NEUROMUSCULAR BLOCKING AGENTS - Paralytics (Part 2) - ICU Drips
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- Опубликовано: 10 дек 2019
- In this next lesson on ICU Drips and Paralytics, we take a look at the different neuromuscular blocking agents that we have at our disposal in the ICU. We start off talking about the 2 different categories of these medications, the depolarizing and non-depolarizing agents.
For our depolarizing agents, they bind the Ach receptors and activate them initially before staying bound to block future activation. The only medication that we use in this category is a medication called Succinylcholine. It is important to know that while this medication has many useful benefits, there are some serious side effects as a result of being a depolarizing agent.
Next we talk about our non-depolarizing agents. These medications bind Ach receptors and block them but do not initially active them when bound. We have 2 different classes of these medications, the Aminosteroids and the Benzylisoquinoliniums. We also usually group these medications by their length of action. We don't have any short-acting medications in this category, but when looking at the intermediate-acting medications we have 2 aminosteroids and 2 benzylisoquinolinium. The 2 aminos are Rocuronium and Vecuronium, and the 2 benzyls are Atracurium, which really isn't used much anymore, and Cisatracurium, also known as Nimbex. Nimbex is our most commonly used medication when it comes to a continuous infusion. Finally we talk about our sole long-acting medication called Pancuronium.
Hopefully after this lesson you will have a better understanding of the different medications that we use for neuromuscular blockage and some of the key difference between them, so that hopefully you will feel more comfortable with their use in the ICU.
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Don't forget to check out the playlist for this series of lessons here: • ICU Drips
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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...
Glasgow Coma Scale: • Glasgow Coma Scale (GC...
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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
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Using this to study for my CRNA interview. Thanks so much! Love the way you teach
Awesome! Best of luck. I’ve had a lot of feedback from people about may of the lessons in the series being helpful in CRNA interviews
I am also watching to refresh on depolarizing vs non depolarizing agents MOA
I really appreciate the amount of information you put in each video. It’s just the right amount of content and time for me to digest and work through.
As a paramedic, your lessons are just beyond what is typically at the medic level and seems like it’ll help me slide over to ICU nursing. Thanks so much!
Thank you so much for the awesome feedback Eric! It’s a challenge but I try my best to keep myself from going on too long in these videos. Glad it seems like the right amount. And congrats on the transition to ICU nursing! It’s a fun adventure!
You have great content in your videos! Thank you!
Thank you so much for that! I really appreciate the feedback.
Thank you so much for your hard work in offer so much good information.
You are very welcome Jefferrson! Thank you for taking to time to leave a comment and let me know!
Thank you- This is a very " to the point presentation ", like the doses noted and the IV drip rates- I think one of the few things I have noted now is that MD's want to know the IV compatibility in an acute situation with drips and others such as Amiodarone and NE.
Glad you liked it. IV compatibility is certainly very important!
Amazing content - thank you!
So happy to hear this. Glad you liked it! :)
Great contents ❤ from Sri Lanka
Smart presentation👍 Well explained!
Thank you very much Millie! Super nice of you to say!
This was good. Thank you
Glad you enjoyed it!
Thank you so much Eddie!👍🏻👍🏻👍🏻
You're welcome Joe! Hopefully some good info in there for ya.
It’s so helpful huh?
Thank u amazing❤❤
Thank you
You're welcome!
This video is missing from the ICU Drips playlist on your channel. Great content!!
Ahhh! Thanks for pointing that out. Let me fix that now!
@@ICUAdvantage thank you so much. I'm a HUGE fan of all your work, all your videos and your playlists. I watched the whole Remdesevir premier too as it aired. Great work keep it up waiting for more videos!!
@@simchakaplan7329 Thats so awesome to hear. Hope you enjoyed the premier. First time I tried it. I was off and figured what the heck! :) Definitely have more videos in the pipeline on COVID before I head back to make more general critical care stuff like before.
@@ICUAdvantage keep em coming! Great work
Great video
I just want to ask you
What are the doses of Atracorium ?! You didn't mention it in the video
Good but any disussion on Vecurionium?
The video was good but it would be nice to include nursing care and considerations. Thank you
Thanks for the feedback. I believe I did cover those in Part 4 though.
Hi. Just want to ask. How do you dilute IV Atracurium infusion? Or you give it undiluted?
Goodddddd
We've been using a lot roc drips for COVID 19 since we are out of the others.
Good to know! We seem to be doing a lot of things differently from just a couple months ago these days!
For the algorithm
Thank you!