Hyponatremia: Causes: Hyperglycemia

Рет қаралды 18,936

Dr. Andras Fazakas

6 жыл бұрын

Пікірлер: 31

@jazzbeer4577 5 жыл бұрын

We are grateful for teachers like you.

@victorycapture5795 5 жыл бұрын

Doctor, Excellent presentation!!! please do topic on COPD, Asthma, GI bleed, Stroke, Seizure/Epilepsy, PTB, pancreatitis, MI, Shock,,,, medical cases. Thank you so much. I enjoy watching your presentation. Good job! The Best Doctor😍👍

@lydao002 5 жыл бұрын

Thank you so much! You make it very simple and very easy to understand. I appreciate your teaching greatly.

@lopnef 5 жыл бұрын

Thank you so much.

@gcvoon286 6 жыл бұрын

excellent presentation on this subject. Thank you dr.

@WenLisays 5 жыл бұрын

Very well explained. Thank you!

@boopgotyournose7352 5 жыл бұрын

Wonderful lecture! Thank you

@ayadromeda 3 жыл бұрын

Thank you very much doc! This is a really well-explained video.

@user-ls6ti8io6d 9 ай бұрын

Thank you very mach Excellent👍👍👍

@rehabaljassmi506 5 жыл бұрын

thank you

@peterped98 2 жыл бұрын

very well explained! Thank you.

@thinkreal93 4 жыл бұрын

Thanks. !!!!!!!!!

@drhamdaankhan3691 5 жыл бұрын

nice one.

@Jeff-sm8of 3 жыл бұрын

excellent

@mohammed14155 4 жыл бұрын

nice teaching

@lavanyasivakumar3787 5 жыл бұрын

Thanq u sir

@mostafatejani 5 жыл бұрын

Thanks

@sudheeranbs25 4 жыл бұрын

Thanks for yr professional lecture.SUDHEERAN.B Please explain why Tvaptan/Natrise is prescribed for Hyponatrimia patients twice in a wk.

@bioinacapsule8318 6 ай бұрын

Hello, I want to know when we calculate blood osmolarity we use the measured sodium or the corrected one

@sahnawazsk5331 3 жыл бұрын

Sir, what will do when na+ low and glucose high.

@pedrorodrigueztube Жыл бұрын

So high sodium will get low blood sugar

@abhikarnikaborah9519 7 ай бұрын

My glucose level is 244, Na is 130...what should I do to increase Na ?My pottasium level is also low

@3.0minutetipsandtricks.33 Жыл бұрын

is it true?

@brittneytaylor2547 4 жыл бұрын

But do you need to correct hyponatremia if it's only low from hyperglycemia? I mean the patient does actually have low sodium, whether or not you correct it. there is literally more water in there causing the concentration to decrease. does this cause problems physiologically (when the only reason it's low is because of high blood glucose)?

@drandrasfazakas 4 жыл бұрын

Hello, it's important to calculate the "corrected Sodium". Corrected means the amount of sodium after normalizing the glucose level. For every 100mg% (5.5mmol/L) increase of glucose, the sodium drops by around 2mmol/L. So a glucose of 400mg% means around 300 surplus glucose, which equals a decrease of 6mmol/L of Sodium. If Sodium is low after the calculation then normalize glucose and then give sodium. If it's normal, then normalize glucose only. If it's actually high, meaning HYPER-natremia, then normalize glucose while diluting the blood with isotonic solution. E.g. Sodium is 129 and Glucose is 400mg%. The corrected Sodium is actually 135. So it's in the normal level. Then only normalize the glucose. But, a very important point is that if there are severe neurological symptoms or the level of sodium is less than 120, then you need substitute sodium, BUT not quicker than around +6mmol/l ever 24hours. This is usually around maximum 300ml of Hypertonic 3% solution.