I’m an ED traveler with 13 yrs under my belt. Your channel has helped me cross the threshold from competent to proficient. Everyone thinks I’m so smart, but really, a steady diet of one of your videos daily while I’m in the shower has made ALL the diff. Highly recommend for ALL specialties. We all deserve to be as smart as the ICU 😘
Here’s an important tip from a retired RN. Make sure that you always have your next bag ready! The worst feeling is waiting for the pharmacy or a fellow nurse to quickly mix up a bag while your patient’s BP is tanking. 😨
Seriously! My sister is a pharmD and she always gave me this tip to request medications early. I had a near panic attack a few days ago because pharmacy was 3 hours late getting my inotrope delivered on top of that it wasn't even made even though it was a scheduled medication >=(. The chamber of the IV line literally had a drop left before the dreaded "air in line" message!!
@@cheung7566 Hello! It depends on the type of medication and the situation you’re in. I’m not sure what protocols you follow in HK, but in our ICU’s we’re already doing so many things to watch over the patients. It’s a safety measure here in the US.
I'm right there with you with the emotions. I've had 3 shifts so far. I have my 4th shift tonight and Im here brushing up before I go in tonight. lol I plan to watch all the videos on this channel.
@@justbecause951 there are new grad nurse residency programs at most facilities now that prep new nurses for this role.... Your mindset is extremely dated. Anyway, I hope you're having a wonderful time on orienting and learning a lot, OP! Congrats on the new job :)
@@justbecause951Even if you started in med surg or where ever, they don’t titrate drips. Every new nurse in the ICU is new to the speciality and the level of care, regardless of previous experience. At least with new grads you know they’re doing their residency and getting a high degree of specialized training from the get go.
I am an ex ICU RN needing to go back to ICU to help out with potential COVID 19 influx here in Australia. Just wanted to say thank you for these lectures. They're excellent brush up on critical care basics.
You are very welcome Madelyn! Such an exciting time being a baby ICU nurse. So much to learn and its crazy to look back after a year and see how far you've come. I wish you all the best!
I am anesthesiology resident on maternal leave, my brain is half working but your videos are helping me to stay in good shape for my final exam! Thank you for your " In medias res" videos :)
I’m a new grad and have been in the ICU for a year, this has really helped me understand why providers choose certain pressors over others for these patients
New grad RN here, just hired to an ICU in a New Grad Residency program. I haven't started orientation yet, but I'm so excited. And I just found your channel and thank you for making these!
Starting a position in the Cardiac ICU as a new grad in June. I really have a passion for the cardiovascular system, and landing a position in the ICU is a plus. However, I am super intimidated! Definitely going through your videos to prepare.
I LOVE LOVE LOVE your channel, I learn more from your lessons than I did during my CVICU Residency (ended up going to ED afterwards but I'm looking to go back to ICU). I have been watching these on repeat since I found your channel and I recommend it to EVERY new RN or student RN. PLEASE keep up the great work!!!
Wow, thanks for the awesome comment Steve! Really glad that you've found the channel and are finding the videos helpful for you. And thank you so much for helping to spread the word! I really appreciate that.
As a senior nursing student in critical care these videos are extremely helpful in comprehending ICU topics. It was especially interesting to hear about Giapreza which is a new one for me. It is cool to hear about the most cutting edge medications. Thank you for providing this content!
Started my first rotation as an intern in the SICU. Your videos are really helping me get back that foundational knowledge that I learned all the way back in my first year of school. Thank you!
Thank you! I have a new grad interview for my dream job in an ICU (goal is flight nursing), but my preceptorship was med-surg. Trying to learn as much as I can and this format is exactly how I learn best!
Awesome Collin! Thats great to hear. I wish you luck on your interview and you'll have to let me know how it goes. Glad to hear you've found these videos useful!
Hi. I’m a UK ITU Nurse. We never use any catecholamines as a fluid bag, due to the caterpillar effect of all pumps, causing a +/- sine wave effect on the receptors. We use syringe drivers with a total 50 cc fluid volume to drug concentration. This gives a linear drug infusion, thus a stabilised vasoactive effect. Typically we use Noradrenaline ‘ [norepinephrine] in 4mg: 46cc dextrose 5% giving a concentration of 80mcg/ cc, then adjust the concentration to the case’ requirement up to 0.99mcg/kg/min
When I was a young nurse, many years ago, we only used Dopamine drips. Patients got incredible tachycardia. I also remember Isuprel gtts for severe asthma. Glad that we have other options now.
