First year PA student here- your videos are so helpful! I hope I have nurses like you on my ICU rotation!

@ICUAdvantage

2 жыл бұрын

Awesome! Really glad you are liking the videos! Best of luck in your training.

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

11 ай 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.

Thank you so much for this!!

@ICUAdvantage

3 жыл бұрын

You are very welcome Victoria!

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.

@ICUAdvantage

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.

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!

This is one of the greatest videos I’ve watched about electrolytes. Straight to the point! Thanks 🙏

@ICUAdvantage

3 жыл бұрын

Wow, thank you so much Carl!

Thanks for sharing your deep knowledge

@ICUAdvantage

3 жыл бұрын

Glad to be able to help!

Thanks again for Such a good video

Thank you for your effort

@ICUAdvantage

3 жыл бұрын

My pleasure!

Thank you great job

@ICUAdvantage

3 жыл бұрын

Thank you so much Ali!

Excellent Channel, thanks alot...

@ICUAdvantage

3 жыл бұрын

Glad you like it!

All of your videos are so helpful, to the point, and relevant to clinical practice. Thank You!!!

@ICUAdvantage

2 жыл бұрын

So great to hear this! Thank you!

I love you for these videos

@ICUAdvantage

2 жыл бұрын

Haha thanks! Glad you like them!

Very good topic

@ICUAdvantage

3 жыл бұрын

Thank you!

Can you do a full explanation of electrolytes itself?

@ICUAdvantage

3 жыл бұрын

Yes, I'll add to the todo list

@shivjain

3 жыл бұрын

@@ICUAdvantage Also, you didn't talk about Sodium. Awesome video BTW.

Great topic , thank you

@ICUAdvantage

3 жыл бұрын

Glad you liked it!

@77deniz

3 жыл бұрын

@@ICUAdvantage yes we liked it!

Thanku

@ICUAdvantage

3 жыл бұрын

You’re welcome Rachana!

Wow! got to learn a lot from you

@ICUAdvantage

3 жыл бұрын

Awesome! Happy to hear this!

@medrizzstudy

3 жыл бұрын

@@ICUAdvantage 👍🙏

Tell me more about renal function being negatively effected by electrolyte replacement.

I love your content, new subscriber here. Was wondering if you could please do a video on a head to toe Critical Care Assessment?

@ICUAdvantage

2 жыл бұрын

Thanks Trevor. I do have that on the todo list to cover at some point in the future.

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.

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!

@grahammckain4492

2 жыл бұрын

the formula for correction of hyponatremia is- one order of mcdonalds fries per hour until levels increase to within limits.

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

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?

@ICUAdvantage

3 жыл бұрын

Glad to have you Mercedez! Feel free to shoot me an email at icuadvantage@gmail.com

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.

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?

@ICUAdvantage

3 жыл бұрын

Hey Kyle. I could have been more clear. That is exactly what I was referring to :)

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?

@ICUAdvantage

2 жыл бұрын

We just replace based on the protocol which is based on their level from labs.

@il8656

2 жыл бұрын

@@ICUAdvantage Thank you!

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?

@donovancorcoran1392

2 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

What about sodium replacement in severe hyponatremia ?

@Daniel-rk2qz

3 жыл бұрын

Treatment depends on volume status

Quite okay but how come you leave sodium? One of the important electrolyte

@X1OAFREED0M

2 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.

Thank you! Can you make a video on X-ray topic also

@jenniferhernandez9360

3 жыл бұрын

Yes please

@ICUAdvantage

3 жыл бұрын

I can certainly add to the todo list. Anything in particular you are looking for?

@sunitasimkhada6387

3 жыл бұрын

@@ICUAdvantage Basics of Chest X-ray

Is the calcium gluconate given as infusion or iv push over 10 min

WHAT ABOUT SODIUM IMBALANCES? THANKS FOR THE INFORMATIVE VIDEO.

@ICUAdvantage

3 жыл бұрын

We don't usually see that as a part of the electrolyte replacement protocols.

@ICUAdvantage

3 жыл бұрын

I did cover sodium in the fluids series. With sodium we are actually looking at water balance not true sodium levels.

@17:07 I'm wondering if he meant monitoring for if the BUN is >30 rather than

Can we run electrolytes together when replacing them?

are there still weekly prizes?

My father died from fatal arrythmia in relation with electrolyte imbalance, what does it mean?

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.

@user-vf5nr5zm8d

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.

What about sodium

@ICUAdvantage

2 жыл бұрын

We don't have that on an electrolyte replacement protocol

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

HELLO INTERNS

@Testango

3 жыл бұрын

Ue fratm o cine

@ICUAdvantage

3 жыл бұрын

Congrats!

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

Did you mean BUN > 30?

@ICUAdvantage

3 жыл бұрын

Sure did! *facepalm*

Why they make that K+ so BIG?!

You haven't been making new videos as frequently as you were :(

@ICUAdvantage

3 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!

My husband almost died because the dr gave him the wrong blood pressure medicine. His heart rate was 40bpm.