Cardizem Drip! Nursing Drug tips! Nursing Calculation Tips!

Рет қаралды 55,537

10 жыл бұрын

EmpoweRN.com
Hi guys!
Thank you so much for watching!
I really hope you like this video that I made for you :)
In this video I explain a situation that I went through as a nurse with a patient. These types of scenarios do not happen every day, but when they do, they are great learning experiences for us all!
In this video particularly I go over a patient scenario describing an event where my patient went into rapid atrial fibrillation.
This is very dangerous cardiac rhythm if not treated.
There is a great medication called cardizem which can help slow down the rapid pace & potentially regulate the rhythm.
I hope you love learning from my experiences and if you do please let me know by giving the video a thumbs up and/or posting a comment!
As usual, I cannot wait to see you next week!!
Lots of love,
- Caroline Porter Thomas
Disclaimer:
These videos are intended for entertainment purposes only. Please follow the policy and procedures that your institution requires.
Please note that the views, ideas & opinions expressed on this channel and in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and in the videos channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted or altered.
The views expressed on this channel and in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge and entertainment purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction.

Пікірлер: 78

@chillbaby5000 10 жыл бұрын

This was great! Please do more real-life situational/intervention videos like this! I think the biggest challenge for me as a student nurse is applying my knowledge to a clinical situation, plus things like knowing when to call the doctor is what students get the least amount of experience with, so this was so helpful!

@empowern 10 жыл бұрын

That is so true! I remember as a new graduate freaking out about everything!!! You definitely learn 80% of how to be a nurse on the job :) I will do my best to keep the scenario's coming! Thank you so much for letting me know that it helped!! Looking forward to hearing from you again soon! Much Love, - Caroline

@johnnavarro6775 10 жыл бұрын

Thank you for sharing Caroline. The information you share to us are priceless, especially for nursing student as such myself. Please continue sharing your hospital experience in this channel, it could help us save a life someday. Thanks God Bless

@empowern 10 жыл бұрын

Hi John! Thank you so much for this comment!! It means so much to me :) It really is my pleasure to share my experience with you guys! I never thought about it that way though... thanks so much for saying that :) Really looking forward to hearing from you again soon! Much Love, - Caroline

@jessicajohnston3893 10 жыл бұрын

I really enjoyed your video!! Your good at explaining things in a way that is easy to understand and your enthusiam is contagious :)

@empowern 10 жыл бұрын

Hi Jessica! Thank you so much for letting me know!! I really appreciate it!! Looking forward to hearing from you again soon!! Much Love, - Caroline

@susansegura9988 2 жыл бұрын

TY for sharing, and walking us through your plan & options and explaining the reasons for why you made certain choices. This critical thinking will gives us new RN’s an idea of what it’s like at the bedside as it’s happening! TY!!

@lavernefields6629 10 жыл бұрын

I haven't even started the Nursing Program yet, but I am SO excited for the upcoming prospect of helping people!! I LOVE watching your videos! I know that one day, if I am ever in a similar predicament...your words will come back to me! Keep up the good work! I am loving it!! :)

@empowern 10 жыл бұрын

Hi LaVerne! Thank you so much for letting me know!! Honestly, I know that hearing other peoples stories is a great way to learn; because it works for me as well :) So I'm really glad to hear that these videos are helping you!! Thank you so much for letting me know and I look forward to seeing you again very soon!! Much Love, - Caroline

@asielregueiro7953 7 жыл бұрын

thanks for the video, it was really helpful

@DimplesDeep1 10 жыл бұрын

That was pretty awesome to me. Coincidentally it is exactly what I'm learning in algebra right now. Thank you so much!

@empowern 10 жыл бұрын

Awesome!! Thank you so much for letting me know!! Looking forward to seeing you again very soon!! xoxo - Caroline

@sabrinabotelho1063 8 жыл бұрын

Love hearing scenarios. Thanks fir sharing Caroline

@empowern 8 жыл бұрын

+Sabrina Botelho Hi Sabrina!! Thank you so much for letting me know!! Maybe I will try to create more video scenarios :D By the way... I started on your video... but I'm not sure if I'm going to be able to finish by the time you start. I have the perfect idea though!!!!! And I'm super excited to make it for you!!! I will let you know when I post it!! Love you!! xoxo - Caroline

@sabrinabotelho1063 8 жыл бұрын

its okay Caroline. you know I appreciate it and I will still be beyond thankful even If you make it a year later. you are the best. love you :]

@Armani.Maison 10 жыл бұрын

You are awesome! I'm starting nursing school in the fall and I hope I am half the nurse you are some day! Thanks for the video!

@empowern 10 жыл бұрын

Hi Jesse!! Congratulations for starting the nursing program in the fall!!! Please let me know if you ever have a video request :) I'm sure you are going to be an awesome nurse ;) Looking forward to seeing you again soon!! Much Love, - Caroline

@quiquinorton6573 10 жыл бұрын

Thanks for the real world example. This was excellent.

