Podcasts about crystalloid

In this podcast, I continue the ICU series from Episode 416 with a discussion of crystalloids (normal saline, lactated ringers, and plasmalyte). I discuss physiology, pathophysiology, benefits of one vs the other, and situations where one is preferred to the other. I also discuss some perils of giving these fluids and the mechanisms behind these … Continue reading Divine Intervention Episode 429: ICU Series Part 2-Crystalloid Solutions

When I was a student (and new nurse) I remember hearing medical terms all the time that would make me think, “I should probably know what that means, but I'm too embarrassed to ask.” And I hated how that made me feel… lost, incompetent, out of the loop, and unsure of myself. You can imagine what feeling this way did to my confidence level. Yep…pretty low sometimes. In this episode I'm diving into some common medical terms that students (and even experienced nurses) often feel a little unsure about…terms like: Sensitivity vs specificity Hypoxia vs hypoxemia Crystalloid vs colloid And let's not forget medical slang like “the gap,” “rainbows,” and “Christmas trees” After listening to this episode, you'll be absolutely fascinating at your next cocktail party and probably feel a lot more confident at the bedside, too! Prep for nursing school with Crucial Concepts Bootcamp: Whether you're starting nursing school or heading in to your second semester, CCB teaches you the strategies and foundation concepts you need to succeed. Kali Dayton Interview: Learn about ICU delirium and the dangers of oversedation in this compelling interview. Purewick:  This is an external catheter that's gaining quickly in popularity (you know, if there were a popularity contest amongst urine collection devices). Oxygenation: Explore this foundation concept (especially if the concept of hypoxemia vs hypoxia is new to you!). Atelectasis: Learn more about this respiratory condition (spoiler alert…it's so much more than “crackles!”) Drill these terms in by referring back to them in the article here. RATE, REVIEW AND FOLLOW! If this episode helped you, please take a moment to rate and review the show! This helps others find the podcast, which helps me help even more people :-) Click here, scroll to the bottom, then simply tap to rate with 5 stars and select, "write a review." I'd love to hear how the podcast has helped you! If you're not following yet, what are you waiting for? It takes just a quick moment and the episodes show up like magic every Thursday. And, when I release a bonus episode, those show up, too! You'll never miss a thing! In Apple Podcasts, just click on the three little dots in the upper right corner here. Know someone who would also love to study with me? Share the show or share specific episodes with your classmates...when we all work together, we all succeed! On Apple Podcasts, the SHARE link is in the same drop-down as the follow link. Spread the love! Thanks for studying with me! Nurse Mo

Today we are joined by Dr. Brian Locke to talk about the newest big trial on IV fluids in critically ill patients and a meta-analysis that looks at all the similar trials. Is this question finally settled?We also look at PICC lines vs midlines, IV L-ornithine L-aspartate in acute treatment of hepatic encephalopathy, a new ward-based program for delirium prevention in older inpatients, post-discharge thromboprophylaxis for high risk COVID patients, and whether mindfulness training can help burnout in residents.Balanced Multielectrolyte Solution vs Normal Saline in Critically Ill Patients (PLUS)Balanced Crystalloid vs Normal Saline Meta-analysisPICC lines vs MidlinesApixaban vs Rivaroxaban for Recurrent VTE LOLA for Hepatic EncephalopathyEat-Walk-Engage in Older Inpatients (CHERISH)Rivaroxaban for Post-discharge Prophylaxis in High Risk COVID patients (MICHELLE)Mindfulness Training and BurnoutMusic from Uppbeat (free for Creators!):https://uppbeat.io/t/soundroll/dopeLicense code: NP8HLP5WKGKXFW2R

Join Yvonne Brandenburg, RVT, VTS SAIM and Jordan Porter RVT, LVT, VTS SAIM as we talk about: Crystalloid and Colloid fluid therapy and we do medical math!   Thanks so much for tuning in. Join us again next week for another episode!  Want to earn some RACE approved CE credits for listening to the podcast? You can earn between 0.5-1.0  hour of RACE approved CE credit for each podcast episode you listen to.    Join the Internal Medicine For Vet Techs Membership to earn and keep track of your continuing education hours as you get your learn on!   Join now! http://internalmedicineforvettechsmembership.com/   Get Access to the Membership Site for your RACE approved CE certificates Sign up at https://internalmedicineforvettechsmembership.com  Get Access to the Technician Treasure Trove  Sign up at https://imfpp.org/treasuretrove    Thanks for listening!  – Yvonne and Jordan 

This episode centers around acute, lower gastrointestinal bleeding.  Diverticular disease is the most common cause of LGI bleeding.  Most cases of LGI bleeding stop spontaneously.  Risk factors for poor outcome include: hemodynamic instability on presentation, advanced age, coexisting conditions, the use of dual antiplatelet agents,  and fresh blood on digital rectal exam.  We also discuss resuscitation with crystalloid initial therapy.  Transfusion should be limited to specific hemoglobin goals (~7-9 g/dl).  Colonoscopies within 24 hours if patients stabilize.......Watch this presentation at https://www.youtube.com/watch?v=45t5inKsPPsTo learn more, visit https://courses.ccme.org/course/em-prep

