Hypernatremia

A review of hypernatremia, including physiology, etiologies, diagnostic work-up, and treatment. Particular focus given to diabetes insipidus.

[rishabtiwari]

Sir you got it best and best explained in the simplest Version I could find.. thank you for all the hard efforts you put in this video and explaination

[lalrinchhanaralte]

Awesome video. Totally makes sense. Thank you once again. Pleaee keep making more videos

[sunving]

Thank you very much. You are a great instructor indeed.

[maverick]

Amazing video! Even better explained than in Cecil! 

[davidsamson]

Yet another excellent video, Dr Eric!

[amaranathl]

exclusively made simple, understandable, great lecture series and thanks

[superbesli]

In a case in our ICUs with hypernatremia and AKI, our nephrology specialist assured me no case developing osmotic mylo. with dialysis in hypernatremia whether sudden drop or not. But I do not know why.

[limweiyang]

May I know how GI losses can be the cause for both hyponatremia and hypernatrmia ?

[kazeckr]

Hi Eric, thanks for the informative video. I had a few questions about the topic.
GI loss ( diarrhea, vomiting...) was listed in both hypernatremia and hyponatremia.

In hyponatremia, it is associated with decreased intravascular volume leading to ADH release and therefore causing hyponatremia. In hypernatremia, it is due to loss of hypotonic fluids.

I am wondering loss of GI fluid was associated with hypernatremia if the loss is not much enough to activate the ADH release. But if severe enough loss of GI fluid would cause hyponatremia. Is it like what i said ? or anything i misunderstood. Thanks Eric!

[eduardohita]

Sir, at 6:40 you mention chronic hyperkalemia as a cause of nephrogenic Diabetes insipidus. But your slide shows "hypokalemia", which one is correct? Other than that, great lecture, as always!

[stanleymakazhe]

Hello. For a patient who is taking fluid orally to correct Chronic Hypernatremia, since the recommended serum sodium concentration correction rate is 12 meq/L per day and 0.5 meq/L per hour. Does that mean the patient should not sleep while they are receiving treatment?

[trivikrammalladi]

excuse me sir, i have a qestion regarding the development of hypernatremia due to DM. Generally, during DM a patient usually develops hyperglycemia which leads to excessive amounts of water moving out of the ICF compartment to ECF compartment, leading to dilutional effect on serum sodium, causing hyponatremia.Hoping for fast reply from persons who can clarify.

[tchinobingo]

I nées the second video or exemple how To treat hypernatremia please.give me the link