@empowern 10 жыл бұрын

Hi Quiqui! Your welcome :) Thanks so much for letting me know that you liked it!! Looking forward to hearing from you soon! xoxo - Caroline

@pamelawiatrowski5521 10 жыл бұрын

Thank you for your videos, I passed freshman year, taking pharmacology this summer. Looking forward to more advice and info to help get me through one more year :)

@empowern 10 жыл бұрын

Hi Pamela! Thank you so much for letting me know!! Congratulations on your success :) I know you worked hard for that!! I will do my best to keep the information coming!! Let me know if you ever have a specific request!! Looking forward to hearing from you soon! Much Love, - Caroline

@newebony1 10 жыл бұрын

thanks so much for the video this actually helps alot ..........real life experiences help me understand so much better!

@empowern 10 жыл бұрын

Thank you so much for letting me know!! I really appreciate it!! Looking forward to seeing you again soon! Much Love, - Caroline

@stephaniecianciolo9176 10 жыл бұрын

awesome video! you explain the math really well and make it seem very easy. can't wait to start the nursing program! Thank you for this video! xoxo

@empowern 10 жыл бұрын

Hi Stephanie!! Honestly, it is not too difficult :) Sometimes it is tricky & we have to be careful... but it is that bad :) Nice to see you again!!! xoxo - Caroline

@justinlammers4626 10 жыл бұрын

Once again great video Caroline!

@empowern 10 жыл бұрын

Thank you so much Justin! I really appreciate it!! Looking forward to seeing you again soon!! Much Love, - Caroline

@sashajenkins9053 10 жыл бұрын

Thank you so much .. You are very informative

@empowern 10 жыл бұрын

Sasha Jenkins Hi Sasha! Thanks so much for letting me know! I really appreciate it! See you soon!! - Caroline

@mcarroll78 10 жыл бұрын

Good stuff. Learned a lot, like the critical thinking and the real life experience to learn from!

@empowern 10 жыл бұрын

Awesome!! Thanks so much for letting me know :) See you soon!! - Caroline

@jayjayleehoffler2555 9 ай бұрын

That was very educational. I enjoy your lecture.

@amberg.6594 4 жыл бұрын

Interesting material. Thank you for taking the time to discuss the situation and give some insight into prioritization. Real-World examples help me learn better than just talking about random facts. Again, thank you! Your explanation of DA, however, confused me. I was taught to start with what the answer is looking for. In this case, it is ml/hr (or mL/hr =). So, if we start with mL/hr = we can plug in the numbers. mL/hr = 100 mL/100 mg [(1ml/1mg)] x 10 mg/1 hr [ordered dosage] = 10 mL/hr.

@caraan81 10 жыл бұрын

Hi Caroline, I came across your channel and completly feel like your are a God sent…I decided to enter my 2nd Career in Nursing. Can you do a video on how to find accredited schooling/programs for those confused on where to look?

@empowern 10 жыл бұрын

Hi Shyera! So nice to hear from you!! I am so glad that you found me :) I love how youtube allows us all to connect! Since this is your second career, are you looking for accelerated BSN options? Accelerated BSN is a great option for peps who already have a bachelors degree. So you may want to look into that option... Just make sure they are either NLN or CCNE accredited... once you are looking into these accelerated programs... I believe they are all accredited :)Let me know if you have any more questions!! Much Love, - Caroline

@OffhandAgent 3 жыл бұрын

Was the medical team also focused on getting lab draws for possible septicemia? Thank you so much for this video EmpowerRN!

@alexaschroepfer9242 8 жыл бұрын

oxygen. EKG. start a 2nd line and hang a bolus NS (always have one ready if you're going to start a dilt drip if pressure tanks) and cycle pressure q10 min. dilt bolus and start gtt at 5mg/hr and titrate while watching systolic pressure and HR. nbd. but this is why I work ER and not the floor.

@rho690 4 жыл бұрын

Alexa Schroepfer nah don’t knock the floor (17 years on MS/Tele) knock the nurse and or dr. because when she was talking I said the exact thing and depending on the dr.,,,, it might of all been done prior to me calling... would’ve told them what I did....chill with that that’s why I work in ED because the department doesn’t matter it’s the nurse or physician

@misspookie84 2 жыл бұрын

@@rho690 exactly

@pennyalonso3002 9 жыл бұрын

Hey Caroline. can u do a heparin drip (weight based) and amioderone drip. I'm a new tele nurse, any help/advise would be great! love your videos :)) thank u 😚

@empowern 9 жыл бұрын

+penny alonso Sure thing :) here you go :) kzfaq.info/get/bejne/eKd5Z8t7qd3ZmWg.html

@science7713 2 жыл бұрын

Excellent!!!!

@pedro100092 10 жыл бұрын

I really enjoyed this video. it learn my so easy!!!

@empowern 10 жыл бұрын

Hi Neta! Thank you so much for letting me know :) I really appreciate it!! Looking forward to seeing you again soon!! Much Love, - Caroline

@naimaahmed2604 6 жыл бұрын

we have pumps that calculate for us, but this is useful, You forgot to talk about the HR goal rate order. They would usually say heart rate goal of 110, then also how often to monitor the BP, and heart rate.

@gborowme 7 жыл бұрын

thanks

@NurseMurse 9 жыл бұрын

I really liked the story Caroline!

