Hyponatremia: Treatment

Hyponatremia: Treatment

[@arnabtechlover]

You are the best teacher I’ve had! You explain so well and make it understandable....THANK YOU ...I AM GRATEFUL TO YOU.

[@sylhomeo6351]

You are the best teacher I’ve had! You explain so well and make it understandable "

[@protusdsouza6159]

Very informative and helpful information, my aged mother has this chronic problem. I give her two capsules filled with table salt along with her lunch and dinner. She feels very thirsty and drinks lot of water. Some how she is in mild condition. Thanks for this video, it helped me to understand her medical condition in a better way.

[@karimnagarvideos8371]

Could u pls tell me what are her sodium levels?

[@protusdsouza6159]

@@karimnagarvideos8371 At present her sodium serum is at 134.7meq/L Chloride serum is at 97.5mEq/L.

[@rutkowskir]

I had a severe case in March 2022. But symptoms were just weakness and sleepiness. I did fall once and was unable to get up. Once in the ER, it was determined my sodium level was 99.All my vital organs were failing as well as eyesight and hearing. I was in ICU for 10 days. This was all due to a combination of prescription medications. This did have some negative impact on me but I am still here.

[@freedomwarrior5087]

If you took any of the c19 shots it was most likely from that, I hear this as well as other things very often. Of course a combination of Rx drugs won't help either.

[@rumit9946]

Thank you for sharing your experience ❤

[@alanle1471]

Outstanding explanation. Concise , well structured,very informative and makes a complex topic simple and easy to understand. Thank-you Dr. Fazakas!

[@totalmominc]

very well structured

[@soul177]

Thank you very much. This very nice, organized, simple & clear!!

[@dramitshakya3626]

Thank you very much....it's short and sweet, please make more informative medical videos...

[@briangrose9847]

I love how you teach. It has helped me learn a lot. Thank you 🙏🏼

[@abu-farhanrizvi1278]

DR ANDARAS i appreciate your effort...very informative clip

[@lovelyroroa]

It was never this simple. Loved your video thanks

[@AbbasMalik-cv1qs]

Such an outstanding explanation, easy approach, ❤

[@fatimahm9553]

Thank you so much dr, very clear and easy to understand 🤩❤️❤️

[@Emm831]

Very useful video, thank you! Could dizziness and fatigue alone be a symptom of hyponatremia?

[@SAZIZMUSIC]

Thanks for such a concise video sir. I have only one question: Why does correcting hypokalemia will cause increase in sodium ? Can you kindly explain that part ?

[@jenanalhareedi5599]

you are amazing, please don't stop making videos, thank you very much

[@TranceLove25]

thank you for explaining this to me better than my doctor

[@Abdulla-jd7rk]

Hello...could u please clear my doubt..when do u give sodium correction over 4 hours...in all these conditions sir discussed rx is 100ml bolus in 10 minutes...but I have learnt that Rapid correction may lead to osmotic demyelination

[@suzieq2268]

Informative presentation 👍

[@eddyckw2352]

I have had my sodium Na+ test recently. The reading was 128. I wonder whether my result was due frequent urination the night before the test or not. On the night before the test, I drank 500 ml of coconut water before going to bed. The next day, while waiting for my blood to be extracted, I also drank about 1.5 litres of warm water. I wonder whether because of the above my result was affected. The following afternoon, the clinic contacted me. They advised me to go to the hospital immediately. After thorough investigation, the doctor extracted my blood. The new test reading was 136. Note: I didn't discuss or forget to discuss with the doctor about the frequent urination and drinking excess water.

[@Indiamaiyei]

That much of derangement is normal after high intake of fluid prior to investigation.

[@puregold1725]

I was at 121. My only symptom was acute confusion. I called a friend to take me to the hospital because I knew I was in trouble. I really don't remember much of anything about my treatment.

[@rakshaandreassen5472]

Wow!! Great information!! Thank you.

[@rajeshgarg4622]

Very well explained 👍👍👍

[@amiref9178]

thank you for useful and thorough information.

[@Satyaki0059]

Hyponatremia has 3 classifications. Hypotonic, isotonic and hypertonic. The first approach should be correct the water level rather than correcting the serum sodium.

