Metabolic Panels and Electrolytes - BMP vs CMP - Critical Care Labs

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  • เผยแพร่เมื่อ 26 ก.ย. 2024

ความคิดเห็น • 106

  • @ICUAdvantage
    @ICUAdvantage  3 ปีที่แล้ว +24

    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. Also, I have a Patreon & TH-cam Memberships now! 😍 If you are looking for additional content 💻and more information 📝to go along with these videos, then please consider showing support on either platform!
    👍🏼Don't forget to check me out and give us a like on Facebook & Instagram as well!

    • @isoldesolange1739
      @isoldesolange1739 3 ปีที่แล้ว

      @ICU advantage thanks for educating us about CMP. Is alkaline phosphatase and phosphorous level related? I did not see my phosphorous result in CMP. And my value is 54 units/ L ... is it considered low? I do have a high PTH result. Thank you

  • @richardschiro-je5wg
    @richardschiro-je5wg ปีที่แล้ว +8

    Eddie, thank you so much for posting these videos. I’m a new grad nurse in my second month of orientation working in a burn unit/ ICU and these videos as well as Respiratory Coach’s have helped me tremendously during my orientation process. I have shared your page with numerous nursing school friends and coworkers. Thank you again.

    • @ICUAdvantage
      @ICUAdvantage  ปีที่แล้ว +1

      Truly happy to help and glad you enjoy the videos. Joe has a great channel with a ton of great info over there. I love his channel and he's a good guy. Thanks so much for helping to spread the word!

    • @Debt-tective
      @Debt-tective 3 หลายเดือนก่อน

      I've never heard of respiratory coach, thank you for this resource!

  • @Anidraig
    @Anidraig 3 ปีที่แล้ว +11

    Currently a CNA ,not even in school yet but definitely fun to learn and apply later 😊 Thank you.. love being able to learn about labs without a nurse or md.

  • @sakthir2320
    @sakthir2320 2 ปีที่แล้ว +5

    Hats off to you Eddie. Tremendously helping me ace my ICU rotation. Excellent teacher, love watching your videos. Job well done. A trillion thanks.

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว +1

      Thank you so much. I really appreciate that awesome comment. Truly glad to be able to help!

  • @palmspirit1833
    @palmspirit1833 6 หลายเดือนก่อน +3

    Eddie, you are making a doctor out of me ❤️

  • @View06
    @View06 3 ปีที่แล้ว +15

    I am new to ICU and this was helpful! Thank you!

  • @CC-pm7sd
    @CC-pm7sd 4 หลายเดือนก่อน +1

    This video is pure gold. 💛

  • @crystalholder2213
    @crystalholder2213 3 ปีที่แล้ว +7

    I am saving all of your content
    Hopefully will be starting an LPN to RN program next yr...I must say I wish you were in Philadelphia.....as my nurse educator. Keep posting since I copy down everything you said and go over it 🙂🙂.

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +3

      Thats so exciting Crystal! Perhaps maybe you wish you were in Phoenix... Philly seems a bit too cold for my blood 😂 Glad you enjoy the lessons!

  • @Marilynefc
    @Marilynefc 3 ปีที่แล้ว +6

    My favorite channel! As a new grad these are soooo helpful ❤️

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +1

      You are amazing. Thank you so much!

  • @tkcurtis25
    @tkcurtis25 3 ปีที่แล้ว +5

    Again brother, thank you!! I look forward to your videos!!

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +1

      Thank you so much Tristian!

  • @j.a.sanchez-martinez1784
    @j.a.sanchez-martinez1784 3 ปีที่แล้ว +1

    Thank you. These videos gave me a great start and I was a star in the ER. Thanks again

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +1

      Truly happy to be able to help!

