Hyponatremia

görünümler 527,248

Gün önce

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You can find the NOTES and ILLUSTRATIONS for this lecture on our website at:
www.ninjanerd.org/lecture/hyp...
Ninja Nerds!
In this lecture Professor Zach Murphy will be presenting on Hyponatremia. We hope you enjoy this lecture and be sure to support us below!
Table of Contents:
0:00 Lab
0:07 Hyponatremia Introduction
1:20 Pathophysiology of Hyponatremia
13:26 Hypotonic Hyponatremia
33:57 ADH Dependent Hyponatremia: Volume Down
53:41 ADH Dependent Hyponatremia: Volume Up
1:06:43 ADH Dependent Hyponatremia: Inappropriate ADH Release
1:13:26 ADH Dependent Hyponatremia: SIADH
1:29:32 Volume Status
1:43:47 ADH Independent Hyponatremia
1:55:20 H2O Excretion
2:01:46 Diagnostic Approach
2:16:36 Emergent Treatment for Hyponatremia
2:39:19 Osmotic Demyelination Syndrome
2:53:40 Treating the Cause of Hyponatremia
3:02:23 Treatment of SIADH
3:09:33 Comment, Like, SUBSCRIBE!
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#ninjanerd #hyponatremia #medicine

YORUMLAR: 221

@dksdmusic Yıl önce

To be honest, at this point it isn’t even about the grades anymore. I watch this channel when I’m chilling out, playing guitar or having dinner cause it’s just so interesting to watch these videos and learn cool new stuff,

@Marem-vy6lo 11 aylar önce

Same

@donaldmarcos6586 10 aylar önce

Iv.

@MiguelLopez-sj2ib 10 aylar önce

That's an insult

@Womanhu 8 aylar önce

@@MiguelLopez-sj2ib lmao ok

@MedSurvival Yıl önce

Hyponatremia is one of the toughest electrolyte problem to be managed on medical floor. Highly recommended for resident physicians

@jeanne6371 11 gün önce

This guy is getting me through med school practically single-handedly

@MusicianWave Aylar önce

Dear Zach, I wanted to express my gratitude for your in-depth coverage of a highly significant medical issue. I just finished watching your comprehensive 3-hour video, and I'm truly grateful for your informative and precise summary. I would like to contribute an essential point regarding the complex topic of elevated UNa in siADH. One might assume that UNa levels should decrease as the kidneys attempt to reabsorb sodium in response to elevated water levels, aiming for a balance. However, due to the heightened water levels and the relatively euvolemic volume status, the RAAS becomes inhibited. Consequently, natriuresis increases, resulting in a rise in UNa levels. I hope this information aids in a better understanding of this crucial subject. Greetings from Germany. Janis

@jonlee8778 Yıl önce

This is why ninja nerd is the best! Explains subjects in depth like no one else! Thank you very much!!😁😁👍🏼🙏🏼

@druutlectures Yıl önce

Yup 👍

@bree9927 11 aylar önce

not tryna give u ideas but thank God your videos are free 😳 I gen don’t know what i would do without your insane summaries of all these very specific topics you are better than any mentor i have at work fr

@KaushikkSahu-hp9dp 20 gün önce

Dr Zack I know you are many years senior then me. But when I watch your videos it feels like one of the homies is setting me up for the last minute prep for the tests. Love each and everyone of your videos

@ursulachester2938 Aylar önce

I am a new nephrology NP...this video is a great resource, definitely helped me get a better understanding of hyponatremia.

@86bironkithan20 Aylar önce

Professor Zach is indeed a blessing send from above for all aspiring medico and scientific students ❤

@drsohailzahir2837 Aylar önce

Great job... I love to watch ur videos... super duper informative... learn a lot.... for that, I m very thankful. I appreciate ur hard work and encourage u to keep it up... ❤❤❤

@user-bf3eo8bk7p Aylar önce

Man, I really love your enthusiasm and energy. I can see it in your eyes and in the way your deliver your excellent content. It just makes it all even more exciting and fun to learn. Thank you!

@sashas8023 11 aylar önce

I'm so excited to watch this one in particular!! I had hyponatremia in 2007 and stepped on death's stoop! I'm glad I made it out alive, and I'm looking forward to learning more about what may have happened to my body and brain! Thank you!

