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Epinephrine - Critical Care Medications 

ICU Advantage
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A quick review of the uses of Epinephrine in critical care. This is the first lesson in a new weekly series looking at different critical care medications and quickly reviewing information about each.
0:00 Intro
0:48 Basic Info
2:23 Concentrations & Routes
3:51 Uses in Critical Care
4:13 Cardiac Arrest
5:05 Hypotension/Shock
5:40 Anaphylaxis
6:51 Laryngeal Edema/Stridor
8:14 Asthma
9:08 Local Anesthetic
10:10 Conclusion
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Check out these other great lessons and series of lessons below!
✅ Hemodynamics: • Hemodynamic Principals
✅ Shock: • Shock
✅ ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
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✅ ECMO: • ECMO
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#ICUAdvantage #Medication #Epinephrine

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27 июл 2024

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Комментарии : 105   
@petagayeg.1017
@petagayeg.1017 3 года назад
You're helping me survive my ICU orientation
@ICUAdvantage
@ICUAdvantage 3 года назад
Makes me so happy to hear I have been able to help in some way!
@shilohpeterson5307
@shilohpeterson5307 3 года назад
Thank you so much for these videos! Great info for new nurses, but also good refresher for those of us who have been in nursing/ICU for a while
@ICUAdvantage
@ICUAdvantage 3 года назад
Awesome to hear! That's my whole goal! :)
@twinklelight1362
@twinklelight1362 2 года назад
Thank you so much for such comprehensive presentation of the uses of Epi! It helps me a ton in understanding it!!!!
@Mona-us6vc
@Mona-us6vc 2 года назад
Another thoughtful, factual and visual great learning and knowledge reinforcing video. Thank you.
@risamiles6124
@risamiles6124 3 года назад
Excited every time I see new video uploaded. Thanks Eddie🙏
@ICUAdvantage
@ICUAdvantage 3 года назад
Yay! Always excited to see another comment from you. I do appreciate you. Hope your 2021 is going well. Take care Risa!
@mafepmjarumay221
@mafepmjarumay221 3 года назад
Thank u so much to your channel 💓 I'm new at the ICU and your on point discussions have been helping me understand and bridge my experience with the theory behind it all. Kudos! Keep it up! 🙏
@ICUAdvantage
@ICUAdvantage 3 года назад
Wow thank you! So glad to read this comment. This is really why I do it. I love to help people make the connections and to try and make more sense of it all. Congrats on the new ICU position as well!
@Ruffles729
@Ruffles729 2 года назад
I’ve just been trying to memorize the effects of these medications without really understanding them. When you explain which receptors medications work, it actually helped a lot. I was able to understand the “why” behind the uses of medications & how they actually work. Thank you!
@ICUAdvantage
@ICUAdvantage 2 года назад
Yay! Really happy to read this. I was always the same way. It helped me to understand that how and why behind things and it made the overall picture easier to understand. Truly happy to be able to help! 😊
@michaelangeloenriquez6581
@michaelangeloenriquez6581 2 года назад
Your videos are very helpful. Thank you so much for sharing them.
@ezatullaha.3502
@ezatullaha.3502 3 года назад
Thanks sir a lot, I love the way u make big topics easy and understandable!
@ICUAdvantage
@ICUAdvantage 3 года назад
You are very welcome! This is truly my goal and I'm happy to hear they are well received!
@mohammadghaffari
@mohammadghaffari Год назад
Very good 👍 i really enjoyed it
@joanjhosuka432
@joanjhosuka432 3 года назад
really appreciate your work, more on this please !
@ICUAdvantage
@ICUAdvantage 3 года назад
Thank you and certainly will do!
@dangmateo00
@dangmateo00 3 года назад
Thank you for your video. So illuminating!
@ICUAdvantage
@ICUAdvantage 3 года назад
You are so welcome!
@Vectheric
@Vectheric 2 месяца назад
A chill goes down your spine...
@hanyelblasy
@hanyelblasy Год назад
Thank you so much, a table with the indications and dosages would be perfect.
@blondesmommy
@blondesmommy Год назад
Great review. Thanks!!
@MrGeelaa
@MrGeelaa 3 года назад
Really i like this series so please continue this series....i enjoy this lesson
@ICUAdvantage
@ICUAdvantage 3 года назад
Thank you! And yes, I hope to keep this going every week for a while!