  • @jennysinclair6719
    @jennysinclair6719 3 ปีที่แล้ว +37

    Could you touch on how fluid resuscitation with various crystalloids (NS vs LR vs Isolyte vs D5-1/2 with and without K) relates to your lab values? It seems like fluid selection is mostly provider preference rather than evidence-based or lab-value-driven. Fluid composition isn't the same, but how much difference does it really make? Thanks!

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +31

      Great suggestion. Thank you. I was planning to do a lesson covering the different types of fluids and perhaps a series on fluids might be warranted.

    • @shad3128
      @shad3128 ปีที่แล้ว

      Fluid therapy, nowadays, is really considered a medication rather than preference but you are definitely correct. Youll see many MDs overlap what they like vs. Whats current and etc while nursing

  • @rosemarytucker7116
    @rosemarytucker7116 3 ปีที่แล้ว +1

    excellent refresher for me.

  • @iankaheloisa
    @iankaheloisa 3 ปีที่แล้ว +2

    I love this channel! Thanks a million for all knowledge that you've been sharing with us.

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +1

      Yay! So happy to read this! Glad to hear that you like these videos and it's my pleasure. I'm glad to be able to help in some way. :)

  • @dlamb010
    @dlamb010 3 ปีที่แล้ว +1

    Great video! New to the ICU know basics and this vid help correlation of Dz processes and labs purposes. Thanks

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Congrats of the new ICU position Dominique! Really to happy to hear you are finding these useful

  • @eezekiel07
    @eezekiel07 3 ปีที่แล้ว +2

    So, today I have a day off. Plans: to binge watch your amazing videos. Wahooo!! Thanks for all this amazing content! I'm sure you've saved many, many lives by the lessons you've shared on this channel.

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +1

      Hey Emme, I completely missed this comment!
      Thank you so much for such kind words. I really means a lot to me and I do hope that in some way I am able to help impact the outcomes of patients.
      I really hope you enjoyed the binge watching and learned some good info! :) And thank you so much for your support of this channel!

  • @donnananar1556
    @donnananar1556 ปีที่แล้ว

    Hello teacher! Your first video was very good, but the letter to small(font), this new one is FANTASTIC, but please, help me see you videos better, please? One ☝🏻 more time. Thank you so much teacher! ICU ❤️❤️❤️❤️❤️

  • @yeseniacamacho454
    @yeseniacamacho454 3 ปีที่แล้ว +2

    Going into my last semester of nursing school! Your videos are great! I very much enjoy them! Very relevant and key information!

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      So awesome to hear this Yesenia! I'm happy to hear these videos have been useful for you. Wishing you all the best as you finish up nursing school and head in to the world of nursing!

  • @lizymaurice8612
    @lizymaurice8612 2 ปีที่แล้ว +1

    Love your lessons, Eddie. God bless you abundantly.

  • @imeldahall4066
    @imeldahall4066 3 ปีที่แล้ว

    The best channel ever. Thank you

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Wow, thank you so much Imelda!

  • @barrettandevee
    @barrettandevee 3 ปีที่แล้ว +1

    I love listening and watching your lectures... i will be starting NICU next week. I know the values are going to be different but having the general knowledge about the labs wont hurt.

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      So glad to hear this Mary and congrats on the new position. My only experience with NICU was during nursing school so its really a whole different world from what I know! Best of luck to you.

  • @marionharris5952
    @marionharris5952 ปีที่แล้ว +1

    Thanks

  • @zakilivoali2504
    @zakilivoali2504 ปีที่แล้ว

    Thank you 🙏

  • @kw1nz33
    @kw1nz33 ปีที่แล้ว

    I’m a hospital pharmacist and this is very helpful, thank you

    • @ICUAdvantage
      @ICUAdvantage  ปีที่แล้ว

      Awesome! Thanks so much! Really happy to know you found it helpful.

  • @afzalbabaev3448
    @afzalbabaev3448 3 ปีที่แล้ว +1

    Thanks bro this is very helpful for our young doctors. I am pediatric cardiac surgeon from Uzbekistan and we have some after op problems at the ICU with ABG analyses often. So could you make pediatric ICU care videos also. Thanks again

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +1

      Glad to hear you liked it! I haven't ever worked in pediatrics so I just don't have any good knowledge for that area.

