Neuromuscular Blocker Reversal - Paralytics (Part 4) - ICU Drips скачать в хорошем качестве

Neuromuscular Blocker Reversal - Paralytics (Part 4) - ICU Drips

In this this final lesson we take a look at the intricacies of the group of medications that we have available when it comes to neuromuscular blocker reversal. We start off with a quick overview of the autonomic nervous system, focusing on the parasympathetic nervous system and the use of acetylcholine as a messenger to activate the muscarinic receptors. The reason this is important is in order to reverse our paralytics, we need to provide high amounts of acetylcholine. The way that we do this is by blocking an enzyme called acetylcholinesterase that normally breaks down Ach. Unfortunately though, these medications block this enzyme throughout our patients bodies and lead to an abundance of Ach everywhere which can lead to massive activation of their parasympathetic nervous system and comes with some very serious side effects, including bradycardia and asystole. In order to prevent this from happening, we have to use an anti-muscarinic (anticholinergic) drug to block the muscarinic receptors from being activated by Ach. These medications must be given at the same time that our acetylcholinesterase inhibitors are given. We have a few medications that can do the job, but Glycopyrrolate is our first line drug, backed up by atropine when that medication fails to perform. We conclude the lesson talking about a newcomer to the world of paralytic reversal with a medication called Sugammadex that directly binds our aminosteroids and prevents them from activating Ach receptors. +-+-+-+-+- Gear That We Use To Make These Videos ------------------------------------------------------------------ Apple Pencil: https://amzn.to/368qS83 iPad Pro 12.9”: https://amzn.to/367s2QV Blue Yeti Mic: https://amzn.to/2Q7vrK9 MacBook Pro 15”: https://amzn.to/2tcDegM Books We Recommend ------------------------------------- Barron’s CCRN Exam: https://amzn.to/2MFWIkH Pass CCRN!: https://amzn.to/36apxgN AACN Essentials of Critical Care Nursing: https://amzn.to/2F5riQs Kaplan Adult CCRN Review: https://amzn.to/37igv1t Marino’s The ICU Book: https://amzn.to/2ZzKP4Y Some of Our Favorite Nursing Gear -------------------------------------------------------- 3M Littmann Master Cardiology Stethoscope: https://amzn.to/2sn0wR5 Rip Shears - Trauma Shears: https://amzn.to/35diZwR Leatherman - Raptor Shears: https://amzn.to/2MGF801 Stethoscope Tape Holder: https://amzn.to/2snWkAy Pilot FriXion Erasable Pens: https://amzn.to/2Qw9pQg Apple Watch: https://amzn.to/356wKgF Apple Watch Sport Band: https://amzn.to/37lroQ0 Takeya Vacuum Stainless Water Bottle: https://amzn.to/37lqIKq DISCLAIMER: Links included in this description are Amazon affiliate links. If you purchase a product or service with the links that I provide I may receive a small commission. There is no additional charge to you! +-+-+-+-+- Please if you enjoyed this video or found it useful, hit the like button as this greatly helps our channel out! Also make sure and subscribe and hit the bell icon and select all notifications to stay up to date on our latest videos! Finally make sure to make your way over to our Facebook, Instagram, and Twitter pages and give us a like and shout out over there!   / icuadvantage     / icuadvantage     / icuadvantage   +-+-+-+-+ Don't forget to check out the playlist for this series of lessons here:    • ICU Drips   Also check out these other great lessons and series of lessons below! Hemodynamics Principals:    • Hemodynamic Principals   Shock:    • Shock   Arterial Blood Gases:    • Arterial Blood Gases (ABGs)   ECG/EKG Rhythm Interpretation:    • ECG/EKG Interpretation   Heart Failure:    • Heart Failure   Endocrine System:    • Endocrine System   Blood Tubes - Order of Draw:    • Order of Draw and Additives | Blood Collec...   Glasgow Coma Scale:    • Glasgow Coma Scale (GCS) Assessment   +-+-+-+-+ Track: whogaux - i don't care [NCS Release] Music provided by NoCopyrightSounds. Watch:    • whogaux - i don't care | Trap | NCS - Copy...   Free Download / Stream: http://ncs.io/idontcare +-+-+-+-+ DISCLAIMER: Links included in this description might be affiliate links. If you purchase a product or service with the links that I provide I may receive a small commission. There is no additional charge to you! +-+-+-+-+ #ICUDrips #Paralytics #ICUAdvantage