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Hyponatremia

Ninja Nerd
2024 ж. 21 Мам.
796 618 Рет қаралды
Жүктеу

Official Ninja Nerd Website: ninjanerd.org
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

Пікірлер

  • 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,

    @dksdmusic@dksdmusic Жыл бұрын

    • Same

      @Marem-vy6lo@Marem-vy6lo Жыл бұрын

    • Iv.

      @donaldmarcos6586@donaldmarcos6586 Жыл бұрын

    • That's an insult

      @MiguelLopez-sj2ib@MiguelLopez-sj2ib Жыл бұрын

    • @@MiguelLopez-sj2ib don't be 10 ply

      @EggGang030@EggGang030 Жыл бұрын

    • @@MiguelLopez-sj2ib lmao ok

      @Womanhu@Womanhu Жыл бұрын

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

    @jeanne6371@jeanne63716 ай бұрын

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

    @MedSurvival@MedSurvival Жыл бұрын

  • 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. 😁😉🙌

    @christiandad5920@christiandad5920 Жыл бұрын

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

    @jonlee8778@jonlee8778 Жыл бұрын

    • Yup 👍

      @druutlectures@druutlectures Жыл бұрын

  • 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

    @bree9927@bree9927 Жыл бұрын

  • I'm gonna owe my nursing degree to this man. Why don't teachers teach this way anymore?

    @1trackgirl1@1trackgirl14 ай бұрын

    • Same.

      @originterran@originterran3 ай бұрын

    • Most don’t know it well enough

      @patrickbarney7054@patrickbarney7054Ай бұрын

  • Greetings from Germany! Wow you are doing an amazing job! I am an endocrinologist preparing for my board exams and your videos are helping a loooot! Kudos!

    @ascaron007@ascaron00728 күн бұрын

  • 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

    @MusicianWave@MusicianWave6 ай бұрын

  • Thank you so so much for sharing topic in an easy and accessible way - future NP here studying for boards. This is the best! THANK YOU!

    @mariaemroll9605@mariaemroll96052 ай бұрын

  • Ninja nerds science I really do appreciate Prof. Zach Honestly these lectures are of great importance.... Thank u so much

    @ashabamoses6649@ashabamoses6649 Жыл бұрын

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

    @86bironkithan20@86bironkithan207 ай бұрын

  • 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

    @olgabordinovskaya727@olgabordinovskaya727 Жыл бұрын

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

    @LilFella67@LilFella67 Жыл бұрын

  • 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.

    @bensf1@bensf1 Жыл бұрын

  • 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!

    @user-bf3eo8bk7p@user-bf3eo8bk7p7 ай бұрын

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

    @ursulachester2938@ursulachester29386 ай бұрын

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

    @shanpervaiz99@shanpervaiz99 Жыл бұрын

  • 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!!!

    @harisd6889@harisd68897 ай бұрын

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

    @user-cp1vk9xi3q@user-cp1vk9xi3q8 ай бұрын

  • 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.

    @minerva7217@minerva7217 Жыл бұрын

  • 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.

    @clemencemsagha5481@clemencemsagha54818 ай бұрын

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

    @umidotamurodov8@umidotamurodov8 Жыл бұрын

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

    @FatimaBoud99@FatimaBoud99 Жыл бұрын

  • 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😍👌🔥💯

    @mugil501@mugil501 Жыл бұрын

  • 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!

    @sarahturps1384@sarahturps1384 Жыл бұрын

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

    @happyhormone_@happyhormone_ Жыл бұрын

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

      @happyhormone_@happyhormone_ Жыл бұрын

  • Awesome,never got this much understanding before till now

    @aman_manha6933@aman_manha6933 Жыл бұрын

  • 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

    @FurbiidN@FurbiidN Жыл бұрын

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

    @ricardofaria1692@ricardofaria1692 Жыл бұрын

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

      @noteveryday@noteveryday Жыл бұрын

  • I'm taking NU 102 now; I'm so happy to watch this content; it is beyond helpful!!! Thank you

    @tatianapoletskaya2405@tatianapoletskaya24053 ай бұрын

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

    @MatthewMorman@MatthewMorman Жыл бұрын

  • 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

    @KaushikkSahu-hp9dp@KaushikkSahu-hp9dp6 ай бұрын

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

    @hellomonday4427@hellomonday4427 Жыл бұрын

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

    @MeshaL_Alharbi_9x9@MeshaL_Alharbi_9x9 Жыл бұрын

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

    @rajithawickramage7062@rajithawickramage7062 Жыл бұрын

  • youre so patient its incredible

    @vivianagheorghe6940@vivianagheorghe694010 ай бұрын

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

    @elodin5689@elodin5689 Жыл бұрын

  • I just met your channel… and i’m already in love with you

    @Sammador@Sammador Жыл бұрын

  • Thank you thank you thank you , finally I understand hyponatremia

    @lifeisawareness3893@lifeisawareness38934 ай бұрын

  • Man, you are an entire book. Wonderful job.