@olgabordinovskaya727 10 aylar önce

You are the best teacher I've ever had. Its amazing to see how you get excited everytime you explain something interesting. God bless you! I'm so grateful 🙏 thank you so much for your lessons

@mugil501 Yıl önce

Thank you very very much Professor Zach❤️🙏, I was waiting for so long for Fluid and Electrolytes series by Ninja Nerd, finally it's here😍👌🔥💯

@bensf1 11 aylar önce

Thank you so much for these lectures. It is amazing that this type of content is available for free. I really appreciate the work that goes into these.

@LilFella67 Yıl önce

I’m going to watch this again. Lots of information here. Thanks Zach for sharing your skills.

@harisd6889 Aylar önce

I am so impressed and fascinated by his knowledge and how easy he teaches us!! I feel so confident on my knowledge after any video I watch of him!!!

@user-of7ui5yk6k 3 aylar önce

To be honest it was most difficult topic for me hyponatremia i tried to understanding with alot of teachers but nobody helped me to understand this topic The only one who helped me learned and understanding very well is sir zach !!! I really appreciate for that Thank u very much sir We love u ❤

@shanpervaiz99 9 aylar önce

You are an absolute legend. Thank you so much I don’t know how to express my gratitude more 🔥🔥🔥

@clemencemsagha5481 3 aylar önce

Thankyou so much for this lecture. You have made me understand this hard topic very well. You were born to teach Zac. God bless you.

@hellomonday4427 6 aylar önce

Thank you so much! You're the best teacher ever Zach ❤

@user-cp1vk9xi3q 2 aylar önce

Ninja nerd is getting me through my med school renal class, so grateful for him! Thank you!!!

@sarahturps1384 11 aylar önce

Professor, thank you, for your passionate & jovial attitude towards teaching! I am not studying medicine at all, but came across your video after asking God to show me something! My symptoms point to what you're teaching here. Thank You God! & Thank you, Ninja!

@rajithawickramage7062 10 aylar önce

Thank you so much for the excellent explanations. Got many doubts cleared.

@MeshaL_Alharbi_9x9 8 aylar önce

❤️❤️❤️❤️❤️❤️❤️ Thank you soo much prof Zach you’re my number one resource in every subject

@razakid9282 2 gün önce

Very clear explanations. Shout out ninja nerd👏🏾

@basireyldz6119 8 aylar önce

Incredible work thank you guys so much

@johnjoelfajutag822 4 aylar önce

Thank you sir! This topic is really worth watching!!

@meelastars8262 11 aylar önce

You made medicine fun and easy, thank you Zaki❤

@alessiamelis7863 2 aylar önce

Thank you for your great lectures! I don't understand why fluid loss and loop diuretics can cause both in hypo and hypernatremia? Doesn't ADH work in Hypernatremia?

@aman_manha6933 10 aylar önce

Awesome,never got this much understanding before till now

@zache7893 5 aylar önce

Love every single video you guys put out!

@trishmaloney5674 8 aylar önce

Love all that you do - this one is a beast!!!

@MatthewMorman Yıl önce

Thank you so much pls make this series and cover other electrolyte imbalances !!!

@sirineghribi1211 6 aylar önce

Thank you so much for this explantion, can you please do a video about the difference between osmolality and osmolarity can we use osmolarity unstead of osmolality ?

@minerva7217 Yıl önce

Great presentation that helped me understand. I know of a person with this condition of hyponatremia stemming from dysfunction of her pituitary gland. She lives on Gatorade, but regularly ends up in the ER receiving sodium and or potassium drip to regulate her. She drinks a lot of fluids, yet doesn't eat much food, so she has frequent constipation.

@user-gk7ui9gh5d 4 aylar önce

I'm an anesthesia student learning in Kenya currently, this topic is real very important for me to understand and it has helped me ,however I need more time to understand more.

@yannur6841 8 aylar önce

You are the undisputed king of teaching medicine!!!

@buster117 3 aylar önce

It is amazing to see Patrick Bet David excelling at so many fields.

@amiref9178 9 aylar önce

perfect information. I really needed it. Thank you.

@markdaisey4800 8 aylar önce

When it comes to evaluation of volume status, besides elevated central pressures leading to JVP elevations and IVCC index measures, what about peripheral vascularity? Granted, it won't be the best in those with obesity, higher subcutaneous fat, but in certain areas like the dorsal aspect of the hands, dorsal aspect of the feet, and the wrists /distal forearms, and ankles too - having flat veins could be a good proxy for volume status as a clinical examination point. Also if the extremities exhibit pallor as well. They may not be super specific indicators but they at least can raise the index of suspicion for more detailed examinations, urinalysis, blood tests, POCUS, etc..

