Sedation in ICU Patients (Part 1) - ICU Drips

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ICU Advantage

ICU Advantage

4 жыл бұрын

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For the next lesson we start our discussion of sedation in ICU patients and ICU sedation medications. Sedation is something that is used frequently in critical care and it has many potential uses and benefits, but some associated risks.
We start the lesson of talking about what sedation is and what it can do for our patients. From there we move on to talk about the many different reasons that we would use sedation in the ICU and break down each of those reasons and explain a little bit more about each one. Finally we finish this lesson up talking about our monitoring of patients on sedation, specifically talking about the Richmond Agitation Sedation Scale (RASS).
Hopefully after watching this lesson you will have a good foundation of understanding about ICU sedation and the purpose of its use as well as the potential benefits that can come from it. In the next lesson we will begin talking about the many various forms of sedation medication.
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Don't forget to check out the playlist for this series of lessons here: • ICU Drips
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Hemodynamics Principals: • Hemodynamic Principals
Shock: • Shock
Arterial Blood Gases: • Arterial Blood Gases (...
ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
Heart Failure: • Heart Failure
Endocrine System: • Endocrine System
Blood Tubes - Order of Draw: • Order of Draw and Addi...
Glasgow Coma Scale: • Glasgow Coma Scale (GC...
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#ICUDrips #Sedation #ICUAdvantage

Пікірлер: 128
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
🎓‼ Earn CE Credits! Pre-order ICU Advantage Academy: 👉🏼 adv.icu/academy 💲 10% off Critical Care Academy (CCRN Review): 👉🏼adv.icu/cca (USE CODE "icuadv10") 💲 10% off EACH Month @ Nurisng Mastery membership: 👉🏼 adv.icu/mastery 📝 NOTES available to members! ► KZfaq: adv.icu/ym | ► Patreon: adv.icu/pm Thank you guys so much for watching! Please leave a like if you enjoyed the video. I truly do appreciate it! Also I love hearing your comments so feel free to tell me what you think of the video. I hope that after this lesson, you will have a good understanding of what sedation is and why we use it in our patients as well as how we monitor our patients on it. Check out the rest of the videos in this series here: kzfaq.info/sun/PL2oVjKTYocdPLrS0odnyih8wf6zZ7WfVW Don't forget to check us out and give us a like on Facebook & Instagram as well! facebook.com/ICUAdvantage instagram.com/ICUAdvantage
@alexshatner3907
@alexshatner3907 11 ай бұрын
I have a question; I had an upper endoscopy and I was given 100 Micro grams of Fentanyl during the 20 minute procedure, and Doctor added Versed for anxiety. When I woke up from the sedation I had major dizziness, and Nausea, and headache as I wanted to throw up really bad when I was taken to my car as a passenger of course, but my question is was it the Fentanyl that caused the bad reaction? or was it the Versed? Just to next time so I don't ask for Versed again due to nervousness?
@heathermukai7820
@heathermukai7820 4 жыл бұрын
As a new grad working in ICU, I reallllyyyy appreciate your content. I listen to your videos before my shifts to help me get set for the day!
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
Super cool! Glad to hear you are enjoying them and that they are helping you in your transition in to the ICU. It's a heck of journey but so worth it! Thanks for the awesome comment! 🙂
@0ThrowawayAccount0
@0ThrowawayAccount0 4 жыл бұрын
Same, girl. Same.
@FeminineVibez
@FeminineVibez 3 жыл бұрын
Same
@MitchellMumma
@MitchellMumma 3 жыл бұрын
Same. In my transition program right now.
@jasonkim6301
@jasonkim6301 2 жыл бұрын
White people age biologically faster with lower life expectancy
@zennyssism
@zennyssism 11 ай бұрын
Your channel is a life saver! been newly assigned to Neuro ICU which is not my specialty but because of your videos, I was able to easily understand how these ventilations and sedation works. More powers to you and your team
7 ай бұрын
Absolutely love your videos!! So helpful. Thank you, thank you, thank you ;)
@ReyVincentLabadan
@ReyVincentLabadan 3 жыл бұрын
thank you for making these kind of videos. i love watching them and i'm learning a lot. you're presenting the subjects in a very clear and organized manner, and very easy to understand. great work. as a new guy to the critical care, these videos are really helpful for me. thank you so much. your work is much appreciated.
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
So awesome to hear this Rey! I'm really glad to hear that you are finding them useful. I appreciate the kind words! I certainly try my best to make them the best that I can, and its always great to hear that others appreciate them.