Dopamine has largely fallen to the wayside, except to treat bradycardia. In the studies, dopamine showed an increase in all-cause mortality compared to norepinephrine, and it was attributed to dopamine's propensity to cause arrhythmia.
Thank you, you are a born teacher. Keep up updating us about ICU environment and what we should basically know. I find these videos very helpful, now I am confident to use inotropes in ICU.
Hi, My name is Jeff I am from Brazil and I work in ICU here in Florida. Your video is a very informative and great source of reference. Thanks, so much to share your knowledge.
I’ve been following you since your initial star. I am one of the preceptor for our hospital, I recommend these the new & season nurses. And always a good didactic reference. Continue thanks.
i am a student nurse extern in the CTICU and i absolutely love this channel. Any chance i get im watching a new video, rewatching past videos and taking notes. i've learned so much on my unit alongside watching these videos. Thank you, thank you and thank you!!!
Student nurse in the SICU here and I've been binging the ICU Advantage vids since I started school in preparation. It's paid off because I feel like I know at least *something* 😊 Here's to us showing initiative and willingness/curiosity to learn!
I found this very helpful, for inotrope use in the ICU. Thank you, for all the material and knowledge that has been given. Keep us updated about the ICU, about what we need to know.
Thank you so much for uploading this new series! When I first started in the ICU, these medications were new to me, but these videos have helped me to better understand the pressors than the way I thought myself!
Thank you for this! After staying home with my kids for a while, considering going back into hospital nursing, possibly changing from having done OB to ICU, so I am trying to do what I can to refresh/relearn to be able to re-enter this field as prepared as possible.
Thank you for these videos! I just started in my hospital's coronary care unit and really appreciate the way you explain critical care concepts clearly and concisely.
I'm was a staff neuro RN, now turned travel RN (float pool) during COVID. I have been float pool for stepdown units and most are tele/cardiac PCU. I was never officially trained on drips even though I have been working tele-PCU for a year at several different Westcoast hospitals. They just dont assign me patients on drips because I am a traveler, (hospitals dont train new skills to travelers). Anyway, so now that now COVID has slowed, I am finding many hospitals now expect telemetry/PCU unit travelers to have titrating drip experience. I am self learning in your course. I find it interesting that I sound like the only PCU RN in these "ICU" comments, lol. Thank You ICU Advantage =)
Hey, a lot of the stuff that I talk about on this channel also applies to areas outside of ICU, including PCU/Tele. Certainly some of the stuff doesn't, but it can also be helpful to learn more about what your patients will need or did need before coming to you too. Glad to see you are working to improve yourself and your knowledge base to take care of your patients! Do you plan to continue traveling?
Hi I worked at cardiac surgical ICU at TABBA heart institute in Karachi Pakistan. I played with all these medicines, iabp etc etc... Good job man excellent knowledge👍 Now I'm working here in Lahore as RN😎 Please mention TABBA heart institute's name in your upcoming video because I love that hospital alot because I've learned alot from that hospital. Nice place to work and for learning new things aswell. Tears were in my eyes when I was leaving that hospital.
In Belgium nurses typically make their infusions themselves but in syringes of 50 ml. In our hospital our standard dose of norepinephrine is 4mg/40ml in a 50ml syringe in a syringe pump. 0.05mcg/kg/min is about 2 ml/hours... Every drip will be replaced within 24 hours if not empty.
Thankyou, fantastic and very easy to follow. Easy to integrate back with physiology and med/pharm also if you are refreshing, studying or updating at same time...
Awesome! Welcome aboard! Quite the change of pace there. I can relate. I used to be an Army Infantryman before going to school! Welcome to the world of nursing and glad you like the videos. I find that a lot of students tend to like these videos as well. Browse around. Lots of various topics I've got out there so far!
