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Vasopressors Explained Clearly: Norepinephrine, Epinephrine, Vasopressin, Dobutamine...

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MedCram - Medical Lectures Explained CLEARLY

MedCram - Medical Lectures Explained CLEARLY

Күн бұрын

Professor Roger Seheult, MD gives an easy to follow method for vasopressors (which vasopressor to use and in which order). This is video 2. The complete vasopressor course is at www.medcram.co...
In Vasopressors Explained Clearly, renowned instructor Dr. Roger Seheult illustrates a concise way to understand vasopressors & inotropes, and how to systematically manage patients with hypotension & septic shock.
𝐂𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐜𝐨𝐮𝐫𝐬𝐞 𝐢𝐧𝐜𝐥𝐮𝐝𝐞𝐬 𝐭𝐡𝐞 𝐟𝐨𝐥𝐥𝐨𝐰𝐢𝐧𝐠:
- A thorough comparison of each vasopressor + key differences: levophed, epinephrine, vasopressin, neosynephrine, dopamine, dobutamine, etc.
- Key physiology of endogenous vs. exogenous vasopressors
- Illustrations of the receptors involved in mediating blood pressure
- A systematic approach to managing hypotension and septic shock.
- Side effects of vasopressors and inotropes
- Central line vs. alternative options for administration.
- A clinical perspective of tips, nuances, & practice scenarios.
- Quiz questions to reinforce core concepts and help you study
See how this course can help you excel at shock & hypotension management with a clear understanding of vasopressors: www.medcram.co...
𝗛𝗶𝗴𝗵𝗹𝗶𝗴𝗵𝘁𝘀 𝗼𝗳 𝘁𝗵𝗶𝘀 𝘃𝗶𝗱𝗲𝗼 𝗶𝗻𝗰𝗹𝘂𝗱𝗲:
- Core vasopressor physiology
- The synthetic pathway for dopamine, norepinephrine, and epinephrine (includes tyrosine and L DOPA)
- Vitamin C and the Marik Protocol
- Limitations of studies that are not randomized, placebo-controlled
Visit www.medcram.co...
for this complete course and over 100 free lectures. This is the home for ALL MedCram.com medical videos (many medical videos, medical lectures, and quizzes are not on KZfaq).
Speaker: Roger Seheult, MD
Co-Founder of MedCram.com ( www.medcram.co... )
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
Visit www.medcram.co...
for hundreds of clear & concise videos
MedCram = MORE understanding in LESS time
MedCram: Medical education topics explained clearly including: Respiratory lectures such as Asthma and COPD. Renal lectures on Acute Renal Failure and Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, Cardiogenic Shock, Septic Shock, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos and Ventilator-associated pneumonia bundles and lectures have been particularly popular with RTs. NPs and PAs have given great feedback on Pneumonia Treatment and Liver Function Tests among many others. Dr. Jacquet teaches our FAST exam tutorial & bedside ultrasound courses. Many nursing students have found the Asthma and shock lectures very helpful. We're starting a new course series on clinical ultrasound/ultrasound medical imaging.
Recommended Audience - Medical professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review and test prep for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NBDE, RN, RT, MD, DO, PA, NP school, and board examinations.
More from MedCram.com medical lectures:
Facebook: / medcram
Google+: plus.google.co...
Twitter: / medcramvideos
Subscribe to the official MedCram.com KZfaq Channel: www.youtube.co...
Produced by Kyle Allred PA-C
Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider.

Пікірлер: 155
@Medcram
@Medcram 6 жыл бұрын
See the rest of this series and many other videos and quizzes at MedCram.com
@sxli3340
@sxli3340 3 жыл бұрын
why dopamine and dobutamine are mg/KG/min ,
@lisatowe778
@lisatowe778 5 жыл бұрын
Dr Seheult, you are incredibly gifted and i love listening and learning. I am a nurse and you make the "why", which is how i learn, come alive. Thank you sir for your generosity in putting this out there for us
@Medcram
@Medcram 5 жыл бұрын
+Lisa Towe thank you! There are also free videos over at Medcram.com
@andrewzack6559
@andrewzack6559 4 жыл бұрын
Ditto
@nataliebusse514
@nataliebusse514 Жыл бұрын
I am a nurse and listen to lost of your lectures. It has helped my learning so much! It is so appreciated!
