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

  Рет қаралды 25,903

Dr-Arvind Kumar

Dr-Arvind Kumar

9 ай бұрын

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

Пікірлер: 121
@raviparihar5479
@raviparihar5479 8 ай бұрын
Complicated topic explained in simplified manner. That is the beauity of a great teacher. Kudos to you sir.
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Thanks a ton
@johanlalnunmawia3818
@johanlalnunmawia3818 8 ай бұрын
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
@umesh3077 6 ай бұрын
Friend u will be more knowledgeable than ur seniors.
@ashishsisodia01
@ashishsisodia01 20 күн бұрын
Important topics explain in short time.. great explanation sir🙏🏻💐
@dr-arvindkumar
@dr-arvindkumar 20 күн бұрын
Thanks and welcome
@umesh3077
@umesh3077 6 ай бұрын
Every ,pg , consultant can learn .Short and to the point
@seenu_kchsreddy742
@seenu_kchsreddy742 9 ай бұрын
It's our boon to us to get this informative videos
@dr-arvindkumar
@dr-arvindkumar 9 ай бұрын
Glad it’s helpful for you
@sivamekala5157
@sivamekala5157 8 ай бұрын
Such a great explanation, thank you sir
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
You are most welcome
@Tanmoy388gz
@Tanmoy388gz 8 ай бұрын
Thnk u sir for teaching us
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
It's my pleasure
@rohitjakhar8722
@rohitjakhar8722 8 ай бұрын
Thank you sir .. u being the best
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
So nice of you
@dr.abhilashshinde1197
@dr.abhilashshinde1197 7 ай бұрын
Sir ,very nice lecture thank you so much Waiting such valuable vedios
@dr-arvindkumar
@dr-arvindkumar 7 ай бұрын
Keep watching
@dhineshsoundarrajan6626
@dhineshsoundarrajan6626 2 ай бұрын
Very good explanation seen ever ❤
@dr-arvindkumar
@dr-arvindkumar 2 ай бұрын
Glad you liked it
@user-fw5il6sn5z
@user-fw5il6sn5z 4 ай бұрын
Very informative thanks you sir 🙏
@dr-arvindkumar
@dr-arvindkumar 4 ай бұрын
Keep watching
@parulgandhi7766
@parulgandhi7766 5 ай бұрын
Excellent lecture
@dr-arvindkumar
@dr-arvindkumar 5 ай бұрын
Keep watching
@preetiselvaraj1587
@preetiselvaraj1587 2 ай бұрын
Excellent lecture Thank you sir
@dr-arvindkumar
@dr-arvindkumar 2 ай бұрын
Most welcome
@rohitkggowda4158
@rohitkggowda4158 8 ай бұрын
nicely explained sir thank you sir ❤❤❤❤❤❤❤
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Most welcome
@deepnrajmuniyasamy8122
@deepnrajmuniyasamy8122 8 ай бұрын
Arvind sir ❤❤😊is gods given gift for medicos
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
So nice of you
@medquerries9031
@medquerries9031 3 ай бұрын
Nice explaination sir👌
@dr-arvindkumar
@dr-arvindkumar 3 ай бұрын
Thanks and welcome
@Love-mp6ew
@Love-mp6ew 3 ай бұрын
Thank you, Respected Sir...
@dr-arvindkumar
@dr-arvindkumar 3 ай бұрын
Most welcome
@ZahidHussain-ht4tw
@ZahidHussain-ht4tw 9 ай бұрын
Thank you so much sir 👍👍👍 very nice explaination.👌👌👌
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Most welcome
@anistanveer1298
@anistanveer1298 8 ай бұрын
Very well explined❤
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Thanks a lot 😊
@lingalakiran9761
@lingalakiran9761 8 ай бұрын
Sar very useful explanation thanks to you sir
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Keep watching
@heenaafreen4246
@heenaafreen4246 9 ай бұрын
Thank you so much for the video sir huge respect for you .....
@dr-arvindkumar
@dr-arvindkumar 9 ай бұрын
Best wishes always
@heenaafreen4246
@heenaafreen4246 9 ай бұрын
It's a humble request sir if possible pls make videos on dermatology cases along with diagnosis and treatment ....
@prayashmudi1999
@prayashmudi1999 8 ай бұрын
Thank you so much sir Very good video 👍🏻