@edualban4113 8 aylar önce

Gracias profesor Zach!

@user-zk1wo2wx4p Yıl önce

You're a true treasure Zach , thank you so much how can I donate ?

@FurbiidN 10 aylar önce

Binge watching all the Playlist for the next 6 months! You are top teir teacher. So imma do my part as a student and receive with grace. 10/10

@76Pou Yıl önce

I love this channel so much!!!! I am hyponatremic, hypoglycemic, can't digest a bunch of stuff. It's central nervous system failure due to having EDS with 9/9 points. Lots of autonomic disfunctions, like POTS. It's the pits! 🥺

@ANKbiologyresearcher Yıl önce

Good 👍👍👍

@chooseaname1423 6 aylar önce

Similar boat as you. Dysautanomia is the worst!

@OssamabinKenny 10 aylar önce

This gentleman looks like a basketball ticket scalper, to see and hear him give a coherent medical lecture on sodium levels in the blood is mind blowing. Very Elaine indeed.

@sudeshraghav2741 3 aylar önce

Lot of love and respect from INDIA keep going miles and miles Lots of wishes

@nandinisaprambbs22 6 aylar önce

His markers are so beautiful ❤the board looks exciting with them ❤❤🎉

@atarax232323 8 aylar önce

Manu many thanks ! Great Course !

@rosegraham5780 Yıl önce

thanks for helping me get through med school man 💖💖💖💖💖

@PaintballFreak817 8 aylar önce

I was watching videos on intercostal back pain at 11pm and started to fall asleep. I wake up to this guy 5 mins in and I’m now 38 mins in and it’s 1:30am…. 😂 I want to finish but I gotta get to bed! Subbed! Thanks for the entertaining information!

@kevina5018 7 aylar önce

ok wow i wasnt expecting 3 hours for hyponatriemia when my teacher spent less than 2 hours but i m gonna watch this cause i like the topic.

@warwar5380 8 aylar önce

Great lecture , thank you

@georgepearson6506 6 aylar önce

Topics are board passing preps connections and clinical pearl for the front line clinical practice 😊

@vivianagheorghe6940 5 aylar önce

youre so patient its incredible

@b221b2 11 aylar önce

Fantastic. You are a life saver🤗

@shabnamrahimi4042 9 aylar önce

This is so helpful!

@luis956476 Aylar önce

Hey i have a question does anybody know why positive pressure ventilation would cause hyponatremia? I don't really follow but would appreciate some clarification

@richan3922 8 aylar önce

The explanation is 💯

@Adam4adam1992 2 aylar önce

Thank you prof❤

@elodin5689 Yıl önce

This subject always been complicated for me, thanks a lot.

@judy_agdh_6565 4 aylar önce

You are the best... Thank you ❤❤❤

@ancarachieriu1646 11 aylar önce

Thank you so much for this video!

@nunu772 11 aylar önce

your saving my NP life right now! better than any teacher

@dizzypancreaspump 10 aylar önce

So is adh supposed to be on or off normally. Very good video I actually understood everything

@summermazur3064 11 aylar önce

Do we know why cerebral edema causes neuronal excitation to lower seizure threshold? Is the in-depth biochemistry understood yet? Very interesting.

@riteshrao289 Yıl önce

Love 😍you respected zach sir hard work 🧡🧡🧡🧡🧡

@NURSEONDUTY0926 Yıl önce

Cathing up some of your videos. Fluids and electrolytes imbalance.. awesome white board discuss 💞.

@ANKbiologyresearcher Yıl önce

👌👌👌

@jatinarora7197 Yıl önce

Please make a lecture on white matter of cerebrum and Lateral ventricles of Brain. Please...... Cover the following topics- 1. Commisure fibres 2. Association fibres 3. Projection fibres Really need it, make it as soon as possible.....

@lofiforbettergrades 10 aylar önce

Love it, better then the prof:) You Videos and good Music is the best thing for study

@kalmenbarkin5708 Yıl önce

Just a nice little comprehensive 3 hour lecture

@davejohnsoncarlosbrian3944 Yıl önce

Congratulations to me, I finally passed my NCLEX exam... all thanks to Mr Marcus who saved my ass.

@umidotamurodov8 11 aylar önce

You are one of the best teacher I've ever seen

@ashalathamatta8409 Aylar önce

Very useful

@walterfaber7784 Yıl önce

What would happen if I drink distilled water or sea water? Thanks for your amazing videos!