[@drandrasfazakas]

If you have severe symptoms and levels of less than 120 then you should absolutely not correct water level by drinking less or diuretics. You need as quickly as possible normalize the sodium, but maximum 6mmol/day. Correcting water can be done when the levels are near normal and the patient have very mild symptoms.

[@OK-wb1dy]

My Na level was 100. I was not given the 3% 100 ml solution. I was not given any treatment apart from being sent to an exercise physiologist who in turn strongly counselled me to drink “… lots and lots…” of water . And now I’m swollen and full of water everywhere. :(

[@tspoh7578]

thank you very much Dr for the excellent explaination and instruction !!!!

[@uatdks803]

very good teaching, thank yout

[@nsas955]

You are genius. Thank you very much.

[@hellie_el]

excellent presentation! thank you.

[@amjeddawood7623]

The way he say : YOU WILL KILL THE PATIENT lol .. much love .. beautiful lecture

[@abilashnair3753]

Very good class...

[@prasiprakash5755]

You’re a gem. Thankyou

[@Abdulla-jd7rk]

Hello...could u please clear my doubt..when do u give sodium correction over 4 hours...in all these conditions sir discussed rx is 100ml bolus in 10 minutes...but I have learnt that Rapid correction may lead to osmotic demyelination

[@shamballaayahuascaretreats5966]

my wife kept on drinking water always carrying a water bottle, she started getting 5-6 times a night going to the toilet and she also had 2 heavy saunas a week, she then started sweating at night in bed and her body get hot, which was not normal. she started showing signs of confusion, her intellect would run out of energy and she would space out and just stare. she then had some extremely emotional disturbing events in her family which played on her mind. she also had a love to eat a kilo of blue berries a day. ok ... this went on until she went to her family's place and started to deteriorate ... I was suspicious of the fact that she might have been loosing too much sodium electrolytes at this stage... and pressed for a blood test. the first one the doctor said nothing, she then went to another doctor who said she was exceptionally deficient and gave her d3 sodium and potassium.... in high dosages... a week later her Family put her in a psychiatric clinic… had a tendency to ignore assault deficiency and her readings appeared as 136 for sodium, I'm assuming that by that stage sodium had increased in her blood, but the damage had been done. Could you shed any light on to such conditions?

[@ShopSongs]

Any update on this?

[@dppeachsynapse]

Absolutely excellent. Thank you.

[@Abdulla-jd7rk]

Hello...could u please clear my doubt..when do u give sodium correct over 4 hours...in all these conditions sir discussed rx is 100ml bolus in 10 minutes...but I have learnt that Rapid correction may lead to osmotic demyelination..

[@varaprasadbudhawar4641]

Thanks sir you are a best teacher

[@andremartins2663]

Nice video. But what about the use of normosaline in hypoNa? It would be nice to do a video about managing the three types of hypoNa (hypovolemic, euvolemic and hypervolemic). I m doin my internship right now and have to deal with hypoNa nearly every day. It would be nice to have another video:)

[@drandrasfazakas]

This is a good question. First of all, normal 0,9% Saline solution should be given to patients with "true volume depletion" with signs of hypovolemia like low blood pressure or postural hypotension. These include for example patients with diarrhea, vomiting, and diuretic therapy etc. BUT the reason why I don´t emphasize that, is because hypertonic 3% saline solution should be given to all patients with either acute (

[@lakshsharma5772]

Amazing sir

[@DestinyPreplanned]

Pls help 🙏🙏my father suffering from hypo natremia,don't know the cause

[@stevemahindra1258]

Thanks for sharing this fantastic video Doctor. If I completley quit using salt today will I get hyponatremia? Also what are some advantages of someone quitting using any salt in foods? Can it cause electrolyte imbalance in my brain? Thanks

[@m.mtshelo8284]

how do you ask those questions to a confused patient ? are you expecting to get an accurate answer from that patient. there is need to get collateral history

[@julie5668]

But you can't discontinue a drug you have been prescribed and been dependent on for eons. That's my problem; the drug causes low sodium but I can't get it treated with a saline solution apparently, 'cos it eventually regulates itself. But it's constantly going out of balance and causes many problems for me.

[@subhasishm1234]

@julie5668 how are you coping now? Pls reply, the major problem we are facing with our mother is confusion

[@Chitu5671]

Is it some SSRI or Antipsychotics?

