Hyponatremia Made Easy - Symptoms, Diagnosis, Treatment
 

ENJOY A CLEAR & LASTING UNDERSTANDING OF HYPONATREMIA DIAGNOSIS & TREATMENT

Hyponatremia is the most common electrolyte disorder that clinicians encounter. Hyponatremia is also complex and often treated incorrectly. 

Get clarity on hyponatremia with renowned instructor Dr. Seheult. Master the key clinical concepts... from hypotonic to hypertonic hyponatremia, and everything in between.


WHO IS THIS FOR? 

Clinicians (MD, DO, NP, PA, RNs) and students in a variety of specialties that encounter hyponatremia.


WHO IS THE INSTRUCTOR?  

Dr. Roger Seheult is trusted by Universities, clinicians, and students for his ability to illustrate key concepts so they are understood, not memorized...

...and clear understanding leads to mastery of hyponatremia.  Learn more about Dr. Seheult.

Dr. Seheult illustrating different hyponatremia types

WHAT YOU'LL RECEIVE FROM THIS COURSE: 

  • An understanding of each type of hyponatremia from hypertonic to hypovolemic. 
  • Initial management and treatment recommendations based on the type and cause of hyponatremia
  • A review of important concepts for understanding hyponatremia such as osmolality, tonicity, ADH, and aldosterone
  • A clinical perspective of fluid balance
  • Includes Optional 1.25 CME Credits / MOC Points / CE
  • Quiz questions to reinforce core concepts and help you study
  • 1 year of unlimited access on up to 3 devices


Start watching now (the first video is free and at the top of this page).  This complete course and CME /CE credits are available with MedCram All-Access.

Course Contents:
  • Definitions and Overview free trial
  • Quiz 1 free trial
  • Hypotonic, Isotonic, and Hypertonic Hyponatremia
  • Quiz 2
  • The Hypotonic Hyponatremias: Hypovolemic, Hypervolemic, and Isovolemic
  • Review
  • Quiz 3
Post-Course Quiz (Required for CME/CE Credits)
  • Instructions
  • Post-Course Quiz
Optional: Receiving Credits for This Course
  • Congratulations! Your CE Certificate
Congratulations! CME Certificate
  • Your CME Certificate

Course Overview

Hyponatremia Explained Clearly is a course designed to clarify, review, and augment the training and understanding of primary care clinicians in the treatment of hyponatremia. The modules included in this course take a departure from the traditional slide presentation style lecture. Instead, the course is comprised of a series of video lectures aided by real-time instructor-led chalkboard visuals. This method of learning allows for the subject matter to be broken down to the basics and is designed to increase learning and retention. 

 

Hyponatremia is an important and common clinical problem. Because there are multiple causes for hyponatremia, it is imperative for clinicians to understand how to properly interpret the various laboratory tests and differentiate the various types of hyponatremia. Many clinicians lack training, understanding, and skill in the diagnosis and treatment of various types of hyponatremia. This CME course will utilize a combination of videos, quizzes, and systematic discussion of clinical scenarios and practice cases to effectively deliver the course content. 



Course Objectives:

As a result of this educational activity, participants should be better able to:

  • Effectively identify the different types of hyponatremia and their causes.   
  • Test if the kidneys are the cause or if they are involved in the correction of different types of hyponatremia. 
  • Correctly identify the body compartments that distribute sodium and water and their involvement in the management of hyponatremia.   


Post-Test and Evaluation:

After completing the CME activity, you must successfully complete a post-test and fill out a program evaluation form. You will then be able to view and print your CME certificate.


Faculty

Roger D. Seheult, MD
Pulmonary, Critical Care, and Sleep Medicine
Beaver Medical Group, Redlands, CA
Associate Clinical Professor
UC Riverside School of Medicine, Riverside, CA
Assistant Professor of Medicine
Loma Linda University School of Medicine
Loma Linda, CA


Accreditation

ACCME AccreditedAMA PRA Category 1 Credits™: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Continuing Education Company, Inc. and MedCram, LLC. Continuing Education Company, Inc. (CEC) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Continuing Education Company, Inc. designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.25 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

To receive CME credit and/or MOC points, you MUST complete the activity and the evaluation form. For ABIM MOC points, your information will be shared with the ABIM through the ACCME Program and Activity Reporting System (PARS). Please allow 6-8 weeks for your MOC points to appear on your ABIM records.

AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.25 hours of Category I credit for completing this activity.

AANPCP: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

     Release Date: 6/21/2019
     Expiration Date: 6/21/2022 (Date after which this enduring material is no longer certified for credit.)
     Medium: Enduring Material, Video/Audio


Faculty/Planning Committee Disclosures

Review Committee:

The following individuals have indicated that he/she (nor spouse/partner) have no relevant financial relationships with a commercial interest that may impact upon this CME activity:

  • Beth Townsend, HMCC – Reviewer (Continuing Education Company)
  • Roger Seheult, MD - Faculty
  • Kyle Allred, PA-C – Planner & Content Developer (MedCram)


Faculty Disclosures:

Roger Seheult, MD (Faculty) discloses that he is a consultant for Janssen Pharmaceuticals, Inc.

Unlabeled Use Declaration:

During their presentation, faculty may discuss unlabeled or investigational use which is not approved for a commercial product. Faculty members are required to disclose this information to the audience when referring to an unlabeled or investigational use.

Statement of Disclosure and Independence:

It is the policy of Continuing Education Company (CEC) to ensure all of its accredited educational activities are designed, implemented, and evaluated in accordance with the Accreditation Council for Continuing Medical Education’s (ACCME) Criteria and Policies. In accordance with ACCME requirements, CEC has Conflict of Interest (COI) and Disclosure Policies that are designed to ensure that accredited educational activities are fair, balanced, independent, evidence-based, and based on scientific rigor.

All individuals who are in position to influence and/or control content of a CEC accredited Continuing Medical Education (CME) activity must disclose any relevant financial interest or other relationships which they or their spouse/partner have with (a) with the manufacturer(s) of any commercial products(s) and/or provider(s) of commercial services discussed in an educational presentation and (b) with any commercial supporters of the activity. (Relevant financial interest or other relationship includes such things as grants or research support, employee, consultant, major stockholder, member of speakers’ bureau, etc.) The intent of this disclosure is to provide activity participants with information to determine whether the speaker’s interests or relationships may influence the presentation with regard to exposition or conclusions. All potential conflicts of interest have been identified and resolved, and are listed above.

The opinions, ideas, recommendations, and perspectives expressed in the syllabus and accompanying presentations at this activity are those of the program authors and presenting faculty only and do not necessarily reflect the opinions, ideas, recommendations or perspectives of their affiliated institutions, Continuing Education Company, advisory boards or consultants.


Computer Requirements

Flash Player 10 or later, and one of the following browsers:

  • Windows: Internet Explorer 6 and later, Microsoft Edge (latest version), Firefox 1.x and later, Google Chrome (latest version), Opera 9.5 and later
  • Mac: Safari 3 and later, Firefox 1.x and later, Google Chrome (latest version)
  • Linux: Firefox 1.x and later

HTML5 via one of the following browsers:

  • Windows: Google Chrome (latest version)
  • Mac: Safari 6.0.5 or later, Google Chrome (latest version)
  • Mobile: Safari in Apple iOS 6 or later


Roger Seheult M.D. is approved by the California Board of Registered Nursing, Provider # CEP16824.  This course is approved for 1.25 CE contact hours.

IHSAN KHAN, MD

CHAD GLEASON

JOSEPH DIMATTEO

ALEXIA PROCHNICKI, RN

JOSE CASTELLANOS

USAMA ABOELKHEIR , MD

JUSTIN YOON

Provides an good general overall. Incorporating problems into the ppt would help solidify information further.

GENIEVE MARTINEZ, MD

MICHAL ARISH, RN

Complicated topic, but explained as clear as can be. Thank you

TRICIA LUIS

AHMED ASHOUR, MD

DAVID LILE, PA-C

Fairly complicated so I’ll have to reluctantly return to these lectures and practice in order to retain the information.

