Managing Hyponatremia | Guidelines for General Practitioners, Interns and Medicine Resident

Topics Covered in this video
What is Hyponatremia?
Causes in algorithm style
Signs and Symptoms
Diagnostic Tools
Classification (Hypovolemic, Euvolemic, Hypervolemic)
Treatment Approaches
Fluid Restriction
Medications (e.g., Vasopressin Receptor Antagonists)
Case Studies
#HyponatremiaManagement #MedicalGuidelines #GeneralPractitioners #Interns #neetpg #medicalstudent #ElectrolyteImbalance #PatientCare #MedicalEducation #MedicalResidents #HyponatremiaCauses #FluidManagement #doctors #inicet #fmge

[@raviparihar5479]

Complicated topic explained in simplified manner. That is the beauity of a great teacher. Kudos to you sir.

[@dr-arvindkumar]

Thanks a ton

[@ashishsisodia01]

Important topics explain in short time.. great explanation sir🙏🏻💐

[@dr-arvindkumar]

Thanks and welcome

[@johanlalnunmawia3818]

Sir, please don't stop posting these types of videos. It's been very helpful for the residents who are posted in emergency wards like me.

[@umesh3077]

Friend u will be more knowledgeable than ur seniors.

[@umesh3077]

Every ,pg , consultant can learn .Short and to the point

[@jitendrasoni6750]

This topic is so complicated but sir , you explained in a very simple way thank you so much

[@dr-arvindkumar]

You are most welcome

[@applebee4129]

Sir please do arrhythmias… like practical approach… in real life scenario what drugs do we use in different arrythmias dose and how its given etc

[@parulgandhi7766]

Excellent lecture

[@dr-arvindkumar]

Keep watching

[@dr.rahulbharat8210]

Great explanation 👏

[@dr-arvindkumar]

Glad it was helpful!

[@dr.rahulbharat8210]

@@dr-arvindkumar 🙏

[@dr.abhilashshinde1197]

Sir ,very nice lecture thank you so much Waiting such valuable vedios

[@dr-arvindkumar]

Keep watching

[@deepnrajmuniyasamy8122]

Arvind sir ❤❤😊is gods given gift for medicos

[@dr-arvindkumar]

So nice of you

[@nsas955]

You are really the best teacher what so ever. Many many thanks.

[@dr-arvindkumar]

Welcome

[@preetiselvaraj1587]

Excellent lecture Thank you sir

[@dr-arvindkumar]

Most welcome

[@dhineshsoundarrajan6626]

Very good explanation seen ever ❤

[@dr-arvindkumar]

Glad you liked it

[@seenu_kchsreddy742]

It's our boon to us to get this informative videos

[@dr-arvindkumar]

Glad it’s helpful for you

[@heenaafreen4246]

Thank you so much for the video sir huge respect for you .....

[@dr-arvindkumar]

Best wishes always

[@heenaafreen4246]

It's a humble request sir if possible pls make videos on dermatology cases along with diagnosis and treatment ....

[@dasaridhanunjaya2195]

Sir , excellent lecture Kindly do lecture on different isotropic to be used in different settings

[@dr-arvindkumar]

Already uploaded

[@user-fw5il6sn5z]

Very informative thanks you sir 🙏

[@dr-arvindkumar]

Keep watching

[@kifayathulla4798]

Thank you very much sir in my mbbs final year onwardsi don't hyponatremia and management thanks for explanation in simple way 🙏

[@dr-arvindkumar]

All the best

[@GurpreetKaur-ow2mb]

Thank you Sir

[@dr-arvindkumar]

Most welcome

[@rohitjakhar8722]

Thank you sir .. u being the best

[@dr-arvindkumar]

So nice of you

[@medquerries9031]

Nice explaination sir👌

[@dr-arvindkumar]

Thanks and welcome

[@lingalakiran9761]

Sar very useful explanation thanks to you sir

[@dr-arvindkumar]

Keep watching

[@sivamekala5157]

Such a great explanation, thank you sir

[@dr-arvindkumar]

You are most welcome

[@rohitkggowda4158]

nicely explained sir thank you sir ❤❤❤❤❤❤❤

[@dr-arvindkumar]

Most welcome

[@ZahidHussain-ht4tw]

Thank you so much sir 👍👍👍 very nice explaination.👌👌👌

[@dr-arvindkumar]

Most welcome

[@saketdaokar6861]

Best lectures sir

[@dr-arvindkumar]

Keep watching

[@Tanmoy388gz]

Thnk u sir for teaching us

[@dr-arvindkumar]

It's my pleasure

[@jessicakaushal9815]

Thank you sir!