[@ismailtl3397]

thank you so much . your video really helped me

[@Abdulla-jd7rk]

Hello...could u please clear my doubt..when do u give sodium correction over 4 hours...in all these conditions sir discussed rx is 100ml bolus in 10 minutes...but I have learnt that Rapid correction may lead to osmotic demyelination

[@DuctingThruAxon]

Thanks for the video.. It was simple and neat.. Does volume status matter in the treatment?

[@davidowusu7035]

Sure, his lecture is mainly on isotonic hypokalemia

[@helilebon2383]

In our hospital they give 0,9 % NaCl for mild and moderate hyponaträmia. Look also what chlorid makes. Is there also hypochlorämie?

[@nirmalyamangal5822]

You don't have mention about Hypovolemic hyponatremia and hypervolemic hyponatremia and it's management.

[@drandrasfazakas]

Because that is an old way of looking at the problem. It is easier to quantify 123mmol/l Sodium than to say, he looks hypovolemic or hypervolemic. It is another perspective. The old school doctors did not rely on lab values as much as nowadays, therefore they needed something to base the therapy on, and that was hypovolemic/hypervolemic.

[@gcvoon286]

Does lung disease also a factor causing hyponatremia in elderly? Thank you Dr for the concise video.

[@drandrasfazakas]

Lung disease can cause SIADH (Syndrome of inappropriate ADH secretion), which in turn can cause Hyponatremia.

[@gcvoon286]

I understand small cell lung cancer causing SIADH, are other various lung diseases eg COPD, lung collapse, TB, lung inflammation and infection etc causing cause SIADH apart from cancer? Many thanks Dr

[@aperson1181]

Where is your other video on OS Syndrom?

[@bidyutkumarchattopadhyay1524]

Potassium 6.5 and sodium 126, what is the cause.

[@sibonisiwemangaliso8885]

CKD

[@bidyutkumarchattopadhyay1524]

Egfr is 98%, creatine is. 95 how it is CKD?

[@Astrid-of4fc]

Thank You! Now I understand!

[@mendingmentality4181]

Very nice! It is very valuable to know your way around hyponatremia ;)

[@priscillameas8675]

Thank you so much for your helps to understanding about lower sodium…. I am sooo glad that I went to hospital on time … cause my sodium was only 115, but now I am 133

[@ychandini8355]

Thank u so much sir Love from India

[@jagadeeshrao3985]

Excellent sir

[@MDC-en4es]

This is terrible!. Us with mild chronic low sodium due the cancer drugs (metastatic cancer) CAN NOT stop our medication!!! I have 129-132 for the past 2 years. What do you do then???

[@lilyaki]

Why dont you check the osmolarity before giving treatment? it changes the treatment depends of result

[@drandrasfazakas]

Please explain in what way it changes the therapy?

[@norhaneande2770]

Good explanation doc.. Thanks a lot.. Last night I rushed ER.. I vomit and feel dizziness. the doctor told me I was in low sodium.. This was my new case because almost cause of my dizzy because of low hemoglobin.. Sometimes low sugar.. Maybe doc because of evit 400...i take only last week... Did I contenue my vitamin (evit 400)? Thanks

[@brendaandrandyking4126]

Can an ARB BP medication called olmasartan cause low salt??? Mine is 134 and has been on every lab that I've had in past three hospital over last 3 years and all times at my Dr's office visits

[@salmazkitchenfun1501]

Thank you very informative

[@fashionmixtapes]

expertly done! Saviour!!

[@jimmyrebollo5230]

Best explanation ever.thnks doc

[@milothechocolatelabrador5825]

Outstanding!!!!

[@sasas8817]

Increase water intake. How much water to give? 1,5 liter water is that okey ?

[@lydao002]

Very effective teaching! Thank you Doctor!

[@Abdulla-jd7rk]

Hello...could u please clear my doubt..when do u give sodium correction over 4 hours...in all these conditions sir discussed rx is 100ml bolus in 10 minutes...but I have learnt that Rapid correction may lead to osmotic demyelination

[@edouardocastillo]

Hi Dr Andreas, I took a laxative called sodium picosulfate and since then I am experiencing lots of water retention, cramps, muscle pain and weakness, insomnia. My guess is hyponatremia and hypokalemia. I went to doctors here in Mexico but they are not familiarized, what can I do? Ingest more salt ? Please help

[@samstart4434]

Man, you are AMAZING 🤩🤩🤩🤩 You answered the most difficult parts of my questions which no body in my medical school was able to answer, thank you soo much . Q) what if an old patient presents as dehydration, lives alone , not eating and drinking well ,, Na= 122 for example and im worry about AkI ......can i gives a stat or a 2 hourly 0.9% NaCL ( 500mls or even one liter)? Or that again might cause osmotic Demulenation syndrom ?

