This is the best video I came across so far. My instructor did a wonderful job confusing us all so I am glad I came across this. She admitted it was a hard topic to teach and for us to study on own own...The lecture was more confusing than reading the book. When I watched this it's all making sense and I will just put my notes from this to fill in the blanks. Thanks a lot!
The absolute best video I've watched so far....THANK YOU....THANK YOU. .THANK YOU!!! starting med surge 3 in January...fluid and electrolytes are first in the test!!!! I will be listening to this all the way up until I go back to school. I'm sure I'll be good with this video!☺☺
I am looking forward to seeing what you are coming out with next! You have really helped me fully understand this stuff! Keep up the good work and thank you!
This was a very helpful video as it followed my book (Lewis Med-Surg)! I really appreciate you posting this. If you take suggestions, I would like to suggest a lecture video on Acid-Base. Thanks!
It worked fine when I watched it. Maybe it's an internet connection thing. I'm going to upload it again just to make sure there isn't anything I can fix on my end. Thanks for letting me know about the problem.
Nothing on Burns yet. I'm trying to get all topics completed by Oct 1st, but most will only be available when the app is released. Keep watching though to see what I might post. :)
I really like yoru videos. I am confused on the mnemonic. I love the idea of this, but what about diabetes insipidus? I thought diabetes insipidus was hypernatremia, and ADH not being produced, so patient was urinating excessively. Allowing for increased serum sodium levels, concentrated serum osmolality, and dilute urine osmolality? When I see the D in Fried that is a bit confusing when i try to put the pieces of the puzzle together. Everything else is crystal clear. and great video.
Lorie Hassel I think I understand, that I should think of the decreased urine output , as a defect in the renal system. The sodium in the urine is holding onto water? The renal system is not excreting the sodium in the collecting duct, its reabsorbing.
Lorie Hassel Thanks for this comment! I was also a little confused. I was glad that she mentioned that DI was a reason for hypertonic fluid volume deficiencies, but then it got confusing as she went on to discuss all but the hypotonic fluid volume deficits -- and her descriptions of symptoms DON'T describe DI patients. As I understand it, DI patients wouldn't present with high specific gravity and low sodium. It'd likely be reversed - they'd have low SG and high sodium. In THAT case, you might be inclined to diagnose them as having fluid excess and restricting fluids, but that would be very very bad for a DI patient. And, on the other hand, if they're being treated for CDI and have taken too much DDAVP, you could get hypotonic reactions that mimic SAIDH syndrome. So nurses need to know to look for both low sodium and high sodium in DI patients.
I think it's confusing because it's not that a low fluid volume would cause a low sodium level, it's actually explained better as...a low sodium level can cause a low fluid volume. so if the reason why you have a low fluid volume is a low sodium then yes the sodium will be low. if you have a low volume due to water input then sodium level should be higher because your blood becomes hypertonic. let me know what you think of this explination. I'm not too sure either but I think it's just how she is explaining it.
This bugs me. When. A person has a fluid deficit the Na+ is high. When there is less fluid in the body the Na+ is more concentrated. In the video it says Na+ is low?? Then it says for excess that the Na+ is high?? What? That's not right.
Why would you give diuretic to a hypernatremic patient?It kind don't make sense to me. Diuretic will only make it worse since you are going to lose even more water with diuretic which will make the patient become even more hypernatremic.
How can you say fluid volume deficit and have "water intoxication" !! that is so stupid! And why on earth would you have a low Sodium value in the blood in a hypetonic dehydration?!!
This is the best video I came across so far. My instructor did a wonderful job confusing us all so I am glad I came across this. She admitted it was a hard topic to teach and for us to study on own own...The lecture was more confusing than reading the book. When I watched this it's all making sense and I will just put my notes from this to fill in the blanks. Thanks a lot!
The absolute best video I've watched so far....THANK YOU....THANK YOU. .THANK YOU!!! starting med surge 3 in January...fluid and electrolytes are first in the test!!!! I will be listening to this all the way up until I go back to school. I'm sure I'll be good with this video!☺☺
This was SO helpful! Really drove home the important S/S to distinguish between various disorders.
I love your videos! Your videos help me to organize all the info in my head and understand it instead of memorizing it. Thank you!
Thank you for providing lecture material that a student such as myself can understand and follow along with. 👍
Having a test on exactly this in two weeks, thanks sooo much, very informative and well organized...thanks!!!!!
Thank you!
I hope that you continue to make more videos. You are a live saver!👍🏻😀
This video hits the most important points for med-surg THANK YOU!!!
Thanks- I love learning through audio/video...brightens up my textbook life!
Sometimes hearing it from a different person or just hearing it again makes all the difference in the world!
Megan McClintock
Another great video, easy to understand, You are a very good educator!! Looking forward to your teaching videos.
Same stuff my instructors are covering, but this makes a lot more sense!
I am looking forward to seeing what you are coming out with next! You have really helped me fully understand this stuff! Keep up the good work and thank you!
love it. am having my finals for med surge in 2 weeks so this helped alot. thanks
I was having a difficult time with F&E. thank you so much for this!
You are a GREAT PROFESSOR!!!
great video...however nothing was said about CL... was it an omission?
This was a very helpful video as it followed my book (Lewis Med-Surg)! I really appreciate you posting this. If you take suggestions, I would like to suggest a lecture video on Acid-Base. Thanks!
