Lice Treatment: Examples of Over-the-Counter Products. Lice Treatment: Examples of Over-the-Counter Products. Lice Treatment: Examples of Over-the-Counter Products. There are quite a few over-the-counter products that claim to kill lice or their eggs (nits). Permethrin 1% creme rinse (such as Nix). Pyrethrins and piperonyl butoxide shampoo (such as RID).
In general, if someone has an increased serum osmolality, it is due to either decreased water in the blood or increased solutes. If the person has decreased serum osmolality, it is due to increased fluid levels.
In the setting of excess fluid intake, a healthy kidney can concentrate urine to 800-1,400 mOsm/kg of water; the minimal osmolality is 40-80 mOsm/kg of water. In the setting of dehydration, the urine osmolality should exceed the plasma osmolality 3- to 4-fold.