[@drandrasfazakas]

500-1000ml of 0.9% NaCl very unlikely cause Osmotic demyelination.syndrom. So you are very safe in giving that. But patients with 122Na and with symptoms of hyponatremia needs 3% NaCl 100ml instead as mentioned in the Video.

[@samstart4434]

Dr. Andras Fazakas Thank you sooooo much 😘😘😘👍👍

[@nikishohe8669]

Thanks for the useful video...

[@nadasaoud3485]

This is amazing thank you

[@sandeepdahiya2646]

Very well explained

[@adaradan1614]

Thank you great information i been in and oit from the emergency last 5 weeks my sodium level been under 120

[@petesahli3967]

I was at 113! Scared the hell out of me, felt like i was going to die ! any lower and i would have! Take care of yourself

[@tradeeasily7773]

@@petesahli3967 dear wot woz ur aprox BP at dat time?? High too high or low?

[@petesahli3967]

faizan ali hope your doing well during the corona virus! My B.P. was 189 / 153 !

[@petesahli3967]

Adar Adan remember to NOT drink too much water ! Doing so dilutes the sodium in the blood! You can get hypernatremia from too little water,a recommend amount is about 2 litres per day but your level maybe different! I take 400 mg.of magnesium each day because I have hyponatremia!

[@pratikshabanjade3259]

finally i understood....thank you...i was so confused all day

[@abhijitsaha9622]

Dr. How lactate measuring device measures blood sodium level? Would you clarify this topic?

[@grunge_surf_witch_uk9130]

My dad has 127 he’s got unbearable excessive thirst he can’t sleep he’s in lots of distress!! Hospital sent him home? on lots of tab but wondering if omeprozal causing it

[@tammyguzman5536]

I recently had 1 kidney removal no diabetes, 8/31 21 I now have hypo or low sodium I've been having all of the chronic mild type, my Dr said nothing about my labs also function at 59 wat do I do my physiatrist caught it please respond thank you

[@jinrosemont3132]

my god this channel is good

[@EternalMinimalist]

I feel like I'm going to die based upon this video

[@arifabdurahmanmusa7351]

Will you just cure hyponatremia by just consuming salt in your daily diet

[@era1vezoficial]

Acute hyponatremi a is different from chronic. Acute is very dangerous and life threatening. The salt ingested in the diet doesn’t have anything to do with the amount of sodium in the serum blood. It is a but more complicated that that, due to chemical / physics mechanisms. I hope that helps! 😊

[@نمنمننننمم]

💀 !

[@southsudaner3104]

Thanks for nice presentation, My question is if u don't have 3% saline you have 0.9% how do you calculate

[@gamma-girl]

1 amp of 50 meq of Sodium Bicarbonate over 5 minutes

[@Diamondsteeljack]

do you have a book or reference for the computations.?

[@fightfannerd2078]

it's been 2 or 3 days just cramps no headache no vomiting nausea only when i eat something the cramps come back ?

[@ankitrawat3038]

Sir how to treat a patient who have high blood pressure in hyponatremia.

[@omelhassanosman9267]

That is why Iam here.. I have high blood pressure and on medication, yesterday the I was diagnosed with hyponatremea and the doctor did nothing..

[@sunitasilwal6346]

3% looml NS over 10 min maximum 300 ml in every case acute or chronic with symptom. In chronic case these treatment may lead to chronic pontine demyelination or not?

[@phorsda2913]

Sir, why Acute No symptom, we cannot use 50ml/10mn more than 3 times per day? Thx in advance.

[@nightelf4]

I’m not sure of what guidelines you are using sounds like UpToDate. Everything is correct. chronic severe hyponatremia can be treated both ways as well. You can treat with 3% hypertonic saline at an infusion rate is 0.25ml/kg/hr or boluses of 1ml/kg q6 hrly (max 100ml) for a max increase of 6 mEq/24 hours. In addition to the above If there is risk of OSD or SIAH adrenal Insufficiency or true hypovolemia then you give desmopressin 1-2m iv/ sc q6 hrly, if there is edema from liver failure or CCF then you give furosemide 40mg iv/od.