DAVID RODRÍGUEZ (Medical Student)

MARISSA MADDALENA, PA-C

Excellent! Explained thoroughly and intricately. Helped me to understand the different types of hypotonic hyponatremias.

JANINE BROOKS, NP

HUGO CATTONI, MD

NADINE DHATLY

FERNANDO MORAN

STELLA OFORI-SAMPONG

JILL MILLER, MD

FLAVIO TORRE

STEVE KUIJPERS, RN

Probably one of the best lectures on the topic of hyponatraemia. And YES, you will have to go over it again and again... Steve Netherlands

LYNN CUBELA (NP Student)

BARBARA ARONSON

5

MIKHAIL KOLOMOYTSEV (NP Student)

ANGELA STROMMER

DR. SHREYES BODDU

MARINDA NEWKIRK, NP

DEVORAH ARCHER-WEBB, PA

Explanations were clear, concise and logical. It is the best explanation of hyponatremia I have heard.

PREET SOHAL (Medical Student)

AMAZING! super clear

PEDRO PINTO, RN

Very easy to understand. Congratulations for your job and the way you explain it. However, in this particular case, the treatment of hyponatremia (not in every cases) has to be quick (not slow as mentioned) and with hypertonic saline (3% saline). I would wait for revision. Congratulations, one more time.

AUGUST OUDSHOORN

Would be nice to hear more about the actual treatment and risks associated with it like cerebral edema etc, for the rest really insightful

NATAN KHOTIANOV, MD

ANGELA BOLGER, NP

Made it easier to understand and also appreciated how it covered the causes and treatments.

MARK TRACH, MD

JASON ELLIOTT

USHA ANAND

TSENG KAI-HSIANG

Textbooks should explain the topic as you did!!! I think that understanding the topic by Physiology is a better way than just remember all the algorithm. This video is just fantastic, thank you!!!

CORY STEIGERWALD (Medical Student)

Dr. Seheult has a gift for elucidating medical topics. I'm so happy he has shared his passion of medicine and teaching on this universal platform. Thank you, you've helped me comprehend and understand so much.

THERESA SLADE-MOORE, MD

Very good explanation, easy to follow.

AMY BURKE, RN

A very involved topic well detailed.

RAYMOND TWUM-BARIMA

Well-explained. Thank you

ISABELLE JOSEPH, DNP

enjoyed it, great review, wish notes were made available for visual review as well. However always enjoy his teaching

EDUARDO SANDOVAL

Just awesome. Thank you.

ABDULRAHMAN HAMMAD

VARSHA SHAH, MD

MICHAEL HULSEY, NP

ROSANNA RANIERI

Excellent

KRISTY BENTLEY

Helped me understand the different types of hyponatremia.

MARY BUTCHER, Pharmacist

Explaining a complex topic this clearly helped me better understand hyponatremia. The diagrams using different colors were very helpful. To be honest I was struggling to visualize the different aspects of the condition. My purpose of studying this particular topic is preparation for Board Certification in Pharmacotherapy. No other presentation is so succinct and clear. Thanks.

JEFF DAVENPORT, PA

Diagnosis of hyponatremia has been truly painful for me. I have had it explained to me several times. Each time feeling as though I finally had a handle on it; however, I would be just as lost the next time I had to attempt to dx this properly. This is, without question, the best explanation of hyponatremia I have ever viewed/heard. I now have a step by step process to follow, and it makes sense. Your other MedCram videos have helped me immensely in the past. I recommend it to my colleagues regularly. Thank you. Jeff Davenport, PA-C.

ALEEA MCDONALD

Excellent explanation of Hyponatremia in its different forms. The causes of each form are clearly explained including what to do to fix each specific type. Dr. Seheult takes a complicated subject and makes it easy to understand. I believe this is vital information that could save your life!

