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Practical hyponatremia correction-MD/DCH/DNB practical exam preparation

  Рет қаралды 17,233

Pediatric Takes by Dr.Pavitra Viswanathan

Pediatric Takes by Dr.Pavitra Viswanathan

Күн бұрын

Пікірлер: 65
@mohammadshamel8578
@mohammadshamel8578 2 жыл бұрын
This was a good and clear explanation, and this probably the first time I fully understand this subject, thank you!
@prakashduraisamy9681
@prakashduraisamy9681 4 жыл бұрын
Thanku you so much mam, m getting confident with my topics day by day because of your lectures
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
Glad to hear that.All thebest
@mohdsalem9689
@mohdsalem9689 Жыл бұрын
Very intelligent, simple explanation doctor. I'm thankful for you
@lankagowthami9920
@lankagowthami9920 4 жыл бұрын
Thanq mam. Referred many standard books to understand it but of no use. Finally i could understand it. U made it so simple and nice mam
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
It's my pleasure.Glad to hear it helped you
@animeshdebbarma3852
@animeshdebbarma3852 Жыл бұрын
Mam @ 20.22 min 0.6x15x(130-110) is not coming 300. Its coming 180 So, according to that fluid of choice will be 1/2 DNS + 28 ml of 3% NaCl + 35 mEq/L of KCl Please clearify mam.... whether I am wrong or not... Thanks
@dr.bindushreebk2016
@dr.bindushreebk2016 3 жыл бұрын
MAM I loved the discussion.... such lovely you have explained in depth 🥰
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 3 жыл бұрын
Thanks doctor
@pratibhadubey251
@pratibhadubey251 4 жыл бұрын
Mam extra sodium deficit in lower sodium will be 180 not 300 ...???
@modrechaakhil4495
@modrechaakhil4495 3 жыл бұрын
Yes it's ok concept is clearna ☺️
@drsanjaytripathi
@drsanjaytripathi 4 жыл бұрын
Very nice and lucid presentation
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
Thank you doctor
@srutipradhan1013
@srutipradhan1013 3 жыл бұрын
Mam... Thank you so much for making every topic so simple and easy to understand 🙏🙏
@AngappanK-um1le
@AngappanK-um1le 5 ай бұрын
Excellent presentation madam.. thanks a lot
@mant1396
@mant1396 2 жыл бұрын
Hello ma'am, at 16:10 why did you use 0.6 instead of 0.8? Since you have stated that the given data remains the same except for the symptoms of seizure/decreased sensorium. (You did not mention that the patient's duration of illness changed)
@AlamkausharMd-vm8ph
@AlamkausharMd-vm8ph 5 ай бұрын
Excellent presentation mam
@arjunparihar8727
@arjunparihar8727 3 жыл бұрын
Doubt . First of all thank you for simplifying such tricky concepts ma'am...your videos have been a real gem for our training. Now coming to the doubt, ma'am @20:50 mark in the video while explaining Fluid selection in a child with severe hyponatremia can we prepare 2 fluids...one in which SFD + Maintainence and half the extra sodium deficit is delivered on day 1. And on day 2 when Maintainence and remaining half of the extra sodium deficit will be delivered. This way SFD will be corrected earlier and we can still spread the sodium correction over 2 days. Actually for hypernatremic correction I cane across a similar approach in Harriet Lane ...that's why the doubt
@allenpj2653
@allenpj2653 28 күн бұрын
Nice explanation ma'am 😊
@jitendra036
@jitendra036 4 жыл бұрын
Mam while calculating extra sodium in a child who has come with 110 Na and long duration of illness, it is 0.6x15x20=180meq (instead of 300meq). I think mistakenly you calculated as 300 i feel.. correct me if i am wrong...time 19.04min
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
You are very correct doctor. Apologies. My mistake.
@dilipgupta9273
@dilipgupta9273 4 жыл бұрын
Plz make video on Hyperkalemia and Hypokalemia with more emphasis on practical management with examples.. Thanks.
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
Sure I will doctor.Thank you
@dilipgupta9273
@dilipgupta9273 4 жыл бұрын
@@pediatrictakesbydr.pavitra9813 Acid base disorders also Mam.
@mohammedparveez5603
@mohammedparveez5603 Жыл бұрын
Best 🎁 presentation
@oleohh1
@oleohh1 4 жыл бұрын
Mam if possible similar one for hypernatremia too
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
Will try and do doctor
@srinadhpragada6181
@srinadhpragada6181 4 жыл бұрын
Thank you mam for a detailed explaination!
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
My pleasure 😊.Keep watching
@pritikulkarni3550
@pritikulkarni3550 5 ай бұрын
