we also use Precedex on our non intubated ETOH patients (undergoing DTs) to calm them down and also because it does not depress the respiratory drive. Propofol also sometimes causes urine to turn into a weird greenish color.
precedex has also been used in the operating room, endoscopy lab, and interventional radiology. i frequently have had it as part of deep sedation or general anesthesia for surgery in these three places
nurses rock! graduation in T-2 months and I’d like to thank y’all for getting me thru my second semester. i was sure i was never gonna see the finish line but God always had the final say. awesome videos!
I remember my first nursing class😂 now I’m listening to this video and completely understand everything so amazing how far I’ve come in my knowledge base. Recently applied to the BSN program and I have been leaning towards ICU I currently work in PCU step down and I absolutely love it. Thanks for the video.😊
Just learned about Nimbex, one of my COVID patients was on this paralytic. That night I also learned quite a bit regarding titrating Versed, Propofol. I am a new Grad as well. ICU training and volunteered to float to Neuro ICU with another coworker. The patient’s BP and HR wildly increased. By the way just ran across this channel. Thank you and keep the vids coming.
Thanks for the info. I will continue to study these meds now having been in icu for 5 months and was med Surg before that. They really did not teach me anything about these meds so it's up to me to independently study and educate myself to be a good ICU nurse.
I'm a nursing student in California in and accelerated program. I'm about to start my advanced med surg course. This video has helped me. Thank you! So far, I really love this channels content.
I am a traveling RN and I need training in ICU without being obligated for 3 years at a hospital. I have 13 years as a nurse in Psych/total care/hospice and some step down and MS.Do you know a school? I plan to get training soon before 2023. I am too happy to hear that I am not the only man that is a RN. I am ICU material. I remembered what I learned in nursing school.
Great job. In Ohio we were more of a neosynephrine unit than norepinephrine...but I traveled all over and a lot of places unfortunately don't use neo enough.
Hey m from S.A m new to icu i have been in orthopedics for 9 years now currently in icu wont say m enjoying it just yet but its very interesting m looking forward to lesrning a lot of new stuff
Just to dovetail on the pressers info, ideally they should be through a central line when ever possible, and extravisation peripherally with pressers is bad news Haha! And you can inject Phentolamine into the tissue as a reversal. Great content, i use these drugs in the cath lab as well, not so much presedex but everything else we use a lot.
Great presentation. Didn't see much of an epi gtt - unless we were coding someone and went through the entire code cart stock! Oh boy, you'll see a lot more gtts. For example, in my 20 years in the ICU I've only had one patient started on an Aminophylline gtt. I knew what it was for but never dealt with a gtt before! It also baffled the pharmacist who had to mix it! She hadn't seen it used in a long time.
I always find it interesting listening to US or Canadian nurses so l can compare our practice & procedures this side of the pond. We don’t weight base propofol and we only ever used Dexmedetomidine(Precedex) a lot during the first wave of Covid & rarely now probably because it’s expensive l assume.
Neo-synephrine/Phenylphrine another commonly used vasopressor to learn. Does not affect heart rate, so if your patient is tachycardic on levophed, you may want to switch to primarily neo
I just recently had my appendix removed because it decided to burst after the emergency surgery that I had my nurse gave me some pain Reliever it worked for about 5minutes then the pain came right back even before the surgery I was given something to help the pain it was just like I had 2 rounds of whiskey but it didn't last long the pain came right back the only thing that worked for me was Tylenol the only downside to it was it 30minutes to kick in. I know that while you're in the hospital recovering from surgery I know that the Patient can only have certain drugs for pain so often because because you don't want them over dowsing and some Dosages can only be given so many hours/minutes apart I have to Cath myself so while I was dealing with pain I had the nurses Cathing me while I was in bed. I even looked at one of my nurses and said I don't think I can get to the bathroom and she looked at me and said you don't need to worry about it it's ok ill Cath you right where you are in bed. I really miss the nurses that I had and I miss the view of the river to and I miss the room I was in up in the PICU. Thank you for posting this video.
Hey bro I went the same route was a firefighter/medic then jumped into nursing school. Just finished my first year in the ED now moving into the ICU. The ED will come easy to you as a medic beside all the charting lol.... The ICU makes me nervous tho but I want the critical care experience.
All check triglycerides with the prop and levo can not run through a periph. iv. So you are going to need access if you plan on keeping pt on levo for more than 24 hrs.
Привет с другого материка, а точнее из Беларуси 🙋🏼♂️ Так интересно послушать. У нас к сожалению нет вазопрессина, который можно внутривенно вводить, у нас он бывает для назадьного применения. А ещё такого препарата как "претекс" ещё нет, до нас наверное не дошло. За то мы используем много других препаратов.