[@dr-arvindkumar]

You are welcome!

[@dhandasravankumar8492]

Hi sir very good evening ... Excellent sir really , superb explanation ... each n everything.. thanks alot ... sir .. ❤

[@dhandasravankumar8492]

Please sir ... don't stop posting ... complicated topic .. really I have learned so much from ... 😊😊

[@dr-arvindkumar]

Keep watching

[@Love-mp6ew]

Thank you, Respected Sir...

[@dr-arvindkumar]

Most welcome

[@prayashmudi1999]

Thank you so much sir Very good video 👍🏻

[@dr-arvindkumar]

Most welcome

[@anistanveer1298]

Very well explined❤

[@dr-arvindkumar]

Thanks a lot 😊

[@sanjaydhungana8242]

sir, But the standard protocol in acute or symptomatic case is giving 100ml 3%NS bolus 3 times or more till Sod. level improves by 4-6 mEq/L whenever patient has symptoms irrespective of Calculating then continue 3% NS by Calculating deficit till it reaches 125. Then only we diagnose and treat cause.

[@durganandyadav3794]

Thank you so much sir

[@dr-arvindkumar]

Most welcome

[@shreyamahajan3111]

Thankyou so much sir😊

[@dr-arvindkumar]

Most welcome

[@dr.maheshhemadri4411]

Sir your presentation is excellent but you did not explain how to treat diuretic induced hyponatremia Make a you tube

[@dr-arvindkumar]

Same as hypovolumic hyponatremia

[@arsenaldream2156]

Great explanation, I see many doctor prescribe sodium bacarbonate is that relevant to hyponatremia managment

[@dr-arvindkumar]

No

[@arsenaldream2156]

@@dr-arvindkumar thx, can you tell me the reason why to use sodium bicarbonate tablets

[@dr.fahadhsulaiman]

Thankyou sir❤

[@reshmar9048]

Sir very helpful . Plz make a video on medical disorders of pregnancy. .

[@meetkaur644]

Very nicely explained sir How do we treat Na level of 130 ?

[@dr-arvindkumar]

Treat the cause

[@Doctor_dumbell]

Thank you so much dr im an aspiring internist in kenya. Plsase do a video on management of ckd abd cirrhosis

[@dr-arvindkumar]

Noted

[@Heisenberg1670]

Sir if possible please publish your own clinical book We would be highly thankful to you

[@manojgr8290]

Make videos on opd COPD management Asthma management Hyperthyroidism

[@amitkumarupadhyay9760]

Great sir❤

[@GulabKumar-jp6eq]

Sir Hindi main explain kijiyega sir

[@medico9560]

Sir pls make more video for general practitioner🙏🙏

[@dr-arvindkumar]

Sure I will

[@sanjaydhungana8242]

also, you told that if baseline is 110 in first four hours, you'll raise serum sodium to 114, then you told to increase by 8 that sums to total 122, ie increase by total 12 in first 24 hrs ...but maximum we can increase in a day is upto 10.... so, shouldn't our aim be to raise serum sodium till 120? Also, American Guidelines tell to stop infusion once sodium is 125, and if signs of improvement, if worsens then can give 50ml 3%ns bolus once or twice.... you didn't mention these or we don't follow in our settings?

[@suklabeautyparlour2425]

Sir kindly include emergency medicine residents also

[@suklabeautyparlour2425]

These topics are also very useful for MD emergency medicine residents

[@dr-arvindkumar]

Sure I will

[@sheelarathod4827]

Sir Frusemide is a diuretic. Will it not aggravate hyponatremia?

