Current stepdown nurse wanting to try ICU for the longest time but was so scared to even apply. Your content makes me excited to finally start and learn in high acuity settings!!! THANK YOU!!!
Go for it! The majority of stepdown nurses are all badasses and need to give themselves more credit, and I’m sure that if you’re watching content like this, then you will be a great asset for ICU
Eddie!!!! This video is fantastic and I love how you organized it. I'm a PGY-1 on my ICU rotation and this is helping shed so much light on what we've been doing for our ICU patients. THANK YOU!!! Please keep making these videos. I've subscribed
Thank you so much for the kind words! Welcome to the world of medicine. Such a cool and interesting line of work, especially critical care. I've absolutely loved it. So glad to hear these videos have been helpful for you. I do have a lot of good, wide variety of topics so far and many more on the todo list. Welcome aboard!
I just want to say THANK YOU so much for making this channel. I am currently doing the ECCO program and I have felt so confused and lost. Since finding your channel, I am finally starting to understand whatever ECCO is terribly trying to tell me. You have a really great way of condensing big concepts into easy to understand, digestible information. YOU ARE THE BEST!
Thank you so much for the kind words Kristina! While I haven't completed the full ECCO course, I have looked through parts of it over the years, and I agree that it is not very easy or enjoyable to sit through. I'm so glad to hear that my videos have been helpful in explaining the information to you and I really appreciate you taking the time to leave such an awesome comment! 😍
So there are many factors that can play in to this such as the patients HR, their cardiac output, the SVR impacting blood pressure, but at the end of the day the end goal is about perfusion and thus if we have a MAP less than 60/65 that would be the biggest indicator. Then its a matter of figuring out why the BP is low and finding the cause and hopefully fixing it. Hope that makes sense.
I just passed my CCRN exam and I wanted to say THANK YOU 🎉 You are absolutely amazing and have helped me so much! If I get into CRNA school it will be because of you!
❤️❤️❤️ This is so awesome to hear! Congrats on the CCRN. You should be incredibly proud! And also best of luck on CRNA. Happy to know I have helped in some way!
I love your channel and watched so many of your videos to help me study for the CCRN. The hemodynamics series in particular was so helpful to me, and tonight I passed the exam! Thank you so much ❤
So the intrathoracic pressure during normal inhalation is negative while if it is with the vent(with positive pressure), the intrathoracic pressure is positive? im confused, pls enlighten me. thank you.
Hey Drew! Thanks so much for your support with the membership! To access the notes, go to the main ICU Advantage RU-vid channel and then go to the "Community" tab. Look for the most recent link to the Dropbox which will have the current password, which changes each month for the whole Dropbox. In there are the notes for every lesson. Thanks again and feel free to shoot me an email if you have any issues. -Eddie
I don't understand the high is dry. We were taught in CVICU high means fluid overload/retention or cardiac dysfunction. Low CVP means they don't have enough fluid. Is the stroke volume variance inverse to CVP?
Correct. SVV is the opposite of CVP. The more variance, the higher the value, means potentially fluid responsive. Less variance, lower number, means potentially adequate intravascular volume.
So you would need individual pressure cables for your CVP, PCWP, PA pressure, and BP? So if a patient has all 4, you would 4 pressure bags theoretically?
Good question. PA and PCWP come from the same port. So 3 pressure cables, yes. You could do 3 individual pressure bags, but there is the swan transducer kit which takes one pressure bag and Y's out to 3 separate pressure lines to each of the ports (CVP, PA, Art) but yes, you'd need 3 cables for each one going to the monitor.