Simple Hypercalcemia Workup (with Case Study): Lab Interpretation for New Nurse Practitioners
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- เผยแพร่เมื่อ 7 ก.ย. 2024
- Labs interpretation for new nurse practitioners can be confusing, and most new grads don't feel well-prepared by what they learned in NP school.
In this video, I break it down with a SUPER interesting case study from my first year as an NP, and make the approach super simple with 3 steps, including the top do-not-miss diagnoses.
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Thank you Liz, for making such awesome videos. I am a new grad NP and will start my new job at a FQHC in January. I am nervous and excited and your videos are excellent for the useful information and also your down to earth nature that makes us all feel like we're going to be okay!!
You can do it! I promise
New grad here making my way through the first few months of NP practice! I came across this situation for the first time today and I just stared at the UpToDate algorithm about this topic for the last 45 minutes and got more and more confused, nervous, and overwhelmed. I came home hoping you'd have a video about this and sure enough--the topic made sense in less than 20 minutes. Thank you thank you!!
You are so very welcome!
You are such a wonderful resource! I learn so much from you and feel that I can provide safer care. I am so glad that I found your program. I use the Binder everyday!
Thank you for your kind comment. I am so glad you find the Binder helpful.
I would love to see the Coumadin management algorithm you mentioned in the video!! 😄 great case study!
Oh yay! Yes, the coumadin management video with algorithm is here (you can download that at the link below the video here: th-cam.com/video/FaP5cWZG-no/w-d-xo.html)
I love this information! As a new NP I am learning a lot more with your videos. I too had a preceptor who allowed me to shadow and not even document so stumbling upon your videos is God sent! Thank you for all you do! God bless you always!
You are so welcome!
Great job Liz! Your explanations were very good and thorough. I really liked that you brought up the point of labs can be in "normal" or boderline high range, but still significant enough to move forward with further testing. Most new grads wouldn't key in on that.
Thanks so much!
Loved how you broke everything down. I’m about to start clinicals and these videos have been great to prep with
Glad it was helpful!!
I love how easily you broke each step down and tied everything in. Loving your videos, thanks so much!
You're so welcome! I'm so glad to hear that :)
Liz, I commend you for starting this channel. This is much needed. I love your video and the use of the case study, definitely ties it in clinically.
Continue with lab interpretations videos, i think all of us new grads really struggle with this. The algorithms are great!!!
Oh I'm so glad it you liked it!
For future vids, can you make videos on symptom approach in primary care using the same method u did in this video?
@@PrincessAisha2006 Awesome idea! Yes, definitely.
Real World NP can you do a video on hypocalcemia
I just found you! I’m a student graduating in May 2021 and was looking for review and easy learning to listen to while driving. So I love this! I only wish you had this information as a print out too to put in my resource folder. But I’ll write it down... when I find the time! Thanks again.
Yay! How exciting!! I’m so glad you’re loving it. The Lab Interpretation Crash Course is opening up again in a few weeks and it has all the algorithms, slides and cheat sheets for all the main labs in primary care- CBC, CMP, UA, TSH, lipids and top endocrine labs! You may want to wait to enroll until after you graduate, it’s really comprehensive but it’s 👌👌👌👌 it’s over at realworldnp.com/labs
I really enjoyed this type of video - it really helped me to understand the thought process. (Starting ACNP in the fall)
Awesome! Absolutely, it's a new way of thinking!!
Loved this! Thank you! Interested in your Coumadin algorithm too!
You're so welcome!
Here's my coumain dosing worksheet, it's from 2005 from AFP but works super well for most of my patients: www.dropbox.com/s/p0tyv3gkh7u6s1z/coumadin%20worksheet.pdf?dl=0
and an updated article about anticoag guidelines from AFP as well: www.aafp.org/afp/2013/0415/p556.html
I would love a segment on chronic back pain! Love the videos! Thank you!
I have a video on back pain: th-cam.com/video/aqwTnFhF3H8/w-d-xo.html Check it out!
So helpful! I have one scheduled tomorrow so glad I found your video when I did! I now know what to do with the lab :P
Glad it was helpful!
Thank you! Straight forward and will definitely help in practice.
Awesome I'm so glad!
Loved this and I think you went at a great pace! Thank you!
You're so welcome!! So glad to hear it!
thank you very much. so high calcium, confirm its high and if high draw intact pth. 90% of high calcium is hyperparathyroid and cancer.
Up-to-Date has a great algorithm to print out!
So needed this video and all of your other lab videos as I continue to connect the dots in my head and practice! thank you SO much for these!
Awesome!! I'm so glad!! You're so welcome!
Another amazing video!!!! Could you please do a video on CBC reading and focus on anemia.
Those are covered in my Lab Interpretation Crash Course - if you can, join the class! www.realworldnp.com/labs
Please make a preventative care cheat sheet screenings (colonoscopies, mammogram, CT if hx of smoker, pneumonia vaccine, etc. and add to the digital binder if possible :)
Another topic that would be helpful is pap-smear algorithm (ASCUS, colposcopies etc.)
Will add it to the list!
Thank you Liz so helpful!!!
So glad it was helpful!
I love your videos, you make it Ez.
Glad you like them!
What is the recommendation in treating outpatient setting for patient as far as insulin mgmt? I know his potassium is 5.8 and not symptomatic but what is the parameters for patient to lower BG as far as dosage and intervals?
This sounds like it maybe a complicated patient. I rely heavy on my AACE/ACE guidelines for starting insulin.
Thank you for this! What about checking phosphorus levels?
Great question -- not routinely recommended, it can be low or low normal in hyperparathyroidism and hypercalcemia associated with cancer, so potentially in those cases!
Did the Queen's Anne Lace that she was taking for contraception have anything to do with this particular case for hypercalcemia?
The endocrinologist didn't think so!
I wonder what happened! I always worry that a dvt could be a sign of a cancer and with the high calcium that adds to that concern but in this case, her calcium levels would have been higher if CA? and I think I’ve seen that rarely is hypervalcemia precede the ca diagnosis - usually you already have that established
You’d definitely need to look at the patients risk factors. I would have to review the most up to date data regarding coorelation between Ca and cancer.
Very interesting
Glad you think so!
What happened with the parient with the endocrinologist?
Hi! They did a complete workup in endocrine and she had mild hyperparathyroidism. They found it mild enough so she didn't need surgery, and took over monitoring her. Thanks for watching!