@ReyVincentLabadan
@ReyVincentLabadan 3 жыл бұрын
ICU Advantage 👍🏻❤️
@wldlvndr9934
@wldlvndr9934 9 ай бұрын
breakdown of the rass was soo helpful
@ED-ez8yd
@ED-ez8yd 4 жыл бұрын
your content is the best icu content on youtube. this knowledge is invaluable. you could be making a fortune. thanks for sharing your knowledge
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
Thanks so awesome to hear. Thank you for that.
@barbaracherrington375
@barbaracherrington375 Жыл бұрын
As always, lesson is great. I learned a lot. Thanks.
@justintiger7519
@justintiger7519 2 жыл бұрын
ICU holds are getting lengthier in stay at my facility. Sometimes over a week! Your channel has been insightful and a great resource.
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Happy to hear I've been able to help. And yes, unfortunately hard to get them beds with the staffing issues!
@julietteanyiam7963
@julietteanyiam7963 3 жыл бұрын
Wait....what! I love your videos! So thorough! So happy I stumbled upon your channel!
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Yay! This is so awesome to hear Juliette! So glad you found your way here too! :)
@Heyitsjunie
@Heyitsjunie 3 жыл бұрын
New to ICU and your channel helps tremendously.
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Yay!!! So glad to be able to help! 😊
@iveth4199
@iveth4199 3 жыл бұрын
I love your channel ! Thank you for the thorough content
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
You are so welcome!
@saurabhkumar-vm6kd
@saurabhkumar-vm6kd 4 жыл бұрын
Thanks Eddie! Great work. Very helpful. Keep going
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
More to come! Thank you!
@marjanmathilda1475
@marjanmathilda1475 Жыл бұрын
Awesome lecture ! Thank you
@summermcandrew6471
@summermcandrew6471 2 жыл бұрын
Enjoying these videos, New to ICU
@charlotteeuzebio8472
@charlotteeuzebio8472 3 жыл бұрын
Your videos are so helpful! I am new ccu/icu nurse and I have been watching your videos
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
So awesome! Welcome to ICU btw! Such a fun journey of learning. Glad you like the videos.
@bongmanding
@bongmanding 4 жыл бұрын
Thank you so much for your efforts to share your expertise with us. I am a Stepdown RN and I float occasionally to ICU and these videos help me a lot.
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
You are so welcome! So glad that you find them helpful!
@Fountainofyouthstor1
@Fountainofyouthstor1 2 жыл бұрын
Same.
@erastuskobia8414
@erastuskobia8414 2 жыл бұрын
Very informative.... You are doing marvelously fantastic work!.. we appreciate.
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Thank you so much. Glad you enjoyed it.
@joetraveler5609
@joetraveler5609 4 жыл бұрын
Thank you Eddie watson this lesson is very helpful. I love your voice too😘
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
Thank you! Glad that you found it helpful!
@sgbe9323
@sgbe9323 2 жыл бұрын
Very clearly and succinctly presented - great job.
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Great to hear! Thank you!
@ICU_NERDSE
@ICU_NERDSE Жыл бұрын
THANKS FOR BEING GREAT! I LOVE THIS CHANNEL!!
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Woohoo!!! :)
@dmmurray9422
@dmmurray9422 Жыл бұрын
Love this channel. Excellent content
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Much appreciated! Happy to hear this!
@dangmateo00
@dangmateo00 3 жыл бұрын
Thanks for sharing. In the current pandemic, this is very useful for surge doctors and nurses who do not have the full grasp of what sedation is all about and how patients are being managed with them. Keep up the good work and I shall look forward to the part 2 of this topic. God bless you and your team.
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Thank you very much for the kind words and for the work that you are doing. I'm happy to hear that this video was helpful for you. Stay safe!
@Riotdrone
@Riotdrone 2 жыл бұрын
delirium is very scary. i woke up from getting an aortic graft and thought the doctors were trying to murder me while they were extubating me cause i felt like i couldn’t breath and didn’t know what was happening and had to be held down
@ximena_triana_garcia
@ximena_triana_garcia 2 жыл бұрын
Thank you so much for this! You got a new subscriber 😁.
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Awesome! Welcome aboard!
@cameliaa8069
@cameliaa8069 2 жыл бұрын
Thank you!
@ucla0160
@ucla0160 Жыл бұрын
Thank you!! I love your videos
@ICUAdvantage
@ICUAdvantage Жыл бұрын
You are so welcome!
@johnmerritt3331
@johnmerritt3331 Жыл бұрын
Excellent!!!
@rafaelachaiben3676
@rafaelachaiben3676 3 жыл бұрын
Thanks :) very helpful video!
