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@@lukemolet6890 For anyone wondering: hypokalemia because of the alkalotic environment created by the sodium bicarb and diuretic. Diuretics like such as thiazides and loop diuretics can lead to the excretion of hydrogen ions.
It is worth mentioning that Bicarb administration, more so a bolus push, is more of a temporizing measure for acidosis and works (best) if the the patient has the ability to adequately compensate via the respiratory system to blow off the excess carbon dioxide that is produced. If not, the acidosis will likely worsen because of the excess carbon dioxide buildup. Using Bicarb pushes to treat acidosis as a result of DKA for example, can be dangerous.
@@zacharycarroll8607 Bicarbonate in our body is like a train station officer, whose job is to manage passengers, represented by excess hydrogen ions. When there are too many passengers (hydrogen ions), the officer (bicarbonate) gathers them together to form a train (carbonic acid). Almost immediately, this train (carbonic acid) separates into two different transports - a bus (water) that remains in the station (blood), and a helicopter (carbon dioxide) that flies away from the station (is exhaled from the lungs). In a healthy situation, the helicopters (carbon dioxide) can easily leave the station (body) through the helipad (lungs). This is like opening a window to let out air, reducing the crowding. However, if there's a problem with the helipad (say, a lung disease), the helicopters (carbon dioxide) can't leave efficiently. It's like the helipad is crowded or blocked. Now, here's where Le Chatelier's principle comes in. Le Chatelier's principle states that a system in equilibrium will adjust to counteract a change. In our train station analogy, if there are too many helicopters (carbon dioxide) waiting to leave from the helipad (lungs), the station (body) will try to reduce the crowding. So, instead of forming more helicopters (carbon dioxide), the trains (carbonic acid) start converting back into officers and passengers (bicarbonate and hydrogen ions). This means the station (our body) still has too many passengers (hydrogen ions), making it overcrowded (acidic). This can cause discomfort and potential health problems. To summarize, bicarbonate is like a station officer that helps manage the amount of hydrogen ions in our body. When we can't exhale properly, our body's reaction follows Le Chatelier's principle, converting carbonic acid back into bicarbonate and free hydrogen ions, which can lead to an even more acidic environment than before.
Sodium bicarbonate has been a life saver for me because I have mitochondrial disease and my mitochondria produce excessive lacted acid and the baking soda and water clears out the excess acid...
Usually as quick as you can push it in, which isn't usually that fast due to the large syringe. But usually we are pushing this is extreme circumstances so we typically give it as fast as it will allow.
Pharmacokinetics:) vs Pharmacokenetics--THANK YOU BEST CONTENT HANDS DOWN! I WISH YOU THE HIGHEST LEVEL OF SUCCESS, COZ YOU REALLY HAVE SUPER GOOD CONTENT
Hello - thank you for your video info presentation. We are doing the bicarb and lemon juice hot towel wraps topically for a 10 day period - 1 hour a day. We would like your opinion or input on whether we continue past the 10 days keeping the body alkaline and making the body a hostile environment for the present cancer of prostate and bones - thanks a lot - I look forward to your viewpoint - cheers 🌸
The body will not become alkaline from a towel wrap because #1. It’s not going to get in the system from the skin. And #2. The body’s pH is highly regulated. You would have some serious symptoms if you became alkaline.
@@FearlessHealer Research is showing that patients suffering from crush injuries don't have any benefit from sodium bicarb as compared to just normal saline. A lot of agencies are moving to using calcium chloride and nebulized albuterol to help combat hyperkalemia and the management of the release of potassium during release from a crush injury.
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NOTES for this lesson (and all previous lessons) are availably only to RUclips and Patreon members. Links to join both here ⬇
► RUclips: adv.icu/ym | ► Patreon: adv.icu/pm
Something of note is that this medication should be used cautiously if pt is being given a diuretic too.
For the reason of over correcting into hypokalemia?
@@lukemolet6890 For anyone wondering: hypokalemia because of the alkalotic environment created by the sodium bicarb and diuretic. Diuretics like such as thiazides and loop diuretics can lead to the excretion of hydrogen ions.
Thank you for your time and knowledge. What resources do you use ?
It is worth mentioning that Bicarb administration, more so a bolus push, is more of a temporizing measure for acidosis and works (best) if the the patient has the ability to adequately compensate via the respiratory system to blow off the excess carbon dioxide that is produced. If not, the acidosis will likely worsen because of the excess carbon dioxide buildup. Using Bicarb pushes to treat acidosis as a result of DKA for example, can be dangerous.
Can you explain this more
@@zacharycarroll8607 Bicarbonate in our body is like a train station officer, whose job is to manage passengers, represented by excess hydrogen ions. When there are too many passengers (hydrogen ions), the officer (bicarbonate) gathers them together to form a train (carbonic acid).
Almost immediately, this train (carbonic acid) separates into two different transports - a bus (water) that remains in the station (blood), and a helicopter (carbon dioxide) that flies away from the station (is exhaled from the lungs).
