hey guys nurse Mike here and welcome to simplenursing.com now before we get today's lecture started please remember to access your free quiz and preview our cool Nifty new study guides not here on YouTube click the link right up here at any time during this video all right guys let's begin today we're wrapping up hyponatremia hypo meaning low ner meaning sodium and emia meaning in the blood so sodium less than 135 micro equivalents in the blood now main causes that drain sodium from the body and into the PO we use the four DS so drains like NG tube diuretics diarrhea as well as diaphoresis profuse sweating simply all fluids that leave your body have some type of electrolytes because where fluids flow electrolytes go but the other causes of low sodium we use the acronym sadh so the S is actually sadh syndrome of ineffective anti-diuretic hormone so if you guys remember ADH means add dh2o for our acronym NOW Spanish for yes is C so yes add the H2O sadh retains water dilutes sodium in the blood and so we have this low liquidy lab values called hemodilution I stands for intoxication of water so hemo dilution again leading to low sodium those low liquidy lab values a stands for a adrenal insufficiencies like adrenal crisis with our Addison's disease patients basically wastes sodium from the body and puts it in the potty D is for our diuretics like thides and Loop Diuretics generic names for hydrochlorizide and feros amide both of these are considered potassium wasting as well as sodium wasting diuretics oh wait what this oh come on man this is all I can afford after my tuition I mean I I could be hyponic you never know all right guys that wraps up our lesson here we'll see you in the next video