@danib0rman
@danib0rman 3 года назад
You are awesome! Thank you for the video
@ICUAdvantage
@ICUAdvantage 3 года назад
Wow, thank you so much Daniella! You are more than welcome and I appreciate you and taking the time to leave a flattering comment ;)
@e.g9478
@e.g9478 3 года назад
You are Awesome! Thanks again!
@ICUAdvantage
@ICUAdvantage 3 года назад
You rock! Thank you!
@bahiachibi895
@bahiachibi895 3 месяца назад
Amazing 👏 🎉thanks
@user-rh4pl5dv7p
@user-rh4pl5dv7p 3 года назад
Thanks for your hard work!! Are you planning to do a video on Levophed and its difference with Epinephrine? Thanks!!
@avantikadogra850
@avantikadogra850 3 года назад
Thanks for the video ❤️
@ICUAdvantage
@ICUAdvantage 3 года назад
Truly my pleasure!
@ethanurlings6751
@ethanurlings6751 3 месяца назад
This is great, but id love some References!
@travesjohnson6945
@travesjohnson6945 2 года назад
I love these videos for reference! Can you please do sodium bicarb?!
@queencartier9785
@queencartier9785 2 года назад
Thanks for this video. When explained in ACLS it is not clear that we are giving 1mg diluted in 10ml. I was thinking we are giving straight 1mg/ml push or something, which was embarrassing to ask in orientation 🤧
@jeroomme
@jeroomme 3 года назад
Thank you!!
@ICUAdvantage
@ICUAdvantage 3 года назад
Glad you liked it Jerome!
@wesamzaen5463
@wesamzaen5463 3 года назад
Thank you.
@ICUAdvantage
@ICUAdvantage 3 года назад
You're welcome!
@vickeysimmo4550
@vickeysimmo4550 3 года назад
I enjoy listening to you. Has we would say in jamaica.... Man you sell off.... Love you
@ICUAdvantage
@ICUAdvantage 3 года назад
Haha awesome! I've never heard that one before! Thanks so much!
@rekhakadam6393
@rekhakadam6393 3 года назад
Many thanks 🙏🏻 v useful
@ICUAdvantage
@ICUAdvantage 3 года назад
Glad it was helpful!
@user-ig3el1qo9x
@user-ig3el1qo9x Год назад
Thank you ❤️
@ICUAdvantage
@ICUAdvantage Год назад
You’re welcome 😊
@pirateslife4me
@pirateslife4me Год назад
Going in to the ICU. You're my emotional support channel 🧸
@ICUAdvantage
@ICUAdvantage Год назад
Hahaha I love this!
@wasanahdlt749
@wasanahdlt749 3 года назад
Thank you
@ICUAdvantage
@ICUAdvantage 3 года назад
You're welcome
@beckyfoust2914
@beckyfoust2914 3 года назад
Can you clarify how much you give IV push for cardiac arrest? Is it .1mg or 1 mg? Thanks so much
@allymusic9032
@allymusic9032 3 года назад
Very nice
@ICUAdvantage
@ICUAdvantage 3 года назад
Thank you!
@SuviniGunasekara
@SuviniGunasekara 3 года назад
Thank you for this :)
@ICUAdvantage
@ICUAdvantage 3 года назад
My pleasure!
@SteveG_RN
@SteveG_RN 3 года назад
Hey your forgetting the B1 receptors in the kidneys that cause the release of renin, effecting intravascular volume and SVR through the Renin Angiotensin Aldosterone ADH pathways. So I say B1= 1 heart and 1 kidney (yes there are two of them, but at least it helps remind of the kidneys), B2 = 2 lungs.
@ICUAdvantage
@ICUAdvantage 3 года назад
True true true. Not quite as quick, but certainly worth a mention! Thanks for mentioning Steve!
@noorsami5777
@noorsami5777 Год назад
thanks
@ICUAdvantage
@ICUAdvantage Год назад
Welcome!
@kelseydrew5685
@kelseydrew5685 3 года назад
Yes!!
@ICUAdvantage
@ICUAdvantage 3 года назад
Yay!!! I wish I could use GIFs on here. I'd so drop the excited Kermit right now lol :)
@brandonbock4763
@brandonbock4763 2 года назад
Any study guides or flash cards you suggest?
@ooommm4024
@ooommm4024 3 года назад
I am a bit new to giving epinephrine outside of the pen version, but why does the 1:1000 version of epinephrine need dilution? is there a bigger risk of vasospasm and // or tissue necrosis from infiltration?
