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Push Dose Vasopressors For Management Of Shock In The ICU

Yes, I know you have a quick solution in a "Neo Stick." But let me tell you why that may not be your best option. This video compares Phenylephrine (Neosynephrine) to Epinephrine as a push dose solution to your hypotension problem. Beyond that it will help you understand the physiology of the adrenergic receptors and catecholamines involved in the fight or flight response as well as why a carpujet/amp of Epi is drastically different than push dose. I will teach you how to prepare and administer these as well as how to choose the best option for your situation. 0:00 Intro 1:50 What is a push dose pressor 2:30 Pheynlephrine/Neosynephrine 2:40 Infusion vs push dose Neo 3:30 How to prepare push dose Neo 5:30 Adrenergic receptors 5:54 Neo mechanism of action 6:40 Indications for use of Neo 7:20 When Neo is not a great option 9:30 Push dose Epinephrine vs cardiac arrest dose Epinephrine vs infusion dose 12:39 When code dose Epi can cause harm 15:00 How to prepare push dose Epi 15:29 Epi mechanism of action - when it is indicated 16:50 When Epi is not a great option 17:09 Side effects of Epi 18:20 The other situation for use - slow code Nurse Practitioner students always ask how long it took for me to feel confident as a provider. I get it, I had these same concerns. Once you see the reality of what this job entails, it is easy to get sucked into a vortex of negative self-talk. It's natural to question if and when you will achieve the same level of confidence. The answer isn't so simple though. For me it came in waves: 🌊 1: I figured out how to automate work and started going home on time around month 4. 🌊 2: I stopped white knuckling my drive in to work around month 6. 🌊 3: I evaluated what the end of the first year looked like and the best I can equate it to is the feeling of surviving your first year of parenting. You know there is a whole host of problems to come but you now have the track record to prove that it is achievable. This is the start of competence - around 1yrmark. 🌊 4: I became confident that I could handle 95% of what came in the door and the rest I felt confident in knowing what my resources were. This happened somewhere between year 2-3. For you this may be completely different. But the answer to the unspoken question is ALWAYS "The rate of your growth is directly tied to the time and quality of effort you put into your growth." If you want to level up your ICU skills check out my website to see how I can get you there faster and with less pain points. https://linktr.ee/Breenp?utm_source=l... Resources: The Acute Care Lab Membership: https://www.breenp.com/education The Ultimate H&P Cheatsheet: https://www.breenp.com/education (A copy of the 12 most common ICU problems with associated dot phrases to copy into your EMR with explanations for each problem. This is how you become efficient at note writing. It changed my life, literally started going home on time once I used these) The Resume Rx: https://breenp--theresumerx.thrivecar... -use code Save20 for 20% off -Y’all. Creating a professional resume guided by an NP is one of the best investments you can make for your future. She has stellar templates and the cost includes some fabulous resources. For more guided/detailed help take a look at her Weekend Resume DIY bundle. https://breenp--theresumerx.thrivecar... The opinions shared here are my own and may not reflect those of my employers. This is educational and does not constitute medical advise.