An attempt to teach medicine targeting viewers from a broad demographic including nursing and medical students, interns, residents, nurse practitioners, physician assistants, and physicians using the latest evidence-based medicine.
I met a Boston flight medic at a critical care, conference, and he said he wants transported a patient that was on 500 mcg a minute of norepinephrine. Also, all the other vasopressors, too like vasopressin, epi, dobutamine, methylene blue.
Great advice doc, in my experience in critical care and flight nursing it’s physicians like your self who have taken the time share their knowledge with me that have made the greatest impacts on my career as a critical care RN. I’m just beginning my Acute Care NP program this fall. Your advice brought to light some new facts for me to investigate. Thank you keep up the good work on this channel 🤙
Great advice doc, in my experience in critical care and flight nursing it’s physicians like your self who have taken the time share their knowledge with me that have made the greatest impacts on my career as a critical care RN. I’m just beginning my Acute Care NP program this fall. Your advice brought to light some new facts for me to investigate. Thank you keep up the good work on this channel 🤙
Well I got dystonia and restlessness but it was for nausea. I can't by the best of me imagine this drug to be a good drug. Just stop ot with it and find something better.
I took the Internal Medicine Boards 1996. I haven't taken it again. That is eighteen years ago. I read the MKSAP only and managed to pass the first time back then. However, I have very limited chronic internal medicine work history, doing mostly ER now. However, even to work ER with an internal medicine training if I don't get certified again, they want it renewed to gain other ER jobs. It is totally different practicing of medicine. Just wondering if I have to do MOC training, too?
Is a simple fingertip pulse oximeter measuring both arterial and venous blood? If so, could a high reading be bad if oxygen is not being utilized and just recirculating? Also, What about using thiamine and Methylene Blue to increase oxygen consumption by the mitochondria? What would you say is happening when after breathing 90% oxygen for a few minutes and a pulse oximeter reads 100‰ , this 100% can be hit for many minutes afterwards, when normally it would be much lower? Any ideas?
And notice you said they told him to cut down, but didnt say how much of it he was eating. Then i the end you say “everything in moderation”. Lol okay bro. You’re not very bright
Just because you look healthy doesnt mean your blood is. Red meat increases fat in your blood. If all you eat is red meat or if you eat it a lot, you will clog your arteries. Its simple science. You could look as healthy as you want, fit doesnt equal healthy. You could be fit eating junk food, its about the calories you take in.
This is interesting. I suspect I had serious low potassium that went unnoticed by my doctors last year, crawling through the eye of the needle. They tested all my electrolytes right away after I went to ER with my symptoms, but only serum so it came back normal and they dismissed me as being healthy aka its all in my head. I have been sick for almost two years now, and only my own research and analysing brought me recently to the idea I might have been low on potassium all this time (extreme fatique to a point I was afraid to die which probably was such a low level of potassium that I would pass out, but my common sense told me to drink some juice and take a multivitamine which happened to contain potassium as well and electrolytes right away), numbness, digestion issues, arrhytmia, high bloodpressure, issues with water balance, muscle tremors I had it all. I also had all the issues that deplete potassium like magnesium deficiency, malnutrition, stress, sweating too much, drinking too less etc). But my doctor wont test me on cellulair level, still not with all the possible evidence. The way I kept going and went from being mostly in my bed too lethargic to live back to getting my life back, for me was really eating things high in potassium as I realise now and supplementing magnesium. Lately I have been taking extra potassium both supplement and diet rich in potassium, but the effect is not really big, eventhough I do function again. After watching this video I decided to swap a bit my supplement protocol and take magnesium 1-2 hours before potassium and not just before bed time and today I felt a difference. No more dizziness, no more palpitations and my heartrate kept more steady as well. I have been supplementing magnesium for a while now, just not close to my intake of potassium. I must say I have good and bad days, it could be coincidence but magnesium seemed to give me benefit anyway. But now I will take it more smart. Step by step Im getting healthy again, but if potassium was the cullprit all along, I´d be happy to finaly have an answer to my mysterious disease.
@@anthonywilliams3822 it sucks doesnt it? It makes me wonder how many suffer or even die because of a so often simple to treat low potassium levels just because they dont test properly. High potassium is easy to see on ECG but low potassium isnt (?). My ecgs were always good. They never catch the arrhytmia which typically occure when being active. They get less and if I feel them I take electrolytes to deal with it.
@@AnnaMaria-zm8cv Absolutely, I've often wondered the same thing. Plus, because restoring potassium/magnesium levels can take some time it's hard to stay the course without some sort of guidance.
@@anthonywilliams3822 yes I notice it with myself. I feel so much better but sometimes like today I feel like its something else because the symptoms are back however much milder than before. I now took on a more specific diet plan guided by some experts (at least I hope) which gave me some advise on additional supplementing. I hope my doctor soon makes some time to explain why I already wait 8 months for a heart monitor and maybe have some reliable bloodwork done to know if electrolytes are indeed the cause.
Med student here - how important is it that I get a good foundation in DL as we go more and more to ubiquitous VL? Feels like based on this video and what I have seen, DL is just something that is getting phased out (or just a superior standard of care, VL, is being phased in)