Vasopressors Explained Clearly: Norepinephrine, Epinephrine, Vasopressin, Dobutamine...

[@Medcram]

See the rest of this series and many other videos and quizzes at MedCram.com

[@sxli3340]

why dopamine and dobutamine are mg/KG/min ,

[@nataliebusse514]

I am a nurse and listen to lost of your lectures. It has helped my learning so much! It is so appreciated!

[@lisatowe778]

Dr Seheult, you are incredibly gifted and i love listening and learning. I am a nurse and you make the "why", which is how i learn, come alive. Thank you sir for your generosity in putting this out there for us

[@Medcram]

+Lisa Towe thank you! There are also free videos over at Medcram.com

[@andrewzack6559]

Ditto

[@fidelisetverus]

Wished I had this medcram video when I was doing my critical care internship. I struggles to understand them. My preceptor was so knowledge but i just couldn't understand his explanations and felt so intimidated by his knowledge and everything else going on with our pts as well. Did slowly learned them and stuck it out. Stayed for 26 yrs and justight come.back to ICU as I've enjoined having to push myself learn more. Can't explain it. I'll be watching more of your videos for sure. Thanks for explaining it where it is easy to comprehend. This will be helpful to so many med students and nurses at bedside, especially in ICU. 👍

[@michaelmico1979]

I’m a LVN and i’m taking the prerequisites for the RN bridge program. My goal is to either be a ER or ICU nurse and then be a flight nurse. I’m glad I came across your channel. I’m watching them for the hell of it and I’m sure when I start the RN program, everything that I’m learing from your channel will come in handy.

[@mmrmmr5246]

WOW! This explanation of Vasopressors are awesome. This really gives me the confidence that I needed to be a better ICU nurse. Thank you

[@Sopranaur]

im a med student and I basically learn all the med materials from your channel. This episode totally helps me from memorizing the algorithm of advance cardiac life support. Thank you Sir!

[@Medcram]

Thank you for the comment. We have more videos available at our site MedCram.com.

[@lawron2]

How I wished my critical care professor could've explained this in class when I needed it the most.

[@GlowofaGhost]

Literally one of the best to the point mini lectures I’ve ever seen . Watching this bc I’m going to apply for CVICU RN bc I’m maxed out in my cards role currently. Looks like I’ll have plenty to learn and looks like a lot of fun. Thanks!!

[@bestmonicaever9260]

Elizabeth Askander how are you liking the CVICU?

[@_prettybrownbrown7729]

This was great .! I left the ICU but went back because of COVID needs and this was a great review. These patients decline so fast .

[@metalmilitia89]

As a pediatric ICU fellow, thanks for this. Nice review.

[@TeamFoust]

Helping me be a better nurse and get ready for CRNA school. Thanks!

[@haridasramanathan2485]

Great teaching never had anything exlpained so clearly

[@Medcram]

Good to hear, thank you!

[@Ahdree23]

Thank you for this! The other ICU page is so boring, this is straight to the point and illustrations help.

[@Tu_aape_krta8266]

Best video on vasopressors

[@ShadeTreeCardiology]

What an excellent explanation! Everyone should watch this!

[@jessicakell1454]

Your video is amazing! Thank you for posting. I'm new in the ICU and this video has been tremendously helpful.

[@jonggrieco]

your videos are so easy to follow, Thank you, more power, good health and God bless you!!!..

[@Medcram]

Thanks for your comment!

[@estebantspn5962]

Omg one of the greatest videos and well explained in KZbin 🥰🥰🥰

[@Medcram]

Thank you so much 😀

[@karinagerein2145]

This is SO helpful!! I had to read a long wordy article to figure out all of these pressors.. great visual

[@JESUSISLORD7777]

THANK YOU VERY MUCH I LEARN ALOT ❤️MUCH BLESSINGS FOR YOU AND YOUR FAMILY 🙏🏽

[@micahandme8078]

Thanks for the video! This tied together a few loose ends in regard to pressors and got me thinking about indications for each. Big 'a-ha' moments for this RN who had worked in ED and with inotropics in end stage HF. Great job at explaining.

[@Medcram]

Thank you, great to hear!

[@deogettic]

This video perfectly explains the medications that were mentioned in the video. It provides great insight on the various pressors and inotropes. Super helpful video. Many thanks for this video

[@jobskiblah3510]

This is THUPAH!!! DOOPAH!! Awesome sauce! Very useful quick refresher for the daily grind in my job. Inpatient Medicine NP here.

