Anaphylactic shock: Clinical Nursing Care

[@Bill.R.124]

Nice overview: A few tips as a nursing professor and emergency nurse: The word "patent" is pronounced "pay-tint." Initial treatment is Epinephrine 1: 1000 concentration SQ or IM. Although an epinephrine drip might be necessary, epi is never given IV push except in cardiac arrest. Also, assure a large bore IV access (x 2 sites) and NS or LR is given first to treat hypotenstion BEFORE pressors. ("fill the tank before you squeeze the tank" is the saying). I've never heard of getting a CT to diagnose anaphylactic shock--it's usually pretty obvious based on history and presentation--one of the most terrifying patients you'll ever treat. Finally, because intubation may not be doable, a cricothyroidotomy kit ("trach kit) should be on hand. Thanks

[@kathrynbeach7038]

He said a CT scan can be used to exclude complications from it.

[@Hikari-mj6zx]

That was very helpful, simple yet effective. I appreciate the clear pronounciation and tone for non native speakers.

[@osmosis]

You're very welcome! 🙏🏼

[@rachelduffy3355]

Distributive, not disruptive

[@nancylorenaguerrero775]

I also noticed, but i was not sure because im not a native speaker

[@fenohikari]

I really appreciate the video. In 2:00 the woman is wearing a scarf so i'll assume she's muslim, so don't draw muslims with sleeveless shirt, it's misleading, draw them at least with sleeve shirt or a hijab all together, thank you!

[@DrRoton-ln5br]

Excellent! ❤

[@osmosis]

Thank you! 😊

[@TarotKiller-m4u]

THE HEART DOCTOR I almost had a heart attack when you enrolled in heart doctor school because you were always so dumb and everything. Yes, that's true but I won't be so dumb after I graduate. Where are you going to be a heart doctor? Oh, all over the place I suppose. How about Alaska? They have a need for extra heart doctors up there. How come? Because of the weather. I was hoping to be a heart doctor in France but first, of course, I'll have to learn French, but that should be easy because I love French toast so much. I'm glad you're not crazy about human flesh because then you'd have to be a heart doctor on Cannibal Island.

[@amranwar351]

Good 😊❤

[@osmosis]

Thanks! 😄

[@kathrynbeach7038]

What’s with all the naysayers in the comments? This seems very text book for students. Is it like this in the real world? Probably not. Just enjoy the dang content for people trying to pass the NCLEX. If you don’t like the content, make your own.

[@clairefox2061]

Lol who's taking the time to take history and order xrays when someone presents with anaphylactic shock. Adrenaline and fluids asap.

[@Hikari-mj6zx]

Xrays and ECG are for detecting complications not for confirming the diagnosis, so i guess you can give treatment before doing them. And how are you going to know the allergens if you don't take history? Sure you don't have time for DETAILED history nor do you need it but asking specific questions while suspecting anaphylactic shock helps confirming it for sure

[@umutonirosette9825]

Don't go rapidly