Metabolic Panels and Electrolytes - BMP vs CMP - Critical Care Labs
ฝัง
- เผยแพร่เมื่อ 16 มิ.ย. 2024
- This lesson kicks off a new quick series looking at various labs and tests that are important to know in the ICU. We start off with our green top tube and take a look at our metabolic panels (BMP vs CMP) and discuss the different tests and results that we find in there. I finish up the lesson talking about some of the missing electrolytes from those tests that we often still look to check with critically ill patients.
0:00 Intro
2:39 Metabolic Panels
3:24 Results Skeleton
4:28 Chem-8
13:41 CMP vs BMP
14:53 Missing Electrolytes
17:55 Conclusion
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✅ Hemodynamics: • Hemodynamic Principals
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@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
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.
Hats off to you Eddie. Tremendously helping me ace my ICU rotation. Excellent teacher, love watching your videos. Job well done. A trillion thanks.
Thank you so much. I really appreciate that awesome comment. Truly glad to be able to help!
I love this channel! Thanks a million for all knowledge that you've been sharing with us.
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. :)
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!
Thank you. These videos gave me a great start and I was a star in the ER. Thanks again
Truly happy to be able to help!
My favorite channel! As a new grad these are soooo helpful ❤️
You are amazing. Thank you so much!
Again brother, thank you!! I look forward to your videos!!
Thank you so much Tristian!
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.
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!
I've never heard of respiratory coach, thank you for this resource!
Great video! New to the ICU know basics and this vid help correlation of Dz processes and labs purposes. Thanks
Congrats of the new ICU position Dominique! Really to happy to hear you are finding these useful
THANK YOU for this video
This video is pure gold. 💛
Excellent tutorial and information!
Happy to hear this Nancy!
I am new to ICU and this was helpful! Thank you!
Yay glad to hear it!
Superb! Thank you.
You're welcome!
Fantastic))
Great video, thank you so much))
You are very welcome!
So hyped when I realized that you were gonna go over the iCa++, Mg++, and PO4
Haha awesome!!!
excellent refresher for me.
Great to hear!
Excellent content! Thanks for sharing
Thank you so much!
Amazing thanks 😊 🙏
You're welcome Rasha and thank you!
The best channel ever. Thank you
Wow, thank you so much Imelda!
Thank you!
Thank you 🙏
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 🙂🙂.
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!
Eddie, you are making a doctor out of me ❤️
Going into my last semester of nursing school! Your videos are great! I very much enjoy them! Very relevant and key information!
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!
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.
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!
Love your lessons, Eddie. God bless you abundantly.
Thanks for the order of roygbiv draw.
Another great content 🖤
Thank you so much! 😊
Thanks
Welcome!
Good job👌
Thank you so much!
Great job
Thank you!
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 ❤️❤️❤️❤️❤️
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
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.
Amazing, you are really amazing ❤️
Thank you so much Dalai!
Thank You
You're welcome
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.
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.
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!
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.
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
Thank you sir
Youre welcome!
your awesome...thank you
You are so welcome
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
HI have you got slides for this. This is really helpful
You did not put calcium on the skeleton. Do I need to order it separately when I order Chem 8?
Please make a vedio about choice of antibiotics in ICU
I do plan to cover this topic!
what can be done with diets or meals high in sodium or salt?
Are you going to make a video regarding covid vaccines? I just got my first dose today and was curious on more details
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!
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?
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.
You rock
Thank you!
can you explain why there seems to be soo many DKA patients with low potassium if PH and K have an inverse relationship?
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!
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?
I’m a hospital pharmacist and this is very helpful, thank you
Awesome! Thanks so much! Really happy to know you found it helpful.
some blood is enriched with certain substances or it’s diet when it was alive. it significant someway some how
High K+, high H+ (low pH), high T (wave).
There is a bug at 16:20, that arrow at phosphorus flips around
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
I noticed it because I was rewinding the video, thats funny, may I ask why you did it this way?
you did not put calcium on the skeleton
Good evening, I really appreciate your video but please don’t use the red markers
The secret to all these videos is to skip the first 60-70 seconds.
But then you'd miss my amazing introductions!
Thanks
Welcome
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!