  • @rashaelgebaly6974
    @rashaelgebaly6974 3 ปีที่แล้ว +1

    Amazing thanks 😊 🙏

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      You're welcome Rasha and thank you!

  • @Tonnie31
    @Tonnie31 2 ปีที่แล้ว

    THANK YOU for this video

  • @nancyrobbins9190
    @nancyrobbins9190 3 ปีที่แล้ว

    Excellent tutorial and information!

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Happy to hear this Nancy!

  • @robertwolfiii8711
    @robertwolfiii8711 2 ปีที่แล้ว

    Thanks for the order of roygbiv draw.

  • @kiddohh100
    @kiddohh100 2 ปีที่แล้ว

    Superb! Thank you.

  • @jsv07018
    @jsv07018 2 ปีที่แล้ว +1

    You did not put calcium on the skeleton. Do I need to order it separately when I order Chem 8?

  • @nazimuzzal5321
    @nazimuzzal5321 3 ปีที่แล้ว +2

    Please make a vedio about choice of antibiotics in ICU

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      I do plan to cover this topic!

  • @melvayaredaguilar
    @melvayaredaguilar ปีที่แล้ว

    it can also be enriched with high risks of infection or even trauma is the body learns how to deal with it and produce more blood

  • @MDPowerhouse
    @MDPowerhouse 3 ปีที่แล้ว

    Excellent content! Thanks for sharing

  • @kitpesec1536
    @kitpesec1536 3 ปีที่แล้ว

    Fantastic))
    Great video, thank you so much))

  • @Haleighkidd
    @Haleighkidd 3 ปีที่แล้ว +3

    can you explain why there seems to be soo many DKA patients with low potassium if PH and K have an inverse relationship?

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +8

      Great question. So theres a few factors at work here. Lack of insulin also plays a role in the extracellular shift of potassium as well as the pH. (This intra to extra cellular shift is where this inverse relationship comes from). From there osmotic diuresis occurs and patients tend to eliminate excess potassium that way.
      Once we begin treatment, cells are starting with a decreased amount of potassium intracellularly. Both the increasing pH and the re-introduction of insulin contribute to a shift of potassium back in to the cells, leaving a potentially severe hypokalemic state. This is why we often make up fluid balance deficits with added potassium and still frequently check potassium levels and replace on top of that as well.
      Hope that makes sense!

  • @rcz2023
    @rcz2023 3 ปีที่แล้ว

    Thank You

  • @khaledabbas4321
    @khaledabbas4321 3 ปีที่แล้ว +1

    Good job👌

  • @khareomega2944
    @khareomega2944 2 ปีที่แล้ว

    Thank you sir

  • @masuzyo2000
    @masuzyo2000 3 หลายเดือนก่อน

    HI have you got slides for this. This is really helpful

  • @tsaman2948
    @tsaman2948 2 ปีที่แล้ว

    Great job

  • @dalaisand5453
    @dalaisand5453 2 ปีที่แล้ว

    Amazing, you are really amazing ❤️

    • @ICUAdvantage
      @ICUAdvantage  2 ปีที่แล้ว

      Thank you so much Dalai!

  • @pagenpwoblem8
    @pagenpwoblem8 3 ปีที่แล้ว +1

    Are you going to make a video regarding covid vaccines? I just got my first dose today and was curious on more details

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      I probably won't as it isn't a topic that directly applies to critical care. The mRNA vaccine technology is pretty cool when you learn about it though!