It worked fine when I watched it. Maybe it's an internet connection thing. I'm going to upload it again just to make sure there isn't anything I can fix on my end. Thanks for letting me know about the problem.
Love your video.. so helpfull.. I am a nursing student and very helpful for us . not so many nursing videos on youtube . thanks a lot
Nothing on Burns yet. I'm trying to get all topics completed by Oct 1st, but most will only be available when the app is released. Keep watching though to see what I might post. :)
Your are amazing!!! Thank you!!! Please more video for medsurg. I am willing to pay for subscription for your lectures if its all like this.
Please please make more videos to help us students. I can’t say thank you enough for your videos.
Very clear and concise, really helped, thank you!!!!!
Great video....thank you for explaining everything so clearly...
Nice pacing. Very succinct. Easy listening. : )
Very helpful do you have anything on perioperative nursing.
This is so awesome!! Thanks for all the help!
This was really helpful and thank you. Looking forward to other videos
Awesome lecture very educational and enlighten!
Love your videos! Is there somewhere I can print the power points to match?
Excellent. Do you have any lecture on Burns? Thanks
Thank you so much, this is very helpful information for my med-surge class.
Great video. Wish Chloride would of been included though.
i needed a review for electrolytes and this video i find very helpful thank you so much!
thx Megan--the mnemonics were super helpful
I really like yoru videos. I am confused on the mnemonic. I love the idea of this, but what about diabetes insipidus? I thought diabetes insipidus was hypernatremia, and ADH not being produced, so patient was urinating excessively. Allowing for increased serum sodium levels, concentrated serum osmolality, and dilute urine osmolality? When I see the D in Fried that is a bit confusing when i try to put the pieces of the puzzle together. Everything else is crystal clear. and great video.
Lorie Hassel I think I understand, that I should think of the decreased urine output , as a defect in the renal system. The sodium in the urine is holding onto water? The renal system is not excreting the sodium in the collecting duct, its reabsorbing.
Lorie Hassel Thanks for this comment! I was also a little confused. I was glad that she mentioned that DI was a reason for hypertonic fluid volume deficiencies, but then it got confusing as she went on to discuss all but the hypotonic fluid volume deficits -- and her descriptions of symptoms DON'T describe DI patients. As I understand it, DI patients wouldn't present with high specific gravity and low sodium. It'd likely be reversed - they'd have low SG and high sodium. In THAT case, you might be inclined to diagnose them as having fluid excess and restricting fluids, but that would be very very bad for a DI patient.
And, on the other hand, if they're being treated for CDI and have taken too much DDAVP, you could get hypotonic reactions that mimic SAIDH syndrome. So nurses need to know to look for both low sodium and high sodium in DI patients.
Thank you for the valuable material
Great lecture!! But about 10 minutes in the pp slides get too blurry to view :/
Can you make video on endocrine systems and hormones. Thank you!!!
If calcitonin reduces resorption of calcium to the bones, how does it decrease levels?
Tim Glavin Lowered resorption leads to less Calcium going back into the bone. It can be excreted then.
I love this video to use in my class. Could we have a copy of the slides for note-taking? Thank you so much for posting this! Very helpful...
I have posted the slides to my website (www.pocketprofapps.com)
Megan McClintock Wow! You are such a nice lady to share all this information. Thank you very much!
Thank you so much for doing this.
Thank you❤
Thank you so much!
your the best this has help me in med surg. thanks so much
I really like your videos but I was confused on why you said fluid volume deficit would cause low NA? Can you please clarify?
I think it's confusing because it's not that a low fluid volume would cause a low sodium level, it's actually explained better as...a low sodium level can cause a low fluid volume. so if the reason why you have a low fluid volume is a low sodium then yes the sodium will be low. if you have a low volume due to water input then sodium level should be higher because your blood becomes hypertonic. let me know what you think of this explination. I'm not too sure either but I think it's just how she is explaining it.
Wondering if it is possible to get a copy of the slides to print and study?
Sure, please send me your email address.
You have helped me understand F+E after watching your presentation. Could you send me a copy of your F+E presentation?
Tim Arnavas You will have to send me your email address.
I have posted the slides to my website (www.pocketprofapps.com)
Awesome!
This was great, thank you
Thank you so much. this video helped me so much, and you answered all my questions that i had ;)
Thank you so much for this
THANK YOU
This bugs me. When. A person has a fluid deficit the Na+ is high. When there is less fluid in the body the Na+ is more concentrated. In the video it says Na+ is low?? Then it says for excess that the Na+ is high?? What? That's not right.
In acute kidney failure or diuretics overdose, you can lose more Na than water.
great video
Thank you very helpful!!
Sorry- I'm sure something is wrong with my phone because all my videos are blurry all of a sudden.
why is chloride not in it????? wonderful video though!
Amazing!
VERY HELPFUL..
Why would you give diuretic to a hypernatremic patient?It kind don't make sense to me. Diuretic will only make it worse since you are going to lose even more water with diuretic which will make the patient become even more hypernatremic.
How can you say fluid volume deficit and have "water intoxication" !! that is so stupid! And why on earth would you have a low Sodium value in the blood in a hypetonic dehydration?!!
thanks
Is there a way to get this power point that she uses?
Cool
great video