[@Medcram]

Thanks for the comment and enthusiasm!

[@travelnurse4444]

Thank you sir...!!! Understand verywell i got very good idea about from this. I am from 🇱🇰

[@lorib5323]

Finally, I understand the difference between the vasopressors. I didn't understand how a alpha pressor could work when a Beta 2 was also being stimulated. I had no idea they were stimulating at different strengths... ugh... NOW I KNOW!

[@taylorscott7402]

4 years ago I was diagnosed of HUNTINGTON DISEASE and I have tried all I can to get cured but all to no avail, until i saw a post in a health forum about a herbalist man who prepare herbal medication to cure all kind of diseases including HUNTINGTON DISEASE , at first i doubted if it was real but decided to give it a try, when i contact this herbalist via his email and he prepared an HUNTINGTON DISEASE herbal cure and sent it to me via UPS delivery company service,when i received this herbal cure, he gave me step by directions on how to apply it, when i applied it as instructed, i was totally cured of this deadly disease within 1 months of usage, I am now free from HUNTINGTON DISEASE ,all thanks to Dr Joshua Ighalo. you can also reach this great herbal doctor for help . He can help get rid of yours permanently.. Also specialize in treating all kinds of illness, HERPES VIRUS, HEPATITIS B, CANCER, BRAIN DISEASE, INFERTILITY, DIABETES AND MORE. ....

[@cristinaciuffreda2881]

Hi! May be possible to have a similar video regarding inotropes meds instead please? This one about vasopressors is very clear and perfect, it would be perfect having one about inotropes as well or even about the main differences between the 2 groups of drugs! Thanks a lot, I really love your videos!:)

[@zahraghaedi5792]

thank you , I really needed it , good job 💗

[@alicekim6725]

Amazing explanation. Thank you so much. That was so easy to understand!!!!!!

[@RicAdel-t5s]

Thanks a lot for sharing your talents

[@Bunicutaintelectuala]

Elegantly done, nice job!

[@KINGSPOINT.NY.2024]

Great educational video. Thanks and cheers from NYC!

[@newmanlord7130]

Great Video, Doctor, Hi from Ghana.

[@bigred7347]

Thumbs up Remember......there is always something undiscovered.......That's what my wife has.......good Job , continue on DOCTOR's . Doctor is a big deal , because that's what you are or could be. Love you guys.....Please continue...I am depending on it......

[@mrcharlesjohnson]

You are truly awesome for this, thank you so much!!

[@tammybambini1096]

you might want to switch to µg/kg/min as unit of dosing *all* continuous applied vasopressors instead of µg/min - because giving 20µg/min is different if you have a 40kg versus a 150kg patient. With µg/kg/min you can compare the need of pressor support between patients (and say: "gosh, that´s high, I need to consider other causes/actions"). I do see the problem that this is an institutional thing - if everyone is using ml/h (with various concentrations of pressors) and you´re the only one to use µg/gk/min (or gamma, as we colloquially call it) that might lead to problems in understanding...

[@fontosnem8468]

That's just more than awesome!!!!!!! ❤️ ❤️ ❤️ ❤️ ❤️ ❤️ Extremely helpful!!!!

[@Kavina9049]

Very useful and good information for medical student

[@kitimandiri]

Thank you thank you this video delivered an explanation clearly, as promised.

[@steveabraham3052]

This is an great video for review of vasopressors & their mechanism of action. Question though... in my region of the country we administer all vasopressors weight-based, ie; mcg/kg/min. I my area of practice, I do encounter some pressors in mcg/min. That frustrates me, because I’m told by the sending nurse “They’re maxed out on Levo...” I get there and find them on 5 mcg/min of Levo and think to myself, “That’s no where near max dose...” Why is it that weight-based pharmacotherapy isn’t universal? Thank you so much for the FOAM.

[@SCGNiagara101]

Thanks so much for the detailed yet easy-to-comprehend explanation.

[@vickygreenday.4404]

Great understanding 😃

[@thepharmacistacademy]

Never let me down ! Thanks

[@sue7526]

Where is the "next" video located at? I am a ICU nurse reviewing for CRNA interviews and these are really helpful!!! :)))

[@Medcram]

Thanks for watching and best of luck with your interviews! The next video and complete vasopressor series is on our website: www.medcram.com/courses/vasopressors-inotropes We're running a 30% off special right now with the discount code vaso30

[@edmundpolicarpio]

Thanks for explaining this!!!!

