Simple Hypercalcemia Workup (with Case Study): Lab Interpretation for New Nurse Practitioners

Рет қаралды 16,731

4 жыл бұрын

Labs interpretation for new nurse practitioners can be confusing, and most new grads don't feel well-prepared by what they learned in NP school.
In this video, I break it down with a SUPER interesting case study from my first year as an NP, and make the approach super simple with 3 steps, including the top do-not-miss diagnoses.
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Join us for the Lab Interpretation Crash Course for Nurse Practitioners: www.realworldnp.com/labs?utm_...
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Don't forget to grab your free Ultimate Resource Guide for the New NP at www.realworldnp.com/guide?utm...
More Resources:
Lab Interpretation Crash Course: www.realworldnp.com/labs?utm_...
Digital NP Binder: www.realworldnp.com/binder?ut...
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Пікірлер: 59

@jillwagner485 9 ай бұрын

Thank you Liz, for making such awesome videos. I am a new grad NP and will start my new job at a FQHC in January. I am nervous and excited and your videos are excellent for the useful information and also your down to earth nature that makes us all feel like we're going to be okay!!

@RealWorldNP 9 ай бұрын

You can do it! I promise

@katepfeffer6127 Жыл бұрын

New grad here making my way through the first few months of NP practice! I came across this situation for the first time today and I just stared at the UpToDate algorithm about this topic for the last 45 minutes and got more and more confused, nervous, and overwhelmed. I came home hoping you'd have a video about this and sure enough--the topic made sense in less than 20 minutes. Thank you thank you!!

@RealWorldNP Жыл бұрын

You are so very welcome!

@kajnkween 4 жыл бұрын

So needed this video and all of your other lab videos as I continue to connect the dots in my head and practice! thank you SO much for these!

@RealWorldNP 4 жыл бұрын

Awesome!! I'm so glad!! You're so welcome!

@blanketmonster429 4 жыл бұрын

Loved this and I think you went at a great pace! Thank you!

@RealWorldNP 4 жыл бұрын

You're so welcome!! So glad to hear it!

@argeliaarchuletta2769 4 жыл бұрын

I love this information! As a new NP I am learning a lot more with your videos. I too had a preceptor who allowed me to shadow and not even document so stumbling upon your videos is God sent! Thank you for all you do! God bless you always!

@RealWorldNP 4 жыл бұрын

You are so welcome!

@debilag 4 жыл бұрын

Thank you! Straight forward and will definitely help in practice.

@RealWorldNP 4 жыл бұрын

Awesome I'm so glad!

@jenmacdonald2467 Жыл бұрын

You are such a wonderful resource! I learn so much from you and feel that I can provide safer care. I am so glad that I found your program. I use the Binder everyday!

@RealWorldNP 11 ай бұрын

Thank you for your kind comment. I am so glad you find the Binder helpful.

@mirandacook9170 4 жыл бұрын

Loved this! Thank you! Interested in your Coumadin algorithm too!

@RealWorldNP 4 жыл бұрын

You're so welcome! Here's my coumain dosing worksheet, it's from 2005 from AFP but works super well for most of my patients: www.dropbox.com/s/p0tyv3gkh7u6s1z/coumadin%20worksheet.pdf?dl=0 and an updated article about anticoag guidelines from AFP as well: www.aafp.org/afp/2013/0415/p556.html

@Max-lg9nw Жыл бұрын

Loved how you broke everything down. I’m about to start clinicals and these videos have been great to prep with

@RealWorldNP Жыл бұрын

Glad it was helpful!!

@PrincessAisha2006 4 жыл бұрын

Liz, I commend you for starting this channel. This is much needed. I love your video and the use of the case study, definitely ties it in clinically. Continue with lab interpretations videos, i think all of us new grads really struggle with this. The algorithms are great!!!

@RealWorldNP 4 жыл бұрын

Oh I'm so glad it you liked it!

@PrincessAisha2006 4 жыл бұрын

For future vids, can you make videos on symptom approach in primary care using the same method u did in this video?

@RealWorldNP 4 жыл бұрын

@@PrincessAisha2006 Awesome idea! Yes, definitely.

@michellebrown3412 4 жыл бұрын

Real World NP can you do a video on hypocalcemia

@Lunal0v 2 жыл бұрын

So helpful! I have one scheduled tomorrow so glad I found your video when I did! I now know what to do with the lab :P

@RealWorldNP 2 жыл бұрын

Glad it was helpful!

@sarahnapier3393 3 жыл бұрын

I just found you! I’m a student graduating in May 2021 and was looking for review and easy learning to listen to while driving. So I love this! I only wish you had this information as a print out too to put in my resource folder. But I’ll write it down... when I find the time! Thanks again.