@michaelmico1979
@michaelmico1979 Жыл бұрын
I’m a LVN and i’m taking the prerequisites for the RN bridge program. My goal is to either be a ER or ICU nurse and then be a flight nurse. I’m glad I came across your channel. I’m watching them for the hell of it and I’m sure when I start the RN program, everything that I’m learing from your channel will come in handy.
@Hopeof7suns
@Hopeof7suns 5 жыл бұрын
Literally one of the best to the point mini lectures I’ve ever seen . Watching this bc I’m going to apply for CVICU RN bc I’m maxed out in my cards role currently. Looks like I’ll have plenty to learn and looks like a lot of fun. Thanks!!
@bestmonicaever9260
@bestmonicaever9260 4 жыл бұрын
Elizabeth Askander how are you liking the CVICU?
@fidelisetverus
@fidelisetverus Жыл бұрын
Wished I had this medcram video when I was doing my critical care internship. I struggles to understand them. My preceptor was so knowledge but i just couldn't understand his explanations and felt so intimidated by his knowledge and everything else going on with our pts as well. Did slowly learned them and stuck it out. Stayed for 26 yrs and justight come.back to ICU as I've enjoined having to push myself learn more. Can't explain it. I'll be watching more of your videos for sure. Thanks for explaining it where it is easy to comprehend. This will be helpful to so many med students and nurses at bedside, especially in ICU. 👍
@_prettybrownbrown7729
@_prettybrownbrown7729 3 жыл бұрын
This was great .! I left the ICU but went back because of COVID needs and this was a great review. These patients decline so fast .
@metalmilitia89
@metalmilitia89 6 жыл бұрын
As a pediatric ICU fellow, thanks for this. Nice review.
@Sopranaur
@Sopranaur 4 жыл бұрын
im a med student and I basically learn all the med materials from your channel. This episode totally helps me from memorizing the algorithm of advance cardiac life support. Thank you Sir!
@Medcram
@Medcram 4 жыл бұрын
Thank you for the comment. We have more videos available at our site MedCram.com.
@TeamFoust
@TeamFoust 4 жыл бұрын
Helping me be a better nurse and get ready for CRNA school. Thanks!
@haridasramanathan2485
@haridasramanathan2485 4 жыл бұрын
Great teaching never had anything exlpained so clearly
@Medcram
@Medcram 4 жыл бұрын
Good to hear, thank you!
@jessicakell1454
@jessicakell1454 5 жыл бұрын
Your video is amazing! Thank you for posting. I'm new in the ICU and this video has been tremendously helpful.
@mmrmmr5246
@mmrmmr5246 2 жыл бұрын
WOW! This explanation of Vasopressors are awesome. This really gives me the confidence that I needed to be a better ICU nurse. Thank you
@ShadeTreeCardiology
@ShadeTreeCardiology 5 жыл бұрын
What an excellent explanation! Everyone should watch this!
@Ahdree23
@Ahdree23 3 жыл бұрын
Thank you for this! The other ICU page is so boring, this is straight to the point and illustrations help.
@jonggrieco
@jonggrieco 5 жыл бұрын
your videos are so easy to follow, Thank you, more power, good health and God bless you!!!..
@Medcram
@Medcram 5 жыл бұрын
Thanks for your comment!
@Tu_aape_krta8266
@Tu_aape_krta8266 2 жыл бұрын
Best video on vasopressors
@lawron2
@lawron2 Жыл бұрын
How I wished my critical care professor could've explained this in class when I needed it the most.
@karinagerein2145
@karinagerein2145 4 жыл бұрын
This is SO helpful!! I had to read a long wordy article to figure out all of these pressors.. great visual
@micahandme8078
@micahandme8078 4 жыл бұрын
Thanks for the video! This tied together a few loose ends in regard to pressors and got me thinking about indications for each. Big 'a-ha' moments for this RN who had worked in ED and with inotropics in end stage HF. Great job at explaining.
@Medcram
@Medcram 4 жыл бұрын
Thank you, great to hear!
@JESUSISLORD7777
@JESUSISLORD7777 Жыл бұрын
THANK YOU VERY MUCH I LEARN ALOT ❤️MUCH BLESSINGS FOR YOU AND YOUR FAMILY 🙏🏽
@estebantspn5962
@estebantspn5962 4 жыл бұрын
Omg one of the greatest videos and well explained in KZfaq 🥰🥰🥰
@Medcram
@Medcram 4 жыл бұрын
Thank you so much 😀
@travelnurse4444
@travelnurse4444 Жыл бұрын
Thank you sir...!!! Understand verywell i got very good idea about from this. I am from 🇱🇰
@user-ig2nx4ky5f
@user-ig2nx4ky5f Жыл бұрын
Thanks a lot for sharing your talents
@Bunicutaintelectuala
@Bunicutaintelectuala 3 жыл бұрын
Elegantly done, nice job!
