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disorders of sodium are actually disorders of free water we use sodium as a surrogate for how much free water there is in the body that is to say sodium is a measure of tonicity how much stuff there is in the blood rather than how much salt so when you say disorders of sodium think of disorders of water that will become apparent as we go through this lecture let's start off with a general concept of tonicity the body is just like in general chemistry there are two compartments separated by a semi permeable membrane this is the blood and this is the cells normally there is homeostasis or equilibrium there's just as much volume as there is stuff if you have hyponatremia that is too little stuff in the blood the system is going to change you have too little stuff in the blood and the cells are normal if you remember from general chemistry water is going to move from a concentration that is lower to a higher concentration so water is going to move from the blood into the cells this is a p

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