First year PA student here- your videos are so helpful! I hope I have nurses like you on my ICU rotation!
@ICUAdvantage2 жыл бұрын
Awesome! Really glad you are liking the videos! Best of luck in your training.
@donnacarroll9259 Жыл бұрын
I've been a nurse 30 years and I listen to your lessons every day. I learn something beneficial every day and helps me give the best care I can. Thank you for sharing your knowledge! 8/28/23 11:30 a.m.
@ICUAdvantage Жыл бұрын
This is awesome. One of the reasons I love doing these videos so much is that they 1) help refresh things and 2) Im always learning something new along the way.
@anonymous-td2wy2 жыл бұрын
Important pottasium points: it’s a vesicant if hypokalemia is severe give it fast centeral line, if it’s moderate and they’re asymptomatic peripheral line slow choose a big vein it burns!, if they’re symptomatic arrhythmia tachycardia centeral line, if it’s low or mild prob give oral now if they’re having metabolic acidosis on top of low pottasium give them oral pottasium bicarbonate… also key point don’t push or bolus pottasium ever this isn’t a prison. watch out for patients who have oliguria, they will accumulate pottaisum in the body and youlle give them a deadly arrhythmia! Don’t give pottaisum to a hypokalemic who has olguria!
@carlesc54973 жыл бұрын
This is one of the greatest videos I’ve watched about electrolytes. Straight to the point! Thanks 🙏
@ICUAdvantage3 жыл бұрын
Wow, thank you so much Carl!
@brunoclement1238 ай бұрын
If you give a patient 40 mEqs of Kcl + 30ml of saline (50ml total) at a velocity of about 20ml/hour through syringe pump, how does this translate to actual serum Kcl increases? I read a study that said that increases are actually "low", we talk about 0.3 to 0.6 mEq serum increase with 40meq
@itsyuridesouza3 жыл бұрын
Can you do a full explanation of electrolytes itself?
@ICUAdvantage3 жыл бұрын
Yes, I'll add to the todo list
@shivjain3 жыл бұрын
@@ICUAdvantage Also, you didn't talk about Sodium. Awesome video BTW.
@johnresino37522 жыл бұрын
These videos are awesome. Thank you! New graduate that is out of orientation. Great just to listen to as a refresher or explains stuff that my preceptors didn't really have an answer to.
@ICUAdvantage2 жыл бұрын
Awesome, glad you liked it man! I try to make these videos as resources for people because theres always so much to learn, and certainly things that often do get missed in orientation and schooling.
@laurenkromminga30433 жыл бұрын
Tell me more about renal function being negatively effected by electrolyte replacement.
@numskull4173 жыл бұрын
As a paramedic I administer Ca Chloride via IV for hyperkalemia (w/ bicarb), acidosis, Calcium channel blocker overdoses, etc. So my question is why is a central line preferred for replacement therapy?
@donovancorcoran13923 жыл бұрын
CaCl2 can be a vessicant. If calcium must be given via peripheral IV, calcium gluconate can be used, if only chloride is available, dilute it with saline. And always make sure to flush well or use a separate line for your bicarb
@khaledyounis32373 жыл бұрын
What about sodium replacement in severe hyponatremia ?
@Daniel-rk2qz3 жыл бұрын
Treatment depends on volume status
@grahammckain44922 жыл бұрын
@17:07 I'm wondering if he meant monitoring for if the BUN is >30 rather than
@brooklynflora78492 жыл бұрын
All of your videos are so helpful, to the point, and relevant to clinical practice. Thank You!!!
@ICUAdvantage2 жыл бұрын
So great to hear this! Thank you!
@iliegabriel56633 жыл бұрын
What about Natrium? It would have been usefull if you would have mentioned the formulas used for the correction of Potassium and Natrium in hyponatremia and hypokalemia. Great videos!
@grahammckain44922 жыл бұрын
the formula for correction of hyponatremia is- one order of mcdonalds fries per hour until levels increase to within limits.
@dingmiguel83 жыл бұрын
WHAT ABOUT SODIUM IMBALANCES? THANKS FOR THE INFORMATIVE VIDEO.
@ICUAdvantage3 жыл бұрын
We don't usually see that as a part of the electrolyte replacement protocols.
@ICUAdvantage3 жыл бұрын
I did cover sodium in the fluids series. With sodium we are actually looking at water balance not true sodium levels.
@il86562 жыл бұрын
Thank you for the amazing video, one question, when replacing potassium do you have to add the daily requirements of potassium to the amount of potassium that you're giving for the deficit?
@ICUAdvantage2 жыл бұрын
We just replace based on the protocol which is based on their level from labs.
@il86562 жыл бұрын
@@ICUAdvantage Thank you!
@victoriar86683 жыл бұрын
Thank you so much for this!!
@ICUAdvantage3 жыл бұрын
You are very welcome Victoria!
@sunitasimkhada63873 жыл бұрын
Thank you! Can you make a video on X-ray topic also
@Pomskypowers3 жыл бұрын
Yes please
@ICUAdvantage3 жыл бұрын
I can certainly add to the todo list. Anything in particular you are looking for?
@sunitasimkhada63873 жыл бұрын
@@ICUAdvantage Basics of Chest X-ray
@kyleserafico3803 жыл бұрын
Thanks for the video. Can you elaborate more on "IV Replacement can lead to complications & life threatening situations?" Did you just mean that replacing too quickly can lead to arrhythmias, supratherapeutic adverse effects, pain in IV sites, etc?
@ICUAdvantage3 жыл бұрын
Hey Kyle. I could have been more clear. That is exactly what I was referring to :)
@aliamer28683 жыл бұрын
Thank you great job
@ICUAdvantage3 жыл бұрын
Thank you so much Ali!