[@strongmanr]

Hi Dr, In my case, I am having symptoms of fatigue, numbness in my left arm and leg, sometimes shortness of breath, headache and dizziness. My blood pressure is around 115/78 to 98/68 since more then a week now. I am trying to eat and drink salty but I still lose water quickly. I am somebody who don’t like IVN solutions but is it after all an urgent signes that needs me to go to hospital ? Thanks a lot. God bless you !

[@MadisonGomesDeMattos]

Hello, I was wondering if hyponatremia can cause bruising?

[@melbourneatanacio8882]

Hi doc i have 132 sodium , 44 yo female with type 2 diabetis, i lowered the use of salt in my fud and excess sweating how can i correct this doc thank you

[@darraghpower4983]

Should you not give fluid resuscitation in the case of hypovolaemic hyponatraemia?

[@vavahii1885]

Hi Dr , may I know how long do we need to repeat the sodium level after sodium correction ? Is it right after correction has been done ?

[@melbourneatanacio8882]

Hi doc i have 132 sodium im 44 yo female wirh type 2 diabetis , i lowered the used of salt in my fud how can i correct this one i felt so weak doc thank you

[@sundaykisonga1103]

I have this Hyponatraemia 126 mmol/L .....but i am getting scared to get the treatments... can u please help me understand the side effects of that treatment

[@madhavavupati8104]

What are the chances of getting osmotic demyelination syndrome after getting treated with hyponatremia, please reply

[@electronicsplays4026]

Hello Dr My question is when I sone time eat the meal and then sit on my feets i feel my heart stop beating and than start beating after one or two second and feeling off heart abnormal suddenly fast some times be normal and some time very slow its show nothing to my heart

[@drandrasfazakas]

You have to go to a cardiologist. You may have arrhythmias. An ECG should be done. If your ECG is normal by the doctor, then ask for a 24h ECG device that you have to carry for 24h.

[@AbuAl7sn1]

I dont think you have arrhythmia, which not related to body positions , i thing structural problem Im not expert im actually medical student , but if u are female middle in age , so u may hav to visit ur doctor to role out mitral value prolapse

[@giuliaboccato8884]

what about drugs that causes hyponatremia

[@edouardocastillo]

Did you figure that out? I took a laxative (sodium picosulfate) gave me hyponatremia and hypokalemia. Still dont know what to do. Doctors apparently dont know this in Mexico.

[@petesahli3967]

Eduardo CASTILLO without any bloodwork my dr. Gave me lisinopril with a hydro stripper, it turned out i had hyponatremia , my sodium number went down to 113 ! I was in the hospital for 3 days as they worked to bring it back to normal (135) , i now use 400 mg. Magnesium each day to stay balanced, stay safe !!

[@emeeannroque6338]

I drink 8 to 9liters a day , and i always have headache, and dehydrated .

[@Mabdul1ah]

In case of Chronic Severe, if 300ml 3% hypertonic Saline does not treat the sodium level, what should be done?

[@hindolbca]

Sir My Father's sodium level is 29 now feeling very week. Fathers is diabetic patients.. Taken medicine Duphalac for constipation. So is this medicine decrease sodium level??

[@lanibungubung9173]

Hello doc can I ask? Because my mother get rush to the hospital last month ang then they said that my mother had a low sodium. Doc can I ask how can we we measure the sodium level of my mother?

[@fahadgill1360]

excellent

[@carolynilgrande7149]

Any chance of a consultation?

[@samm5876]

What cuases sodium deficiency in human?

[@zgh4603]

well done, thank you

[@aliosman4849]

my mother is hospitalized they put the shunt and she is TB patient .but the issue is low sodium .2 day's mother look's better and.third day she is down with low sodium .any advice please

[@BirukAsmerom-z1k]

Iam taking sodium valporate for last 7 years and i decreased the medicine and i feel fast heart beat and nervous what should ido

[@dppeachsynapse]

Do you have a Patreon?

[@drandrasfazakas]

No I don't have it. If you want to help, then please like, comment and share! I want to deliver videos for as many people as possible and all free of charge. Anybody who wants to help, can do so by spreading the word,