Why Correcting Hyponatremia by 6-8 mEq/L/day Is Wrong
Вставка
- Опубліковано 1 жов 2024
- An interesting article came out recently in NEJM looking at this issue as well as the rate of central pontine demyelinolysis / osmotic demyelination syndrome.
If you are interested in more videos like this one, check out my playlists!
Here is one containing all my guides for medical students :)
• Medical School Guides
This playlist includes all my guides for residents and interns!
• Residency Guides
Here are some guides / tips / tricks for using Epic.
• Epic EMR Guides
Finally this is a playlist of all my other videos where I muse about life as a resident and as an attending, do Reddit reviews, etc! :)
• Conan's Residency Play...
TOOLS I USE
Microphone - Samson Q2U amzn.to/3eZHt3Q
Camera - Canon M50 Mark II amzn.to/3qigSZ1
Mouse - Razer Viper Wireless amzn.to/3Kna2bw
Keyboard - Cidoo ABM084 Gateron Pro Yellow amzn.to/3OfyMnf
Chair - SecretLabs Titan Regular Ash amzn.to/3DFuoci
Video Recording - Open Broadcaster Software obsproject.com/
Editing Software - DaVinci Resolve amzn.to/3qjJXDh
Lighting - YICOE Softbox Lighting Kit amzn.to/339VOrI
Tablet - XP-PEN Deco 01 V2 amzn.to/3tGcX6N
Tripod - Ulanzi MT-34 Extendable Tripod / Selfie Stick amzn.to/3G3cksb
CONNECT WITH ME
Website - www.conanliumd...
Email - conanliumd@gmail.com
Twitter - / egsuppy
Discord - / discord
Yes please make journal club a thing in ur channel… like weekly or monthly
Thanks man! I’m third year about to start fourth year AI in IM. Any chance you could do a beginner video about putting in orders for the first time in epic or general tips transitioning to intern year responsibilities? Really been enjoying your vids
The type of study is probably not robust enough to sway clinical practice. As you stated the lower correction group seemed generally sicker. There is also a caveat in Na correction in which symptomatic hyponatremia with seizures does need hypertonic boluses to rapidly correct for seizure treatment. Delineating that group would be important as it would be a confounder or effect modifier. Its interesting that outcome of CPM werent so catastrophic but as far I know Id still err on avoiding CPM.
Nice review! I always wondered why our nephrologists were so liberal with their sodium correction.
I have a question for you. When you have a case of hyponatremia from severe hyperglycemia (ie. dka) and as you correct the BG, sometimes the Na corrects rapidly. Do we have to worry about that (keeping in mind this is a true hyponatremia and not pseudo like many ppl say but at the same time no hypotonic state was made from the beginning given the hyperglycemia so risk of OD should be low?)?
Interesting data…thanks for sharing.
I was wondering if you could make a video on how your process of reading and evaluating scientific papers. I am a 6th year medical student in the EU trying to updated by reading papers
I'm a medical student in the UK & hope to go into clinical academics - finding the journal club videos really enjoyable and useful! Keep them coming!