ENJOY A CLEAR & LASTING UNDERSTANDING OF HYPONATREMIA DIAGNOSIS & TREATMENT
Hyponatremia is the most common electrolyte disorder clinicians encounter. It is also complex and often treated incorrectly.
Dr. Roger Seheult brings clarity to the key clinical concepts, from hypotonic to hypertonic hyponatremia and everything in between.

WHO IS THIS COURSE FOR?
Physicians, nurse practitioners, physician assistants, nurses, and students in any specialty that encounters hyponatremia.
WHO IS THE INSTRUCTOR?
Dr. Roger Seheult, MD, is quadruple board certified in internal medicine, pulmonary medicine, critical care, and sleep medicine. He is trusted by universities, clinicians, and medical learners worldwide for his ability to illustrate complex topics so they are understood, not memorized.
Clear understanding leads to confident clinical decisions and reduces information overload.
WHAT YOU'LL RECEIVE IN THIS COURSE:
- An understanding of each type of hyponatremia, from hypertonic to hypovolemic
- Initial management and treatment based on the type and cause
- A review of osmolality, tonicity, antidiuretic hormone (ADH), and aldosterone
- A clinical perspective on fluid balance
- A bonus case study on preventing osmotic demyelination syndrome
- Quiz questions to reinforce core concepts and help you study
- 1.25 CME (Category 1), MOC Points, and CE credits included
- 1 year of unlimited access on up to 3 devices
Included in MedCram All-Access, which unlocks all 60+ courses, plus 70+ hours of CME/CE credit.
Course Contents:
- Definitions and Overview free preview
- Quiz 1 free preview
- Hypotonic, Isotonic, and Hypertonic Hyponatremia
- Quiz 2
- The Hypotonic Hyponatremias: Hypovolemic, Hypervolemic, and Isovolemic
- Review
- Quiz 3
- Bonus Case Study: Low Sodium and How to Prevent Osmotic Demyelination Syndrome
Post-Course Quiz (Required for CME/CE Credits)
- Instructions
- Post-Course Quiz
Optional: Receiving Credits for This Course
- Congratulations! Your CE 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
AMA 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.
AANPCB: The American Academy of Nurse Practitioners Certification Board (AANPCB) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
Release Date: 6/21/2021
Reviewed Date: Reviewed and extended on 6/22/2024
Expiration Date: 6/21/2027 (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.
Featured reviews
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.
Devorah Archer-Webb, PA
Explanations were clear, concise and logical. It is the best explanation of hyponatremia I have heard.
Mary Butcher
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.
Melissa Long
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!!!
Michele Wilkinson, NP
Excellent breakdown of hyponatremia for everyday use. Makes it very simple to evaluate.
Michael Glendening
Very helpful to get my bearings in an urgent/emergent care position after years of out-patient medicine.
Thomas Pryor
Unequivocally the most comprehensive understandable framework for approaching hyponatremia that I have ever heard! Excellent course!
Lana Berry
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.
Rachael Haines
I feel much more confident now in understanding causes and treatments for the different types of hyponatremia. Thank you.
Rachael Cleghorn
The lecture I received about this in school was not helpful or organized. As usual, MedCram came to the rescue.
All reviews, Most recent first
BORIPAT HIRUNPAT (Medical Student)
Great course for understanding the pathophysiology of each hyponatremia type.
LUCAS CHANG (Medical Student)
Excellent!! Very helpful and impressive!!
FEROZAN KARIMI , MD
Excellent
- Quadruple Board Certified in Internal Medicine, Pulmonary Medicine, Critical Care, and Sleep Medicine.
- Over 20 years teaching experience as both an exam preparation instructor and an assistant professor of medicine.
- Experience as a medical director for both a Southern California Physician Assistant Program and a Respiratory Therapy Program.
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