@ICUAdvantage
@ICUAdvantage 3 года назад
Good question. When given IV, it is quite potent and can lead to severe tachycardia, hypertension, and arrhythmias, including potentially lethal ones.
@thorpower1015
@thorpower1015 Год назад
Epinephrin for my asthma works great all others albuterol and steroids dont work as well, the hfa inhalers also worsen my asthma but doctors always want to push it on you,
@khfan4life365
@khfan4life365 Год назад
I got injected with some epinephrine when I had a cavity filled. My legs shook so hard that the chair started rattling. It scared the hell out of me and I started crying. The dental assistant came over to me and helped me calm down, telling me to just breathe. Eventually, the tremors stopped and the rest of the appointment was uneventful.
@ICUAdvantage
@ICUAdvantage Год назад
Wow! That does not sound like a pleasent dental experience!
@musahebert9656
@musahebert9656 Год назад
Interesting.
@ICUAdvantage
@ICUAdvantage Год назад
Glad you think so!
@aliakrabi8321
@aliakrabi8321 2 года назад
In cardiac arrest, using a 1mg/mL IV push is it a mistake until i have to dilute it? the AHA cardiac arrest algorithm stated 1mg push
@ICUAdvantage
@ICUAdvantage 2 года назад
Yes it should be diluted in 10ml
@fatimazainab3406
@fatimazainab3406 11 месяцев назад
@lobarita
@lobarita 2 года назад
thanks im preparing for crna shool
@ICUAdvantage
@ICUAdvantage 2 года назад
Awesome and best of luck!
@aliakrabi8321
@aliakrabi8321 2 года назад
thank you for the lecture,.just to remind in 3:39 the higher the ration the higher the concentration and vice versa is true, right?
@ICUAdvantage
@ICUAdvantage 2 года назад
1:1,000 is more concentrated than 1:10,000
@Brightamen
@Brightamen 2 года назад
Thanks for this video, but I have still not gotten the dose for cardiac arrest, can you elaborate? Do I dilute it and give everything? do I give 0.1mg/10ml or 0.1mg/ml
@ICUAdvantage
@ICUAdvantage 2 года назад
Dose is 1mg. The concentration administered should be 0.1mg/ml, so 1mg in 10ml's.
@Brightamen
@Brightamen 2 года назад
@@ICUAdvantage thanks, this is clear
@doristhecoder765
@doristhecoder765 3 года назад
Another one! I didn't know about the use in Asthma
@ICUAdvantage
@ICUAdvantage 3 года назад
Less common, but can be used :)
@riteshchaurasia4953
@riteshchaurasia4953 3 года назад
Plz describe how does 4:44 a1 vasoconstrictor increases coronary perfusion..since constriction of arteries causes less blood to reach heart..?since systemic arteries are constricted
@ICUAdvantage
@ICUAdvantage 3 года назад
Great question. By increasing overall vascular constriction, we elevate systemic blood pressure. Essentially think about it this way. We aren't changing the volume of blood the patient has. But if we decrease the total volume available for that blood to occupy (by squeezing our vessels smaller) then we will increase the pressure of that blood in this new smaller volume. Hope that makes sense!
@kareenelizee
@kareenelizee 3 года назад
Is this the inotropic effect?
@chakuututuu2241
@chakuututuu2241 2 года назад
Do they use this for children in the hospital who is 50/50?
@AbhishekSingh-yx6gn
@AbhishekSingh-yx6gn 2 года назад
Bro plz explain doses with example..... thanks
@caroljohnson3851
@caroljohnson3851 3 года назад
Do you have a good POCKETsize ICU reference book that you recommend?
@ICUAdvantage
@ICUAdvantage 3 года назад
I used to use the app version of Fast Facts for Critical Care, but they never updated it and it stopped working years ago. You can still find the print version online, but its quite pricey. I wish I had another resource for you.
@stephengolden6080
@stephengolden6080 2 года назад
Technical.
@jasminejohnston6393
@jasminejohnston6393 2 года назад
A female doctor who was tending to a patient having an allergic reaction made a mistake when she held an Epi Pen the wrong way which caused the needle to poke into her thumb and give her an injection of epinephrine that was meant for the patient!
@kassava_rae
@kassava_rae 2 года назад
Rock It by Tokyo Machine?