NICHOLAS NOTTI

Incredibly simple and concise - Very helpful as a baseline introduction to sodium imbalance and useful to build off of in the future when integrating other electrolytes/physiologic effects that are intertwined. An additional video looking at how other (common) physiologic electrolytes may be involved during instances of hyponatremia could be helpful in the future, however I am sure that it is covered in other modules as well.

CHANTELLE HYMAN

Explained so well and clearly in simple and understandable terminology. Explanations and clinical correlations will definitely help when it comes to working with patients. Thanks!

MICHELE WILKINSON, NP

Excellent breakdown of hyponatremia for everyday use. Makes it very simple to evaluate.

ERIN MYHRE

This is such a confusing concept and the videos explained it perfectly and made it clinically applicable! I used a hyponatremia flow chart from AAFP that went along with the videos just like it was made for it. Thank you!!!

BRIAN BYRD

JANINE BROOKS, NP

CRESENCIA LEOPOLD

MARK GROHMAN, MD

nice overview of a complex topic

STEVEN UPTON, PA-C

SANDRA WILLOUGHBY, RN

JOEL LUCERO (NP Student)

Simplified the concept!

LORI GOLDEN, PA-C

Very good course. Challenging

MANV PANDHER, MD

ALLISON CALLAHAN , PA-C

Very helpful

MARTINA BORDINI, MD

Great work! Thank you for sharing

MOHAMED NASER

very helpful but need more details on clinical managment

JORDY LOOSER

HRVOJE MIKULIC

MILTON OMONDI

GREG GOODMAN, MD

BRYAN MCVAY, MD

CHINEDU EJIKE, MD

REUOF ALAMRI (Medical Student)

SARITA SINGH (Medical Student)

LUCAS CHANG (Medical Student)

Excellent!! Very helpful and impressive!!

STEPHEN HENDERSON

JOHN LOCK, MD

VERY GOOD FOR COMPLEX CONCEPT

JESSICA JACKSON

KRISTINA HULEN

ROBERT GARRETT, MD

Clear, concise and knowledgable

MARILYN HUAMANTLA

GARY DALLEY, MD

This is one of those topics where reading the text and looking at diagrams is not enough to master it, and simply needs to be explained. Good teachers will never become obsolete.

ANNA CENTURION, NP

MOKESH RAJ, MD

ZSUZSANNA GERENCSER, MD

FATIMA AL KHYELI

TESSA MCCLANAHAN (NP Student)

CHANEL LOCKWOOD (NP Student)

Subject matter was broken down to where it was easy to understand and comprehend! The little things such as changing the font color as you go along helps with memory as well!

CATHERINE KUADA, MD

Excellent!!! Explained what has confused me for years. I have one suggestion. Please add case scenarios/ board Certification-like questions to the last video.

MOHSEN EBNESHAHIDI, MD

EZZAT BESHAY, MD

CHRISTINA WOLF

BREANNA FELL

Awesome course, very clear and concise

DEANNA WHITEHORN (NP Student)

KEVA JOSEPH

DEANNA BENJAMIN

JOY KIM, MD

MOHAMMAD MUGHAL, MD

HANUMANTHA KOLUSU, MD

NICOLE CAMPBELL, Paramedic

AMBILY K, MD

VIET NGUYEN, MD

PAOLA MONTERO, MD

JOYCE FUSS, NP

JANET VIANA

KATEY ANDREWS

GERGANA PETKOVA, MD

TIM T, MD

JOSEPH SORRENTO, MD

This was a very clear and concise explanation of a difficult Topic

NAMUNGU SIMIYU, MD

ZIREGBE ESHEMITAN (Medical Student)

LISA ROBSON, RN

need to review

JACK SMITH, MD

NENA ROCHA

Great presentation

MELISSA LONG, NP

This is such a difficult topic for the novice. After this course, I feel I can tackle hyponatremia and collaborate with the nephrology team significantly better than ever. Thank you so much!!!

LANA BERRY, RN

I did not realize the number of ways to have hyponatremia. I will be able to address the labs better and look for signs and symptoms of hyponatremia for a quicker intervention.

