Just an ADD driven Respiratory guy who likes to teach. Do free-lance instruction for mostly nurses, but also teach RT’s, Physicians, PAs, NPs, Pharmacists, ED techs, and anyone else who will listen to my spiel. Let me know if there’s a topic you would like me to cover.
For technical questions or instruction booking, please feel free to email me!
Пікірлер
Round up is not labeled as a carcinogen yet thousands of people are getting lymphoma. Leading cause of cancer are irritants.
Hallo ich habe Fragen zu den Tüchern. Wie kann ich dir eine email senden
get to the point. damn lol
it WILL increase muscle mass its an exerise mimetic works directly through the mtor pathway
I am so happy I came across this video! I'm going to set up one of your ghetto test lungs because your demo of PEEP is such a great way visualize it for the students!
I appreciate your kind words, Jennifer !
No wonder I’m jacked all the time wow
Thank you for this!! I had to transport a pt on bipap who refused to go any other way, I watched this video literally in the hall outside the room. Pt tolerated it just fine
You're so welcome!
I think they used have carcinogenic ingredients. I think they may have changed the formula because they now advertise them as not having carcinogens and I swear the old bottles used to have the warning if my memory serves me right.
According to who? Even the manifacturer's website says they do not.
Albuterol works great for my asthma, however , now i have low potassium as a side effect. Have to be careful and watch your potassium levels
Hey good video but I just wanted to let you know you know I'm on acid and you sound just like Barack Obama keep it up chester. Kony 2012.
What about the over the counter asthma inhalers? Do the help? They contain epinephrine
Primatene mist has been shown to provide relief for mild intermittent Asthma attacks, but studies show that albuterol is more effective in treating brinchospasm. We do have both drugs in the hospital and we give albuterol for asthma attacks and aerolized epinephrine (the active ingredient in primatine mist) for upper airway swelling only. www.ncbi.nlm.nih.gov/pmc/articles/PMC7051476/
It'd be nice if these things could do weaning parameters. And I don't mean their SBT ability in the internal menus. I'm talking about NIF, and Vital Capacity. These things argood though.
Everything? Cdiff? 😐
thanks for the video!! I'm an RT student here in PH, and i wish to become a registered RT someday 🪄🫁
There’s no much information on Puritan Bennett 980 ventilators. This is a very helpful video and I hope you could do more content about this ventilator. Thank you very much 😀👍
thank you for the kind words!
My friend has stage 4 alzheimers. And anytime she takes this she'll get delusions. Anytime she doesn't take it she does not have delusions. But the doctors refuse to stop giving it to her. Has anyone experienced this effect?
I had a patient that had more hallucinations while using albuterol inhalers and they improved after using a form of albuterol without the fluorocarbon propellant which has been linked to these kinds of side effects.
Basically don’t take it what I get from this
Hey I am a bit concerned so I used them a few times to clean my earbuds(ear tips) and other electronic devices with out wipes and stuff. Should I be concerned since I didn't use it with gloves and some of it might have not dried and had contact with my ear.
About to checkoff for this tomorrow and then on to clinical! Thank ya sir!
Great video!!!
Thank you for this video much respect 🙏🏾
It is really frustrating having to depend on others to do this. 😖 Hopefully I’ll get better, I don’t want to constantly bother others when the pulse is weak
I thought it was just me
Cantact number please
Thank you for this video. I used several Super Sani Wipes on my NECK and upper CHEST a couple of years ago to get some perfume off of me that a patients was allergic to. Yes, it was dumb AF to even have had perfume on and I was ashamed for sure. The lady was so sweet but I was embarrassed and, frankly, knew better… I ran off, at the beginning of my shift, and got a scrub top from surgery and scrubbed up my neck and upper chest with these wipes. My co-workers were like: “You’re not supposed to use that on your skin!!” I used wet paper towels after the wipes. A co-worker told me yesterday that they cause cancer so I’m Googling this now at 2AM and I found this video. :) NOTE: I didn’t wear perfume to work again. .
I will add that I looked at the label before using them and it didn’t say that it was carcinogenic or anything. 🤷🏻♀️
Glad this video helped!
Dan Fardella RRT since 1970's....nice presentation. Albuterol is a staple now, like Isuprel (OMG) which caused heavy duty V-tac back in the day, and later the Beta 2 "Brochosol" (remember?) which was a little less tacky... Now it's Albuterol. For about 2 decades. What is next? Depends on the big pharma effort to make big money...
What will happen if you take 20 tablets of 2mg salbutamol??
you will break hearts
I experienced high BP, tremors and high pulse due to using 6.5 mg of salbutamol or albuterol via nebulizer.It took me 4 hrs of discomfort just to get my pulse from 120 to 95, normally my pulse is like 65-70 bpm.My bp also raised exponentially.The discomfort was very bad. Don't use this drug without prescription and doctors advice no matter how contracted your lungs might feel! Lesson learnt!