@catherinebernardinoysulat2057
@catherinebernardinoysulat2057 3 года назад
First comment and like 👍😊
@ICUAdvantage
@ICUAdvantage 3 года назад
🎉 Woohoo!! Thanks for both :)
@ihavecrit
@ihavecrit 3 года назад
Im just here to just see different types of medicine just in case I need it in some situation.
@ICUAdvantage
@ICUAdvantage 3 года назад
Welcome
@bellalover231
@bellalover231 3 года назад
where can I find the lesson notes?
@ICUAdvantage
@ICUAdvantage 3 года назад
Thank you so much for your willingness to support this channel Melinda! The link to the lesson notes are found on the "Community" tab of this RU-vid channel (ru-vid.com/show-UC5ADeLt8ckSBvfz0C47qbGQcommunity). I post the links to the new videos there as well as the link to the Dropbox and the password for the month. Let me know if you have any issues and thank you again!
@ruthtarasko3849
@ruthtarasko3849 3 года назад
Hi Eddie. Can you further explain how vasoconstriction decreases hydrostatic pressure?
@ICUAdvantage
@ICUAdvantage 3 года назад
Great question Ruth! So hydrostatic pressure in the capillaries is controlled by pressure in the capillary bed. The way our bodies control this is by increasing or decreasing blood flow. More blood flow = more pressure. Thus vasoconstriction decreases this blood flow and thus the pressure created. Hope that makes sense 😊
@damianbrandt253
@damianbrandt253 Год назад
@@ICUAdvantage I’m confused. I thought that the reason why pressors improve perfusion is that the vasoconstriction that they cause increases hydrostatic pressure until it exceeds oncotic pressure and so keeps fluid flowing into the tissues (which is what perfusion is, right?). What am I missing? Why does vasoconstriction improve perfusion in the heart (which is good) but not in an edematous larynx (which would be bad)?
@ICUAdvantage
@ICUAdvantage Год назад
@@damianbrandt253 Hey Damian, so perfusion is about adequate delivery of blood through the capillaries, to which have a minimum pressure is required to ensure enough blood flow needed to delivery adequate oxygen. While it is part of the component that determines the hydrostatic pressure, that is looking at the movement of fluid from the blood to the interstitial space. Here you are correct that oncotic pressure acts to pull that fluid back and typically should balance each other. Both the arterial pressure before the capillary and the venous pressure after the capillary both influence what the hydrostatic pressure will be in the capillary bed. This is seen in extreme within the kidneys, which explains part of how they control filtration rates. That said, of these 2 components, vasoconstriction on the arterial side (as opposed to vasodilation) on the venous side, has the greater impact in reducing hydrostatic pressure, hence the advantage of epi in reducing hydrostatic pressure and reducing laryngeal edema. Perfusion requires the diffusion of gases from capillary bed across all cellular and extracellular layers. This process does not require fluid shifting out of and back into the capillary bed (although, I'm sure in some small way this does impact the diffusion of gases). I guess ultimately, hydrostatic pressure and fluid shift is a consequence of increasing perfusion pressure yes, but if we are increasing perfusion pressure to meet minimum needs, we are not, generally, producing enough hydrostatic pressure leading to increasing amounts of fluid shift in the interstitium. I hope that makes sense!
@damianbrandt253
@damianbrandt253 Год назад
@@ICUAdvantage That was very helpful, thank you! Based on your explanation and a little Googling with a coworker, I figured out what I had been misunderstanding about pressors: I thought that the fluid had to pass into the interstitial space for gas exchange to occur. I was visualizing a blood vessel flowing through a sponge (i.e. tissue). Squeezing the blood vessel caused more fluid to flow into the sponge. However, this visual explains edema better than perfusion. Perfusion, as you rightly pointed out, happens when the blood stays in the capillaries, not when it leaks out into the tissues. What I had been missing was a basic rule of fluid dynamics: If you decrease the diameter of a pipe that has fluid flowing through it, the velocity of the fluid will increase. More blood flowing past each point in a capillary bed per minute means more gas exchange and hence more perfusion. Thanks again! Really appreciate everything you do.
@gravelgirls
@gravelgirls Год назад
pump us up with adrenaline !
@TXNAT1VE
@TXNAT1VE 3 месяца назад
Primatene Mist entered the chat
@brittanythegreat7354
@brittanythegreat7354 Год назад
L.
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