    @drlrmathias@drlrmathias2 ай бұрын

  • 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 ❤

    @user-of7ui5yk6k@user-of7ui5yk6k8 ай бұрын

  • Very clear explanations. Shout out ninja nerd👏🏾

    @RAZAK_ID@RAZAK_ID5 ай бұрын

  • He is very detailed and verse. Thanks a lot

    @ehimiaghegabriel9220@ehimiaghegabriel922010 күн бұрын

  • Plz give video about hypernatrimia..hypokalemia...& other electrolyte imbalance

    @mehrinferdousrimo9917@mehrinferdousrimo9917 Жыл бұрын

    • Yes💯 Please make it happen Ninja Nerd team🙏

      @mugil501@mugil501 Жыл бұрын

  • You are the undisputed king of teaching medicine!!!

    @yannur6841@yannur6841 Жыл бұрын

  • You made medicine fun and easy, thank you Zaki❤

    @meelastars8262@meelastars8262 Жыл бұрын

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

    @riteshrao289@riteshrao289 Жыл бұрын

  • Thank you for making complexity make sense! You are a genius.

    @rebec7063_@rebec7063_3 ай бұрын

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

    @nandinisaprambbs22@nandinisaprambbs22 Жыл бұрын

  • Incredible work thank you guys so much

    @basireyldz6119@basireyldz6119 Жыл бұрын

  • 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.

    @amandashulski783@amandashulski783 Жыл бұрын

  • I will only feel safe with my health if I move into the apartment above your garage!! All joking aside, your teaching will likely produce a deeper depth of knowledge in medical practices within your extensive reach. I applaud you.

    @gracestrand2240@gracestrand22402 ай бұрын

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

    @johnjoelfajutag822@johnjoelfajutag82210 ай бұрын

  • 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!

    @PaintballFreak817@PaintballFreak817 Жыл бұрын

  • 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.

    @kevina5018@kevina5018 Жыл бұрын

  • Love every single video you guys put out!

    @zache7893@zache789311 ай бұрын

  • 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.

    @hasane982@hasane98211 ай бұрын

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

    @rosegraham5780@rosegraham5780 Жыл бұрын

  • U R literally a life savior, Thanks buddy for ur effort ❤ If there are 3 words that i can describe ur videos are: Wonderful, Simple and clear 😊🙏

    @friedrichthedoctor625@friedrichthedoctor6255 ай бұрын

  • perfect information. I really needed it. Thank you.

    @amiref9178@amiref9178 Жыл бұрын

  • Great video Zach, I really liked the lecture. There is just one point where I am unsure if you are correct. If a patient is hypokalemic, its mainly their intravasal potassium which is low. It can be true that cells can also be potassium depleted in a case where they have previously tried to correct the intravasal potassium with a shift of potassium. However, it is not the case that cells actively release sodium 'in exchange' for potassium; the exchange process is not a direct 1:1 exchange of potassium for sodium. The sodium-potassium pump works continuously to maintain balance by transporting more sodium out of the cell than it brings potassium in, which is crucial for maintaining the cell's resting potential. This process requires energy (ATP) and is an example of active transport. Therefore, administering potassium can lead to cells taking up more potassium, and the activity of the sodium-potassium pump can contribute to an increase in the extracellular sodium level. However, this is part of the normal function of the pump and not necessarily a direct response to potassium supplementation. Please correct me if I am wrong. Regards Zach, keep up the wonderful work you guys do!

    @patrickjorge8440@patrickjorge84402 ай бұрын

  • 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.

    @user-fl4or5py3d@user-fl4or5py3d9 ай бұрын

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

    @trishmaloney5674@trishmaloney5674 Жыл бұрын

  • Very useful

    @ashalathamatta8409@ashalathamatta84096 ай бұрын

  • Very informative and simple to understand. please shade the light on this scenario . Post transphenoidal resection of the pituitary macroadenoma, the patient gets grandmal seizure serumNA+ 99, loading done but the results are above 145, thyroid function test lower, she has. DI presentation (insidious).

