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Nurse Virginia Irene
United States
เข้าร่วมเมื่อ 3 ก.ย. 2020
Welcome patients & nurses! Thanks for stopping in! With this channel, I add a new perspective to nursing and patient education. I present videos related to the nursing field--mostly specific to the emergency room. You'll see science-based content aimed at educating patients and nurses about common medical scenarios.
*This channel is for educational and entertainment purposes only. It is NOT intended to be clinical practice or medical advice. Though I strive for accuracy, errors may occur and practices may change. Always consult a physician or licensed independent practitioner for medical advice. Consult the latest literature and organization/hospital policy prior to practicing. If you feel like you are having a medical emergency, seek immediate medical care.*
*This channel is for educational and entertainment purposes only. It is NOT intended to be clinical practice or medical advice. Though I strive for accuracy, errors may occur and practices may change. Always consult a physician or licensed independent practitioner for medical advice. Consult the latest literature and organization/hospital policy prior to practicing. If you feel like you are having a medical emergency, seek immediate medical care.*
Emergency Room Chronicles: Pericarditis Exposed | Symptoms, Diagnosis, and Treatment
Pericarditis is an inflammation of the pericardium, the sac that surrounds the heart. It causes sharp chest pain that is central, worsens with deep inspiration, and is positional. There are two main groups of causes: infectious and non-infections. Of the infectious causes, viruses are by far the most common. Bacterial and fungal infections, however, can also cause pericarditis. Non-infectious causes include things like cancer, lupus, rheumatoid arthritis (RA), trauma to the chest, heart attack, and even certain medications. Sometimes, we don’t know the underlying cause of pericarditis and so we call it idiopathic.
In order to settle on the diagnosis of pericarditis, other life threatening causes of chest pain should be ruled out. Clinicians need to get a good history and physical exam on the patient. During this exam, sometimes a pericardial friction rub can be auscultated. An EKG should be completed and may show widespread ST elevation. Lab and imaging tests will often be done. Lab tests may include a CRP, ESR, white blood cell count, and troponin. A chest x ray, echocardiogram, and CT can be completed to help further evaluate the cause of the patient's chest pain. A complication that can happen with pericarditis is a pericardial effusion, where fluid builds up in the pericardial space. The treatment of pericarditis depends on the underlying cause and if there are any complications. Bacterial infections require antibiotics. Mild viral and other non-infectious pericarditis may simply require supportive care. Anti-inflammatories, like ibuprofen or aspirin, may be given for pain control. Doctors may sometimes prescribe steroids or colchicine. Most pericarditis patients are able to discharge home and follow up with their doctor in a week. Patients with more severe pericarditis or complications will usually need to stay in the hospital and get admitted.
Treatment Algorithm:
www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-15/Management-of-acute-pericarditis-treatment-and-follow-up
www.aafp.org/pubs/afp/issues/2014/0401/p553.html
clincasequest.hospital/pericarditis/
Other Pericarditis information:
my.clevelandclinic.org/health/diseases/17351-pericardial-effusion
www.healio.com/cardiology/learn-the-heart/ecg-review/ecg-topic-reviews-and-criteria/pericarditis-review
www.ncbi.nlm.nih.gov/books/NBK431080/
www.researchgate.net/publication/323248019_ST_elevation_Differential_diagnosis_and_caveats_A_comprehensive_review_to_help_distinguish_ST_elevation_myocardial_infarction_from_nonischemic_etiologies_of_ST_elevation/download?_tp=eyJjb250ZXh0Ijp7ImZpcnN0UGFnZSI6Il9kaXJlY3QiLCJwYWdlIjoiX2RpcmVjdCJ9fQ
www.heart.org/en/health-topics/pericarditis/what-is-pericarditis#:~:text=Pericarditis%20is%20inflammation%20of%20the,them%20as%20the%20heart%20beats.