Hi Dear, Thank you for your amazing presentation 👏. It's very clear and simple yet it contains every important information that critical care nurses need to know. Great job and God bless you 🙏 🙌 👏 😊
Oh thats awesome to hear Safaa! Im so glad that you liked the videos. I really hope they helped you to have a better understanding of them. Just curious where/what is KSA? 🙂
Thank you so much. It is informative and easy to understand. Only thing is the writting is so small. It would be great if I can see it clearly as I am one of those who have visual memory.
hey eddie, I think that there is some slight confusion. vasoconstriction increases blood pressure by increasing total peripheral resistance (TPR) not by increasing cardiac output. the equation is MAP = CO x TPR. stroke volume is only increased by venous return. increasing afterload actually decreases your stroke volume
@@ICUAdvantage at around 3:30 - 3:45 your diagram implies that SV is a product of three things including afterload. and the voiceover states pressers increase BP by 'impacting' afterload (which i took to mean increasing afterload), thus implying that increasing afterload increases SV which increases CO and thus increases MAP. i think it would be more correct to talk about presser effect on BP under TPR (which you have labelled yourself SVR). i'm being pedantic i know but ICU doctors are very particular. i'm happy to be corrected if i am the one confused.
@@grattin So when I start talking about the breakdown of the CO equation, I made the transition from talking about increasing BP by increasing SVR to then talk about some of the other effects of pressor usage. I transitioned into breaking down the components of cardiac output to point out the other areas that are impacted that can have positive and negative effects on cardiac output. After breaking down the components, I merely pointed out that the afterload is the primary effect of our pressor usage, but then went on to talk about the impacts to HR, Contractility, and Preload. The point was to also explain about the other effects that will impact our hemodynamics, for good or bad. The purpose was to transition into talking about the adrenergic receptors, and others, that are activated with different pressors, to be able to understand some of the underlying differences between lets say epi and levo. Sorry if that wasn't clear from the video.
@@ICUAdvantage no worries thanks for your explanation. i think i understand where the confusion was now... i thought you were saying increasing afterload increases stroke volume but you were only relating afterload to BP, not SV at that point in the video. it seems we were in agreement the whole time just took the scenic route getting on the same page, lol. awesome channel by the way.
Thank you for this awesome comment James! Glad you liked it. And yeah that graph at the end helps to make it simple and visual I think. And yes I am on Facebook, Instagram, and Twitter. The username is the same for everything, "icuadvantage". Really appreciate you sharing and spreading the word!
Very well made video just a few suggestions 1: it's not agonising but agonistic activity 2: please explain both dilutions of Epinephrine 1:1000 and 1:10000. We also call it as Adrenaline (Epinephrine) and Nor Adrenaline (Nor Epinephrine). Correct me if I am wrong
Thank you for such a helpful video ! Do you happen to have a video with the breakdown of the meanings of the receptors and agonist ? I’m having a hard time with thoroughly understanding the patho on that end of things
Thanks for the great explanation What do you mean by renal dose regarding the dopamine ?! Which type of fluid do you use when you using the vassopresors , I mean you adding the vassopresors to which type of fluid (NS , D5%...) When you say dosing ( do you mean infusion rate ) Thanks in advanced
Glad you liked it and great clarification questions. Renal dose dopamine is typically considered 2-5 mcg/kg/min, but isn't really supported with literature. Usually the fluid used for the mixture is NS. And yes, dosing I'm referring to the infusion rate :)
thanks for your great work . I need your help to prepare a general orientation in critical care management for new graduates and medical students in Sudan especially in these days of pandemic. its only about one hour video or PowerPoint presentation.
I have a question I really hope you answer or if you have a video on it please let me know. This video was easy to understand thankful so happy I came across this channel. My question is what is in ICU drip / drips. I hear that term all the time but I dont understand what is the difference between giving an IV medication vs IV drip ? I know what an IV bolus is and I understand giving IV meds but what exactly is an IV drip is it just a continuous medication ?
@@ICUAdvantage thank you so much !!! No your response was perfect I just never understood the concept . So would normal saline be considered an iv drip if it it’s used as a maintenance fluid ?
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Please use white background. Black background is very irritating.
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Qqqaaqqqqqaaaaaaaqaaaaa!a q a! Q Q!!!
As soon as you spike one bag request the next, absolutely!
I’m
I’m an ED traveler with 13 yrs under my belt.
Your channel has helped me cross the threshold from competent to proficient.
Everyone thinks I’m so smart, but really, a steady diet of one of your videos daily while I’m in the shower has made ALL the diff.
