This was another great video - thank you for continuing to connect the dots for new NPs! I would love and greatly appreciate a diabetes video, especially when to start insulin, how to adjust, etc. That's all so complicated if you have no experience!
Oh good!! I'm so glad! You're so very welcome. Connecting the dots is such a good descriptor for the new NP process. Absolutely!! I've had a lot of questions about diabetes, I'll work on that for sure. There are SO many places to go with it but it sounds like the biggest struggle is uncontrolled, multiple meds, starting and titrating insulin. Another note is that there's an NP on youtube called the Diabetes NP that's doing a medication series if you want to check it out in the meantime!
I think it would be helpful to do a video about how you go about tackling all the lab abnormalities and triaging what can wait and what needs to be addressed immediately Great video!
Totally! I just replied on the Hyponatremia video but I think unfortunately the more I learn about and understand lab interpretation, the more nuanced and complex I realize that it is! I've tried to cover the most straightforward (ish) ones here, but I've also got a lab interpretation course starting in January that covers them all more in depth if you're interested! You can join the waitlist at realworldnp.com/labs :)
You are a such knowledgeable FNP!!! I am sooooo thankful for all the time and effort you put to share these videos with us. Please share diabetes management and starting pts on insulin. Thank youuuu!!!!
Intervention such as these are usually not prescribed in the outpatient setting. If the patient is fragile they should be closely monitored especially with these interventions.
I know this is a video about hyperkalemia, but in the real world would we also check the patient for ketones with that high of a random glucose stick? Could the kidney issues be acute on chronic with dehydration/CKD?
Yeah it depends, but typically they need a stat recheck for potassium higher than 6+ , and the place to order those and get a quick result are from a monitored place like the ER. Even when we order stat labs in primary care, it takes a few hours to come back, and the ER can monitor them if they need to. That's especially the case if they have impaired renal function
