorth 7 жыл бұрын
swish007 How quickly did symptoms set on?
@swish007
@swish007 7 жыл бұрын
well i was feeling nauseous the day before but ok.. apparently it had been a slow buildup over a week or so where i was drinking lots of liquids (including diuretics) and taking a water-retention pill or whatever. so then basically i woke up that day feeling really weird and bad but not quite sure if it was something that warranted a trip to the doctor. but i started looking up my symptoms online and saw that it could be really serious so i got a bit freaked out which made me feel worse. then i told my mom i think i needed to go to the hospital (at this point i was having trouble talking and my breathing was off) and she was like well lets go to the urgent care (after trying to call my family dr and the pharmacist.. no help from either). so we went to urgent care and they looked at me and said i needed to go to the hospital. at this point i was in a LOT of discomfort.. and i want to say it was early afternoon. then when i got to the ER i had to wait like almost 2 hours in the waiting room and i kept getting worse and worse. it got so bad i couldn't sit still.. i had to get up and pace but i was so exhausted i felt bad when i walked around. then it just devolved into me rocking myself in a chair while the ER workers ignored me. after the fact i realized they may very well have thought i was withdrawing from some heavy-duty opiates or something because it seems like the symptoms would be similar. anyways i want to say maybe 4 or 5pm i finally saw the nurse who checked my blood and pretty soon after started me on a sodium iv. when the sodium started going into my system the pain got WAY worse for some reason. but at least the nurse bothered to tell me that no, i wasn't dying and i'd be alright. i just had super-low sodium levels. so that made me feel better mentally.. but i was still in the worst pain and discomfort that i think i've ever experienced and it didn't seem like it would ever end. every minute felt like an hour. i was too weak to stand up but i couldn't handle laying in the bed so i would alternate between laying in the fetal position and sitting up with my elbows on my knees and my head down. then finally they gave me some pain killers but it only gave me a little relief and then i started feeling really bad again. (this was after i saw the ER dr who basically just told me what i knew and said he would get me some pain killers). then a bit later a more awesome nurse came in and gave me some much stronger pain killers and some valium. which did help me feel better.. but then a couple hours later i was feeling bad again. not nearly as bad as before but still like i wanted to crawl out of my own skin. then they wanted me to stay overnight and they put me in an overnight room and gave me more morphine and i FINALLY felt better for a short while.. and there was such a release of tension that i got really emotional.. because i had been like straining all day it felt like. so then the discomfort came back and i asked for more pain killers but the nurses refused and even gave me that attitude like i was a drug addict for asking which i didn't care for. and so then i decided to have my sis drive me back home because no way was i staying. and at that point i had regained all my motor functions and my brain felt normal so i was sure i'd be fine. and sure enough i went home, had the best sleep of my life and woke up not only feeling better, but a LOT better than normal. i guess the iv just did its job super well or something lol. but yeah it was crazy
@NorthernRailsTrainsInTheNorth
@NorthernRailsTrainsInTheNorth 7 жыл бұрын
Oh ok, reason I asked is cause I was using a tredmill with a friend, I had about maybe 2 bottles of water, or maybe just a bottle and a half, during the 20 min workout, and he told me about this whole overhydrating thing after and I've been in anxiety mode since....its been roughly about 50 min since the workout and I feel pretty fine. I feel like id have to drink like 4 bottles and run a marathon to get a life theatening case of it though, or am I just telling myself that...
@swish007
@swish007 7 жыл бұрын
yeah you would know if you were starting to feel like you had it lol. i mean the early feeling was like i was coming down with a weird flu. and like i said i felt it probably more than a day before the sh%t hit the fan
@NorthernRailsTrainsInTheNorth
@NorthernRailsTrainsInTheNorth 7 жыл бұрын
swish007 i mean i drank. a couple bottles speed walking on a tredmil, pretty sure athletic causes are more like chugging a litre or so while running a marathon
@Gs-xb8bn
@Gs-xb8bn 9 жыл бұрын
I drank 4 water bottles in 20 minutes is this bad?
@jackheris687
@jackheris687 7 жыл бұрын
Yeah, you should never consume a lot of water in a short amount of time. It can cause hyponatremia.
@dr.joshaxe1251
@dr.joshaxe1251 6 жыл бұрын
Youll have to call poison control asap. There have been case reports of drinking that much water turning young men gay. Goodluck and keep us posted.
@JB-cg1rn
@JB-cg1rn 6 жыл бұрын
lmao.
@glendawilliams8428
@glendawilliams8428 6 жыл бұрын
Could someone drinking too much beer cause it?
@doc.g9497
@doc.g9497 5 жыл бұрын
Glenda Williams Yes.
@pinkinizerpug1363
@pinkinizerpug1363 7 жыл бұрын
I drank 2 16.9 oz of water within 1 hour and by the time i have posted it has been about 13 hours. I am 15 and I'm afraid I might die, I haven't told my parents because my mom has warned me before. I was not doing any exercise within that time and I want to know what the possibility of me dying rn is. Please help
@youngbuck7029
@youngbuck7029 7 жыл бұрын
Pinkinizer Pug I just drank 2 bottles of water in a minute I'm carping my pants
@Medcram
@Medcram 7 жыл бұрын
+Pinkinizer Pug it's pretty low! You'll be fine.
@sabirbabor
@sabirbabor 8 жыл бұрын
thank you :D
Understanding Hyponatraemia
16:17
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