Sedation in ICU Patients (Part 1) - ICU Drips
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- เผยแพร่เมื่อ 17 พ.ย. 2019
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For the next lesson we start our discussion of sedation in ICU patients and ICU sedation medications. Sedation is something that is used frequently in critical care and it has many potential uses and benefits, but some associated risks.
We start the lesson of talking about what sedation is and what it can do for our patients. From there we move on to talk about the many different reasons that we would use sedation in the ICU and break down each of those reasons and explain a little bit more about each one. Finally we finish this lesson up talking about our monitoring of patients on sedation, specifically talking about the Richmond Agitation Sedation Scale (RASS).
Hopefully after watching this lesson you will have a good foundation of understanding about ICU sedation and the purpose of its use as well as the potential benefits that can come from it. In the next lesson we will begin talking about the many various forms of sedation medication.
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Hemodynamics Principals: • Hemodynamic Principals
Shock: • Shock
Arterial Blood Gases: • Arterial Blood Gases (...
ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
Heart Failure: • Heart Failure
Endocrine System: • Endocrine System
Blood Tubes - Order of Draw: • Order of Draw and Addi...
Glasgow Coma Scale: • Glasgow Coma Scale (GC...
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Thank you guys so much for watching! Please leave a like if you enjoyed the video. I truly do appreciate it! Also I love hearing your comments so feel free to tell me what you think of the video. I hope that after this lesson, you will have a good understanding of what sedation is and why we use it in our patients as well as how we monitor our patients on it.
Check out the rest of the videos in this series here: th-cam.com/play/PL2oVjKTYocdPLrS0odnyih8wf6zZ7WfVW.html
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I have a question; I had an upper endoscopy and I was given 100 Micro grams of Fentanyl during the 20 minute procedure, and Doctor added Versed for anxiety. When I woke up from the sedation I had major dizziness, and Nausea, and headache as I wanted to throw up really bad when I was taken to my car as a passenger of course, but my question is was it the Fentanyl that caused the bad reaction? or was it the Versed? Just to next time so I don't ask for Versed again due to nervousness?
As a new grad working in ICU, I reallllyyyy appreciate your content. I listen to your videos before my shifts to help me get set for the day!
Super cool! Glad to hear you are enjoying them and that they are helping you in your transition in to the ICU. It's a heck of journey but so worth it! Thanks for the awesome comment! 🙂
Same, girl. Same.
Same
Same. In my transition program right now.
White people age biologically faster with lower life expectancy
Your channel is a life saver! been newly assigned to Neuro ICU which is not my specialty but because of your videos, I was able to easily understand how these ventilations and sedation works. More powers to you and your team
thank you for making these kind of videos. i love watching them and i'm learning a lot. you're presenting the subjects in a very clear and organized manner, and very easy to understand. great work. as a new guy to the critical care, these videos are really helpful for me. thank you so much. your work is much appreciated.
So awesome to hear this Rey! I'm really glad to hear that you are finding them useful. I appreciate the kind words! I certainly try my best to make them the best that I can, and its always great to hear that others appreciate them.
ICU Advantage 👍🏻❤️
breakdown of the rass was soo helpful
New to ICU and your channel helps tremendously.
Yay!!! So glad to be able to help! 😊
As always, lesson is great. I learned a lot. Thanks.
your content is the best icu content on youtube. this knowledge is invaluable. you could be making a fortune. thanks for sharing your knowledge
Thanks so awesome to hear. Thank you for that.
ICU holds are getting lengthier in stay at my facility. Sometimes over a week! Your channel has been insightful and a great resource.
Happy to hear I've been able to help. And yes, unfortunately hard to get them beds with the staffing issues!
Thanks Eddie! Great work. Very helpful. Keep going
More to come! Thank you!
Absolutely love your videos!! So helpful. Thank you, thank you, thank you ;)
I love your channel ! Thank you for the thorough content
You are so welcome!
Thank you so much for your efforts to share your expertise with us. I am a Stepdown RN and I float occasionally to ICU and these videos help me a lot.
You are so welcome! So glad that you find them helpful!
Same.
Wait....what! I love your videos! So thorough! So happy I stumbled upon your channel!
Yay! This is so awesome to hear Juliette! So glad you found your way here too! :)
Thank you Eddie watson this lesson is very helpful. I love your voice too😘
Thank you! Glad that you found it helpful!
Very informative.... You are doing marvelously fantastic work!.. we appreciate.
Thank you so much. Glad you enjoyed it.
Your videos are so helpful! I am new ccu/icu nurse and I have been watching your videos
So awesome! Welcome to ICU btw! Such a fun journey of learning. Glad you like the videos.
Enjoying these videos, New to ICU
Very clearly and succinctly presented - great job.
Great to hear! Thank you!
THANKS FOR BEING GREAT! I LOVE THIS CHANNEL!!
Woohoo!!! :)
Awesome lecture ! Thank you
Love this channel. Excellent content
Much appreciated! Happy to hear this!
Thanks for sharing. In the current pandemic, this is very useful for surge doctors and nurses who do not have the full grasp of what sedation is all about and how patients are being managed with them. Keep up the good work and I shall look forward to the part 2 of this topic. God bless you and your team.
Thank you very much for the kind words and for the work that you are doing. I'm happy to hear that this video was helpful for you. Stay safe!
Being floated to ICU is terrifying. Thank you for sharing your knowledge.
Happy to be able to help!
Thank you so much for this! You got a new subscriber 😁.
Awesome! Welcome aboard!
