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@ICU advantage thanks for educating us about CMP. Is alkaline phosphatase and phosphorous level related? I did not see my phosphorous result in CMP. And my value is 54 units/ L ... is it considered low? I do have a high PTH result. Thank you
Could you touch on how fluid resuscitation with various crystalloids (NS vs LR vs Isolyte vs D5-1/2 with and without K) relates to your lab values? It seems like fluid selection is mostly provider preference rather than evidence-based or lab-value-driven. Fluid composition isn't the same, but how much difference does it really make? Thanks!
Fluid therapy, nowadays, is really considered a medication rather than preference but you are definitely correct. Youll see many MDs overlap what they like vs. Whats current and etc while nursing
I am saving all of your content Hopefully will be starting an LPN to RN program next yr...I must say I wish you were in Philadelphia.....as my nurse educator. Keep posting since I copy down everything you said and go over it 🙂🙂.
Eddie, thank you so much for posting these videos. I’m a new grad nurse in my second month of orientation working in a burn unit/ ICU and these videos as well as Respiratory Coach’s have helped me tremendously during my orientation process. I have shared your page with numerous nursing school friends and coworkers. Thank you again.
Truly happy to help and glad you enjoy the videos. Joe has a great channel with a ton of great info over there. I love his channel and he's a good guy. Thanks so much for helping to spread the word!
Currently a CNA ,not even in school yet but definitely fun to learn and apply later 😊 Thank you.. love being able to learn about labs without a nurse or md.
Great question. So theres a few factors at work here. Lack of insulin also plays a role in the extracellular shift of potassium as well as the pH. (This intra to extra cellular shift is where this inverse relationship comes from). From there osmotic diuresis occurs and patients tend to eliminate excess potassium that way. Once we begin treatment, cells are starting with a decreased amount of potassium intracellularly. Both the increasing pH and the re-introduction of insulin contribute to a shift of potassium back in to the cells, leaving a potentially severe hypokalemic state. This is why we often make up fluid balance deficits with added potassium and still frequently check potassium levels and replace on top of that as well. Hope that makes sense!
Awesome. Thank you for a wonderful explanation. it was made so easy to understand. I was able to understand why ionized calcium is measured. Appreciate all your videos. They were worth to watch!
Thanks bro this is very helpful for our young doctors. I am pediatric cardiac surgeon from Uzbekistan and we have some after op problems at the ICU with ABG analyses often. So could you make pediatric ICU care videos also. Thanks again
Hello teacher! Your first video was very good, but the letter to small(font), this new one is FANTASTIC, but please, help me see you videos better, please? One ☝🏻 more time. Thank you so much teacher! ICU ❤️❤️❤️❤️❤️
Could you touch on how fluid resuscitation with various crystalloids (NS vs LR vs Isolyte vs D5-1/2 with and without K) relates to your lab values? It seems like fluid selection is mostly provider preference rather than evidence-based or lab-value-driven. Fluid composition isn't the same, but how much difference does it really make? Thanks!
I probably won't as it isn't a topic that directly applies to critical care. The mRNA vaccine technology is pretty cool when you learn about it though!
So, today I have a day off. Plans: to binge watch your amazing videos. Wahooo!! Thanks for all this amazing content! I'm sure you've saved many, many lives by the lessons you've shared on this channel.
Hey Emme, I completely missed this comment! Thank you so much for such kind words. I really means a lot to me and I do hope that in some way I am able to help impact the outcomes of patients. I really hope you enjoyed the binge watching and learned some good info! :) And thank you so much for your support of this channel!
So awesome to hear this Yesenia! I'm happy to hear these videos have been useful for you. Wishing you all the best as you finish up nursing school and head in to the world of nursing!
Could you explain more about ionized Ca+? I haven’t figured out the difference between that and Ca+. Ionized is readily available to be used? Only by albumin? If we have low ionized, we’ll have low albumin levels?
Ahh you have quite the eye! haha You caught me! I put an up arrow as I was initially making it and then covered it up in editing. I didn't run it out all the way hoping it wouldn't be noticed... but here we are! lol
I love listening and watching your lectures... i will be starting NICU next week. I know the values are going to be different but having the general knowledge about the labs wont hurt.
So glad to hear this Mary and congrats on the new position. My only experience with NICU was during nursing school so its really a whole different world from what I know! Best of luck to you.
Eddie, your channel is great, we all appreciate your sharing knowledge. I vaguely remember hearing that when treating hypocalcemia and hypomagnesium, that you should administer Calcium first. Why is that?
Thank you so much Eric! Glad you liked it. I can't say I've heard about calcium for hypoglycemia. With hypomagnesemia, I can only think it would be beneficial if hypocalcemia is driving the hypomagnesemia, as they have a relationship in the same direction. Honestly though, I can't say I'm very familiar with this one either though.