In a healthy situation, the helicopters (carbon dioxide) can easily leave the station (body) through the helipad (lungs). This is like opening a window to let out air, reducing the crowding.
However, if there's a problem with the helipad (say, a lung disease), the helicopters (carbon dioxide) can't leave efficiently. It's like the helipad is crowded or blocked. Now, here's where Le Chatelier's principle comes in.
Le Chatelier's principle states that a system in equilibrium will adjust to counteract a change. In our train station analogy, if there are too many helicopters (carbon dioxide) waiting to leave from the helipad (lungs), the station (body) will try to reduce the crowding. So, instead of forming more helicopters (carbon dioxide), the trains (carbonic acid) start converting back into officers and passengers (bicarbonate and hydrogen ions).
This means the station (our body) still has too many passengers (hydrogen ions), making it overcrowded (acidic). This can cause discomfort and potential health problems.
To summarize, bicarbonate is like a station officer that helps manage the amount of hydrogen ions in our body. When we can't exhale properly, our body's reaction follows Le Chatelier's principle, converting carbonic acid back into bicarbonate and free hydrogen ions, which can lead to an even more acidic environment than before.
Hospitalist last night ordered me to give 1 amp IVP for a DKA patient. I facepalm smh
@@jeremiahragira7633this is the best explanation ever.
@@briancheng8243 what is the treatment of choice for acidosis in DKA patients if not bicarb..?
Sodium bicarbonate has been a life saver for me because I have mitochondrial disease and my mitochondria produce excessive lacted acid and the baking soda and water clears out the excess acid...
Fantastic. It helps me with bowel inflammation.
Thanks mwalimu 🇰🇪🇰🇪🙏🙏🙏Asante Sana
Very helpful but you could also explain about strengths of soda bicards that are available and how to calculate bicarbonate deficits
I've been waiting for this video for a while, thank you!
Thanks so much! Nearly graduating nursing school and will be frequenting your content. Bless you.
Awesome! Congrats on that Deanna and look forward to seeing you around. Lots of good stuff these days 😊
How fast should an IV Push of Sodium Bicarbonate be administered?
Usually as quick as you can push it in, which isn't usually that fast due to the large syringe. But usually we are pushing this is extreme circumstances so we typically give it as fast as it will allow.
Pharmacokinetics:) vs Pharmacokenetics--THANK YOU BEST CONTENT HANDS DOWN! I WISH YOU THE HIGHEST LEVEL OF SUCCESS, COZ YOU REALLY HAVE SUPER GOOD CONTENT
It's helpful for all health care workers thanks
This was awesome in mmmmmm currently in medic school and this was life
Awesome. Glad you enjoyed it!
@@ICUAdvantage keep ‘em coming please much appreciated.you should do some on medication classifications
Thank you a lot
Would you please recommend me websites and text books explain ICU topics?
Watching this because I work in a factory that makes bicarb and have no idea what it's for
I am hypokalemia with ckd.can i use this sodium bicarbonate?
Love your lectures!!! Keep them coming!
Thanks for the understandable explanation!
Good explanation BUT your pace is way too fast
Iam a huge fan.
Is than a hand writing or a computer writing?
What app do you use?
Nice, but experts say there is no place for bicarbonate in hyper K+, unless they are acidotic.
what can be given via peripheral line/central line only?
Still religiously watching :)
Came for the lecture but stayed because the pre video music sounds like a party is about to start. AWEEEYEAAHHH!
Hahaha ohhh yeeeeeah. Hope the party didn’t let down 😂
Hello - thank you for your video info presentation. We are doing the bicarb and lemon juice hot towel wraps topically for a 10 day period - 1 hour a day. We would like your opinion or input on whether we continue past the 10 days keeping the body alkaline and making the body a hostile environment for the present cancer of prostate and bones - thanks a lot - I look forward to your viewpoint - cheers 🌸
The body will not become alkaline from a towel wrap because #1. It’s not going to get in the system from the skin. And #2. The body’s pH is highly regulated. You would have some serious symptoms if you became alkaline.
Thanks you for the teacher
Thank you so much for this!!
A senior once told me… just don’t use bicarbonate…
such a great lecture , what is the app used in writing in the lecture plz ?
“Left shift” huh? Hmm.
Thanks, nice note.
Thank you so much for all you do!!!! I love your lectures!
A great video. Thanks much.
Glad it was helpful!
How can I get it
Baking soda lol
Good
Thanks teacher.
Nice 👍
Thank you.
Thanks
You are awesome.
Haha, thanks and youre awesome too!
I've heard of bicarb usage in crush injuries. Can you elucidate us on that concept?
Excess K+ is produce during crush trauma injuries. The patient develops metabolic acidosis and bicarb helps buffers the acidosis.
@@scarzu9728 yup - but that’s not included in the video and should maybe be added
@@FearlessHealer Research is showing that patients suffering from crush injuries don't have any benefit from sodium bicarb as compared to just normal saline. A lot of agencies are moving to using calcium chloride and nebulized albuterol to help combat hyperkalemia and the management of the release of potassium during release from a crush injury.
Very helpful
Glad to hear that