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.
@kgrfirdjy3 жыл бұрын
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
@ACoupleNurses2 жыл бұрын
Love precedex! It’s so under utilized at many hospitals
@sherryhayes38884 жыл бұрын
I like how it was short to the point!
@joshscott20094 жыл бұрын
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!
@ladyandrews9371 Жыл бұрын
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.😊
@ACoupleNurses Жыл бұрын
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.
@MariaPerez-mz1to Жыл бұрын
Same here🙏🙏🙏👏👏👏👏👏
@bubblebee82483 жыл бұрын
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
@kgrfirdjy3 жыл бұрын
i would like to see that, too, as i am returning to practice as a nurse.
@fionarose64353 жыл бұрын
What a great question!! I want to know it too
@AJbara4 жыл бұрын
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.
@steeveekeys19042 жыл бұрын
By the way, what fixed the high BP/HR?
@chelleocean36143 жыл бұрын
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!
@TheTREVOR624 жыл бұрын
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 📹 👍
@KimberlyWard-h5w Жыл бұрын
This is great information. I just finished my first week in ICU and felt sooo lost
@keamiyahwalker5234 жыл бұрын
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.
@ACoupleNurses4 жыл бұрын
Thanks for subscribing! Good luck on your journey
@venturewithval4 жыл бұрын
Great video! Also, make sure to monitor the patients QT interval for prolongation when using Precedex!
@celestekula92983 жыл бұрын
And monitor for bradycardia!
@DigitalAndInnovation2 жыл бұрын
I am curious where the evidence for this is a thing?
@shanaywewe69233 жыл бұрын
Nurses rock!! Thanks so much I love listening to these on my drives (new nurse in general, ICU here though!)
@marthepelashka20823 жыл бұрын
I'm going to ICU and trauma next week...so your video helps me a lot. A short and precise video. Thank you
@jjgisfree2 Жыл бұрын
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.
@danas31489 ай бұрын
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.
@susanchristineknisely3546Ай бұрын
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.
@Mrsminyem243 жыл бұрын
I am a VERY new nurse to this industry. Thanks for your video.
@uncleraymund17547 ай бұрын
OMG. Straight to the point. Love this!
@astrogal54878 ай бұрын
Thank you for creating the video. As a new ICU nurse, it was very helpful. Thank you again!
@ChiseledFrame2 жыл бұрын
Thank you!!! I'm a new grad in ICU this really helps.
@marksanders80953 жыл бұрын
I can add another one for you. Nimbex is being used a lot in the ICU with COVID patients. Overall good information
@jenniferbrewer75073 жыл бұрын
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
@ACoupleNurses4 жыл бұрын
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.
@nursej5348Ай бұрын
This video was extremely helpful! Thank you
@ACoupleNursesАй бұрын
Glad it was helpful!
@2012jjoykutty03 Жыл бұрын
Some clarification- Levo also affects B1 receptors. Epinephrine is a non selective drug that affects alpha and beta receptors depending on the dosage.
@keithwalker3890Ай бұрын
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.
@wedgepressure43134 жыл бұрын
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.
@VestingYeti2 жыл бұрын
I've watched a ton or videos but this was VERY helpful! Thank you so much!!!
@mumsymkhize7777 Жыл бұрын
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
@dorisnwangwa89923 жыл бұрын
#NursesRock Thank you for this! I have an ICU Fellowship interview this am, wish me luck! 🤞🏾
@robertkosin62273 жыл бұрын
Nice, concise and to the point. Rock and roll my fellow Front line RN brother! Excellent info. 👍✌️
@sdenny64044 жыл бұрын
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
@lorenzolawrence52214 жыл бұрын
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.
@shanzie813 жыл бұрын
@@lorenzolawrence5221 how is the ICU compared to the ED?
@CriticalCareCocktails2 жыл бұрын
Nice man! I’ve been a paramedic since 2012. I graduate nursing school in February and recently accepted an ICU position. Can’t wait!
@shelldix Жыл бұрын
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.
@shegotit1433 жыл бұрын
These were some nice quick facts! Thank you! 🙌🏼
@kombuchalover7123 жыл бұрын
Thank you this was very helpful and straight forward as I am starting my practicum in the ICU this week!
@MazvitaRaphael2 жыл бұрын
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.
@RNScrub2 жыл бұрын
Awesome and simple content. Appreciate you helping our fellow nurses.