Highly recommend for ALL specialties. We all deserve to be as smart as the ICU 😘
Here’s an important tip from a retired RN. Make sure that you always have your next bag ready! The worst feeling is waiting for the pharmacy or a fellow nurse to quickly mix up a bag while your patient’s BP is tanking. 😨
Yes! So true! Last thing you want is to run out, especially if you are requiring quite a bit. Always have backup bags for all pressors!
Seriously! My sister is a pharmD and she always gave me this tip to request medications early. I had a near panic attack a few days ago because pharmacy was 3 hours late getting my inotrope delivered on top of that it wasn't even made even though it was a scheduled medication >=(. The chamber of the IV line literally had a drop left before the dreaded "air in line" message!!
@@trishh274hi! i'm from hong kong! and out of curiosity that don't nurses in prep their own medications/ infusions?
@@cheung7566 Hello! It depends on the type of medication and the situation you’re in. I’m not sure what protocols you follow in HK, but in our ICU’s we’re already doing so many things to watch over the patients. It’s a safety measure here in the US.
@@trishh274good to know how the other icu works! thanks!
Finally landed an ICU job as being a nurse
I'm right there with you with the emotions. I've had 3 shifts so far. I have my 4th shift tonight and Im here brushing up before I go in tonight. lol I plan to watch all the videos on this channel.
man i have 10 years experience on a cardiac intervention unit/stepdown and i just got into the icu and I am overwhelmed. Its normal and will take time
I’m 3 weeks into ICU from
@@cmina8016 thanks so much! I’m on my own now and it’s a lot but looking forward to growing.
As a recent new grad, I’m currently two weeks into my orientation in the neuro ICU. I’ve been watching all your videos. These are helping immensely.
Scary they hire new grads into ICU. Good luck!
@@justbecause951 there are new grad nurse residency programs at most facilities now that prep new nurses for this role.... Your mindset is extremely dated. Anyway, I hope you're having a wonderful time on orienting and learning a lot, OP! Congrats on the new job :)
@@jenny_le Its not dated and it's my opinion. I wouldnt want a new inexperienced nurse titrating my drips.
@@justbecause951Even if you started in med surg or where ever, they don’t titrate drips. Every new nurse in the ICU is new to the speciality and the level of care, regardless of previous experience. At least with new grads you know they’re doing their residency and getting a high degree of specialized training from the get go.
@@Haleyyyy938 perhaps thats true..but its not just the drips. Ive met more than enough new icu nurses that think they know it all and dont know crap
I am an ex ICU RN needing to go back to ICU to help out with potential COVID 19 influx here in Australia. Just wanted to say thank you for these lectures. They're excellent brush up on critical care basics.
Awesome to hear! Thanks for the great feedback and glad they are useful for you! Stay safe out there!
Baby ICU nurse here thank you so much!!!
You are very welcome Madelyn! Such an exciting time being a baby ICU nurse. So much to learn and its crazy to look back after a year and see how far you've come. I wish you all the best!
Same, I start in the ICU next month
I'm about to be an infant ICU nurse, thank you for these lectures!!
I am anesthesiology resident on maternal leave, my brain is half working but your videos are helping me to stay in good shape for my final exam! Thank you for your " In medias res" videos :)
Congrats on the new baby! Glad my videos have been helpful and wishing you the best as you transition back!
Good luck❤
I’m a new grad and have been in the ICU for a year, this has really helped me understand why providers choose certain pressors over others for these patients
So glad that you are continuing to grow and learn and grateful that this video was able to help in that!
If you've been there for a year, then you're no longer a new grad. Congratulations! You are now an experienced nurse 😉
new nurses have 2 years of experience or less where im at
New grad RN here, just hired to an ICU in a New Grad Residency program. I haven't started orientation yet, but I'm so excited. And I just found your channel and thank you for making these!
I was incredibly nervous about starting as a new grad in the ICU until I started watching these videos. thank you!
You got this! Congrats on the new ICU gig. Glad you've found these videos helpful for you.
Starting a position in the Cardiac ICU as a new grad in June. I really have a passion for the cardiovascular system, and landing a position in the ICU is a plus. However, I am super intimidated! Definitely going through your videos to prepare.
Started the same position at the end of July! Hope it’s going well 🫶🏾
I LOVE LOVE LOVE your channel, I learn more from your lessons than I did during my CVICU Residency (ended up going to ED afterwards but I'm looking to go back to ICU). I have been watching these on repeat since I found your channel and I recommend it to EVERY new RN or student RN. PLEASE keep up the great work!!!