    @anastasianjambi5283@anastasianjambi528323 күн бұрын

  • 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.....

    @jatinarora7197@jatinarora7197 Жыл бұрын

  • 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.

    @OssamabinKenny@OssamabinKenny Жыл бұрын

  • Amazing lecture!

    @diskisaisa5617@diskisaisa56175 күн бұрын

  • Great lecture , thank you

    @warwar5380@warwar5380 Жыл бұрын

  • Gracias profesor Zach!

    @edualban4113@edualban4113 Жыл бұрын

  • 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... ❤❤❤

    @drsohailzahir2837@drsohailzahir28377 ай бұрын

  • Fantastic. You are a life saver🤗

    @b221b2@b221b2 Жыл бұрын

  • 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! 🥺

    @76Pou@76Pou Жыл бұрын

    • Good 👍👍👍

      @ANKbiologyresearcher@ANKbiologyresearcher Жыл бұрын

    • Similar boat as you. Dysautanomia is the worst!

      @chooseaname1423@chooseaname1423 Жыл бұрын

  • Manu many thanks ! Great Course !

    @atarax232323@atarax232323 Жыл бұрын

  • Thank you so much for this video!

    @ancarachieriu1646@ancarachieriu1646 Жыл бұрын

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

    @nunu772@nunu772 Жыл бұрын

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

    @sudeshraghav2741@sudeshraghav27419 ай бұрын

  • Best teacher on earth

    @user-lh2lq4et3e@user-lh2lq4et3e2 ай бұрын

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

    @NURSEONDUTY0926@NURSEONDUTY0926 Жыл бұрын

    • 👌👌👌

      @ANKbiologyresearcher@ANKbiologyresearcher Жыл бұрын

  • What an amazing job Zach and the team !! Respect 🫡

    @JN-kk4nk@JN-kk4nk2 ай бұрын

  • 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?

    @alessiamelis7863@alessiamelis78638 ай бұрын

  • Just a nice little comprehensive 3 hour lecture

    @kalmenbarkin5708@kalmenbarkin5708 Жыл бұрын

  • Finally here it comes!

    @chenli0929@chenli0929 Жыл бұрын

  • 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 ?

    @sirineghribi1211@sirineghribi1211 Жыл бұрын

  • It is really impressive of your teaching.

    @greenwealth7781@greenwealth77814 ай бұрын

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

    @user-zk1wo2wx4p@user-zk1wo2wx4p Жыл бұрын

  • 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.

    @user-gk7ui9gh5d@user-gk7ui9gh5d9 ай бұрын

  • YOU ARE AMAZING!

    @parimansuri3587@parimansuri35874 ай бұрын

  • This is next level thanks

    @randhirsingh.203@randhirsingh.203 Жыл бұрын

  • u r great sir!! ur videos r v v helpful

    @zeetaj61@zeetaj6120 күн бұрын

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

    @dizzypancreaspump@dizzypancreaspump Жыл бұрын

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

    @elinaparkkonen517@elinaparkkonen517 Жыл бұрын

  • The explanation is 💯

    @richan3922@richan3922 Жыл бұрын

  • hey my name is Brandan. I love this medicine 😊

    @user-ps4ds8cb7l@user-ps4ds8cb7l2 ай бұрын

  • This is so helpful!

    @shabnamrahimi4042@shabnamrahimi4042 Жыл бұрын

  • I'm addicted to ninja nerd videos 😂

    @rubaalbarghouthi@rubaalbarghouthi3 ай бұрын

  • Thanks for nice presentation Please where we can find the lecture of cholinergic agonist video

    @mohammedmonir5295@mohammedmonir5295 Жыл бұрын

  • The beast vedio🦾🦾, once released i was going to watch it right away , then i saw it's more then 3h i hesitated.......i watched it today ,and the amount of info u get is crazy, i was waiting u mention diabetes inscipedes cuz it of the lack of ADH when u mentionned potomania......but u didn't idk why ,still that was like a massive vedio a huge subject that i wasn't really think it's that important which def it is,huge thx to the crew as well

    @selenaserane2623@selenaserane2623 Жыл бұрын

  • You are the best... Thank you ❤❤❤

    @judy_agdh_6565@judy_agdh_65659 ай бұрын
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