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Most welcome
@nsas955
@nsas955 Ай бұрын
You are really the best teacher what so ever. Many many thanks.
@dr-arvindkumar
@dr-arvindkumar Ай бұрын
Welcome
@saketdaokar6861
@saketdaokar6861 8 ай бұрын
Best lectures sir
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Keep watching
@jessicakaushal9815
@jessicakaushal9815 4 ай бұрын
Thank you sir!
@dr-arvindkumar
@dr-arvindkumar 4 ай бұрын
You are welcome!
@dr.fahadhsulaiman
@dr.fahadhsulaiman 9 ай бұрын
Thankyou sir❤
@durganandyadav3794
@durganandyadav3794 8 ай бұрын
Thank you so much sir
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Most welcome
@GurpreetKaur-ow2mb
@GurpreetKaur-ow2mb 28 күн бұрын
Thank you Sir
@dr-arvindkumar
@dr-arvindkumar 28 күн бұрын
Most welcome
@jitendrasoni6750
@jitendrasoni6750 2 ай бұрын
This topic is so complicated but sir , you explained in a very simple way thank you so much
@dr-arvindkumar
@dr-arvindkumar 2 ай бұрын
You are most welcome
@applebee4129
@applebee4129 8 ай бұрын
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
@reshmar9048
@reshmar9048 8 ай бұрын
Sir very helpful . Plz make a video on medical disorders of pregnancy. .
@shreyamahajan3111
@shreyamahajan3111 8 ай бұрын
Thankyou so much sir😊
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Most welcome
@dr.rahulbharat8210
@dr.rahulbharat8210 19 күн бұрын
Great explanation 👏
@dr-arvindkumar
@dr-arvindkumar 19 күн бұрын
Glad it was helpful!
@dr.rahulbharat8210
@dr.rahulbharat8210 19 күн бұрын
@@dr-arvindkumar 🙏
@kifayathulla4798
@kifayathulla4798 8 ай бұрын
Thank you very much sir in my mbbs final year onwardsi don't hyponatremia and management thanks for explanation in simple way 🙏
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
All the best
@dhandasravankumar8492
@dhandasravankumar8492 8 ай бұрын
Hi sir very good evening ... Excellent sir really , superb explanation ... each n everything.. thanks alot ... sir .. ❤
@dhandasravankumar8492
@dhandasravankumar8492 8 ай бұрын
Please sir ... don't stop posting ... complicated topic .. really I have learned so much from ... 😊😊
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Keep watching
@Heisenberg1670
@Heisenberg1670 8 ай бұрын
Sir if possible please publish your own clinical book We would be highly thankful to you
@PradeepKumar-ke8yj
@PradeepKumar-ke8yj 8 ай бұрын
Nice presentation sir, plasma osmolality measured or calculated?
@sanjaydhungana8242
@sanjaydhungana8242 5 ай бұрын
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.
@amitkumarupadhyay9760
@amitkumarupadhyay9760 8 ай бұрын
Great sir❤
@manojgr8290
@manojgr8290 9 ай бұрын
Make videos on opd COPD management Asthma management Hyperthyroidism
@Doctor_dumbell
@Doctor_dumbell 9 ай бұрын
Thank you so much dr im an aspiring internist in kenya. Plsase do a video on management of ckd abd cirrhosis
@dr-arvindkumar
@dr-arvindkumar 9 ай бұрын
Noted
@dr.maheshhemadri4411
@dr.maheshhemadri4411 Ай бұрын
Sir your presentation is excellent but you did not explain how to treat diuretic induced hyponatremia Make a you tube
@dr-arvindkumar
@dr-arvindkumar Ай бұрын
Same as hypovolumic hyponatremia
@medico9560
@medico9560 8 ай бұрын
Sir pls make more video for general practitioner🙏🙏
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Sure I will
@arsenaldream2156
@arsenaldream2156 Ай бұрын
Great explanation, I see many doctor prescribe sodium bacarbonate is that relevant to hyponatremia managment
@dr-arvindkumar
@dr-arvindkumar Ай бұрын
No
@arsenaldream2156
@arsenaldream2156 Ай бұрын
@@dr-arvindkumar thx, can you tell me the reason why to use sodium bicarbonate tablets
@dinkardubey588