@calebcaulder85292 жыл бұрын
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
@ACoupleNurses2 жыл бұрын
💯
@brucenome9893 жыл бұрын
You will make a good acute care nurse practitioner
@alexandravaldivia31282 жыл бұрын
Nurses rock!
@bubblebee82483 жыл бұрын
Love how you explained everything!
@Мой_повелитель-льАй бұрын
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.
@CorneliaOgulewe-jm7vv Жыл бұрын
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.
@donnalohnes22408 күн бұрын
Nurses rock
@marissam3904 жыл бұрын
Thank you!! Straight to the point and informative.
@Dee3000_deee2 жыл бұрын
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
@princessama1558 Жыл бұрын
Can you pls like write the names of the medications as you say them? Makes it easier to research ..thanks
@godsgirl7201 Жыл бұрын
I luv that couple nurses💞☺️😍
@Xhar3083 жыл бұрын
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
@connorrobinson34713 жыл бұрын
Thanks man! This is perfect
@crimpchimp8263 Жыл бұрын
Two other ones I see way too often are insulin drips and fentanyl drips.
@agapeagencyofvirginia7932 жыл бұрын
Excellent thank you
@ACoupleNurses2 жыл бұрын
of course, be sure to download the attachment
@estebantspn5962 Жыл бұрын
I have notice that a lot of hospitals titrate medications with non weight based. Is that a norm?
@2014kassandra3 жыл бұрын
Thanks so much for the info!
@Mainly-boy-outdoors10 ай бұрын
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.
@gborowme4 жыл бұрын
Thank you, and propofol and decrease blood pressure. Watch out for that.
@ACoupleNurses4 жыл бұрын
FACTS! lol
@sunitareddy45703 жыл бұрын
Really informative class thank u
@larosenoirek21973 жыл бұрын
Thank you!!!!!
@Tactical12gauge2 жыл бұрын
In my ICU we can titrate Levo up to 50, honestly seen it higher than 50 (not for long) but yeah what a drug
@ACoupleNurses2 жыл бұрын
Every hospital has their own policies and limits.I've seen it at 80 mcg at some places
@LynnDeatherage-q3k10 ай бұрын
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.
@marcosmolinuevo53106 ай бұрын
Nurses Rock
@chichilaroux58752 жыл бұрын
Thanks!!!!!!
@roseobeng4523 Жыл бұрын
How did u both meet and who is older ?
@nsreen38073 жыл бұрын
you rock thanks
@hermideplacide4883 жыл бұрын
You are on point
@ACoupleNurses3 жыл бұрын
😎
@vincentbianchi33613 жыл бұрын
At the beginning of this video, i was thinking of other drugs he was gonna talk about
@marcosmolinuevo53106 ай бұрын
Brother how can we dm i need to learn this im new in icu But been an Imc nurse for 3 years
@Mrsminyem243 жыл бұрын
#nurses do rock
@jinnamgoong52953 жыл бұрын
MONICA!! Let em know what's up with our unit..
@bettysmith70454 жыл бұрын
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.buckley1083 жыл бұрын
I'm on here for the same reason. Did they ask you questions related to gtts?
@shegotit1433 жыл бұрын
@@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).
@BriNJ19834 жыл бұрын
#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!
@godsgirl7201 Жыл бұрын
Lol that intro
@DigitalAndInnovation2 жыл бұрын
Propofol is NOT a sedative- it is a hypnotic
@ACoupleNurses2 жыл бұрын
It’s technically a general anesthetic
@DigitalAndInnovation2 жыл бұрын
@@ACoupleNurses yes, its a general anesthetic in the class of hypnotic
@premsrip64422 жыл бұрын
@@DigitalAndInnovation I do agree but all icu nurses understand when use the word as Sedative. Why try to be different?
@DigitalAndInnovation2 жыл бұрын
@@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.
@FZX833 жыл бұрын
dude where is phenylephrine and esmolol , those things are magic
@ACoupleNurses3 жыл бұрын
You speak facts!
@BakoleJames4 ай бұрын
Using brand names instead of generic names
@pepekale91824 жыл бұрын
every 12 hours tubing change? ok
@jessica.rodriguez4 жыл бұрын
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! :)
@shegotit1433 жыл бұрын
@@jessica.rodriguez Thank you for explaining that! It helps it stick!