Hyponatremia
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 1 November 2018
⏱️ 10 minutes
🧾️ Download transcript
Summary
Today, we're going to do a quick systematic review of hyponatremia.
If you're one of the few who know all the causes and correlating serum osmolality, urine osmolality, urine sodium values, and corresponding treatments - then this podcast is not for you lol.
But, for those who struggle with hyponatremia, like I do at times, then have a listen as I break this down this complicated topic for you.
After this podcast, you'll feel a lot more comfortable when a patient comes in with hyponatremia.
-
Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.
This looks different to everyone, which is why we take such a personalized approach.
Whether you want to ...
- Stop taking your work home
- Have the skillset to work autonomously
- Improve your work life balance
https://medgeeks.co/about-us
-
Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:
-
This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Dean what's happening |
| 0:02.3 | Zach here from med geeks so today we're going to do another quick systematic review |
| 0:06.9 | this time we're going to focus on hyponatramia okay so before you scroll to another podcast, if you can honestly review in your head right now all the causes of hyponatremia and the correlating ceramosum, urine-ozum, and urine sodium values, and the treatments for all, then be my guess |
| 0:26.6 | pass go, however I'm pretty sure everyone struggles with hyponatremia over and over again. I know I do so have a listen as I break down this topic. |
| 0:36.0 | All right. Hyponatremia. Introduction |
| 0:40.0 | hyponatremia is diagnosed when the serum sodium is less than 135. |
| 0:45.0 | So when the labs come back and show sodium below 135 there are few things you need to |
| 0:51.6 | review in order. First, what is the patient's mental status? |
| 0:55.6 | Hyponatremia normally less than 115 and altered mental status is a very |
| 1:00.4 | bad thing. Does the patient look dry, normal, or overloaded? Now volume |
| 1:07.8 | status is tough, but here are things that I try to look for that help me decipher whether the patient's dry or overloaded. |
| 1:16.0 | Dry would be things they have dry lips, tongue, they have dry axilla, and extremities, they're a little |
| 1:22.2 | tachicardic. They may have an elevated |
| 1:24.4 | b-winn to creatinininin ratio. They have an increased to matichrit. |
| 1:28.2 | urine-specific gravity is greater than 1.0.30. |
| 1:34.1 | And then there's the overloaded patient. |
| 1:36.3 | That's someone who looks at Demenis. |
| 1:37.8 | They have JBD, they have pitting edema, lung crackles on exam. |
| 1:42.0 | Also, look to see if they have a history of heart failure, |
| 1:44.2 | cirrhosis, or CKD. It helps push you towards deciphering the |
| 1:48.0 | overloaded state. And if they're neither of these dry or overloaded features, then |
| 1:52.4 | they're evolemic. |
... |
Please login to see the full transcript.
Disclaimer: The podcast and artwork embedded on this page are from Medgeeks, and are the property of its owner and not affiliated with or endorsed by Tapesearch.
Generated transcripts are the property of Medgeeks and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.
Copyright © Tapesearch 2026.