Wow, thanks for the awesome comment Steve! Really glad that you've found the channel and are finding the videos helpful for you. And thank you so much for helping to spread the word! I really appreciate that.
This is my second week of orientation in the ICU. ICU Advantage has been a wonderful resource to me. Thank you very much. Will definitely recommend.
Awesome! Thank you so much! Glad you like the videos.
As a senior nursing student in critical care these videos are extremely helpful in comprehending ICU topics. It was especially interesting to hear about Giapreza which is a new one for me. It is cool to hear about the most cutting edge medications. Thank you for providing this content!
I am Brazilian nurse starting my carreer in UK your classes are great to get used to vocabulary. Thank you so much for sharing your knowledge.
You're very welcome Dai and glad that this was helpful for you!
Started my first rotation as an intern in the SICU. Your videos are really helping me get back that foundational knowledge that I learned all the way back in my first year of school. Thank you!
Great to hear! Best of luck to you!
Currently doing that now, intern in the SICU and I absolutely love it!! Any tips for someone just starting out?
Thank you! I have a new grad interview for my dream job in an ICU (goal is flight nursing), but my preceptorship was med-surg. Trying to learn as much as I can and this format is exactly how I learn best!
Awesome Collin! Thats great to hear. I wish you luck on your interview and you'll have to let me know how it goes. Glad to hear you've found these videos useful!
ICU Advantage thank you! I’ll be starting the spot in November!! 😊
baby cvicu nurse here - these videos are soooo helpful
Hi. I’m a UK ITU Nurse. We never use any catecholamines as a fluid bag, due to the caterpillar effect of all pumps, causing a +/- sine wave effect on the receptors. We use syringe drivers with a total 50 cc fluid volume to drug concentration. This gives a linear drug infusion, thus a stabilised vasoactive effect. Typically we use Noradrenaline ‘ [norepinephrine] in 4mg: 46cc dextrose 5% giving a concentration of 80mcg/ cc, then adjust the concentration to the case’ requirement up to 0.99mcg/kg/min
When I was a young nurse, many years ago, we only used Dopamine drips. Patients got incredible tachycardia. I also remember Isuprel gtts for severe asthma. Glad that we have other options now.
Interesting how things change over time!
Dopamine has largely fallen to the wayside, except to treat bradycardia. In the studies, dopamine showed an increase in all-cause mortality compared to norepinephrine, and it was attributed to dopamine's propensity to cause arrhythmia.
Thank you, you are a born teacher. Keep up updating us about ICU environment and what we should basically know. I find these videos very helpful, now I am confident to use inotropes in ICU.
So great to hear this. Thank you and I'll definitely keep making more videos! 😊
Hi, My name is Jeff I am from Brazil and I work in ICU here in Florida. Your video is a very informative and great source of reference. Thanks, so much to share your knowledge.
Hi Jeff! Thanks for taking the time to stop and leave a comment. I really appreciate the kind words and glad that you enjoyed the video. Stay safe!
I am a french nurse and I think you are doing an amazing course. Thanks so much, i subscribed !
As two ICU nurses we approve this video haha! Great refresher video, thanks!
Haha, awesome and thank you! Glad you liked it. 😊
I’ve been following you since your initial star. I am one of the preceptor for our hospital, I recommend these the new & season nurses. And always a good didactic reference. Continue thanks.
i am a student nurse extern in the CTICU and i absolutely love this channel. Any chance i get im watching a new video, rewatching past videos and taking notes. i've learned so much on my unit alongside watching these videos. Thank you, thank you and thank you!!!
Student nurse in the SICU here and I've been binging the ICU Advantage vids since I started school in preparation. It's paid off because I feel like I know at least *something* 😊 Here's to us showing initiative and willingness/curiosity to learn!
I found this very helpful, for inotrope use in the ICU.
Thank you, for all the material and knowledge that has been given. Keep us updated about the ICU, about what we need to know.
thanks, I will recommend this to the junior staff I work with to understand vasopressors. simon, NZ
Awesome! Thank you!
Thank you for all your videos, As a new CVICU nurse at your old ICU I really appreciate it. My ROSS nurse told me about you so thank you.
How cool! Keep the 7th floor on lockdown and tell everyone I said hi 😊 Great crew there.
