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.
This table is a guide. The effect on serum and urine osmolality can vary depending on the individual clinical situation - eg, hypernatraemia may cause a decreased urine osmolality and hyponatraemia may cause an inappropriately increased urine osmolality.