@MsShu1432 жыл бұрын
Quite okay but how come you leave sodium? One of the important electrolyte
@X1OAFREED0M7 ай бұрын
Too much sodium; give fluids. Too little sodium; limit fluid intake. You don’t want to correct too fast in either directions. Risk of cerebral edema if it falls too quickly, and a risk of osmotic demyelination if it rises too quickly.
@shanmugapandian85113 жыл бұрын
Thanks for sharing your deep knowledge
@ICUAdvantage3 жыл бұрын
Glad to be able to help!
@yanirisrodriguez2425 Жыл бұрын
are there still weekly prizes?
@anonymous-td2wy2 жыл бұрын
Is the calcium gluconate given as infusion or iv push over 10 min
@rolanddonnsalvador37423 жыл бұрын
regarding the protocols you have showed us? you said it depends on the hospital where you are working. from where you are working? what book you might recommend as reference for the protocols? thank you.
@childlikefaith72572 ай бұрын
What medications cause the imbalance?
@esthermartin89237 ай бұрын
Can we run electrolytes together when replacing them?
@zoikonst97283 жыл бұрын
Great topic , thank you
@ICUAdvantage3 жыл бұрын
Glad you liked it!
@77deniz3 жыл бұрын
@@ICUAdvantage yes we liked it!
@hamedelsayed20983 жыл бұрын
Thank you for your effort
@ICUAdvantage3 жыл бұрын
My pleasure!
@jeffdarylcudilla83622 жыл бұрын
My father died from fatal arrythmia in relation with electrolyte imbalance, what does it mean?
@yazooabdulla15573 жыл бұрын
Excellent Channel, thanks alot...
@ICUAdvantage3 жыл бұрын
Glad you like it!
@raphaelwedd62043 жыл бұрын
I love you for these videos
@ICUAdvantage3 жыл бұрын
Haha thanks! Glad you like them!
@forever4uuu3 жыл бұрын
Thanks again for Such a good video
@rachanakhanal1113 жыл бұрын
Thanku
@ICUAdvantage3 жыл бұрын
You’re welcome Rachana!
@JH-nb4nn10 ай бұрын
I had 3 weeks of diarhea from a supplement that was causing it. I was hit with a headache and stopped urinating for 8 hours. Now I suffer chronic electrolyte imbalance symptoms that I cannot fix. The doctor told me I'm crazy and it should have corrected with water consumption. I feel worse than trash.
@Me-gh4qu2 жыл бұрын
I love your content, new subscriber here. Was wondering if you could please do a video on a head to toe Critical Care Assessment?
@ICUAdvantage2 жыл бұрын
Thanks Trevor. I do have that on the todo list to cover at some point in the future.
@hehe24193 жыл бұрын
Feel so blessed finding your channel, thank you for the great content. My question is do you have a location where I could get this testing and protocol?
@ICUAdvantage3 жыл бұрын
Glad to have you Mercedez! Feel free to shoot me an email at icuadvantage@gmail.com
@victorcotu Жыл бұрын
You should write everything important that you are saying, For ex at 2:28 you said "the lower the pH the higher the potassium" but you didn't write it down. 11:58 "If patient didn't respond to the replacement, check magnesium level" but you only write "check mg?" Consider it like a slide presentation, all info should be contained in the slide whenever possible.
@ICUAdvantage Жыл бұрын
Appreciate the feedback
@Ingitadhikary3 жыл бұрын
Very good topic
@ICUAdvantage3 жыл бұрын
Thank you!
@sboubars2 жыл бұрын
I have been taking about 1000mg magnesium per day for 3 months and i feel bad and dehyrated the whole time...can too much magnesium do this?
@drea.m.kingdre1160 Жыл бұрын
yes u only need about 400-500
@medrizzstudy3 жыл бұрын
Wow! got to learn a lot from you
@ICUAdvantage3 жыл бұрын
Awesome! Happy to hear this!
@medrizzstudy3 жыл бұрын
@@ICUAdvantage 👍🙏
@dr.sowmya21683 жыл бұрын
What about sodium
@ICUAdvantage3 жыл бұрын
We don't have that on an electrolyte replacement protocol
@trevorAdams4802 жыл бұрын
Also remember to never crush PO replacements of potassium. Splitting the pill in half is okay but never crush potassium as it will release the entire drug at once thus increasing S/E.
@신재원-i9u2 жыл бұрын
disagree Giving potassium too fast is dangerous only when it is given via IV route. Enteral absorption of potassium is slow enough. So you are safe even if you eat a lot of powdered potassium at once. Powdered potassium tastes terribe, and this is the reason why potassium shouldn't be crushed.
@justinparker98923 жыл бұрын
Did you mean BUN > 30?
@ICUAdvantage3 жыл бұрын
Sure did! *facepalm*
@Daniel-rk2qz3 жыл бұрын
HELLO INTERNS
@Testango3 жыл бұрын
Ue fratm o cine
@ICUAdvantage3 жыл бұрын
Congrats!
@thepalettewhispererasmr122711 ай бұрын
Why they make that K+ so BIG?!
@jonathanalmeida28693 жыл бұрын
You haven't been making new videos as frequently as you were :(
@ICUAdvantage3 жыл бұрын
Yes sorry! I am in the midst of preparing for a cross country move next month. I needed to slow down for a little bit but once I get settled in, I plan to get back to the 2 videos a week schedule!
@Maryellengray2 жыл бұрын
My husband almost died because the dr gave him the wrong blood pressure medicine. His heart rate was 40bpm.