  • @melvayaredaguilar
    @melvayaredaguilar ปีที่แล้ว

    some blood is enriched with certain substances or it’s diet when it was alive. it significant someway some how

  • @evangelistamauricio2418
    @evangelistamauricio2418 3 ปีที่แล้ว

    your awesome...thank you

  • @ericschmidt1955
    @ericschmidt1955 3 ปีที่แล้ว

    Eddie, your channel is great, we all appreciate your sharing knowledge. I vaguely remember hearing that when treating hypocalcemia and hypomagnesium, that you should administer Calcium first. Why is that?

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Thank you so much Eric! Glad you liked it. I can't say I've heard about calcium for hypoglycemia. With hypomagnesemia, I can only think it would be beneficial if hypocalcemia is driving the hypomagnesemia, as they have a relationship in the same direction. Honestly though, I can't say I'm very familiar with this one either though.

  • @jillb4351
    @jillb4351 3 ปีที่แล้ว

    Another great content 🖤

  • @masterimbecile
    @masterimbecile 2 ปีที่แล้ว

    High K+, high H+ (low pH), high T (wave).

  • @shelhiyo4752
    @shelhiyo4752 2 ปีที่แล้ว +1

    Could you explain more about ionized Ca+? I haven’t figured out the difference between that and Ca+. Ionized is readily available to be used? Only by albumin? If we have low ionized, we’ll have low albumin levels?

  • @rogervanbommel1086
    @rogervanbommel1086 3 ปีที่แล้ว

    There is a bug at 16:20, that arrow at phosphorus flips around

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว

      Ahh you have quite the eye! haha You caught me! I put an up arrow as I was initially making it and then covered it up in editing. I didn't run it out all the way hoping it wouldn't be noticed... but here we are! lol

    • @rogervanbommel1086
      @rogervanbommel1086 3 ปีที่แล้ว

      I noticed it because I was rewinding the video, thats funny, may I ask why you did it this way?

  • @DollyIype
    @DollyIype ปีที่แล้ว +1

    Awesome. Thank you for a wonderful explanation. it was made so easy to understand. I was able to understand why ionized calcium is measured. Appreciate all your videos. They were worth to watch!

  • @isimotmuheeb4024
    @isimotmuheeb4024 3 ปีที่แล้ว

    You rock

  • @jsv07018
    @jsv07018 2 ปีที่แล้ว

    you did not put calcium on the skeleton

  • @Supermeme682
    @Supermeme682 ปีที่แล้ว

    Good evening, I really appreciate your video but please don’t use the red markers

  • @thepalettewhispererasmr1227
    @thepalettewhispererasmr1227 หลายเดือนก่อน

    My husband walked by and just asked if I was listening to a real person or AI?

    • @ICUAdvantage
      @ICUAdvantage  หลายเดือนก่อน

      I don't know how to take that.... haha

  • @0ThrowawayAccount0
    @0ThrowawayAccount0 3 ปีที่แล้ว

    The secret to all these videos is to skip the first 60-70 seconds.

    • @ICUAdvantage
      @ICUAdvantage  3 ปีที่แล้ว +2

      But then you'd miss my amazing introductions!

  • @natalyshastel7093
    @natalyshastel7093 2 หลายเดือนก่อน

    good

  • @Animalicht
    @Animalicht 3 ปีที่แล้ว

    Thanks

  • @jennysinclair6719
    @jennysinclair6719 3 ปีที่แล้ว +4

    Could you touch on how fluid resuscitation with various crystalloids (NS vs LR vs Isolyte vs D5-1/2 with and without K) relates to your lab values? It seems like fluid selection is mostly provider preference rather than evidence-based or lab-value-driven. Fluid composition isn't the same, but how much difference does it really make? Thanks!

  • @alejandrocuriel6954
    @alejandrocuriel6954 3 ปีที่แล้ว +2

    So hyped when I realized that you were gonna go over the iCa++, Mg++, and PO4

  • @melvayaredaguilar
    @melvayaredaguilar ปีที่แล้ว

    what can be done with diets or meals high in sodium or salt?

  • @gracewaithaka9382
    @gracewaithaka9382 ปีที่แล้ว

    Thank you!