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!
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. :)
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.
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.
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 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.
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.
