MEDICATIONS FOR PAIN - Analgesics (Part 2) - ICU Drips
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- Опубликовано: 1 дек 2019
- In this second lesson on analgesics, we take a look at the different medications that are available to use in the ICU to use as a continuous infusion for our patients pain. It is very important that we control a patients pain in the ICU and these medications are the ones that we frequently use to do just that.
We start off talk about our 2 groups, the "opioids" and the "other" medications. For the opioids there are 3 medications in this group and it is important to know that these medications are all CNS depressants. We talk about Morpine, Hydromorphone (Dilaudid), and Fentanyl (Sublimaze) which are all used as IV drips, although FentanyI is the most commonly used as it has less hypotensive effect and a shorter duration than the others.
We finish out the opioids talking about Naloxone (Narcan) as our reversal agent for the opioids, and while normally given IV push, it certainly is not uncommon to see it being infused as a drip.
Finally we talk about the "other" medications which really is a group composed of just one medication called Ketamine. We had already previously discussed Ketamine in our lesson on sedatives (**see link below**) but we do another quick review of how Ketamine is different from the opioids. Most importantly we don't typically use a ketamine infusion for just pain control.
Sedation (Part 2) - ICU Drips: • Sedation in ICU Patien...
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Hemodynamics Principals: • Hemodynamic Principals
Shock: • Shock
Arterial Blood Gases: • Arterial Blood Gases (...
ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
Heart Failure: • Heart Failure
Endocrine System: • Endocrine System
Blood Tubes - Order of Draw: • Order of Draw and Addi...
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Loved how you broke it down to the cellular level on the first video so we can get a in depth view of what actually going on and where these medications actually work at.
Thank you. I was always the type of person that wanted to understand the why and how something worked in order to better understand what was happening. I'm glad that you found that lesson helpful when it came to how things worked for the lesson! 🙂
Thank you for taking the time to teach us
Thank you! Happy to do what I can to help!
Highly recommended for interns and residents👍
Thank you!
Thank you Eddie. I wish your more success!😘😘😘
Thank you very much! I appreciate your support!
Great lecture. Note in Australia it’s common to use low dose ketamine in an iv infusion along side an opioid usually fentanyl or oxicodine and clonodine. The dose for analgesia is 4-8mgs/hr. This is both in the icu and the floor. Common for large surgery and trauma patents.
That's awesome! Thanks for sharing that info!
Just a student but this made me less nervous about clinical :). Legit saving me from bouts of anxiety.
SO awesome to hear this Mean! Anything I can do to help reduce that anxiety! :)
This is easier than brushing up on Egans. Thanks brother
Bushing up on what? lol
Just everything. It's easy to just turn this channel on and listen while I drive. It's easier than opening up Eagans. I always have trouble staying awake when I try to read.
Theres hope ti stop the pain ! The pain is 24 7. Demerol is a waiting list a pain specialist to spend. My last years not in pain! This is smart to interview mds rns pas mas to treat me i do study medical school !
Thank yoy
Hey brother.. Thanks for the vid.. Question on ketamine. How long would it take for ketamine infusion to affect your catecholamines and start affecting hemodynamics?
How does some intensivenist choose morphine over fentanyl?
3:20 blowout?
Complete release of bowels after being backed up for so long
Can you please write big.. Thanks
I have heard this and I do work to try and write bigger with my lessons.
👍👍👍👍👍👍👍👏👏👏👏👏👏✌️🙏🙏🙏
Thank you so much! 🙂
I hate fentanyl they gave it to me after ankle surgery then were going to give it to me again but I said no so they gave me a low dose of dilaudid which I liked because it helped me much better
Yeah not every med works for each person. Its nice when we have choices.
8:33 or if its there second time in the icu for a fetty overdose you can restrain em before you give them a very large dose of narcan 😂😂😂😂😂😂😂😂😂
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