We just had a cardiac patient have a rapid response after having arythmias after a Q4 Duoneb treatment. We suggested to make the treatments PRN, they wisely agreed. Albuterol is not harmless. Thanks for sharing, Rayn!
I had a similar overdose but in my case a bit more around 10-12 mg. Can you please let me know if it still hurts you because I almost had a near death experience following the overdose. However, the symptoms haven't improved since then and I still have that overdose troubling me. It has been 3 years and I fell like the OD did damage to my heart muscles.
@syedahmadarshad3711 no I was fine after 3-4 days
Is the LTV 1200 Piston based?
How do Inplace patient on NIOV ?!?!?!? This is what I want to see not the rest
Strong work. Love the HME at the patient. Second filter shown attached to HME can attach directly to the exhalation valve. I love the 1200 also!
If you have the filter proximal to the patient in place, that covers the entire circuit. Why would you need a 2nd filter at the machine?
The hepa filter proximal to the machine is to prevent cross contamination and protect the circuitry.
Henry thank you so much for posting these videos.
I appreciate you!
Really wonderful video!
Thanks so much!
i had a really bad day today, i just started working at a new hospital away from home a month ago, and learned here that lab techs like me must do abg's as well asides from the RT. (i live in south east asia) so I've had a few tries before and keep missing, i feel really bad for the patient as i know it causes a lot of pain. and just yesterday during my night shift, a granny from a vehicular accident came in, I knew i couldn't feel her pulse so i called in for help with my coworker, we were the only 2 on duty last night, and after 4 pokes, she still couldn't get it though she's senior staff, we both felt so awful and walked away upset. i had been bending down for so long holding the patients arm ( she would jerk whenever we poked) and my position caused me to get light headed and cold sweats, we had to call it quits and I almost ran back to our lab to lie down before I would become the next ER patient and faint in there, embarrassing myself and stressing out my senior, i really appreciate your video and hope these tips could help me get better. i want my seniors to see that i can get it right, not call on them all the time for backup and as much as possible not cause anymore pain to the patient than they're already experiencing 😢 I'll come back when i get another chance to perform the collection and see if i can get it right. 💕
We all have bad days. Getting good at ABGs is about repetition and keeping e the same techniques as each patient is so different. Practice on vented, sedated patients as much as you can to get past the fear factor of missing. Hang in there!
@@henrythatrtguy6448 I FINALLY DID IT! actually it was about a week and a half ago. an ICU px, sweet old man who was intubated, but he was so very cooperative and nice, i talked him through what I had to do & that it would hurt and he just nodded and held out his wrist for me, i did everything you mentioned in the video and got it on the 1st try, it's so weirdly satisfying to see that flash of backflow and the blood coming up a bright red. did a little happy dance in the lab when the O2Sat read out as 99.8% on the Abg machine. after that I've only had successful ABG's, doesn't matter if I have to sit there for 5 minutes and borrow a chair from the nurse station. thank you so much for this 😊 I feel very proud after obtaining a new skill not taught at our universities
Hi I feel like I’m having to use Albuterol too often. Going to see a doctor to ask about a longer acting drug like Salmeterol. I am using 2-4 puffs a day of Albuterol is that too much? I’ve heard it’s dangerous if you take it too often.
Yes, your body can build a tolerance to fast acting beta agonists. I long acting drug is just the ticket!
@@henrythatrtguy6448 is that why it’s ok to use a LABA daily like Symbicort but not a SABA like Albuterol?
This stuff should be OTC.. it does nothing
You don’t have asthma then.
Idiot
Whats the difference between clenbuterol and albuterol???
Here's an article that can explain it better than I can!www.webmd.com/pain-management/what-you-need-to-know-about-clenbuterol-for-bodybuilding
I always struggle with abgs sometimes I get and most of times I can't get the sample and get super stressed 😥
Same here.... I have failed so many times that it makes me anxious to even try it
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i use this when i wizze when i smoke weed i hope its not a bad mix man
You get bigger rips if you use it before? Flower or concentrate?