[@donabelanderson1899]

Thank you 🙏 so much for the explanation

[@abodeashehri]

amazing clarification, thank you

[@ChloeDunIT]

Great video! But what about “alpha2” receptors?

[@hilkkatitus9880]

Thank you for this video. Keep it up.

[@brianfoley4328]

Outstanding...just brilliant

[@Medcram]

Thank you!

[@bengbeng1754]

Easy to understand... Thank you for sharing 🙋

[@makabongwemdluli3907]

this video is so helpful, thank you

[@Medcram]

Glad to hear it's helpful. Thank you for watching.

[@BAj-if2sl]

Great video. Thank you so much!

[@marciaturley]

Excellent! Thank you

[@anapereira5170]

Bem legal hein :)Medcram - Medical Lectures Explained Clearly

[@tonydebaka3967]

I am not studying to become a doctor but I love watching your vids. You make the subject matter very interesting to non medical school audience and it surly takes talent to do that. Is it possible for a CHF patient to be on both Dopamine and dopedimine simultaneously?

[@josezamora-v8t]

Thanks!

[@suklangkhongsdir2585]

Thanks...it's very helpful

[@Medcram]

Glad to hear you found our videos helpful. Thank you for watching.

[@Ssheldon618]

Is there or can there be a lecture on warm versus cold shock? These are great videos and I feel like my understanding would be improved if there were a video about the two. Than you.

[@nordaspence1561]

Awesome video!!! Easy to follow thank you for sharing.

[@denicci]

This is amazing. Thank you for sharing this!!

[@judypeng4748]

Where is the next video?

[@Blinn2330]

My oh my how your new mic is so much better than this recording!

[@chelseachelsea4290]

Thank you so much this is AWESOME

[@youngindiaintensivist7709]

nice colors and style of presenting medcram . but plz dont give out incorrect information. THE IS THE FIRST DICTUM IN MEDICINE IS DO NOT DO ANY HARM -HIPPOCRATES

[@houston10]

Well done

[@vivekbio11]

Thank you ...it's amazing 👏

[@vitordan2668]

Excelent Video!!

[@Medcram]

Thank you!

[@JustKay_77]

Very good 👍

[@محمداليحيى-ل1ع]

Very greatful to your effort thank you

[@beccabee94]

Would I have permission to recreate your table for a CVICU nurse education program I am putting together for my unit? With an appropriate citation of course!

[@bill4485]

Depending on the institution or facility, epi, norepi and phenylephrine can all be weight based dosing.

[@ally705]

Why do we usually start with levophed ?

[@andrewlillys3486]

Thank you

[@AngelOne11]

Nicely done. Thank you!

[@ayazabdullah9959]

Thankya

[@IVFRegulation]

What about other class of durgs such as Flavonids (e.g. Daflon), How does it work? Thanx

[@Nathan-or2hl]

Because beta blockers typically block B2 receptors, does that mean they have a vasoconstricting effect as well?

[@zemenea6104]

No it's the reverse... they have vasodilation effect.

[@IM.MEDICAL]

Very useful! 👍

[@sadamzghool9082]

Big like

[@ogpowell1]

Amazing video!!

[@draashi2004]

Superb 👏👏👏

[@Emz_Sam2023]

Hi Want to ask if the patient is allergic to phenylephrine , dose that mean he is allergic to norepinephrine or epinephrine? Thank you

[@tahoefor]

Why is Epinephrine given in EpiPen and isn't Alpha-1, Beta-1 are doing the opposite? Thank you so much for explaining.

[@KHouseholder011]

I believe it's given for the vasodilatory effect on the lungs/trachea in that situation, not for the vasoconstrictive properties.

[@jamesclark4544]

Are you asking if stimulating alpha 1 and beta 1 is counterproductive?

[@jacobprudhomme]

I thought levophed didn’t have much in the way of chronotropic stimulation? B1 is made out to seem from your initial explanation that B1 includes HR inherently.

[@director2345]

Should norepinephrine be used for autonomic disorder ?