Photo taken from unsplash.com
unsplash.com/photos/heart-illustration-qIK_fc-4fmw
**Disclaimer: This is NOT clinical practice or medical advice. Though I strive for 100% accuracy, errors may occur and practices may change. Consult a physician for medical advice. Consult the latest literature and organization policy prior to practicing. Pictures are for illustration only. They are not true anatomical representations or actual medical images and may contain some errors. If you feel like you are having a medical emergency, seek immediate medical care. **
In order to settle on the diagnosis of pericarditis, other life threatening causes of chest pain should be ruled out. Clinicians need to get a good history and physical exam on the patient. During this exam, sometimes a pericardial friction rub can be auscultated. An EKG should be completed and may show widespread ST elevation. Lab and imaging tests will often be done. Lab tests may include a CRP, ESR, white blood cell count, and troponin. A chest x ray, echocardiogram, and CT can be completed to help further evaluate the cause of the patient's chest pain. A complication that can happen with pericarditis is a pericardial effusion, where fluid builds up in the pericardial space. The treatment of pericarditis depends on the underlying cause and if there are any complications. Bacterial infections require antibiotics. Mild viral and other non-infectious pericarditis may simply require supportive care. Anti-inflammatories, like ibuprofen or aspirin, may be given for pain control. Doctors may sometimes prescribe steroids or colchicine. Most pericarditis patients are able to discharge home and follow up with their doctor in a week. Patients with more severe pericarditis or complications will usually need to stay in the hospital and get admitted.
Treatment Algorithm:
www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-15/Management-of-acute-pericarditis-treatment-and-follow-up
www.aafp.org/pubs/afp/issues/2014/0401/p553.html
clincasequest.hospital/pericarditis/
Other Pericarditis information:
my.clevelandclinic.org/health/diseases/17351-pericardial-effusion
www.healio.com/cardiology/learn-the-heart/ecg-review/ecg-topic-reviews-and-criteria/pericarditis-review
www.ncbi.nlm.nih.gov/books/NBK431080/
www.researchgate.net/publication/323248019_ST_elevation_Differential_diagnosis_and_caveats_A_comprehensive_review_to_help_distinguish_ST_elevation_myocardial_infarction_from_nonischemic_etiologies_of_ST_elevation/download?_tp=eyJjb250ZXh0Ijp7ImZpcnN0UGFnZSI6Il9kaXJlY3QiLCJwYWdlIjoiX2RpcmVjdCJ9fQ
www.heart.org/en/health-topics/pericarditis/what-is-pericarditis#:~:text=Pericarditis%20is%20inflammation%20of%20the,them%20as%20the%20heart%20beats.
Photo taken from unsplash.com
unsplash.com/photos/heart-illustration-qIK_fc-4fmw
**Disclaimer: This is NOT clinical practice or medical advice. Though I strive for 100% accuracy, errors may occur and practices may change. Consult a physician for medical advice. Consult the latest literature and organization policy prior to practicing. Pictures are for illustration only. They are not true anatomical representations or actual medical images and may contain some errors. If you feel like you are having a medical emergency, seek immediate medical care. **
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Having the pt clench their fist will cause elevated potassium, especially with a tourniquet on. It is advised in most places to not do this.
My girlfriend is going to clinical for Cardiology as a MA. Idk if I should get her the cardiology master or stick classic
I have concusaion and i was forced to do homeqork😢
So taking extra vitamin d can make it worse?
Helpful,
Really, cancer???
3.3 mmol calcium level. Please what is the best medication to lower my level?
3.3 mmol calcium level. Please what is the best medication to lower my level?
@@PreciousAkuegbo Thanks for your comment. I apologize but I am not able to give medical advice. Please consult a physician or licensed independent practitioner for advice specific to you.
@@nursevirginiairene thanks
Can only normal saline 0.9 decrease calcium level?
Thank you! You are the first one whose video made me understand step by step STEMI management in a simple way. Appreciate your efforts!
Hi Virginia! We love this video and would love to use your Littmann testimonial on our social channels. Please let me know the best way to contact you and I will reach out with a testimonial release form. Thank you! - Littmann Team
The Turkey Sandwich kills me.