@empowern 9 жыл бұрын

NurseMurse Thank you Patrick :) I like your channel by the way :) Keep up the good work.... we need more positive people in the nursing profession & sharing your voice socially is a great thing :) See you soon! xoxo - Caroline

@NurseMurse 9 жыл бұрын

***** Aww that's super cool of you! Your so rad! :) haha. Thank you! xo

@VeraLawRN Жыл бұрын

Omg thank you so ssooo much

@michaelrocheole123 8 жыл бұрын

does the drip rate matter at all in this sinario?

@empowern 8 жыл бұрын

+Michael Roche Yes, especially with Cardizem, if you have the wrong rate you can have the heart beating too fast or too slow. I hope this helps! - Caroline

@nades11 10 жыл бұрын

we love and appreciate you so much with each video Caroline :')

@dmarcellus 6 жыл бұрын

cross multiply? ????

@briannahildreth8109 8 жыл бұрын

HR should be bellow 100 at all times? What if you're working out? What if you're anxious?

@briannahildreth8109 8 жыл бұрын

+Brianna Hildreth *below

@empowern 8 жыл бұрын

Hi Brianna, great question.... I was referring to the resting heart rate 😊 of course when you work out or exert yourself it is normal for the HR to increase 😉

@briannahildreth8109 8 жыл бұрын

thanks for the answer :) !!

@dobermangroundzero82 2 жыл бұрын

I’m a tele nurse transitioning to PACU

@jillyburt 6 жыл бұрын

rapid response - hr 170 - won't perfuse well for long

@dragonworld2008 9 жыл бұрын

Eye candy for a teacher I see .

@ladinonyc 6 жыл бұрын

You’re story was to long and didn’t get to the point until the end. I didn’t find you explanation helpful. What would have been helpful would have been sticking to the topic and going deeper into how applying the formula or concept to drip rates or IV pumps. Enjoyed your enthusiasm and clearly you’re very knowledgeable. Thank you.

@francishubertovasquez2139 Жыл бұрын

You're hardworking ma'am I guess, and observant of the patient just don't overthink unless you have some lateral thinking Y'know, Medical knowledge, Scientific, distinguishing between fake and true behavior, Psychology on the patient and Psychology on you etc. Good computation lecture though.

@Hopeof7suns 7 жыл бұрын

wtf @ all these misogynistic comments?! YES NURSES HAVE ALL SHAPES SIZES AND LOOKS she is worth much more than just a pretty face! Shes very smart but also a little airheaded and should work on her public speaking skills. But shes still awesome and doesnt need to be objectified and disrespected by perverts commenting on here!

@josephaaron2076 10 жыл бұрын

just finished nursing and wondered what type of male nurses do female nurses find attractive lol?

@travelnurseworldwidetravel8487 6 жыл бұрын

@piyushjoshi1779 4 жыл бұрын

You are very beautiful

@mscynthiaromo 10 жыл бұрын

A rapid response for an anxious patient??? And the anxious patient's heart rate was fast....but BP was fine and the mean arterial pressure was normal (MAP measure for perfusion). BP= 110/60 or (60*2=120+110= 230/3= 76.66 or 77 MAP). It sounds like you overreacted to the situation. What you should have done was to calm her down and recheck her vitals in 15 min. Obviously the doctor's news was too overwhelming. However, you are pretty so most people wont care.

@empowern 10 жыл бұрын

Cindy Ro. Hi Cindy! Each situation is different, maybe I did over react... definitely possible. But that is what I love about working in a hospital... extra help is just a call away :) Thanks for the comment! Much Love, - Caroline

@mscynthiaromo 10 жыл бұрын

***** Hi there, thanks for the reply. Of course I'm not forgetting about the true goal of your site and that is to empower. Feel free to contact me for any expert advise. Ciao!

@MIMC16 10 жыл бұрын

Overreacted? A sustained heart rate like that is not stable. Yes, you got good BP but that only tells you that the tachycardia is not caused by dehydration from diarrhea, nor sepsis. Caroline did the right thing and called for help. Like the cardiologist said, patient looks like she is having an afib. A dose of Ativan or Xanax would have not help that heart rate, and patient could have shot a clot if this was not resolved. Good job *****!! You saved a life! And oh, youre not just another pretty face. Keep up the good work!

@mscynthiaromo 10 жыл бұрын

MIMC90 Actually, a tachycardia must be treated by it's underlying cause and dehydration from diarrhea is a good one...that's why doctors order boluses and the like. No one said give the patient Ativan and Xanax, that would just be pill pushing. I've been doing this long enough to know that, yo. In any case, good job Caroline! You go girl! Save that patient. In the end, that's all that matters. Keep your eyes open and be open to learn new perspectives every day.

@TAxPHOXX 6 жыл бұрын

You are correct that the treatment for SINUS tachycardia is to fix the underlying cause. However, it sounds as though this patient described in the video was likely in Atrial fibrillation with rapid ventricular response. A STAT ECG is warranted to decide the next course of action. Treatment for A-fib is usually Amiodarone or Cardizem gtt.