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Fantastic to hear Rafeala! So happy it was helpful for you.
@Wisdom-courqge-serenity
@Wisdom-courqge-serenity 3 жыл бұрын
Wow! You are awesome!! Thank you for sharing
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
You are so welcome!
@terrancetisdale4699
@terrancetisdale4699 3 жыл бұрын
Loved this!
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Awesome! Glad you liked it! 😊
@Fountainofyouthstor1
@Fountainofyouthstor1 2 жыл бұрын
Being floated to ICU is terrifying. Thank you for sharing your knowledge.
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Happy to be able to help!
@benhunter6053
@benhunter6053 3 жыл бұрын
Thanks for sharing! I am in my last year of nursing school and want to become an ICU nurse, so this is all really helpful and exciting!
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
You're very welcome Ben. Glad you like the video. Congrats on almost being done. I, of course, highly recommend a career in critical care! Best of luck.
@alliematelski1767
@alliematelski1767 3 жыл бұрын
Thanks for sharing don't know sh*t about anything medical.. ly? But thanks to this video now i do!!
@alliematelski1767
@alliematelski1767 3 жыл бұрын
:)
@laralaurens6636
@laralaurens6636 2 жыл бұрын
Thanks again
@gborowme
@gborowme 4 ай бұрын
Thanks
@FirozKhan-kp2uz
@FirozKhan-kp2uz Жыл бұрын
Superb ICU management before intubayon
@Bingbangboompowwham
@Bingbangboompowwham 4 жыл бұрын
I’ve been in ICU in a relatively low acuity unit for a few years and I’m looking to step up my game, get my CCRN, and begin working in higher acuity facilities. These videos have been very helpful for their focus on ICU nursing specifically. Thanks for your work! Your vasopressors series was especially informative.
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
So glad you found this series helpful for you!
@steeveekeys1904
@steeveekeys1904 2 жыл бұрын
Low acuity laid back?. I want your job.
@TheRealBrylerSmith
@TheRealBrylerSmith 4 жыл бұрын
Hey Eddie this is great stuff bro.. I'm a nurse and I'm hoping to get into a ICU one day and I feel like I can get a good jump start by watching your videos for everything I need to know! Keep it up bro. Also could you do a video on VAD's and Intra Aortic Balloon Pumps and how the help with the heart?
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
Thank you! I of course highly encourage you to work towards getting in to the ICU. I may be biased, but I absolutely love it. I do have a couple videos where I talk about some of the cardiac assist devices (I'll link them below), but at some point I will probably make some videos specifically to those devices. Not sure when that will be though. Cardiogenic Shock - Shock (Part 4) : kzfaq.info/get/bejne/edqWa6yQmt2xg4U.html Diagnosis & Treatment - Heart Failure (Part 4) : kzfaq.info/get/bejne/jNWIldqd0p7XiWw.html Hope those help some and thanks for watching and the comment!
@TheRealBrylerSmith
@TheRealBrylerSmith 4 жыл бұрын
@@ICUAdvantage Lol I don't blame you for being biased. And thanks man I'll check those videos out and I'll look forward to the videos specifically on those devices!
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
For sure! If there ever are any subjects you want covered, let me know as I'm always adding ideas for future videos!
@chandraforrest8399
@chandraforrest8399 3 жыл бұрын
Thank u for these videos
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
You're welcome! 😊
@monicalee8200
@monicalee8200 2 жыл бұрын
Thank you for the excellent and easy explanation as a new ICU nurse; your lectures helped me a lot! I really appreciate you 😇👍
@May-tz6bg
@May-tz6bg 4 жыл бұрын
Thank you
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
You're welcome
@user-go8cs2cu7l
@user-go8cs2cu7l Жыл бұрын
Thank you ❤
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Youre welcome!
@jenniferbrown8568
@jenniferbrown8568 2 жыл бұрын
I appreciate you all
@user-fp6hj9dl2s
@user-fp6hj9dl2s Жыл бұрын
thak you
@ianshelton6662
@ianshelton6662 4 жыл бұрын
What about a medically induced coma?
@avantikadogra850
@avantikadogra850 3 жыл бұрын
Thanku ❤️
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
You're welcome! 😊
@bairema9980
@bairema9980 2 жыл бұрын
thanks for sharen
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Thanks for visiting
@venkybly
@venkybly 4 жыл бұрын
Tq
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
yw :)
@satyaprabhu6207
@satyaprabhu6207 10 ай бұрын
Beneficial,a small request is... Cant you share vedios of the In patients of ICU,with pupils variable appearances based on conciousness!.....
