your videos are just as helpful to nursing students as medical students. You teach all the same stuff our professors attempt to teach us but in such a better way!
I THANK YOU so much for these videos and making it so simple for me. I'm not a physician, but the content in my nursing program is made easier because of you. THANK YOU again and keep em coming.
Awesome! Absolutely Awesome! Thanks! please review Autonomic Nervous system and how each nerve is affected. (somatic, pns cns) and how pharmacology affects CNS.
0:34------ just a little shortcut if you want to use it. I was taught the ROME method for quick interpretation of ABG's to tell if patient problem is respiratory or metabolic. Really simple. Respiratory Opposite Metabolic Equal. For Ex: High paCO2 and low ph = Respiratory Acidosis (it helps to use arrows-- ^ -CO2 v-ph) , Ex: ^ HCO3 ^ ph = Metabolic Alkalosis since both of the arrows are ^. just a quick little reference for ya. ROME it lol
Wow great job!! Question: Am I correct in thinking that the Ketone Acidosis part isn't harmful? After all people on no carb diets like Adkins intentionally do it. So the real problem comes from the very high glucose levels? But I still don't quit understand the relative hyper K+. Is it from the higher extra cellular gradient with glucose pulling the K+ out of the cells ? Thanks again great videos......
Thats best way to remember but the actual mechanism is because we have metabolic acidosis, cells eat up H+ from serum but they need to maintain the internal melieu of the cell and hence spit out K+ (intracellular potassium is 140 and extracellular is 4+, so no need of energy to do that (osmosis), we are already short of energy here remember no glucose)
I'm t1 diabetic and I'm still confused. Is it the ketones which cause the acidosis or the combo of the high bg and ketosis? Can I get DKA as a t1 on a low carb diet?
I Just love your lectures so much. You are great !!! I am a nursing studying for my board exam and I will be watching all your videos. Thank you so very much
Initially isotonic ns abt 1-2 ltr. Then switch to .45% ns after initial bolus if serum sodium is high or normal. Now if glucose is less than 250mg/dl ,5% dextrose-salune is given And if its
This happened to me! Now it all makes sense why my stomach hurt like hell, hyperventilating, gagging, and pissing every half hour. Blood glucose was 848mg/dl. In a nutshell I was fucked up. Then diagnosed T1
Thank you my brother love the video .Im a diabetic and you just educate me on ketoacidosis. And keep up the good work. people with diabetes need to be educate on how dangerous ketoacidosis is. please check out my video on youtube its called (veggie news sugar diabetes) and (my sweet tooth adduction) peace my brother
your videos are just as helpful to nursing students as medical students. You teach all the same stuff our professors attempt to teach us but in such a better way!
I THANK YOU so much for these videos and making it so simple for me. I'm not a physician, but the content in my nursing program is made easier because of you. THANK YOU again and keep em coming.
You are so entertaining!! Make it so much easier to understand.
Well done sir.
This dude is nothing short of AWESOME.
Awesome! Absolutely Awesome! Thanks!
Awesome! Absolutely Awesome! Thanks! please review Autonomic Nervous system and how each nerve is affected. (somatic, pns cns) and how pharmacology affects CNS.
Great job Doc
IM OWNING MY NEXT DKA PT! Dude you were on point! Exactly how the pt comes in broski! you do a great job playing the pt lol
im medical student from malaysia. thx doc. you give me so much hope on this coming professional exam
you are amazing! so much better than my teacher! Thank you for keeping a boring topic fun!!!
Do you have to ask for a specific ketone test or does a BMP include ketone testing?
awesome, the next Dr Oz.
Thanks for the easy elaboration....its really helps..
what type of fluids and insulin do you give? Do you give 0.9% NS and Reg insulin drip?
