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.
An increase in serum sodium concentration is almost always a reflection of water loss rather than sodium gain. Water loss results in the development of plasma hyperosmolality; via hypothalamic sensors, this acts as a stimulant to thirst and production of ADH.