[@teawithme6686]

Wow.. thank you

[@DarkAngel-cj6sx]

VM/VMA ratio high 4. How do I get dopamine transform into norepinephrine?

[@jigneshvyas16]

Your video's is awesome

[@bellefeu4933]

no benefit for low dose dopamine? That's news to me, thank you, I'll look into it!

[@Smart-Skippy]

Amiodarone... Where does this fit into things, please ?

[@jamesclark4544]

Amiodarone is an antiarrhythmic drug, and is commonly used during certain cardiac dysrhythmias like persistent ventricular tachycardia, with and without pulses, and ventricular fibrillation. I believe amiodarone has a blocking effect on the calcium, potassium, and sodium channels in the (lower?) heart, so it works to slow down the ventricles..... ACLS has amiodarone as a push dose for pulses v tach and v fib, and has a drip dose rate for vtach with pulses..... As far as I know it doesn't have any effects on alpha receptors... that's all I know as a paramedic student lol!! Hope that helps :)

[@PurpleAmiga]

Why is Isoproterenol classified as Vasoconstrictor if it has effect on Beta 1 and 2 only?

[@ARsoldier93]

What does Alpha 2 do?

[@bryancampos6441]

Great job ! What program do you use to create your animations ?

[@Medcram]

Here is the equipment and links below: 1) SmoothDraw www.smoothdraw.com/ -this is just a drawing program and it allows you to write on your computer 2) Writing screen - this allows you to write on the screen - making for a better experience Huion GT-191 KAMVAS Drawing Tablet with HD Screen 8192 Pressure Sensitivity - 19.5 Inch www.amazon.com/KAMVAS-GT-191-Drawing-Pressure-Sensitivity/dp/B072N2C2PB/ref=sr_1_7?keywords=huion+writing+screen&qid=1563130096&s=gateway&sr=8-7 3) Capture Software - Tiny Take tinytake.com/ -this allows you to capture video with audio as you are talking 3) Microphone Blue Yetti Microphone -this is a great microphone www.amazon.com/Blue-Yeti-USB-Microphone-Blackout/dp/B0170NWLWY/ref=sxin_3_osp3-4241d43e_cov?ascsubtag=4241d43e-d7bd-49a8-8fe8-9c45a4b1fc2f&creativeASIN=B00N1YPXW2&cv_ct_id=amzn1.osp.4241d43e-d7bd-49a8-8fe8-9c45a4b1fc2f&cv_ct_pg=search&cv_ct_wn=osp-search&keywords=blue%2Byeti&linkCode=oas&pd_rd_i=B00N1YPXW2&pd_rd_r=c3e07be2-c377-4923-87d8-abd241241d79&pd_rd_w=XlhKe&pd_rd_wg=rPXfP&pf_rd_p=c501273b-119a-4fc9-ad78-eda5006b0be9&pf_rd_r=HAJTWJRSEFTC8PWZZJVZ&qid=1563130148&s=gateway&tag=imoreosp-20&th=1

[@Jeph629]

Excellent! 1:52 "restrict blood flow to target end organs". n.b. Levophed, overused and often over-dosed will make you, as a clinician feel good about your patient's higher blood pressure, but.....blood pressure is never measured distal to arterioles where it would be indicative of blood/oxygen delivery (it's measured only proximal to arterioles in large vessels). So, a "good" blood pressure does not mean adequate oxygen delivery. Blood pressure is not cardiac output. Overusing Levophed gives a good blood pressure and no oxygen delivery....and kidney failure.....and "flash pulmonary edema" (which is code for: to much alpha-1)......and gangrene. Which is why it was nicknamed "leave 'em dead" years ago. DON'T overdose Levophed! Instead, titrate it to a diastolic pressure of 45 or so (for just-adequate coronary perfusion).

[@Medcram]

Preach it! This is why I tell the nurses to aggressively titrate down the vasopressors to get the map down to 65..

[@shaaronxxx]

I see only pediatric patients PICU. I think you have yo give diference between dosage Example norepinefrine the max dosage 2mcg/kg/min. And te other vasopressors is also different.

[@charlenebest9797]

thank you so much!!

[@KHouseholder011]

So, in the Beta-2 column, the dots actually mean it acts as a vasodilator rather than a vasoconstrictor?

[@Medcram]

Yes.

[@nsas955]

What about alpha 2 receptors?

[@jonsnow5513]

Who else is rotating in ICU soon?