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What Causes Low Sodium? Hyponatremia Workup (Lab Interpretation for New Nurse Practitioners)

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Real World NP

What causes low sodium? It's common in primary care, and sodium is all about the kidney (& renal physiology can be ). But wait!

In this video, I'm breaking it down into simple, digestible steps to take for your workup and eval, so you don't have to melt your brain analyzing sodium channels.

In this video you'll get:

How to know when your patients need to go to the ER, and when you can work them up outpatient for low sodium
The simplest way to think about low sodium
How to know if your patient needs IV fluid (or if that'd be the worst possible thing to do for them)

ERRATA: In the algorithm part 2, I said SIADH = high uric acid but actually it's LOW, so please excuse that error. And for volume overloaded states it tends to be higher (not low) (time stamp 21:25)

The patient's labs say a GFR of 32 with a creatinine of 0.8 NOT correct I said the GFR was normal (that's not, and it doesn't match!). Not sure what was going on that day of recording but I believe his Cr was accurate, which would make his GFR normal, over 60 (3:43)


I quoted Dr. Joel Topf (Adds Hydration Hormone): https://thecurbsiders.com/medicaledu...

Here's the full electrolyte book he wrote: https://pbfluids.com/2017/09/theflui...


Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guide?utm...

More Resources:
Lab Interpretation Crash Course: https://www.realworldnp.com/labs?utm_...

Digital NP Binder: https://www.realworldnp.com/binder?ut...

Diabetes Medication Workshop: https://www.realworldnp.com/diabetes

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posted by kodenj9