@inspectorgadget467 11 aylar önce

Let’s just say, neither are Advised. 😂

@randhirsingh.203 8 aylar önce

This is next level thanks

@adityavarma6380 2 aylar önce

Thank you sir ..❤

@miranqueen7250 Yıl önce

Thank you so much I have physiology exam next Tuesday and you save me 😚😚😚

@jayman1ism Yıl önce

Physiology

@christiandad5920 Yıl önce

Man I saw a new vid, thought 'cool', saw hyponatremia, thought 'easy, low salt, should be short'. Then saw the length.....3hrs??!!!!! Who the heck can talk about salt for three hours??!!!! Then I remembered who I was watching. 😁😉🙌

@ricardofaria1692 Yıl önce

U made a lord of the rings sequel about hyponatremia You are indeed the best

@noteveryday Yıl önce

At this point it is some kind of art form.... this man has mastered being interesting and having 10/10 public speaking skills.

@amandashulski783 Yıl önce

I just listened to a podcast on hyponatremia and it didn’t stick :( I was hoping you would do a video on the subject. I cannot believe you just posted this THANK YOU.

@bansurikolathur7027 11 aylar önce

Hey Dr. Zach , I beg you 😭😭🙏🙏 please make videos on TYPES OF HYPERSENSITIVITY REACTIONS . please 😔 🙏 😔 🙏 😔 🙏 😔 🙏 😔 🙏.

@robinchuwan 2 aylar önce

My nephrology professor is a piece of shit that refuses to explain anything and just tells you to “look it up” and come the next day to discuss minuscule unnecessary details that are only relevant to the nephrologists. GOSH i was so frustrated with this topic but you just made it so understandable!! Thank you so much ninja nerd team, i love yall from the bottom of my heart

@enrimihali5650 11 aylar önce

i have a question: when we give b blocker to cause splacnic vasodilatation te reduce pressure in the portal system, dont we also indirectly induce adh-production and therefore hyponatriemia?

@Annnnngela 9 aylar önce

not really. your example scenario is extreme. While its true that, theoretically, it can cause those things (at extreme levels) clinically, it will not

@user-fl4or5py3d 4 aylar önce

Dear Ninja Nerd, you are the best teacher I have ever had, but just one suggestion. A lot of international students ar listenning to you, so whould be more helpful for us if you talk a little slowly... )))) I can understand you better... thank you in advance.

@hayasahloul2064 9 aylar önce

The best!!❤️❤️

@xuanthanh1073 9 aylar önce

I wanna ask you a question, is there possibilities that two mechanisms combining to cause hyponatremia lead to isotonic hyponatremia.for example, a cirrohsis patient have hyperglycemia and have isotonic hyponatremia. Someone know that please help me

@casaseleccion8920 Yıl önce

your video uploaded at the right time as I am studying clinical chemistry

@albanometvelaj9041 Yıl önce

the best as always

@manyar1239 10 aylar önce

Plz give us a lacture video on CBC blood report interpretation......

@FatmaBoud99 Yıl önce

It's like reading my thoughts, FINALLY ARRIVED 😍😍😍😍

@javierestebanrojasmaruland7957 8 aylar önce

soo good

@happyhormone_ Yıl önce

Ohhh my god .. sir you are bessssssstttttt 💥💥💥💥💥💥

@happyhormone_ Yıl önce

I know it's you sir ☺️☺️☺️☺️☺️ i am glad you noticed it...

@osaidayyadi9906 7 aylar önce

Great arrangement

@user-ol9xc7yp1d 8 aylar önce

Awsome video!

@elinaparkkonen517 Yıl önce

Ninja team: IT DOES MAKE SENSE💕. 💪🏿💪🏽💪🏾💪🏻💪❣ Thank you.

@talhaemreerdem4636 5 aylar önce

bro you are really ı am a medicine student and my professör aint shit they cant teach at all but you you are absolutley something else.

@Maryjcorder 6 gün önce

From what I have read, it seems that loop diuretics like furosemide can cause a greater loss of free water proportional to sodium and can actually induce hypernatremia. Not trying to split hairs, but legitimately asking for clarification - can you please speak to this? Also, my 2nd question is that although RAAS stimulation will stimulate ADH (with increased water reabsorption), wouldn’t aldosterone also be causing increased sodium reabsorption, thus mitigating the hyponatremia? Thank you!