AMANDA ALSTON

BRAD WITTROCK, Paramedic

LASHANDA PENN, NP

RAQUEL VELAZQUEZ, NP

ALEXANDRIA LUCAS (Medical Student)

NAM HA, MD

Awesome explanation of a difficult to understand concept! Thank you!

JORGE GOMEZ, MD

MOMINA RAHMAN, MD

MEGAN FERRON

Thank you so much! Better understanding than I got from my textbook.

KURT DATZ, MD

RACHAEL CLEGHORN

The lecture I received about this in school was not helpful or organized. As usual, Medcram came to the rescue.

BILL CLARK

Taught really poorly in my class. I actually understand it now. Well done

GRACE K, MD

Awesome

SUCHI MISHRA

ANA ANZOLA, MD

Excellent review. Thanks for this AMAZING explanation!

SAM HY, MD

H AH

CHRISTINE SLACK

YAN CHEN

KATHY KIMPLER, PA

MARK VOGEL, Pharmacist

SUHYUN LEE, MD

KENNETH RECORD

Excellent organization, appropriate background information, easy to remember.

KARIM RASHID

ELIZABETH GATHUA

JACQUELYN GONZALES

JANE FRITCHLEY

Excellent and succinct explanation of hyponatremia that can get confusing.

FEDERICO VASVARI , MD

CAITLYN GRAGG (NP Student)

TINA HARRIS, NP

LAUREN HUGHES (NP Student)

DEBORAH FINCH

Fantastic explanation!!

MARINA YUSUPOV, MD

LEE GARDNER, MD

Great discussion....best I have witnessed...very clear and organized. Bravo.

ELIZABETH JALLOH (NP Student)

Impressive

ZANE KELLY

CORNELIUS SENDAGIRE, MD

Easy to understand

BORIPAT HIRUNPAT (Medical Student)

Great course for understanding the pathophysiology of each hyponatremia type.

SUDHAKAR MANNAM, MD

MARIVIC AYAAY

KRISTIN WRIGHT (NP Student)

LUCIO BARRETO, NP

MOHAMAD KARAM BAAJ, MD

RON HEBERGER, PA-C

Excellent

JOHN MARLOWE, PA-C

Best approach I’ve seen to understanding this difficult subject

TESSA MCCLANAHAN (NP Student)

SARAH ARIF, MD

ok

MICHELLE POURTABIB, MD

KATRINA ROUSE (NP Student)

JENNIFER LORGAN

RICK KNOWLTON, NP

RAND MITWASI

great

ALLISON CHANG

LEWIS LITWACK, MD

JANET CRUZ, MD

JULIA DUNN

RACHEL WERNER

TAMMY ALVERSON, MD

HUMBERTO RIOS, MD

RICHARD GREEN

NATALIE COMISKEY

KITT LEDFORD, NP

JILL LAWRENCE

KRISTIN SHANNON (NP Student)

Very good

ALI BAALBAKI, MD

Very easy to understand. Thank you.

KIMBERLY ZAFRA (NP Student)

TAMI BELOTE

SANTIAGO ARISTIZÁBAL

SUKHVIR SINGH, MD

HEATHER MACTAGGART

SANJAY DHALL, MD

ROBIN RISHI, MD

KHALED KHASHMAN

Very good but didn’t not speak about what will happen and what symptoms might be indicative of hyponatremia.

DENNIS JONES, PA-C

ALFONSO VERA (Medical Student)

TROY RUFF (Medical Student)

JOAN TERLISNER

Explains a lot for me.

MIKHAIL KOLOMOYTSEV (NP Student)

JENNIFER JEBELES

TERESA CREIGHTON

TAHEREH MOHEB, MD

SAMUEL BAKER, RN

ANTHONY GHANEM

RICHARD BENIAN, Dentist

NEHA GUPTA, MD

GERRY PRIETO (Medical Student)

BERNARD O’FLYNN, MD

Well explained.

MICHELLE LACKAMP

MAHA ALMANSOUR (Medical Student)

MATTHEW APEDO, MD

JAMES CHIU

LILY MORAN

BHAVANA VEMULA, MD