00:00
We know that urine specific gravity,
the more dehydrated a patient is,
the higher the specific gravity
number will be.
00:08
So were you able to remember that
normal is this value?
Did you recognize when we say,
a higher specific gravity number,
it would be moving towards
0.30 or past it.
00:20
Okay, those are really
important concepts.
00:22
So dehydration,
- look, wait a minute,
1.025
is still within normal range.
00:29
Yeah, it is.
00:30
But you're definitely moving towards
with pretty severe dehydration.
00:34
So when you see this number,
remember that it's a spectrum.
00:38
It's not like 1.29 is fine.
00:41
1.31 is, Whoo!
danger Will Robinson.
00:44
You have to know that
this is a spectrum.
00:46
Certain patients
are going to be impacted
by dehydration
more than others.
00:51
So know that, as my patient is
becoming dehydrated,
that number gets higher.
00:57
Yes, it's still within normal range,
but that means
they should respond fairly quickly
to volume replacement.
01:04
Now severe dehydration
is past that number of 1.030.
01:10
Now the quick quiz,
if I'm severely dehydrated,
if I have a urine specific gravity
of 1.35,
is my blood pressure
high or low?
Right, low.
01:18
Is my heart rate
high or low?
Right, high.
01:22
Make sure you have that
concept solid,
so you can recognize it
in a clinical setting.