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I work in our Pharmacy dept at our regional medical center. I really enjoy these medication breakdowns. It’s interesting to understand the ‘why’ when we tube down nicardapine drips to the ICU or ED. Thank you for your great videos!
After being a medsurg nurse for 14yrs, I've transitioned to ICU this past month. I thought I knew so much but entering the critical care world has been an extremely humbling experience for me in that, I don't know ANYthing! I just went through your entire Shock section of videos and its been incredibly profound for my level of understanding. I follow you extremely easily and everything clicks in a world where this whole month, has been so hard to grasp the concepts!!! Thank you SO much!!!! You're making me a better nurse and I look forward to seeing all of your videos!!!!
Hey thank you so much for taking the time to sharing this. It's always wonderful to hear how much of an impact the lessons have for people, and yeah to your point, it really is eye opening transitioning into critical care and HOW MUCH there is to learn. And honestly, it never stops! Best of luck to you and given your desire to learn and improve, i'm sure you'll make a great ICU nurse!
Shunting with Cardene is huge in my experience! I am surprised how many people have never heard of the correlation and how many pts I’ve encountered that have had their presumed “natural” hypoxia remedied by lowering Cardene rate or simply switching out medication all together! I think there is quite a bit of confusion by providers and nurses alike on the direct mechanism of action for this phenomena. Do you have any info on this Eddie? Thanks for all your work! Love all your videos!
Yeah so its interesting. When I worked Trauma/SICU, there is no time that I was, at least aware, of it happening. It wasn't until working in CVICU that it become more "common." I'm sure with the frequent use, there probably were times before when it was at fault, but not identified, but I also think patient population and particular patient physiology plays a role. Given the great discussion around this and the results of the poll, I'm going to do a dedicated video on it, which will cover some for the proposed mechanisms. That said, I don't think there is consensus on exactly the cause.
Great video... video idea! I've been encountering a few patients who has been in various stages of Acute Tubular Necrosis so, I thought it would be one you could potentially do in the future.
Seems like not completely understood. Consensus seems to be around a reflex sympathetic response. Questions about whether this is baroreceptor mediated or some other process exist though.