I’ve been in ICU in a relatively low acuity unit for a few years and I’m looking to step up my game, get my CCRN, and begin working in higher acuity facilities. These videos have been very helpful for their focus on ICU nursing specifically. Thanks for your work! Your vasopressors series was especially informative.
So glad you found this series helpful for you!
Low acuity laid back?. I want your job.
Hey Eddie this is great stuff bro.. I'm a nurse and I'm hoping to get into a ICU one day and I feel like I can get a good jump start by watching your videos for everything I need to know! Keep it up bro. Also could you do a video on VAD's and Intra Aortic Balloon Pumps and how the help with the heart?
Thank you! I of course highly encourage you to work towards getting in to the ICU. I may be biased, but I absolutely love it. I do have a couple videos where I talk about some of the cardiac assist devices (I'll link them below), but at some point I will probably make some videos specifically to those devices. Not sure when that will be though.
Cardiogenic Shock - Shock (Part 4) : th-cam.com/video/Ctf8I_5wMSQ/w-d-xo.html
Diagnosis & Treatment - Heart Failure (Part 4) : th-cam.com/video/VoXbwlm8sY8/w-d-xo.html
Hope those help some and thanks for watching and the comment!
@@ICUAdvantage Lol I don't blame you for being biased. And thanks man I'll check those videos out and I'll look forward to the videos specifically on those devices!
For sure! If there ever are any subjects you want covered, let me know as I'm always adding ideas for future videos!
Thank you!! I love your videos
You are so welcome!
Loved this!
Awesome! Glad you liked it! 😊
Superb ICU management before intubayon
Wow! You are awesome!! Thank you for sharing
You are so welcome!
Thanks for sharing! I am in my last year of nursing school and want to become an ICU nurse, so this is all really helpful and exciting!
You're very welcome Ben. Glad you like the video. Congrats on almost being done. I, of course, highly recommend a career in critical care! Best of luck.
Thanks for sharing don't know sh*t about anything medical.. ly? But thanks to this video now i do!!
:)
Thanks :) very helpful video!
Fantastic to hear Rafeala! So happy it was helpful for you.
Thank you!
Excellent!!!
Thanks again
Beneficial,a small request is...
Cant you share vedios of the In patients of ICU,with pupils variable appearances based on conciousness!.....
Thank u for these videos
You're welcome! 😊
Thank you for the excellent and easy explanation as a new ICU nurse; your lectures helped me a lot! I really appreciate you 😇👍
delirium is very scary. i woke up from getting an aortic graft and thought the doctors were trying to murder me while they were extubating me cause i felt like i couldn’t breath and didn’t know what was happening and had to be held down
Thanks
Thank you ❤
Youre welcome!
What about a medically induced coma?
Thank you
You're welcome
I appreciate you all
Hi, you said that..we need to make sure that the patient has a good relief from pain before giving sedation..but how can I know if the patient has an adequate pain relief and now need only sedation? Thank you
Look for things liked increased HR, grimacing, stiffness with turning or positioning, eyebrow furrowing. Also, just thinking about what is going on with them and whether there might even be pain. Obviously post surgical or trauma we would expect that. Other situations may or may not.
Thanku ❤️
You're welcome! 😊
thak you
Hi! I've been wondering for a long time: at our hospital we don't give midazolam to patients with liver cirrhosis (out of fear for agitation, less metabolism), but we do give diazepam as a drug against delirium in these same patients. Is this because diazepam has a long half life? Thank you!
So I'm not real sure the reason there. There are many different schools of thought on the use of benzos with delirium.
As for not giving midazolam, the reason is potential buildup of medication due to improper metabolism. Lorazepam is a good alternative benzo as it does not have active metabolites and is less sensitive to general liver dysfunction.
You should ask your docs their reasoning in those situations and report back what their though process is.
For liver patients, what med do you see used for sedation/agitation?
thanks for sharen
Thanks for visiting
Can you review TTM in the future?
Yes! It's on the todo list!
Is like to know if it is appropriate to compute a RAAS for pts who have altered mentation but aren't sedated?
No
You probably are going to want to use GCS and just a general Neuro exam.
🙏🏻
How do you know when to titrate up or down, sedation?
Typically we use RASS or some form of sedation scale to determine if more or less sedation is needed. Then you titrate amount and frequency based on the order.
Tq
yw :)
Please allow English subtitles 🙏🏼
Thank you for saying something. Typically TH-cam autogenerates subtitles for the videos, but this one doesn't have it on there!!! And I don't see a way to have it do it now. I'll have to look in to it more. Sorry they aren't available. 😔
Can long term use of sedation such as versed /fentanyl also cause dependence and withdrawal in these ICU patients?
.
It can, although from my understand and what I've seen on it, short term. So you wouldn't run the risk of being dependent long term, aka outside the hospital, but certainly if run long enough, high enough, we have to slowly reduce down as they very much can experience withdrawal.
Midazolam is blood pressure sparing? Lol!
2
where were the drips though???
Pls making a video clearly your explanation is not clear letter. But your videos very useful things pls
Not sure what you are referring to
gummy
very generalize do not get to much into details
Thanks for the feedback. This first part was not meant to go too deep. I go in to more info in the second part. Can I ask what information you were hoping to see, as perhaps I may do another video in the future?
Dnt waste our time in initial intro...
Wow
There’s a thing called skip or fast forward… He provided his time to share his knowledge and did a phenomenal job breaking down these critical meds in a manner that was easy to follow. Something many people don’t understand and want to learn more about…the least u can do is be grateful for the free knowledge.
Thank you
You're welcome