@dinkardubey588 8 ай бұрын
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
@dr-arvindkumar 8 ай бұрын
Dehydration correction is separate.NS quantity only for Na correction
@sheelarathod4827
@sheelarathod4827 8 ай бұрын
Sir Frusemide is a diuretic. Will it not aggravate hyponatremia?
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
It causes equivalent amount of Na and water loss
@sanjaydhungana8242
@sanjaydhungana8242 5 ай бұрын
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?
@adinathvetal7848
@adinathvetal7848 8 ай бұрын
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
@dr-arvindkumar 8 ай бұрын
Membership right now is only for NEET PG/INICET exams.
@meetkaur644
@meetkaur644 2 ай бұрын
Very nicely explained sir How do we treat Na level of 130 ?
@dr-arvindkumar
@dr-arvindkumar 2 ай бұрын
Treat the cause
@muhammedbilal9889
@muhammedbilal9889 8 ай бұрын
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
@dr-arvindkumar 8 ай бұрын
Not correct to give soda bicarbonate
@muhammedbilal9889
@muhammedbilal9889 8 ай бұрын
@@dr-arvindkumar thank you sir for this special information
@ShrinathDesai-vw6sx
@ShrinathDesai-vw6sx 9 ай бұрын
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
@dr-arvindkumar 9 ай бұрын
That depends on correction rate.For acute and chronic it’s different rate
@ShrinathDesai-vw6sx
@ShrinathDesai-vw6sx 8 ай бұрын
@@dr-arvindkumar sir ,if as per correction formula infusion can be given at any rate upto70-80/ hr
@kteamgaming6518
@kteamgaming6518 3 ай бұрын
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
@dr-arvindkumar 3 ай бұрын
It will not
@kteamgaming6518
@kteamgaming6518 3 ай бұрын
@@dr-arvindkumar thanku sir for the wonderful video and clearing my doubt.
@priyanka9240
@priyanka9240 8 ай бұрын
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
@subashchandradas7223 8 ай бұрын
NICE sir
@dr.maheshhemadri4411
@dr.maheshhemadri4411 Ай бұрын
Sir how do u treat Patients of hyponatremia Secondary to thiazide Induced hyponatremia also has SIADH
@dr-arvindkumar
@dr-arvindkumar Ай бұрын
Same as hypovolumic hyponatremia
@mishrarajatify
@mishrarajatify 6 ай бұрын
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
@dr-arvindkumar 6 ай бұрын
You will be surprised to know that Furosemide doesn’t cause hyponatremia
@mishrarajatify
@mishrarajatify 6 ай бұрын
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
@adlanjorish2162
@adlanjorish2162 2 ай бұрын
Na-132 .Can natrise be given?He is 93 years old and symptomatic
@dr-arvindkumar
@dr-arvindkumar 2 ай бұрын
Not needed at this level
@GulabKumar-jp6eq
@GulabKumar-jp6eq Ай бұрын
Sir Hindi main explain kijiyega sir
@suklabeautyparlour2425
@suklabeautyparlour2425 8 ай бұрын
Sir kindly include emergency medicine residents also
@suklabeautyparlour2425
@suklabeautyparlour2425 8 ай бұрын
These topics are also very useful for MD emergency medicine residents
@dr-arvindkumar
@dr-arvindkumar 8 ай бұрын
Sure I will
@neshatali6412
@neshatali6412 9 ай бұрын
How can I contact you for consultation
@dr-arvindkumar
@dr-arvindkumar 9 ай бұрын
Call 7982456723
@user-rr4tp8lv7g
@user-rr4tp8lv7g 8 ай бұрын
Sir,a small suggestion..try Hinglish in your videos...it will help many doctors to understand better... Thanks
@arekay15
@arekay15 8 ай бұрын
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
@mohamedijaz1198 5 ай бұрын
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
@hemamalini2003 3 ай бұрын
Please don't Onu english can reach many people Im south I can gain more knowledge as it is only said through English
@tigrtigr4891
@tigrtigr4891 10 күн бұрын
Thanks sir..
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