@latestlatest4760
@latestlatest4760 3 жыл бұрын
Hi, you said that..we need to make sure that the patient has a good relief from pain before giving sedation..but how can I know if the patient has an adequate pain relief and now need only sedation? Thank you
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Look for things liked increased HR, grimacing, stiffness with turning or positioning, eyebrow furrowing. Also, just thinking about what is going on with them and whether there might even be pain. Obviously post surgical or trauma we would expect that. Other situations may or may not.
@sabrinadrake3791
@sabrinadrake3791 3 жыл бұрын
Can you review TTM in the future?
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Yes! It's on the todo list!
@dhurbajyotigogoi4596
@dhurbajyotigogoi4596 2 жыл бұрын
🙏🏻
@viviliberton6196
@viviliberton6196 Жыл бұрын
Hi! I've been wondering for a long time: at our hospital we don't give midazolam to patients with liver cirrhosis (out of fear for agitation, less metabolism), but we do give diazepam as a drug against delirium in these same patients. Is this because diazepam has a long half life? Thank you!
@ICUAdvantage
@ICUAdvantage Жыл бұрын
So I'm not real sure the reason there. There are many different schools of thought on the use of benzos with delirium. As for not giving midazolam, the reason is potential buildup of medication due to improper metabolism. Lorazepam is a good alternative benzo as it does not have active metabolites and is less sensitive to general liver dysfunction. You should ask your docs their reasoning in those situations and report back what their though process is. For liver patients, what med do you see used for sedation/agitation?
@jaguarundi21
@jaguarundi21 5 ай бұрын
How do you know when to titrate up or down, sedation?
@ICUAdvantage
@ICUAdvantage 5 ай бұрын
Typically we use RASS or some form of sedation scale to determine if more or less sedation is needed. Then you titrate amount and frequency based on the order.
@Alexaaraeee
@Alexaaraeee 3 жыл бұрын
Please allow English subtitles 🙏🏼
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Thank you for saying something. Typically KZfaq autogenerates subtitles for the videos, but this one doesn't have it on there!!! And I don't see a way to have it do it now. I'll have to look in to it more. Sorry they aren't available. 😔
@ernestalexander8078
@ernestalexander8078 2 жыл бұрын
Is like to know if it is appropriate to compute a RAAS for pts who have altered mentation but aren't sedated?
@honey6969100
@honey6969100 Жыл бұрын
No
@ICUAdvantage
@ICUAdvantage Жыл бұрын
You probably are going to want to use GCS and just a general Neuro exam.
@ApOutLaw135
@ApOutLaw135 4 жыл бұрын
Can long term use of sedation such as versed /fentanyl also cause dependence and withdrawal in these ICU patients?
@taskforcehitman1536
@taskforcehitman1536 4 жыл бұрын
.
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
It can, although from my understand and what I've seen on it, short term. So you wouldn't run the risk of being dependent long term, aka outside the hospital, but certainly if run long enough, high enough, we have to slowly reduce down as they very much can experience withdrawal.
@moonakhan7421
@moonakhan7421 Ай бұрын
🎉
@dragontsitsipas6265
@dragontsitsipas6265 3 жыл бұрын
where were the drips though???
@nygeek6471
@nygeek6471 2 жыл бұрын
Midazolam is blood pressure sparing? Lol!
@ryanmitchell4980
@ryanmitchell4980 2 жыл бұрын
2
@Scott-ff2oe
@Scott-ff2oe Ай бұрын
CCRN
@renugadevi105
@renugadevi105 3 жыл бұрын
Pls making a video clearly your explanation is not clear letter. But your videos very useful things pls
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Not sure what you are referring to
@sheevertz8576
@sheevertz8576 Жыл бұрын
gummy
@CP-ue2qf
@CP-ue2qf 3 жыл бұрын
very generalize do not get to much into details
@ICUAdvantage
@ICUAdvantage 3 жыл бұрын
Thanks for the feedback. This first part was not meant to go too deep. I go in to more info in the second part. Can I ask what information you were hoping to see, as perhaps I may do another video in the future?
@krunalbhatt001
@krunalbhatt001 Жыл бұрын
Dnt waste our time in initial intro...
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Wow
@touklouk6255
@touklouk6255 10 ай бұрын
There’s a thing called skip or fast forward… He provided his time to share his knowledge and did a phenomenal job breaking down these critical meds in a manner that was easy to follow. Something many people don’t understand and want to learn more about…the least u can do is be grateful for the free knowledge.
@Wilson-ol4pe
@Wilson-ol4pe 2 жыл бұрын
Thank you
@ICUAdvantage
@ICUAdvantage Жыл бұрын
You're welcome
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