Thanks for sharing, I'm have been off the floor for awhile, working as a transition coordinator. This is a great review for me. Thank you for all you do. #nursesrock
I was in ICU step down due to COVID 19 virus 🦠 had 3 hospital 🏥🏥🏥 and had major damage to my brain 🧠 and blood clot travel up to the brain through the vein of the neck. Congested heart failure and in large heart and gi bleed 🩸🩸🩸🩸🩸🩸 and he is the rest of the conditions of us to get a red tail light 🚨 for the best way of saying it.
Hi I clicked the free download link but it only took me to your podcast. Can you direct me to the downloads because I can’t seem to find it on the link provided
#nursesrock Thanks for the vid! New nurse here, about to start working in an LTACH (described as being very similar to an ICU setting... a "hospital inside a hospital") -- any words of advice? Either way, thanks so much for the vids! Just found you guys and going to check out all your vids now!
@@premsrip6442 I think the only reason to differentiate is if you are trying to educate new students and say a CRNA student comes across this (even though titled ICU nurses) and then somehow get the idea they can use propofol for anxiolysis... it just gets confusing... I think the fundamental thing is a lot of these drugs can overlap in use- but there are very very wrong uses and that's why some of the words exist. You can snow a patient on propofol or versed for certain things- but it would really not be appropriate in a hospital setting to intubate with a versed induction... it is obviously done- and is done often in EMS... but is not the standard of care- these days you would use an anesthetic or MAYBE fentanyl in cardiac cases for intubation... but for ICU purposes its usually used to keep the patient sleepy- not relaxed- and same with M.A.C.- That is why I think the designation is useful. It does have seditive properties, but the patient is going to be asleep on their own at any clinical dose- except maybe ANV micro-dosses for Chemo.
Hi, thanks for the video. I have an ICU interview next week, do they generally ask you this type of information to test your knowledge during the interview? I am an experienced nurse.
@@c.c.buckley108 No they generally don’t expect you to know drops off the bat. If anything, they’ll give you scenario-based critical thinking questions and ask about your experiences on the floor (if you have any).
Yeah because propofol is lipid-soluble, thick fluid. This increases the chances of bacteria growing in the line if not changed frequently. Hope that helped! :)
![Lethal Company Music Video 🎵 "Follow The Orders" [VERSION A]](http://i.ytimg.com/vi/QeooZB4Z7RA/mqdefault.jpg)
we also use Precedex on our non intubated ETOH patients (undergoing DTs) to calm them down and also because it does not depress the respiratory drive. Propofol also sometimes causes urine to turn into a weird greenish color.
precedex has also been used in the operating room, endoscopy lab, and interventional radiology. i frequently have had it as part of deep sedation or general anesthesia for surgery in these three places
Love precedex! It’s so under utilized at many hospitals
I like how it was short to the point!
New grad ICU nurse and got my butt kicked my first few shifts. This helps with the studying. Thank you for making these videos for everyone!
nurses rock! graduation in T-2 months and I’d like to thank y’all for getting me thru my second semester. i was sure i was never gonna see the finish line but God always had the final say. awesome videos!
I remember my first nursing class😂 now I’m listening to this video and completely understand everything so amazing how far I’ve come in my knowledge base. Recently applied to the BSN program and I have been leaning towards ICU I currently work in PCU step down and I absolutely love it. Thanks for the video.😊
Congrats on getting into that BSN program. It’ll fly by.
The ICU will welcome your with open arms! Best of luck, thanks for the comment.
Same here🙏🙏🙏👏👏👏👏👏
Like how the video was informative based on experiences and to the point rather than talking about a bunch on nonsense and opinions, great video 📹 👍
This is great information. I just finished my first week in ICU and felt sooo lost
Can you do a video talking about:
1. How to communicate with physicians in the ICU.
2. Knowing what to ask for.
3. Interventions
4. Shift hand offs
i would like to see that, too, as i am returning to practice as a nurse.
What a great question!! I want to know it too
Just learned about Nimbex, one of my COVID patients was on this paralytic. That night I also learned quite a bit regarding titrating Versed, Propofol. I am a new Grad as well. ICU training and volunteered to float to Neuro ICU with another coworker. The patient’s BP and HR wildly increased. By the way just ran across this channel. Thank you and keep the vids coming.
By the way, what fixed the high BP/HR?
Thanks for the info. I will continue to study these meds now having been in icu for 5 months and was med Surg before that. They really did not teach me anything about these meds so it's up to me to independently study and educate myself to be a good ICU nurse.
Nurses rock!! Thanks so much I love listening to these on my drives (new nurse in general, ICU here though!)
Great video! Also, make sure to monitor the patients QT interval for prolongation when using Precedex!
And monitor for bradycardia!