@alicekim6725
@alicekim6725 Жыл бұрын
Amazing explanation. Thank you so much. That was so easy to understand!!!!!!
@cristinaciuffreda2881
@cristinaciuffreda2881 4 жыл бұрын
Hi! May be possible to have a similar video regarding inotropes meds instead please? This one about vasopressors is very clear and perfect, it would be perfect having one about inotropes as well or even about the main differences between the 2 groups of drugs! Thanks a lot, I really love your videos!:)
@zahraghaedi5792
@zahraghaedi5792 3 жыл бұрын
thank you , I really needed it , good job 💗
@jobskiblah3510
@jobskiblah3510 5 жыл бұрын
This is THUPAH!!! DOOPAH!! Awesome sauce! Very useful quick refresher for the daily grind in my job. Inpatient Medicine NP here.
@Medcram
@Medcram 5 жыл бұрын
Thanks for the comment and enthusiasm!
@deogettic
@deogettic 3 жыл бұрын
This video perfectly explains the medications that were mentioned in the video. It provides great insight on the various pressors and inotropes. Super helpful video. Many thanks for this video
@mrcharlesjohnson
@mrcharlesjohnson 3 жыл бұрын
You are truly awesome for this, thank you so much!!
@MrLincoln07
@MrLincoln07 2 жыл бұрын
Great educational video. Thanks and cheers from NYC!
@tammybambini1096
@tammybambini1096 Жыл бұрын
you might want to switch to µg/kg/min as unit of dosing *all* continuous applied vasopressors instead of µg/min - because giving 20µg/min is different if you have a 40kg versus a 150kg patient. With µg/kg/min you can compare the need of pressor support between patients (and say: "gosh, that´s high, I need to consider other causes/actions"). I do see the problem that this is an institutional thing - if everyone is using ml/h (with various concentrations of pressors) and you´re the only one to use µg/gk/min (or gamma, as we colloquially call it) that might lead to problems in understanding...
@abodeashehri
@abodeashehri 3 жыл бұрын
amazing clarification, thank you
@newmanlord7130
@newmanlord7130 2 жыл бұрын
Great Video, Doctor, Hi from Ghana.
@steveabraham3052
@steveabraham3052 3 жыл бұрын
This is an great video for review of vasopressors & their mechanism of action. Question though... in my region of the country we administer all vasopressors weight-based, ie; mcg/kg/min. I my area of practice, I do encounter some pressors in mcg/min. That frustrates me, because I’m told by the sending nurse “They’re maxed out on Levo...” I get there and find them on 5 mcg/min of Levo and think to myself, “That’s no where near max dose...” Why is it that weight-based pharmacotherapy isn’t universal? Thank you so much for the FOAM.
@lorib5323
@lorib5323 6 жыл бұрын
Finally, I understand the difference between the vasopressors. I didn't understand how a alpha pressor could work when a Beta 2 was also being stimulated. I had no idea they were stimulating at different strengths... ugh... NOW I KNOW!
@taylorscott7402
@taylorscott7402 3 жыл бұрын
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@bengbeng1754
@bengbeng1754 5 жыл бұрын
Easy to understand... Thank you for sharing 🙋
@thepharmacistacademy
@thepharmacistacademy 5 жыл бұрын
Never let me down ! Thanks
@kitimandiri
@kitimandiri 2 жыл бұрын
Thank you thank you this video delivered an explanation clearly, as promised.
@fontosnem8468
@fontosnem8468 3 жыл бұрын
That's just more than awesome!!!!!!! ❤️ ❤️ ❤️ ❤️ ❤️ ❤️ Extremely helpful!!!!
@vickygreenday.4404
@vickygreenday.4404 7 ай бұрын
Great understanding 😃
@hilkkatitus9880
@hilkkatitus9880 6 жыл бұрын
Thank you for this video. Keep it up.
@iniyavaley9049
@iniyavaley9049 3 жыл бұрын
Very useful and good information for medical student
@ChloeDunIT
@ChloeDunIT 5 жыл бұрын
Great video! But what about “alpha2” receptors?