@RealWorldNP 3 жыл бұрын

Yay! How exciting!! I’m so glad you’re loving it. The Lab Interpretation Crash Course is opening up again in a few weeks and it has all the algorithms, slides and cheat sheets for all the main labs in primary care- CBC, CMP, UA, TSH, lipids and top endocrine labs! You may want to wait to enroll until after you graduate, it’s really comprehensive but it’s 👌👌👌👌 it’s over at realworldnp.com/labs

@AggieAlice19 2 жыл бұрын

I would love to see the Coumadin management algorithm you mentioned in the video!! 😄 great case study!

@RealWorldNP 2 жыл бұрын

Oh yay! Yes, the coumadin management video with algorithm is here (you can download that at the link below the video here: kzfaq.info/get/bejne/fMeAaMaIv62RnqM.html)

@Tonnie31 2 жыл бұрын

Thank you Liz so helpful!!!

@RealWorldNP 2 жыл бұрын

So glad it was helpful!

@queenaura1 4 жыл бұрын

I love how easily you broke each step down and tied everything in. Loving your videos, thanks so much!

@RealWorldNP 4 жыл бұрын

You're so welcome! I'm so glad to hear that :)

@bendinthetrail3797 4 жыл бұрын

I really enjoyed this type of video - it really helped me to understand the thought process. (Starting ACNP in the fall)

@RealWorldNP 4 жыл бұрын

Awesome! Absolutely, it's a new way of thinking!!

@paulcreedon1375 Жыл бұрын

Great job Liz! Your explanations were very good and thorough. I really liked that you brought up the point of labs can be in "normal" or boderline high range, but still significant enough to move forward with further testing. Most new grads wouldn't key in on that.

@RealWorldNP Жыл бұрын

Thanks so much!

@gretchenhennigan5950 2 жыл бұрын

I would love a segment on chronic back pain! Love the videos! Thank you!

@RealWorldNP 2 жыл бұрын

I have a video on back pain: kzfaq.info/get/bejne/l9enh9F3zayXeGw.html Check it out!

@kimberlycaceres6136 24 күн бұрын

thank you very much. so high calcium, confirm its high and if high draw intact pth. 90% of high calcium is hyperparathyroid and cancer.

@RealWorldNP 19 күн бұрын

Up-to-Date has a great algorithm to print out!

@blusmith9583 4 жыл бұрын

I love your videos, you make it Ez.

@RealWorldNP 4 жыл бұрын

Glad you like them!

@vanessaquadra1 2 жыл бұрын

Another amazing video!!!! Could you please do a video on CBC reading and focus on anemia.

@RealWorldNP 2 жыл бұрын

Those are covered in my Lab Interpretation Crash Course - if you can, join the class! www.realworldnp.com/labs

@deanawilliams6461 2 жыл бұрын

Very interesting

@RealWorldNP 2 жыл бұрын

Glad you think so!

@bethanymichaelis 3 жыл бұрын

Thank you for this! What about checking phosphorus levels?

@RealWorldNP 3 жыл бұрын

Great question -- not routinely recommended, it can be low or low normal in hyperparathyroidism and hypercalcemia associated with cancer, so potentially in those cases!

@allthingslovephotography2285 2 жыл бұрын

Please make a preventative care cheat sheet screenings (colonoscopies, mammogram, CT if hx of smoker, pneumonia vaccine, etc. and add to the digital binder if possible :) Another topic that would be helpful is pap-smear algorithm (ASCUS, colposcopies etc.)

@RealWorldNP 2 жыл бұрын

Will add it to the list!

@jenniferjackson4379 6 ай бұрын

What is the recommendation in treating outpatient setting for patient as far as insulin mgmt? I know his potassium is 5.8 and not symptomatic but what is the parameters for patient to lower BG as far as dosage and intervals?

@RealWorldNP 6 ай бұрын

This sounds like it maybe a complicated patient. I rely heavy on my AACE/ACE guidelines for starting insulin.

@ampm1543 2 жыл бұрын

Did the Queen's Anne Lace that she was taking for contraception have anything to do with this particular case for hypercalcemia?

@RealWorldNP 2 жыл бұрын

The endocrinologist didn't think so!

@kristinesalters2006 Жыл бұрын

I wonder what happened! I always worry that a dvt could be a sign of a cancer and with the high calcium that adds to that concern but in this case, her calcium levels would have been higher if CA? and I think I’ve seen that rarely is hypervalcemia precede the ca diagnosis - usually you already have that established

@RealWorldNP Жыл бұрын

You’d definitely need to look at the patients risk factors. I would have to review the most up to date data regarding coorelation between Ca and cancer.

@felishamiller861 2 жыл бұрын

What happened with the parient with the endocrinologist?

@RealWorldNP 2 жыл бұрын

Hi! They did a complete workup in endocrine and she had mild hyperparathyroidism. They found it mild enough so she didn't need surgery, and took over monitoring her. Thanks for watching!