Sodium - Clinical

In this course, you will learn how to investigate cases of hyponatremia based on assessment of the patient’s fluid status and plasma osmolality.

1.0 x AMA PRA Category 1 Credits™
Available on the Pro Plan

PLAY INTRODUCTION

Overview

In this course, we teach you the importance of measurement of plasma osmolality and assessment of fluid status in guiding the investigation of a patient presenting with hyponatremia. We will take you through case examples which demonstrate the value of this approach in practice.

Faculty

Planner and Author: Dr John Seery MB PhD

  • Consultant Physician at St. Vincent's University Hospital, Dublin, Ireland
  • Lecturer at the School of Medicine and Medical Science, University College Dublin, Ireland
  • Studied medicine at the University of Cambridge, United Kingdom
  • A Natural Sciences graduate of Trinity College Dublin, Ireland
  • PhD in Cell Biology from University College London, United Kingdom


Planner: Dr Karen Strahan PhD (University of Cambridge), Head of Editorial
Planner: Tommy O'Sullivan, CME Manager
 

Estimated Time to Complete

1.0 hours

Target Audience

  • Physicians
  • Nurses
  • Nurse Practitioners
  • Physician Assistants
  • Paramedics

Learning Objectives

Upon successful completion of this activity, you will be able to:

  • Explain the physiology of sodium homeostasis in the body
  • Categorize cases of hyponatremia based on patient fluid status and plasma osmolality
  • Investigate cases of hyponatremia based on patient clinical history and fluid status
     

Course Content

  • Introduction
  • Appropriate Hyponatremia
  • Hypoosmolar Hyponatremia
  • Hypervolemic - Part 1
  • Hypervolemic - Part 2
  • Euvolemic
  • Hypovolemic
  • Hyponatremia - Case Examples
  • Quiz
  • Essential Reading

Release date

31-JUL-2020

Expiration date

30-JUL-2023

Instructions for Participation

Participants must complete the online activity during the valid period as noted above.
Follow these steps:

  1. View videos in sequence
  2. Read the papers on the essential reading list
  3. Complete the quiz
  4. Complete the activity evaluation form to provide feedback for continuing education purposes and for the development of future activities
  5. Download the Certificate of Completion

Relevant Financial Disclosures

Planners and faculty for this activity have no relevant financial relationships with commercial interests to disclose.

Bibliography

Thompson CJ and Crowley RK. Hyponatremia. J R Coll Physicians Edinb. 2009;39:154-7.
http://www.rcpe.ac.uk/journal/issue/journal_39_2/thompson.pdf

Nagler EV et al. Interventions for chronic non-hypovolaemic hypotonic hyponatremia. Cochrane database Syst Rev. 2018;20(18):CD10965.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6513194/

Additional Reading

Braun MM et al. Diagnosis and Management of Sodium Disorders: Hyponatremia and hypernatremia. Am Fam Phys. 2015;91(5):299-307.
https://www.aafp.org/afp/2015/0301/p299.html

Hoorn EJ and Zietse Diagnosis and treatment of Hyponatremia: Compilation of the guidelines J Am Soc Nephrol. 2017;28(5):1340-9.
https://jasn.asnjournals.org/content/jnephrol/28/5/1340.full.pdf?with-ds=yes

Spasovski G et al. Clinical practice guideline on diagnosis and treatment of hyponatremia. Nephrol Dial Transpl. 2014;29(2):i1-i39.
https://eje.bioscientifica.com/view/journals/eje/170/3/G1.xml

ACCME Accreditation Statement

Acadoodle, Ltd is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement

AMA Physician’s Recognition Award

Acadoodle, Ltd designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 
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