@makabongwemdluli3907
@makabongwemdluli3907 4 жыл бұрын
this video is so helpful, thank you
@Medcram
@Medcram 4 жыл бұрын
Glad to hear it's helpful. Thank you for watching.
@edmundpolicarpio
@edmundpolicarpio 2 жыл бұрын
Thanks for explaining this!!!!
@sue7526
@sue7526 5 жыл бұрын
Where is the "next" video located at? I am a ICU nurse reviewing for CRNA interviews and these are really helpful!!! :)))
@Medcram
@Medcram 5 жыл бұрын
Thanks for watching and best of luck with your interviews! The next video and complete vasopressor series is on our website: www.medcram.com/courses/vasopressors-inotropes We're running a 30% off special right now with the discount code vaso30
@donabelanderson1899
@donabelanderson1899 2 жыл бұрын
Thank you 🙏 so much for the explanation
@brianfoley4328
@brianfoley4328 4 жыл бұрын
Outstanding...just brilliant
@Medcram
@Medcram 4 жыл бұрын
Thank you!
@user-tn5ps2nx1m
@user-tn5ps2nx1m Жыл бұрын
Thanks!
@marciaturley
@marciaturley Жыл бұрын
Excellent! Thank you
@Ssheldon618
@Ssheldon618 5 жыл бұрын
Is there or can there be a lecture on warm versus cold shock? These are great videos and I feel like my understanding would be improved if there were a video about the two. Than you.
@BAj-if2sl
@BAj-if2sl 3 жыл бұрын
Great video. Thank you so much!
@suklangkhongsdir2585
@suklangkhongsdir2585 4 жыл бұрын
Thanks...it's very helpful
@Medcram
@Medcram 4 жыл бұрын
Glad to hear you found our videos helpful. Thank you for watching.
@bill4485
@bill4485 3 жыл бұрын
Depending on the institution or facility, epi, norepi and phenylephrine can all be weight based dosing.
@SCGNiagara101
@SCGNiagara101 4 жыл бұрын
Thanks so much for the detailed yet easy-to-comprehend explanation.
@anapereira5170
@anapereira5170 4 жыл бұрын
Bem legal hein :)Medcram - Medical Lectures Explained Clearly
@user-og5si6kt2u
@user-og5si6kt2u 6 жыл бұрын
Very greatful to your effort thank you
@ReApEr789456
@ReApEr789456 4 жыл бұрын
loved this explanation, thanks
@nordaspence1561
@nordaspence1561 5 жыл бұрын
Awesome video!!! Easy to follow thank you for sharing.
@vitordan2668
@vitordan2668 4 жыл бұрын
Excelent Video!!
@Medcram
@Medcram 4 жыл бұрын
Thank you!
@vivekbio11
@vivekbio11 3 жыл бұрын
Thank you ...it's amazing 👏
@ally705
@ally705 4 жыл бұрын
Why do we usually start with levophed ?
@chelseachelsea4290
@chelseachelsea4290 4 жыл бұрын
Thank you so much this is AWESOME
@bigred7347
@bigred7347 4 жыл бұрын
Thumbs up Remember......there is always something undiscovered.......That's what my wife has.......good Job , continue on DOCTOR's . Doctor is a big deal , because that's what you are or could be. Love you guys.....Please continue...I am depending on it......
@IM.MEDICAL
@IM.MEDICAL 6 жыл бұрын
Very useful! 👍
@houston10
@houston10 3 жыл бұрын
Well done
@AngelOne11
@AngelOne11 6 жыл бұрын
Nicely done. Thank you!
@andrewlillys3486
@andrewlillys3486 6 жыл бұрын
Thank you
@ayazabdullah9959
@ayazabdullah9959 7 ай бұрын
Thankya
@BeGood2All77
@BeGood2All77 3 жыл бұрын
Very good 👍
@Nathan-or2hl
@Nathan-or2hl 4 жыл бұрын
Because beta blockers typically block B2 receptors, does that mean they have a vasoconstricting effect as well?
@zemenea6104
@zemenea6104 4 жыл бұрын
No it's the reverse... they have vasodilation effect.
@beccabee94
@beccabee94 4 ай бұрын
Would I have permission to recreate your table for a CVICU nurse education program I am putting together for my unit? With an appropriate citation of course!
@DarkAngel-cj6sx
@DarkAngel-cj6sx 2 жыл бұрын
VM/VMA ratio high 4. How do I get dopamine transform into norepinephrine?