Thank you so much for uploading this new series! When I first started in the ICU, these medications were new to me, but these videos have helped me to better understand the pressors than the way I thought myself!
I'm glad that you were still able to find some good info from the videos!
The graph at the end was so helpful putting it all together. Thank you.
Thank you for this! After staying home with my kids for a while, considering going back into hospital nursing, possibly changing from having done OB to ICU, so I am trying to do what I can to refresh/relearn to be able to re-enter this field as prepared as possible.
I've seen some really great ICU nurses who have come from the land of babies! Best of luck to you as you return to the hospital!
Thank you for these videos! I just started in my hospital's coronary care unit and really appreciate the way you explain critical care concepts clearly and concisely.
So awesome to hear this Stephanie! Congrats on the new position and really glad they videos are finding a good home there
I'm was a staff neuro RN, now turned travel RN (float pool) during COVID. I have been float pool for stepdown units and most are tele/cardiac PCU. I was never officially trained on drips even though I have been working tele-PCU for a year at several different Westcoast hospitals. They just dont assign me patients on drips because I am a traveler, (hospitals dont train new skills to travelers). Anyway, so now that now COVID has slowed, I am finding many hospitals now expect telemetry/PCU unit travelers to have titrating drip experience. I am self learning in your course. I find it interesting that I sound like the only PCU RN in these "ICU" comments, lol. Thank You ICU Advantage =)
Hey, a lot of the stuff that I talk about on this channel also applies to areas outside of ICU, including PCU/Tele. Certainly some of the stuff doesn't, but it can also be helpful to learn more about what your patients will need or did need before coming to you too. Glad to see you are working to improve yourself and your knowledge base to take care of your patients! Do you plan to continue traveling?
New to the ICU, a friend recommended your channel. Thanks!
Awesome! Welcome to the channel and the ICU Jillian! 😊
Hi I worked at cardiac surgical ICU at TABBA heart institute in Karachi Pakistan.
I played with all these medicines, iabp etc etc...
Good job man excellent knowledge👍
Now I'm working here in Lahore as RN😎
Please mention TABBA heart institute's name in your upcoming video because I love that hospital alot because I've learned alot from that hospital.
Nice place to work and for learning new things aswell.
Tears were in my eyes when I was leaving that hospital.
no words can express how grateful i am.. thanks a lot!!
Happy to help!
Thanks!
Thank you so much Sherwonna!
That chart at the end was amazing!
Thanks! I really did like that part 😊
Really like the chart at the end and look forward to more about where & when to use them.
Glad you liked the summary chart! :)
Headed back to the icu after being out of it for a bit, needed a refresh on dosing etc... this was prefect!!! Thank you
So happy to hear this and welcome back!
Since epi is so strong that explains why it is used during codes 💪🏻
Yup and it has a lot of benefits that go well with someone on the edge of life!
Hey Eddie. I got accepted into CRNA school. I have been using your videos to study for a couple years now. Thank you.
Heck yeah man!!! Congrats 🍾 That so awesome to hear and I’m sure you are on cloud 9. Glad to have been able to help in some way.
Congrats! I’m studying for crna school as well!
Um how have I not found this channel until this point? thank you so much for all of this content :)
I don't know but sure glad you did! 😊 Welcome aboard and glad you like the videos!
IM THINKING APPLYING IN ICU AFTER GRADUATE AND TRYING TO GET USED WHAT I NEED TO LEARN IN DRIPS AND ALL. THANKS FOR THIS VIDEO.IM A NEW SUBSCRIBER!
Right on! Best of luck in your goals of ICU and welcome aboard on the channel!
Best description and explanation I’ve found on RUclips!!! ❤❤❤
Wow, thank you!
1 year and 8 months as a med surg nurse. Just completed my first day in the ICU. Needing to relearn a lot of things 😅
starting in the ICU in a few weeks excited and nervous at the same time, your videos have been helping
Fantastic to hear Joey! Congrats on the new ICU position and really happy to be able to help!
Really helped just getting a bigger picture of drips! Brings me back to nursing school’s sympathetic vs parasympathetic lectures! 🤣
Haha awesome Montana! It's amazing how that distant memory stuff comes right on back!
Baby ICU nurse. This lesson is very helpful
I really wish you guys had a how to mix and titrate drips video! great information!
So informative with simplified explanation. Thank you so much !
Thank you! I really appreciate that!