0:34------ just a little shortcut if you want to use it. I was taught the ROME method for quick interpretation of ABG's to tell if patient problem is respiratory or metabolic. Really simple. Respiratory Opposite Metabolic Equal. For Ex: High paCO2 and low ph = Respiratory Acidosis (it helps to use arrows-- ^ -CO2 v-ph) , Ex: ^ HCO3 ^ ph = Metabolic Alkalosis since both of the arrows are ^. just a quick little reference for ya. ROME it lol
You're great! Thank You.
YOU NAILED IT..!!!
🔝class lectures..... tq sooooooo much doc..........
Wow great job!! Question: Am I correct in thinking that the Ketone Acidosis part isn't harmful? After all people on no carb diets like Adkins intentionally do it. So the real problem comes from the very high glucose levels? But I still don't quit understand the relative hyper K+. Is it from the higher extra cellular gradient with glucose pulling the K+ out of the cells ? Thanks again great videos......
So helpful!!!
Thank you!! Very helpful!!!!
Very good my fríend, it works a lot, thanks.
how about other emergencies to learn about
thank you ..great effort
Good job. Thanks!
I am amaze! Thank you...
thanx buddy
i watched ur vid few days back n......
last night i saved a child
try 2 post more detailed vids on u tube
how about sodium?
do we give it to patient or not?
you are awesome.
does the urine acetone result coming as positive bt trace of any significance in a patient without any symptom
YOU THE MAN!
thanks u so much, your lectures has really helped me and now iam officially a graduate. thanks
yeah i also using this method to interpret ABG..
Dude is too awesome.
Thats best way to remember but the actual mechanism is because we have metabolic acidosis, cells eat up H+ from serum but they need to maintain the internal melieu of the cell and hence spit out K+ (intracellular potassium is 140 and extracellular is 4+, so no need of energy to do that (osmosis), we are already short of energy here remember no glucose)
I'm t1 diabetic and I'm still confused. Is it the ketones which cause the acidosis or the combo of the high bg and ketosis? Can I get DKA as a t1 on a low carb diet?
Thank you for that
you gave us such an amazing lecture about DKA , I were so confused about it , but now I am good
I Just love your lectures so much.
You are great !!!
I am a nursing studying for my board exam and I will be watching all your videos.
Thank you so very much
Thank you soooo much. You are truly talented and great at what you do. Your concepts of the materials makes it so easy to understand. Keep it up!
May God bless you more
How did you get so smart & learn all this info??
i think it's important to treat the underlying etiology... if it's infection, treat the infection, etc...
Thank you ....you make feel that learning is not boring,but fun :)
again i watch DKA just to enjoy medicine!! ..you change me ADALEK
Thank you so so much for your lecture
you're awesome!!
Thank you so much!!
Sir, which type of IV fluid should be selected for a patient in DKA? Normal Saline?
Yes. Normal Saline
Would K be high or low? You mention high, but what about low due to the osmotic diuresis?
thank you! So So much!
what type of iv fluids should be given Doc?
+وليد القحطاني thank you
preferably nacl 0.9%
Thanks
What kind of fluids would you give? Isotonic?
Yes I think you would give NS
Initially isotonic ns abt 1-2 ltr. Then switch to .45% ns after initial bolus if serum sodium is high or normal. Now if glucose is less than 250mg/dl ,5% dextrose-salune is given
And if its
Good Job man , but I dont think we can measure B hydroxy butryic acid..........
thank you so much can you talk about dehydration and how to treat it in children thank you(:
This is so fyn man has helped me alot
This happened to me! Now it all makes sense why my stomach hurt like hell, hyperventilating, gagging, and pissing every half hour. Blood glucose was 848mg/dl. In a nutshell I was fucked up. Then diagnosed T1
yep
thnks a lot a verynice video
Thank you my brother love the video .Im a diabetic and you just educate me on ketoacidosis. And keep up the good work. people with diabetes need to be educate on how dangerous ketoacidosis is. please check out my video on youtube its called (veggie news sugar diabetes) and (my sweet tooth adduction) peace my brother
hahaah "money is gold " :P