Diabetes Medications and Pharmacology - Nursing Rapid Review
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- Опубликовано: 13 июл 2024
- In this video Dr. Kendall Wyatt reviews the highest yield points for diabetes medications supplemented with Picmonic characters!
We're covering all of the meds you need to know for diabetes!
Be sure to check out www.picmonic.com/wyattmd for a 20% discount for Picmonic!
You're truly a God sent!! Picmonics makes this experience so much fun. Thank you for all you do!
Best MD teacher on this subject (and others)!
"TZDs has that CHF risk, bladder cancer risk, and uhh pretty much not gunna use it. " lol love your videos!!
The dog...is the star of the show! I love Stitch!
Wow. I'm a 4th year pharmD student and this is so relevant I'm beside myself. Also things like the DKA from SGLT 2 inh will be euglygemic- that's news to me. I was watching this for review but I'm really learning a lot! Thank you.
About to do a huge exam, and this was a great video! Though I really question some of those drug prices...you guys really have it rough in America.
Thank u Dr. Wyatt! I would work under you ANY day!!
good evening sir /mam.. nice information depicted about diabetes can be
treated without surgery and allopathy... . you can take diabetes care pack which
will treat the disorders without dialysis and medicines that may cause side
effects.
I love your videos. If it’s not to much trouble can I get you to do one on cranial nerves
thank you so much you made it easy for me .. i am preparing for my NCLEX and i really want to than you
👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻 Thank you!
By the way, can you please give tips on 60-second situational assessment?
Do you mean like a rapid physical exam?
@@KendallWyattMD Basically, your 60-second assessment as you enter patient's room or 60-second assessment without touching the patient. I suck at it. ☹ I'm able to discuss it post-conference but it's a struggle. 😭
@@roozterchick
Got it!
The good news is that everyone has been there. It usually has a lot to do with a) a lack of confidence and b) a lack of a solid routine to practice (a game plan) . See if this helps... here’s what spills out of my head in a few minutes… (please excuse any grammar errors or typos)
Before entering:
--> Is it safe in there (especially psych patients)
--> ALWAYS use hand hygiene but think about any other isolation concerns
--> Are there other known communication barriers (speech, vision, hearing)
--> VERIFY you are in the CORRECT room and you KNOW their name
--> KNOCK and then enter room
After Entering
--> INTRODUCE YOURSELF ALWAYS “Hello (patient name) I’m student (nurse/doctor) XYZ and i’m here to do XYZ
--> Await a response and then evaluate your surroundings
--> Don’t ignore family members and friends in the room!!! Make eye contact and say hello, they can make or break you.
--> Evaluate alertness (did they even respond to you? If not make sure you position yourself in front of the patient)
Wake the patient if they are asleep if you need to do an assessment (No one likes to be awakened from sleep simply by you making a bunch of noise… a polite awakening makes things smoother)
--> DO NOT JUST LEAVE if something goes wrong or you aren’t welcomed with a cheery smiling patient eager to let you poke and prod on them… you MUST LEARN that you are there to do XYZ job and sometimes that requires you to remind patients that you are there to do a job… HOWEVER if it TRULY IS an inappropriate time (they are taking a poo) politely apologize and come back later… also if they are truly an irate patient, politely tell them you will return with XYZ person who is supervising you.
--> Some patients aren’t easy to deal with… your job is to explain that you are there to help them and if they are rude you may need to distract them with some basic questions about asking if they need anything or interacting with family first… sometimes leaving and getting them something they want and then immediately returning can help.
--> Make sure the room is appropriate lighting for what you need to accomplish and the TV isn’t blaring. (Be sure to warn patients if you are about to turn on lights in a darkened room)
--> Once you have confirmed they aren’t unconscious evaluate the basics just like you would in an emergency… but INSTEAD YOU DO IT QUIETLY IN YOUR MIND BEFORE TOUCHING THEM
--> Start a conversation. THIS IS KEY!! It sounds crazy but having a canned list of standard questions you can ask will get things moving. There are always a few go to ones I recommend. My favorite is to ask where they are from and ask them about it. (Are you from here Mrs XYZ? If yes, ask where and if they grew up here. If no, ask where they used to live and what they like better about either place, ask how they came here) Talk about weather or room temperature (Woah it’s kind of cold in here, do you like to keep it cold Mrs XYZ?) Talk about food (How are you doing Mrs XYZ? It’s time for lunch in an hour. What is your favorite non-hospital food?) Talk about family (especially if they are in the room, ask their relationship… avoid asking direct family questions, sometimes people will go to a dark place about their dead family) Talk about what they are watching on TV (Ask their favorite shows and if there’s anything good on)
--> While having a conversation assess the basics…
--> Airway: can they talk? Is it normal? Are they wearing oxygen or does it need adjusted? Ie: they aren’t gasping
--> Breathing: Any audible sounds? Is the rate normal-ish? Is there a significant change from their baseline?
--> Skin and perfusion: Are they blue? Sounds dumb but this could not just be from perfusion... a lot of BIG WINS can come from just adjusting the temperature or getting someone an extra blanket
--> Mentation: Are they appropriately speaking with you? Confusion? Make sure if it is new or old.
--> Vitals: Make a glance at vital signs if a monitor is in the room. Check the pulse oximetry and make sure it has a good pleth. Check that it hasn’t came off before you panic. Is the heart rate excessively high or low? How’s the blood pressure? Consider getting a new one before just reacting.
--> Other stuff: Make note of any lines, tubes, or drains they have. Is the IV pump constantly alarming? Considering pausing it until you can get a handle of what’s going on before yelling at the patient to “keep your arm straight!”
--> Basic needs: Make sure their basic needs are met. (Food, Water, Toilet) They can eat and drink themselves. Do they need to use the bathroom? Do they have a foley? You can save yourself multiple trips back to the room by asking while you’re there.
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Most “newbies” just need a little more confidence… Confidence is key.
REMEMBER THIS: Yes, you have to tell the patient you are a student but only the confidence you SHOW will make the patient believe you know what you are doing. Patients will give you a lot of leeway and there is never any shame in saying “I don’t know, but I will find someone that does”
How do you build confidence? Practice and experience. In the beginning I recommend creating a routine system or checklist that you try follow every time and then just repeating and tweaking it as your skill level increases. I hope this rambling helps.
@@KendallWyattMD OMG! Thank you for breaking it down and really painting the scenario for me! It was just so vague for me and I didnt't know what else I should look for! So, thank you Dr. Wyatt for taking the time to response. You are amazing! 🙏🏻🙏🏻🙏🏻👍🏻👍🏻👍🏻
This has been a challenging time, and I appreciate you so much Dr Igudia, you have created a life that I thought was lost, thank you so much for curing my Type 2 diabetes
100% gas right?
The sales pitch every 5 minutes is annoying.
Your entitlement is annoying. I do these for free.