@@jesscolliflower5531 Concentrates Always
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I am a trach patient, on an LTV ventilator, I'm using an LTV 1150 ventilator, and I truly love it! I use the following ventilator settings. Mode: AC/VC Respiratory Rate: 25, VT 500, I-Time 0.7, Trigger: 1 L/min, PEEP 10 O2: 2 L/min Low Minute Volume Alarm: 11.5, Low Pressure Alarm: 20, High Pressure Alarm: 35 Low PEEP Alarm 3 Below set PEEP, High PEEP alarm 3 above set PEEP. High F Alarm: 35 High Pressure Delay, Off. And I love my alarm settings very tight. I have neurological, and respiratory problems. Very severe respiratory Problems. I noticed that you said these vents were not the best for NIV ventilation, and you may be right. I've only used this ventilator for Invasive ventilation, but you know, I've never had a problem with the 1150 ventilator. It's essentially the 1200 without theHigh Pressure O2 source. Now in the hospital, before the trach, I had NIV, and I always told them not to use the BiPAP visions, and the V60s on me. I truly hated those. I wanted NIV from the ICU vents. The Servo I, or the Dragers. Those NIV devices, are HORRIBLE. They Autocycle, no matter ow tight the mask is. I could have that mask on without ANY leak, and it still autocycled. I LOVE MY LTV!
Glad to hear, Peter! I love the LTV too. I bet you're an expert inside and out of this vent!
@@henrythatrtguy6448 I thank you for such a wonderful comment! You could say that. You could definitely say, I know my ventilator inside and out. I think more like an RT than a patient. I'm the one who's fussed at my RT because she wouldn't give me an O2 analyzer. I prefer to know my FiOW rather than just the just the L/min. I know stuff about the LTV that most patients, don't know about. I'm the one who taught my RT about the SBT function. The function that you can access if you get into the extended menu by holding the select button down for three seconds. You got Alarm operation, next you have the VENT OPERATION, and then you have QUERIES, and then you have the SBT function. In this function, you can perform something called SBT. Now back when I wasn't so sick, I did this, to enjoy some time breathing on my own. So to use this function, you set the time you want the SBT to run. You set the Pressure Support and PEEP. You set your high RSBI, low RSBI, and High Frequency, and now Frequency Alarms. You're going to determine whether you want your RSBI to be one of the values that comes up in the viewed parameters scroll, where the vent goes through the values measured, and calculated. Now before you turn SBT on, you have to make sure your sensitivity is set propperly, your Low Minute Ventilation, Low Pressure, and High Pressure alarms are set propperly. If you start SBT, and then while SBT is running, you hit any of the front panel settings, SBT will be turned off, and you'll have to restart. So before starting SBT, YOU MUST set Sensitivity, LMV, Low Pressure, and High Pressure Alarms. OK. Now once you have those set, and you have your PS, and PEEP, SBT Duration, High and Low RSBI, and F alarms set in the extended menu's SBT function, you're going to go to the beginning of the SBT menu, and where it says SBT Start, you press select, and turn On SBT. Now once you do that, your ventilator is going to start the SBT, and Go from whatever mode you have set out of that mode, and into CPAP/PSV. And The ventilator will be in CPAP/PSV, as long as you had the SBT duration set, in the SBT menu in the Extended menu. A few minutes before the SBT is over, you're going to get a message, so that you know the SBT is about to complete. At the end of the SBT, you'll get another message and the ventilator will revert back tothe mode that you had set, prior to the starting of the SBT. If the patient tires out, and his Frequency increases to the high F, or Low F Alarm threshhold, the ventilator will alarm, according to what you have set for those alarms in the SBT menu. If the patient becomes apneic, the vent will alarm APNEA, and revert to apnea ventilation. When the patient takes two breaths, the ventilator will come out of apnea ventilation, but It will end the SBT, and go back to the mode of which you had set prior to starting the SBT. I've used this function before when I liked doing some spontaneous breathing on my own, and my DME RT was like, "That's cool." That mode is usually a hospital used mode, but Not at my house. The thing is, my house, runs very much like a hospital. The way I do stuff. I have End Tidal CO2 on my bedside monitor, as well as a five lead ECG, Non-Invasive Blood Pressure, Pulse ox, and Temperature monitoring. So I'm more of an RT, than a Patient!!! Which is why sometimes I'm hard for my DME to deal with, because she's use to her patients, being like patients. NOT RTs. LOL! So, when you say, I probably know my ventilator inside in out, I don't mean to brag, but in essence, I DO.
Hi, Henry! Do you think that phlebotomy technicians make more money than RN?
No
Obviously they don’t kill everything if they don’t kill c diff.
Why the fuck doesn’t it say it is linked to cancer on the package?
Because it's not a carcinogen
I never know about the 15L thing till today lol, but I always do 15L using it in the past as when I think someone need NRB, I just put the O2 straight up to it...
You have explained the procedure to Mr.arm but I don't think he has granted you to proceed
alright henry since we are out of dang vents we are now using ltvs for trach patients damn thing keeps alarming i hate those vents
This channel is really underrated. Excellent video thank you for the info, well explained
Thanks so much!