Thank you guys so much for watching! 🙏 Please leave us a like 👍if you enjoyed the video. We truly do appreciate it! Also we love 💗hearing your comments so feel free to tell us what you think of the video. 😍 Check out the rest of the videos in this series here: ruclips.net/p/PL2oVjKTYocdPLrS0odnyih8wf6zZ7WfVW Don't forget to check out these other great series of lessons that we have available! Hemodynamics: ruclips.net/p/PL2oVjKTYocdMBZlcIcWlESbOFFaGugQS2 Shock: ruclips.net/p/PL2oVjKTYocdPP0K8Fi49GfUgprICS-xMf Arterial Blood Gases: ruclips.net/p/PL2oVjKTYocdMz1qF-3iS6iUZ-R_fKbeJw ECG/EKG Interpretation: ruclips.net/p/PL2oVjKTYocdPMaNwn4xbg6xAIaAnyraMj Heart Failure: ruclips.net/p/PL2oVjKTYocdNdFoS31yGhylKwib9lRf73 Endocrine System: ruclips.net/p/PL2oVjKTYocdO74cmXgmKjexoq59j93-Wv OR these individual lessons! Blood Tubes - Order of Draw: ruclips.net/video/mAmwdDdbkUI/видео.html Glasgow Coma Scale: ruclips.net/video/zYwJVPIjW6I/видео.html Don't forget to check us out and give us a like on Facebook, Instagram and Twitter! facebook.com/ICUAdvantage instagram.com/ICUAdvantage twitter.com/ICUAdvantage
I really love your videos. Very informative!! I would like to know if for instance the patient has 4 twitches and the intensity is 6 Amp. Would it mean that patient is not well paralyzed and requires an increased dose of the paralytic?
So it depends what your goal is? If its just to suppress coughing, then if it has achieved that goal with 4 twitches, then no you wouldn't need to. But if it is to immobilize the patient and your goal is 2-3 twitches per order, then yes. Hope that helps.
So this might be a dumb question, I’m currently a nursing student that also works as an aide in an ICU. When you went over how these medications can cause atrophy of the skeletal muscles, because they are blocking ACH receptors (if I understood correctly), does preforming ROM on these patients still do anything to prevent atrophy of their muscles? Or, because of the way these medications work, does it really not do anything? Thanks!
Nope, not a dumb question! So ROM won't help to prevent atrophy, but is very important to prevent contractures and stiffening. Definitely important to be doing for all non-mobile patients.
@@ICUAdvantage follow up to this, and I appreciate your answer, would doing ROM break down muscle? And, would these medications inhibit the rebuilding of muscles? Would doing ROM as contribute to muscle atrophy if we’re breaking them down? Thanks again! Let me know if my question doesn’t make sense.
Awesome! Welcome aboard! Honestly these videos are a mix of personal experience, how my hospital (or others I've worked) do it, as well as some research material across a range of critical care books and online.
Man, if you knew how hard I tried to make my videos shorter. Some people want to quick and easy, some people like the longer explanations. I honestly set a goal of 12 minutes for each video. Unfortunately I rarely achieve that goal! ☹
Thank you guys so much for watching! 🙏 Please leave us a like 👍if you enjoyed the video. We truly do appreciate it! Also we love 💗hearing your comments so feel free to tell us what you think of the video. 😍
Check out the rest of the videos in this series here: ruclips.net/p/PL2oVjKTYocdPLrS0odnyih8wf6zZ7WfVW
Don't forget to check out these other great series of lessons that we have available!
Hemodynamics: ruclips.net/p/PL2oVjKTYocdMBZlcIcWlESbOFFaGugQS2
Shock: ruclips.net/p/PL2oVjKTYocdPP0K8Fi49GfUgprICS-xMf
Arterial Blood Gases: ruclips.net/p/PL2oVjKTYocdMz1qF-3iS6iUZ-R_fKbeJw
ECG/EKG Interpretation: ruclips.net/p/PL2oVjKTYocdPMaNwn4xbg6xAIaAnyraMj
Heart Failure: ruclips.net/p/PL2oVjKTYocdNdFoS31yGhylKwib9lRf73
Endocrine System: ruclips.net/p/PL2oVjKTYocdO74cmXgmKjexoq59j93-Wv
OR these individual lessons!
Blood Tubes - Order of Draw: ruclips.net/video/mAmwdDdbkUI/видео.html
Glasgow Coma Scale: ruclips.net/video/zYwJVPIjW6I/видео.html
Don't forget to check us out and give us a like on Facebook, Instagram and Twitter!
facebook.com/ICUAdvantage
instagram.com/ICUAdvantage
twitter.com/ICUAdvantage
Good videos for Refreshers and some new info. I highly recommend
Awesome to read this Elizabeth! Thank you so much!
thank you for this awesome video,it is so easy to understand,very useful
Awesome to hear! Thank you Urai.
Great resource thank you
Appreciate that!
Exactly! Dry mouth and dry eyes.🎯
I really love your videos. Very informative!!
I would like to know if for instance the patient has 4 twitches and the intensity is 6 Amp. Would it mean that patient is not well paralyzed and requires an increased dose of the paralytic?
So it depends what your goal is? If its just to suppress coughing, then if it has achieved that goal with 4 twitches, then no you wouldn't need to. But if it is to immobilize the patient and your goal is 2-3 twitches per order, then yes. Hope that helps.
Would these paralytics have any effect on smooth muscles of the gut and affect GI motility?
Nope! Beauty is they impact skeletal muscle, not smooth or cardiac.
thank you
You're welcome
Titration off? Help! How do we safely titrate paralytics down?
So this might be a dumb question, I’m currently a nursing student that also works as an aide in an ICU. When you went over how these medications can cause atrophy of the skeletal muscles, because they are blocking ACH receptors (if I understood correctly), does preforming ROM on these patients still do anything to prevent atrophy of their muscles? Or, because of the way these medications work, does it really not do anything? Thanks!
Nope, not a dumb question! So ROM won't help to prevent atrophy, but is very important to prevent contractures and stiffening. Definitely important to be doing for all non-mobile patients.
@@ICUAdvantage follow up to this, and I appreciate your answer, would doing ROM break down muscle? And, would these medications inhibit the rebuilding of muscles? Would doing ROM as contribute to muscle atrophy if we’re breaking them down? Thanks again! Let me know if my question doesn’t make sense.
🎉🎉🎉🎉🎉🎉excellent
Good one
Thanks for the visit
Nice presentation. Pls use brighter colours...sometimes its difficult to read. Though ur explaining it nicely
Thanks for the feedback!
Can you tell how to do a baseline tof before the paralytic drip
Yes, I actually covered that in a recent video on ToF here: ruclips.net/video/kqUAgtV3Bb4/видео.html
What conditions warrant paralytic outside of the operating room? Deep sedation isn’t enough?
I talked about some of the indications in Part 1
Thx
You're welcome! Glad you liked the video!
gread job.
Thank you!
Thanks :-)
You're welcome!
great Stuff! I subscribed! May I ask for the references that you used?
Awesome! Welcome aboard! Honestly these videos are a mix of personal experience, how my hospital (or others I've worked) do it, as well as some research material across a range of critical care books and online.
For the algorithm
Thank you!
Thank you so much for the lecture! Great info but too much fluff in the beginning of the presentation and throughout. Can condense into 5 mins easily.
Man, if you knew how hard I tried to make my videos shorter. Some people want to quick and easy, some people like the longer explanations. I honestly set a goal of 12 minutes for each video. Unfortunately I rarely achieve that goal! ☹