I’m a NP student and found this so helpful. Thank you!!
@RealWorldNP3 жыл бұрын
Glad it was helpful!
@kajnkween4 жыл бұрын
This was another great video - thank you for continuing to connect the dots for new NPs! I would love and greatly appreciate a diabetes video, especially when to start insulin, how to adjust, etc. That's all so complicated if you have no experience!
@RealWorldNP4 жыл бұрын
Oh good!! I'm so glad! You're so very welcome. Connecting the dots is such a good descriptor for the new NP process. Absolutely!! I've had a lot of questions about diabetes, I'll work on that for sure. There are SO many places to go with it but it sounds like the biggest struggle is uncontrolled, multiple meds, starting and titrating insulin. Another note is that there's an NP on youtube called the Diabetes NP that's doing a medication series if you want to check it out in the meantime!
@claytonrogers92904 жыл бұрын
I think it would be helpful to do a video about how you go about tackling all the lab abnormalities and triaging what can wait and what needs to be addressed immediately Great video!
@RealWorldNP4 жыл бұрын
Totally! I just replied on the Hyponatremia video but I think unfortunately the more I learn about and understand lab interpretation, the more nuanced and complex I realize that it is! I've tried to cover the most straightforward (ish) ones here, but I've also got a lab interpretation course starting in January that covers them all more in depth if you're interested! You can join the waitlist at realworldnp.com/labs :)
@vanessaquadra13 жыл бұрын
You are a such knowledgeable FNP!!! I am sooooo thankful for all the time and effort you put to share these videos with us. Please share diabetes management and starting pts on insulin. Thank youuuu!!!!
@RealWorldNP3 жыл бұрын
Thank you!
@samanthawebb96212 жыл бұрын
I love your videos!! thank you so much for your guidance and help on the everyday things us NPs are managing. you are truly making a difference!
@RealWorldNP2 жыл бұрын
You are so welcome! I really appreciate your kind words!
@jamiemcalister34694 жыл бұрын
Thank you for continuing these videos
@RealWorldNP4 жыл бұрын
Glad you like them!
@cindywhite12074 жыл бұрын
Great video! very helpful. Thanks for all your work to make life easier for the new NP.
@RealWorldNP4 жыл бұрын
My pleasure!
@luzmarieramirez53693 жыл бұрын
Well that was just FABULOUS!!! Thank YOU!!!
@RealWorldNP3 жыл бұрын
You are so welcome! And thank you!!
@bigdog17810 ай бұрын
Good info
@RealWorldNP10 ай бұрын
Glad you think so!
@AggieAlice193 жыл бұрын
Great case study!
@RealWorldNP3 жыл бұрын
Thank you!
@frankgyamfi47439 ай бұрын
When do we include calcium gluconate and salbutamol nebulisation in the management
@RealWorldNP9 ай бұрын
Intervention such as these are usually not prescribed in the outpatient setting. If the patient is fragile they should be closely monitored especially with these interventions.
@mimi33497 ай бұрын
I know this is a video about hyperkalemia, but in the real world would we also check the patient for ketones with that high of a random glucose stick? Could the kidney issues be acute on chronic with dehydration/CKD?
@RealWorldNP7 ай бұрын
This could definitely be a differential. If you as a provider think it would be helpful to get a diagnostic urinalysis to check go for it 😄.
@codychris62233 жыл бұрын
Are you sending to the ER for > 6.5 if they aren't symptomatic, I didn't quite catch that from the video. thanks
@RealWorldNP3 жыл бұрын
Yeah it depends, but typically they need a stat recheck for potassium higher than 6+ , and the place to order those and get a quick result are from a monitored place like the ER. Even when we order stat labs in primary care, it takes a few hours to come back, and the ER can monitor them if they need to. That's especially the case if they have impaired renal function
@rebeccamcwhirter57453 жыл бұрын
HI! Question. Just watched your hyponatremia video- this guy has a Na of less than 130- wouldn't that send him to the ER?
@rebeccamcwhirter57453 жыл бұрын
Ok I hadn't finished the video yet and saw that you did the sodium correction score. Question answered!