New to icu learning a lot and nervous at the same time
In Belgium nurses typically make their infusions themselves but in syringes of 50 ml. In our hospital our standard dose of norepinephrine is 4mg/40ml in a 50ml syringe in a syringe pump. 0.05mcg/kg/min is about 2 ml/hours... Every drip will be replaced within 24 hours if not empty.
Interesting! Always cool to hear how things are done differently in different places!
Thankyou, fantastic and very easy to follow. Easy to integrate back with physiology and med/pharm also if you are refreshing, studying or updating at same time...
Great to hear this. Thank you Ana!
Great video! Definitely made the vasopressors more clear to understand. Thank you!
Very glad to hear this Julio! Thank you for taking the time to stop in and leave a comment! 🙂
Great review of vasopressors, thank you!
Glad you liked it! :)
Please do more of these man! Loved it!
Thanks man! Yeah there's actually like 15 drip lessons just in that playlist alone!
Just subscribed your channel!
I’m new to the critical care world.
Thanks for your video.
Welcome aboard and glad to have you Risa. Hope that you find these videos helpful in your critical care journey! :)
New subscriber- great information for an investment banker turned student nurse
Awesome! Welcome aboard! Quite the change of pace there. I can relate. I used to be an Army Infantryman before going to school! Welcome to the world of nursing and glad you like the videos. I find that a lot of students tend to like these videos as well. Browse around. Lots of various topics I've got out there so far!
Wow, you even went into dosing !!!! This is amazing !!!
Yes! Thank you! Glad you liked it.
Hi Dear,
Thank you for your amazing presentation 👏. It's very clear and simple yet it contains every important information that critical care nurses need to know.
Great job and God bless you 🙏 🙌 👏 😊
Thank you so much for that. Happy to know you found it helpful
Thank you for the comparison table at the end 19:00
My pleasure! Glad you found that part helpful!
Thank you so much, it's very concise and informative high quality video 👏
THANK YOU! :) --Nursing School Student :)
I like how you do this lessons, very organized and easy to understand! Do you teach in nursing school too?
I watched all videos, I appreciate your easy way to explain. I`m always confused with those drips as a new grads. Love from KSA!
Oh thats awesome to hear Safaa! Im so glad that you liked the videos. I really hope they helped you to have a better understanding of them. Just curious where/what is KSA? 🙂
ICU Advantage Its a country in middle east. Kingdom of Saudi Arabia
Very cool! Well hello from the other side of the world!
So helpful! I love your videos!
Great lesson! Concise and sweet!
Currently taking critical med surg. Your videos are dope!
YES!!! Haha, appreciate the awesome comment and so glad these are helpful for you Christiana!
Would you say this information is steered more towards med students or pharmacy students?
Thank you so much. It is informative and easy to understand. Only thing is the writting is so small. It would be great if I can see it clearly as I am one of those who have visual memory.
Sorry, I try to work on my writing!
Ty! For the refresher!
Absolutely my pleasure Rebeca!
hey eddie, I think that there is some slight confusion. vasoconstriction increases blood pressure by increasing total peripheral resistance (TPR) not by increasing cardiac output. the equation is MAP = CO x TPR. stroke volume is only increased by venous return. increasing afterload actually decreases your stroke volume
Not sure where you feel there is confusion? I'm not stating increasing afterload increases SV or CO.
@@ICUAdvantage at around 3:30 - 3:45 your diagram implies that SV is a product of three things including afterload. and the voiceover states pressers increase BP by 'impacting' afterload (which i took to mean increasing afterload), thus implying that increasing afterload increases SV which increases CO and thus increases MAP. i think it would be more correct to talk about presser effect on BP under TPR (which you have labelled yourself SVR). i'm being pedantic i know but ICU doctors are very particular. i'm happy to be corrected if i am the one confused.
@@grattin So when I start talking about the breakdown of the CO equation, I made the transition from talking about increasing BP by increasing SVR to then talk about some of the other effects of pressor usage. I transitioned into breaking down the components of cardiac output to point out the other areas that are impacted that can have positive and negative effects on cardiac output. After breaking down the components, I merely pointed out that the afterload is the primary effect of our pressor usage, but then went on to talk about the impacts to HR, Contractility, and Preload. The point was to also explain about the other effects that will impact our hemodynamics, for good or bad. The purpose was to transition into talking about the adrenergic receptors, and others, that are activated with different pressors, to be able to understand some of the underlying differences between lets say epi and levo. Sorry if that wasn't clear from the video.