[@dr-arvindkumar]

It causes equivalent amount of Na and water loss

[@PradeepKumar-ke8yj]

Nice presentation sir, plasma osmolality measured or calculated?

[@mishrarajatify]

In last case which you discussed patient Na was 120 and was already taking spironolactone which itself causes hyponatremia… If fluid restriction is not enough do you think it’s wise to add another diuretic furosemide which also tends to cause sodium loss?? What if this patient has symptoms of hyponatremia?? Kindly share your views.

[@dr-arvindkumar]

You will be surprised to know that Furosemide doesn’t cause hyponatremia

[@mishrarajatify]

If in last case which you discussed patient had symptoms of hyponatremia and Na would have been suppose 110 and patient was on spironolactone with oedema what should you do? Stop spironolactone and substitute with furosemide or something else?? Kindly share you views

[@dr.maheshhemadri4411]

Sir how do u treat Patients of hyponatremia Secondary to thiazide Induced hyponatremia also has SIADH

[@dr-arvindkumar]

Same as hypovolumic hyponatremia

[@adlanjorish2162]

Na-132 .Can natrise be given?He is 93 years old and symptomatic

[@dr-arvindkumar]

Not needed at this level

[@dinkardubey588]

Sir in 1st case of hypovolemic hyponatremia, (patient is severely dehydrated), only 2.2L fluid is sufficient to correct dehydration??? Or how we correct dehydration in this case???

[@dr-arvindkumar]

Dehydration correction is separate.NS quantity only for Na correction

[@kteamgaming6518]

Sir,suppose if i have a patient with hypotension and no idea about serum sodium status.if i give bolus normal saline will it cause pontine myelinolysis, if yes what precaution to be taken to prevent,if working in a small setup??

[@dr-arvindkumar]

It will not

[@kteamgaming6518]

@@dr-arvindkumar thanku sir for the wonderful video and clearing my doubt.

[@ShrinathDesai-vw6sx]

Sir, for correction of hyponatremia usually we give maximum around 30ml/ HR in our hospital, what is the Max infusion rate per hour ? sir

[@dr-arvindkumar]

That depends on correction rate.For acute and chronic it’s different rate

[@ShrinathDesai-vw6sx]

@@dr-arvindkumar sir ,if as per correction formula infusion can be given at any rate upto70-80/ hr

[@muhammedbilal9889]

I have seen physicians treating in opd basis for long standing hyponatremia in old age with sodamint tablets or nodosis tablets. I didn't seen use of oral sodabicarbonate for hyponatremia in medicine textbooks and your video also. Is this rationale correct?

[@dr-arvindkumar]

Not correct to give soda bicarbonate

[@muhammedbilal9889]

@@dr-arvindkumar thank you sir for this special information

[@adinathvetal7848]

Sir ..does membership includes more such practical video ...as i am a practicnor and not a student for pg exams ...will the membership help me ....??

[@dr-arvindkumar]

Membership right now is only for NEET PG/INICET exams.

[@priyanka9240]

Sir meri mummy ko insect bite suspected h ,unko fever and chills aa rhe the to pcm and dexa lga h ,abhi us area se swelling extend ho ri h please guide sir , please

[@subashchandradas7223]

NICE sir

[@neshatali6412]

How can I contact you for consultation

[@dr-arvindkumar]

Call 7982456723

[@user-rr4tp8lv7g]

Sir,a small suggestion..try Hinglish in your videos...it will help many doctors to understand better... Thanks

[@arekay15]

It won’t help doctors in the south or those who don’t know Hindi! You are a doctor and you should understand English!

[@mohamedijaz1198]

A doctor should have basic knowledge of English.......if it is in hindi it will b useful for only people who are in north india...if it's in English it will b beneficial for a lot of people irrespective of which region ur belongs to

[@hemamalini2003]

Please don't Onu english can reach many people Im south I can gain more knowledge as it is only said through English

[@tigrtigr4891]

Thanks sir..