I am curious where the evidence for this is a thing?
I'm a nursing student in California in and accelerated program. I'm about to start my advanced med surg course. This video has helped me. Thank you! So far, I really love this channels content.
Thanks for subscribing! Good luck on your journey
I'm going to ICU and trauma next week...so your video helps me a lot. A short and precise video. Thank you
I am a VERY new nurse to this industry. Thanks for your video.
I enjoyed your video. Short and to the point. I am a floater nurse but get sent to ICU often. I'm learning alot. This video was very helpful. Than you
OMG. Straight to the point. Love this!
Thank you!!! I'm a new grad in ICU this really helps.
I am a traveling RN and I need training in ICU without being obligated for 3 years at a hospital. I have 13 years as a nurse in Psych/total care/hospice and some step down and MS.Do you know a school? I plan to get training soon before 2023. I am too happy to hear that I am not the only man that is a RN. I am ICU material. I remembered what I learned in nursing school.
Thank you for creating the video. As a new ICU nurse, it was very helpful. Thank you again!
I can add another one for you. Nimbex is being used a lot in the ICU with COVID patients. Overall good information
Great job. In Ohio we were more of a neosynephrine unit than norepinephrine...but I traveled all over and a lot of places unfortunately don't use neo enough.
Some clarification- Levo also affects B1 receptors. Epinephrine is a non selective drug that affects alpha and beta receptors depending on the dosage.
Hey m from S.A m new to icu i have been in orthopedics for 9 years now currently in icu wont say m enjoying it just yet but its very interesting m looking forward to lesrning a lot of new stuff
Just to dovetail on the pressers info, ideally they should be through a central line when ever possible, and extravisation peripherally with pressers is bad news Haha! And you can inject Phentolamine into the tissue as a reversal. Great content, i use these drugs in the cath lab as well, not so much presedex but everything else we use a lot.
I've watched a ton or videos but this was VERY helpful! Thank you so much!!!
This video was extremely helpful! Thank you
Glad it was helpful!
Great presentation. Didn't see much of an epi gtt - unless we were coding someone and went through the entire code cart stock! Oh boy, you'll see a lot more gtts. For example, in my 20 years in the ICU I've only had one patient started on an Aminophylline gtt. I knew what it was for but never dealt with a gtt before! It also baffled the pharmacist who had to mix it! She hadn't seen it used in a long time.
Nice, concise and to the point. Rock and roll my fellow Front line RN brother! Excellent info. 👍✌️
These were some nice quick facts! Thank you! 🙌🏼
Nurses rock!
You will make a good acute care nurse practitioner
Thank you this was very helpful and straight forward as I am starting my practicum in the ICU this week!
I always find it interesting listening to US or Canadian nurses so l can compare our practice & procedures this side of the pond. We don’t weight base propofol and we only ever used Dexmedetomidine(Precedex) a lot during the first wave of Covid & rarely now probably because it’s expensive l assume.
#NursesRock Thank you for this! I have an ICU Fellowship interview this am, wish me luck! 🤞🏾
Neo-synephrine/Phenylphrine another commonly used vasopressor to learn. Does not affect heart rate, so if your patient is tachycardic on levophed, you may want to switch to primarily neo
💯
I just recently had my appendix removed because it decided to burst after the emergency surgery that I had my nurse gave me some pain Reliever it worked for about 5minutes then the pain came right back even before the surgery I was given something to help the pain it was just like I had 2 rounds of whiskey but it didn't last long the pain came right back the only thing that worked for me was Tylenol the only downside to it was it 30minutes to kick in. I know that while you're in the hospital recovering from surgery I know that the Patient can only have certain drugs for pain so often because because you don't want them over dowsing and some Dosages can only be given so many hours/minutes apart I have to Cath myself so while I was dealing with pain I had the nurses Cathing me while I was in bed. I even looked at one of my nurses and said I don't think I can get to the bathroom and she looked at me and said you don't need to worry about it it's ok ill Cath you right where you are in bed. I really miss the nurses that I had and I miss the view of the river to and I miss the room I was in up in the PICU. Thank you for posting this video.
Love how you explained everything!
7 year medic graduating nursing school May 21’ . Torn between ED/icu glad I found the channel bro keep up with the good content definitely tuned in
Hey bro I went the same route was a firefighter/medic then jumped into nursing school. Just finished my first year in the ED now moving into the ICU. The ED will come easy to you as a medic beside all the charting lol.... The ICU makes me nervous tho but I want the critical care experience.
@@lorenzolawrence5221 how is the ICU compared to the ED?
Nice man! I’ve been a paramedic since 2012. I graduate nursing school in February and recently accepted an ICU position. Can’t wait!
All check triglycerides with the prop and levo can not run through a periph. iv. So you are going to need access if you plan on keeping pt on levo for more than 24 hrs.