@@ICUAdvantage no worries thanks for your explanation. i think i understand where the confusion was now... i thought you were saying increasing afterload increases stroke volume but you were only relating afterload to BP, not SV at that point in the video. it seems we were in agreement the whole time just took the scenic route getting on the same page, lol. awesome channel by the way.
@@grattin haha scenic route. Yes. I like that!
Excellent presentation. I actually screen-grabbed the graph at the end. Are you on Facebook and Twitter? I'd like to post it and give you credit.
Thank you for this awesome comment James! Glad you liked it. And yeah that graph at the end helps to make it simple and visual I think. And yes I am on Facebook, Instagram, and Twitter. The username is the same for everything, "icuadvantage". Really appreciate you sharing and spreading the word!
VERY USEFUL AND EASY TO UNDERSTAND
Glad to hear that!
You are simply the best .
Very well made video just a few suggestions
1: it's not agonising but agonistic activity
2: please explain both dilutions of Epinephrine 1:1000 and 1:10000. We also call it as Adrenaline (Epinephrine) and Nor Adrenaline (Nor Epinephrine).
Correct me if I am wrong
Yes the -adrenaline names are typical of medicine taught in UK terms, this video series is in US terms
Thank you for the video. It was extremely helpful. I'm a nurse obtaining my BSN and am interested in ICU!
My pleasure. Glad you found it helpful!
Thank you for making pressors easier!
So awesome to hear this Saber!
Thank you for such a helpful video ! Do you happen to have a video with the breakdown of the meanings of the receptors and agonist ? I’m having a hard time with thoroughly understanding the patho on that end of things
Love it! Very educational for me. Thank you!!
Awesome. Happy to hear you liked it.
Compact and concised in 25 mins....awesome bc I have a short span in edu videos...lol
Thanks for the great explanation
What do you mean by renal dose regarding the dopamine ?!
Which type of fluid do you use when you using the vassopresors , I mean you adding the vassopresors to which type of fluid (NS , D5%...)
When you say dosing ( do you mean infusion rate )
Thanks in advanced
Glad you liked it and great clarification questions.
Renal dose dopamine is typically considered 2-5 mcg/kg/min, but isn't really supported with literature.
Usually the fluid used for the mixture is NS.
And yes, dosing I'm referring to the infusion rate :)
@@ICUAdvantage thank you for your time 🙏 😊
Thanks, great presentation. Helps to review these critical care drugs. Been out of ICU for a while but may need to go back
Thank you Beth! Glad these were helpful and I wish you all the best!
Thank you for making these videos. It is really helpful.
You are very welcome Lincy. Happy to be able to help!
This intro is so much better than the dubstep one
Well done! Great info as always.
Thank you!
Thank you. I love following your lessons ! A good review for me.
Glad you like them!
hi, what is the difference of A1 and V1 receptors? when its both for smooth muscle comtraction?
thanks for your great work . I need your help to prepare a general orientation in critical care management for new graduates and medical students in Sudan especially in these days of pandemic. its only about one hour video or PowerPoint presentation.
Thank you this was helpful.
Very, very, very useful. Thanks a lot!
Glad it was helpful!
Very great and informative video..thank you.
Happy to hear this. You're welcome
I have a question I really hope you answer or if you have a video on it please let me know. This video was easy to understand thankful so happy I came across this channel. My question is what is in ICU drip / drips. I hear that term all the time but I dont understand what is the difference between giving an IV medication vs IV drip ? I know what an IV bolus is and I understand giving IV meds but what exactly is an IV drip is it just a continuous medication ?
Sorry for the confusion, Yes, drips are continuous infusions.
@@ICUAdvantage thank you so much !!! No your response was perfect I just never understood the concept . So would normal saline be considered an iv drip if it it’s used as a maintenance fluid ?
@@MysteriousPrincess22 no we typically just use it to refer to medications on continuous infusion
Good job 👏
Thank you so much for your videos! I just moved from a step down unit to CVICU and these videos have been a huge help!
Awesome Katie! So glad to hear they have been helpful! 🙂
How are you liking CVICU
Thanks for the video! 👍
So helpful 🙂🙂🙂
Glad it was helpful!