Very nice and crisp. But a doubt..maintainance sodium calculation 3 meq/100 ml..but we use isotonic fluid for correction I e. 154 / L?? Pl guide.
@mallikarjunakubakaddi8815
@mallikarjunakubakaddi8815 3 жыл бұрын
Very interesting and informative mam 👌👏👏
@DrAnbu
@DrAnbu 4 жыл бұрын
Thank you mam.. Happy to learn 😊
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
Welcome 😊.Keep watching
@snigdhaverma8009
@snigdhaverma8009 3 жыл бұрын
Beautifully explained ....🙏 Ma'am if sodium is as low as 110 as in the last example... can v opt it to be corrected over 72 hrs also....?
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 3 жыл бұрын
Yes doctor. That would be ideal
@hadelalsubaie5
@hadelalsubaie5 2 жыл бұрын
why not using 0.9normal saline ??
@srinivasgowda3017
@srinivasgowda3017 4 жыл бұрын
wonderful presentation mam,really good
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
Thank you sir
@srinivasgowda3017
@srinivasgowda3017 4 жыл бұрын
Kindly post subject regarding the Genetics and three generation pedigree chart, its give more information for us, in her excellent way of teaching skill. Thank you, i hope, you will be post shortly madam.
@beenathomas3111
@beenathomas3111 3 жыл бұрын
Concept of doing the dehydration correction half in first 8 hours and rest over next 16 hours.your take on that?
@prakasam6641
@prakasam6641 4 жыл бұрын
Excellent class mam..But pls teach us what to do if sodium falls below 10 meq/l per day
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
You will anyways be monitoring every 4-6 hours and adjustment on rate of correction can be done. If child become symptomatic-then 3% saline
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
Please listen to the hyponatremia approach lecture too. I've mentioned about this there
@israelmary8915
@israelmary8915 4 жыл бұрын
Thank u for nice presentation mam
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
You are most welcome
@samspediatricks
@samspediatricks 4 жыл бұрын
Superb class mam
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
Thank you doctor
@divakarramasubbu6650
@divakarramasubbu6650 4 жыл бұрын
Very nice
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
Thank you doctor
@familymoments1040
@familymoments1040 2 жыл бұрын
Loved it
@animeshdebbarma3852
@animeshdebbarma3852 3 жыл бұрын
Thank U mam.... 👍😁
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 3 жыл бұрын
Most welcome 😊
@anaselhaj3216
@anaselhaj3216 3 жыл бұрын
Thanks
@MedicalBroadcast
@MedicalBroadcast 3 жыл бұрын
Well taught
@oleohh1
@oleohh1 4 жыл бұрын
Useful mam
@manojraman2632
@manojraman2632 3 жыл бұрын
Maam to choose fluid Harriet lane says total sodium required divided by solute fluid defecit in litre. It doesn't add maintenance fluid into calculation. Which one to follow maam
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 3 жыл бұрын
You'll have to give maintainence too. Replacement is for losses that happened in past
@manojraman2632
@manojraman2632 3 жыл бұрын
@@pediatrictakesbydr.pavitra9813 maam maintenance has to be given along with deficit . But my question is not that maam. For type of fluid calculation the Harriet lane is not including maintenance fluid
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 3 жыл бұрын
Better to have it separately. Maintainence fluid is going to be constant. Your replacement fluid may be titrated up or down depending on your electrolyte values. Putting them both together is not impossible- but adjusting rate/ composition will be difficult if you need close monitoring
@gayathrigandhi2942
@gayathrigandhi2942 3 жыл бұрын
Do we need to give 3% NS bolus if serum sodium is very low but without any neurological symptoms?
@venkybly
@venkybly 3 жыл бұрын
Tq
@kaligotlakrishnakumari1341
@kaligotlakrishnakumari1341 4 жыл бұрын
Mam, please take classes on social pediatrics questions
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
Will definitely do doctor.Thank you and keep watching
@sandipsonsale5283
@sandipsonsale5283 4 жыл бұрын
Excellent plz share class on hypernatrmic dehydration if possible tq Formula of 3% Nacl for bolus of 3 to 5 ml /kg exceed little bit to 6 ml As mentioned 15×5×0.6= 45 so 90 ml 3% Nacl needed to increase 45 mEq of Na Which came 6 ml/kg 👍
@pediatrictakesbydr.pavitra9813
@pediatrictakesbydr.pavitra9813 4 жыл бұрын
Thank you doctor
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