Awesome and simple content. Appreciate you helping our fellow nurses.
Привет с другого материка, а точнее из Беларуси 🙋🏼♂️ Так интересно послушать. У нас к сожалению нет вазопрессина, который можно внутривенно вводить, у нас он бывает для назадьного применения. А ещё такого препарата как "претекс" ещё нет, до нас наверное не дошло. За то мы используем много других препаратов.
What medications do you have the most trouble remembering? I'm still learning to get comfortable with all the different drips we managed on our floor.
Excellent thank you
of course, be sure to download the attachment
Thanks man! This is perfect
Thank you!! Straight to the point and informative.
Nurses rock
Thanks so much for the info!
Thanks for sharing, I'm have been off the floor for awhile, working as a transition coordinator. This is a great review for me. Thank you for all you do. #nursesrock
Thank you!!!!!
Really informative class thank u
I luv that couple nurses💞☺️😍
Nice content dear, I intend to work in the iCu your video is brushing me up.pls can you send me the list of this drugs .thank you.
Two other ones I see way too often are insulin drips and fentanyl drips.
In my ICU we can titrate Levo up to 50, honestly seen it higher than 50 (not for long) but yeah what a drug
Every hospital has their own policies and limits.I've seen it at 80 mcg at some places
Thank you, and propofol and decrease blood pressure. Watch out for that.
FACTS! lol
you rock thanks
Thanks!!!!!!
You are on point
😎
I was in ICU step down due to COVID 19 virus 🦠 had 3 hospital 🏥🏥🏥 and had major damage to my brain 🧠 and blood clot travel up to the brain through the vein of the neck. Congested heart failure and in large heart and gi bleed 🩸🩸🩸🩸🩸🩸 and he is the rest of the conditions of us to get a red tail light 🚨 for the best way of saying it.
Hi I clicked the free download link but it only took me to your podcast. Can you direct me to the downloads because I can’t seem to find it on the link provided
Can you pls like write the names of the medications as you say them? Makes it easier to research ..thanks
#nurses do rock
MONICA!! Let em know what's up with our unit..
At the beginning of this video, i was thinking of other drugs he was gonna talk about
I have notice that a lot of hospitals titrate medications with non weight based. Is that a norm?
How did u both meet and who is older ?
Lol that intro
Brother how can we dm i need to learn this im new in icu But been an Imc nurse for 3 years
#nursesrock Thanks for the vid! New nurse here, about to start working in an LTACH (described as being very similar to an ICU setting... a "hospital inside a hospital") -- any words of advice? Either way, thanks so much for the vids! Just found you guys and going to check out all your vids now!
Using brand names instead of generic names
Nurses Rock
#NURSESROCK
Propofol is NOT a sedative- it is a hypnotic
It’s technically a general anesthetic
@@ACoupleNurses yes, its a general anesthetic in the class of hypnotic
@@DigitalAndInnovation I do agree but all icu nurses understand when use the word as Sedative. Why try to be different?
@@premsrip6442 I think the only reason to differentiate is if you are trying to educate new students and say a CRNA student comes across this (even though titled ICU nurses) and then somehow get the idea they can use propofol for anxiolysis... it just gets confusing... I think the fundamental thing is a lot of these drugs can overlap in use- but there are very very wrong uses and that's why some of the words exist. You can snow a patient on propofol or versed for certain things- but it would really not be appropriate in a hospital setting to intubate with a versed induction... it is obviously done- and is done often in EMS... but is not the standard of care- these days you would use an anesthetic or MAYBE fentanyl in cardiac cases for intubation... but for ICU purposes its usually used to keep the patient sleepy- not relaxed- and same with M.A.C.- That is why I think the designation is useful. It does have seditive properties, but the patient is going to be asleep on their own at any clinical dose- except maybe ANV micro-dosses for Chemo.
dude where is phenylephrine and esmolol , those things are magic
You speak facts!
Hi, thanks for the video. I have an ICU interview next week, do they generally ask you this type of information to test your knowledge during the interview? I am an experienced nurse.
I'm on here for the same reason. Did they ask you questions related to gtts?
@@c.c.buckley108 No they generally don’t expect you to know drops off the bat. If anything, they’ll give you scenario-based critical thinking questions and ask about your experiences on the floor (if you have any).
!!Hii🔥🔥🔥!!
every 12 hours tubing change? ok
Yeah because propofol is lipid-soluble, thick fluid. This increases the chances of bacteria growing in the line if not changed frequently. Hope that helped! :)
@@jessica.rodriguez Thank you for explaining that! It helps it stick!
#nursesrock
Nurses Rock
#nursesrock
#nursesrock 😎
#nursesrock
#nursesrock