I am dairy allergic and eat low carb. Accordign to cronometer the past week, my phosphorus is like 4 times my calcium intake. I have been fatigued, new dental problems, trouble staying asleep.
Well explnd dear
❤
❤
Informative video ❤️
A very informative video. Have you seen HCTZ increasing blood calcium? @Nurse Virginia Irene
Thanks for the question. Personally, I have not see that, but HCTZ is known to cause or worsen hypercalcemia.
@@nursevirginiairene Thank you for the response!!
Incredibly good explainations ! You are very good ! Thank you !
'PromoSM' ☹️
Great content . If u could use a better delivery I can’t read your handwriting
Thanks for the comment. Glad you found the information helpful. My newer content is structured better so you can read the text. 😊
I just took some shit tasted like paint
Thank you ❤
Thank you so much for this! This is such a great help since I will be having my ER duty next week.
Who puts warm compress on the patient while drawing or IV? I've never had that b/4.
Thanks for the comment. Usually it’s done before you stick the patient to enlarge the vein, not during the blood draw itself.
Can Afib cause Sudden cardiac death? My dad is on Hospice for cancer but he's had 2 heart attacks in the last 3 months and hopes his heart takes him out before the cancer does. He has Afib and I can tell his hospice nurse is concerned about his heart
What should I do if I'm breastfeeding and I took one dose of pepto?
you are completely wrong about so much of the info in this video....1st and foremost 1/3 of people with high calcium do not have cancer less than 3% of people with high calcium have cancer... reach out if you would like to correct your video.
Hi
Good video. One suggestion, ditch the background music. It doesn't add anything, just makes it more difficult to hear you speak.
Huh, my GI nurse called to tell me mine is 1.8. She also made it sound serious and couldn’t get oral phosphorus to me fast enough. I trust my GI nurse!
You don't seem to mention anything in the ovaries area. Endometriosis, cyst ruptures, and just more on pelvic as apart of the lower area.
Thank you for your comment! Good point. This was more focused on GI and the general population, but I can do a video on those topics/ more female conditions if it would be helpful?
Great video..Studying for CRNI, and the exam is heavy on electrolyte imbalances...
Good ❤😊
Thank you! I'm sending this to my lovely daughter who is starting in triage.
Hmm... I wonder where you got the idea for this video?
Thank you, nurse Virgina Extremely helpful
👍
Promo-SM
My mother eye lids got swallon and now the lips got swallon is it allergies
Are you a nursing educator?! You are so great
Thank you! I’m an educator at heart! I have content planned, but let me know if you want to see a specific topic. 😊 And if you think it can help a fellow nurse, feel free to share my videos. 😊
This was sooo great!! I’m an experienced nurse but new to the ED!! And new to adults. I’ve always worked with peds. This is sooo helpful!! 🥰🥰 I definitely subscribed and can’t wait to watch mroe of your videos!
Happy to help! 😊 I have an ER playlist you can check out with more videos! My goal is to help nurses new to the ER & also patients to understand things from an ER perspective! 😊
Uh, that's the brand. They have changed their formula and ingredients over time.
You’re correct. Tylenol is the brand name. The active ingredient is acetaminophen in basic Tylenol. But there is also Tylenol cold and flu, Tylenol pm, etc. and those have other ingredients in addition to acetaminophen. Thanks for the input.
My husband is now worried what to eat
My calcium score is 1600. What do I do
Excellent video's thank you. Very informative 😊
Yes in acute pancreatitis also indirectly!
Thank Y for help ❤
Please I want more information on why hyperkalaemia depolarises the cell please please please ❤❤❤❤
Hyperkalemia effectively raises the resting membrane potential of the cell, so now any stimulus, even a small one can cause hyperactivity.
@@nursevirginiairene thank you 🙏 God bless you for teaching and sharing ❤️❤️❤️❤️
Awesome teaching, thank you ❤❤❤❤