@ogpowell1
@ogpowell1 5 жыл бұрын
Amazing video!!
@director2345
@director2345 Жыл бұрын
Should norepinephrine be used for autonomic disorder ?
@maohadad6893
@maohadad6893 3 жыл бұрын
no benefit for low dose dopamine? That's news to me, thank you, I'll look into it!
@jacobprudhomme
@jacobprudhomme 2 жыл бұрын
I thought levophed didn’t have much in the way of chronotropic stimulation? B1 is made out to seem from your initial explanation that B1 includes HR inherently.
@sadamzghool9082
@sadamzghool9082 4 жыл бұрын
Big like
@denicci
@denicci 2 жыл бұрын
This is amazing. Thank you for sharing this!!
@tonydebaka3967
@tonydebaka3967 4 жыл бұрын
I am not studying to become a doctor but I love watching your vids. You make the subject matter very interesting to non medical school audience and it surly takes talent to do that. Is it possible for a CHF patient to be on both Dopamine and dopedimine simultaneously?
@IVFRegulation
@IVFRegulation 5 жыл бұрын
What about other class of durgs such as Flavonids (e.g. Daflon), How does it work? Thanx
@draashi2004
@draashi2004 5 жыл бұрын
Superb 👏👏👏
@teawithme6686
@teawithme6686 5 жыл бұрын
Wow.. thank you
@ARsoldier93
@ARsoldier93 2 жыл бұрын
What does Alpha 2 do?
@Emz_Sam2023
@Emz_Sam2023 2 жыл бұрын
Hi Want to ask if the patient is allergic to phenylephrine , dose that mean he is allergic to norepinephrine or epinephrine? Thank you
@tahoefor
@tahoefor 4 жыл бұрын
Why is Epinephrine given in EpiPen and isn't Alpha-1, Beta-1 are doing the opposite? Thank you so much for explaining.
@KHouseholder011
@KHouseholder011 4 жыл бұрын
I believe it's given for the vasodilatory effect on the lungs/trachea in that situation, not for the vasoconstrictive properties.
@jamesclark4544
@jamesclark4544 4 жыл бұрын
Are you asking if stimulating alpha 1 and beta 1 is counterproductive?
@judypeng4748
@judypeng4748 Жыл бұрын
Where is the next video?
@youngindiaintensivist7709
@youngindiaintensivist7709 3 жыл бұрын
nice colors and style of presenting medcram . but plz dont give out incorrect information. THE IS THE FIRST DICTUM IN MEDICINE IS DO NOT DO ANY HARM -HIPPOCRATES
@DumbSkippy
@DumbSkippy 4 жыл бұрын
Amiodarone... Where does this fit into things, please ?
@jamesclark4544
@jamesclark4544 4 жыл бұрын
Amiodarone is an antiarrhythmic drug, and is commonly used during certain cardiac dysrhythmias like persistent ventricular tachycardia, with and without pulses, and ventricular fibrillation. I believe amiodarone has a blocking effect on the calcium, potassium, and sodium channels in the (lower?) heart, so it works to slow down the ventricles..... ACLS has amiodarone as a push dose for pulses v tach and v fib, and has a drip dose rate for vtach with pulses..... As far as I know it doesn't have any effects on alpha receptors... that's all I know as a paramedic student lol!! Hope that helps :)
@PurpleAmiga
@PurpleAmiga 4 жыл бұрын
Why is Isoproterenol classified as Vasoconstrictor if it has effect on Beta 1 and 2 only?
@lowtidehiker
@lowtidehiker Жыл бұрын
What drawing app are you using?
@nsas955
@nsas955 3 жыл бұрын
What about alpha 2 receptors?
@Blinn2330
@Blinn2330 3 жыл бұрын
My oh my how your new mic is so much better than this recording!
@charlenebest9797
@charlenebest9797 2 жыл бұрын
thank you so much!!
@sksksk8623
@sksksk8623 3 жыл бұрын
ok i dont get it whats the difference if its a "pure" vasoconstriction?
@KHouseholder011
@KHouseholder011 4 жыл бұрын
So, in the Beta-2 column, the dots actually mean it acts as a vasodilator rather than a vasoconstrictor?
@Medcram
@Medcram 4 жыл бұрын
Yes.
@santarosadoc
@santarosadoc 3 жыл бұрын
What about Milrinone?
@jigneshvyas16
@jigneshvyas16 4 жыл бұрын
Your video's is awesome
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