3% NS in Severe hyponatremia treatment! Easier than you think!

When and how to use of 3% normal saline (3% NS) in hyponatremia, we will discuss the indications of using 3% NS in acute and chronic hyponatremia and the severity and symptoms of hyponatremia.
We will define acute and chronic hyponatremia then we detail the use of 3% NS in acute hyponatremia and then in chronic hyponatremia, after that, we will discuss conditions in which hyponatremia will likely correct quickly and risk factors for osmotic demyelination syndrome (ODS), and finish by discussing how to avoid overcorrection in hyponatremia and how to use desmopressin in slowing down the sodium correction.


Chapters:
0:00 Introduction
0:18 3% normal saline (NS)
1:34 Cases where 3% NS isn’t indicated
2:45 Acute vs chronic hyponatremia
4:12 Acute hyponatremia ( Postoperative and water intoxication)
5:12 The severity of hyponatremia
5:33 Symptoms of hyponatremia
5:59 Use of 3% NS in acute hyponatremia
7:44 Use of 3% NS in chronic hyponatremia
8:50 Monitoring patients on 3% NS
10:25 How to use 3% NS in acute hyponatremia
11:53 How to use 3% NS in chronic hyponatremia
14:11 The use of 3% NS chronic hyponatremia and relation to volume status
15:30 The risk of hyponatremia overcorrection and Osmotic demyelination syndrome
16:31 Conditions in which hyponatremia will likely correct quickly
17:11 Risk factors for Osmotic demyelination syndrome (ODS)
17:51 How to avoid hyponatremia overcorrection
19:12 The use of Desmopressin and 3% NS in preventing overcorrection in hyponatremia
20:13 The use of free water and D5W in slowing down the overcorrection in hyponatremia



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