Dr. Cap has been leading the way here in the US with the Armed Services Blood Program on fresh whole blood transfusion research in conjunction with the THOR Network and answering tough questions that different Special Operations Units come up with when analyzing how best to implement a fresh whole blood resuscitation protocol. In this episode Dennis presses him on the important resuscitation questions medics everywhere seem to be asking : I don't have blood yet; Crystalloid isn't really that bad, is it? Can't I just resuscitate to a normal BP with hetastarch or hextend? Where does FDP fit in with resuscitation? What do you mean by, “dose of shock?” Do I really have to give TXA over 10 minutes? What comes first TXA, Calcium or Blood? Why should patients get calcium as soon as possible once you identify they need blood? What's this about pre-hospital albumin? For more content, visit www.prolongedfieldcare.org

Show notes at pharmacyjoe.com/episode568. In this episode, I’ll discuss whether balanced crystalloid therapy could lead to faster resolution of DKA than normal saline. The post 568: Could balanced crystalloid therapy lead to faster resolution of DKA than normal saline? appeared first on Pharmacy Joe.

Now you know how much fluid to give, Shalinder Singh tells David Keily what fluid to use and why in a range of settings from trauma to pyloric stenosis to maintenance fluids in children. When and why to use crystalloid or colloid is explained. Side effects of using the wrong fluids are also covered, including acid/base balance problems and ARDS. Essential listening for anyone prescribing IV fluids for children. David Keily is a trainee in paediatric surgery in the East Midlands, UK, and Shalinder Singh is a consultant paediatric surgeon and FRCS(Paed) examiner working at University Hospitals Nottingham, Uk

"Colloid vs Crystalloid - Goal Directed Therapy" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London.

"Colloid vs Crystalloid - Goal Directed Therapy" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London.

This special programme was originally streamed live on www.topmedtalk.com - if you missed it you're obviously not yet signed up to our newsletter. Go to the website or follow this link: https://www.topmedtalk.com/sign-up/ Co-presented by Monty Mythen and Desiree Chappell with contributions from Dr Tim Miller, Anaesthesiologist from Duke University Medical Centre, Mark Edwards, Consultant in Anaesthesia and Perioperative Medicine at The University Hospital Southampton NHS Foundation Trust and Paul Myles, Head of Alfred Health's and Monash University's Department of Anaesthesia and Perioperative Medicine.

"Colloid vs Crystalloid - Goal Directed Therapy" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com  Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London.

Dr. Tom Lewis MD and Dr. Chuck Sheppard MD discuss the differences of IV fluids and fluid concentrations. They also discuss case examples and reasons to use specific fluids in certain patients for better outcomes. The variety of fluids including Lactated Ringers, normal saline and now the more reasonable cost of plasmalyte and normasol makes choosing the right fluid for pre-hospital care more complex. Our hope is to clear up some of the confusion.

How often do you prescribe or give i.v. fluids to your patients? How much thought goes into what's contained in that fluid? What effect will you fluid choice have on your patient? Two trials on crystalloid administration in the acutely unwell patient have occupied a lot of conversation in the research world over the last few weeks, both published in the NEJM and in this podcast we take a look at them. In the podcast we cover the following; Whats the big deal with crystalloids Previous trials on fluid administration NEJM papers on crystalloids Myburgh's editorial Make sure you take a look at the papers yourself and come up with your own conclusions. There are a whole host of superb FOAM resources out there on the topic that are well worth a look and referenced below. We'd love to hear any thoughts and comments below. Enjoy! Simon & Rob References & Further Reading Fluid Na K Cl Ca Mg Lact Acet Glucon Dext Osmol mOsm/L 0.9% N Saline 154 0 154 0 0 0 0 0 0 308 Lactated Ringers 131 5 11 2.7 0 29 0 0 0 273 Hartmanns 129 5 109 4 0 29 0 0 0 278 Plasma Lyte 140 5 98 0 3 0 27 23 0 280 Constituents measured in mEq/L Reference; University Texas  Balanced Crystalloids versus Saline in Critically Ill Adults. Semler MW. N Engl J Med. 2018 Balanced Crystalloids versus Saline in Noncritically Ill Adults. Self WH. N Engl J Med. 2018 Patient-Centered Outcomes and Resuscitation Fluids. Myburgh J. N Engl J Med. 2018 REBEL.EM; Is the Great Debate Between Balanced vs Unbalanced Crystalloids Finally Over? PulmCrit- Get SMART: Nine reasons to quit using normal saline for resuscitation JC: Balanced fluids vs Saline on the ICU. The SMART trial. St Emlyn’s JC: So long Salt and Saline? St Emlyn’s The Bottom Line; SALT-EM The Bottom Line; SMART

Ludwig Lin, MD, speaks with Daniel E. Leisman, BS, about the article, Patterns and Outcomes Associated With Timeliness of Initial Crystalloid Resuscitation in a Prospective Sepsis and Septic Shock Cohort, published in Critical Care Medicine.

Ludwig Lin, MD, speaks with Daniel E. Leisman, BS, about the article, Patterns and Outcomes Associated With Timeliness of Initial Crystalloid Resuscitation in a Prospective Sepsis and Septic Shock Cohort, published in Critical Care Medicine.

In this Audio Summary Erik gives an overview of the evidence around when to change fluid bags and IV sets. Read the full Knowledge Summary here. Audio Summaries are a free resource that enables vets and vet nurses to access and digest relevant and up-to-date evidence quicker and easier! A time-saving way to make better and faster evidence-based decisions.

Shelly and Jared delve deep into the contents of crystalloid infusions. Have you ever read the labels on these delightful infusions we give patients daily?  Per listener request- we explore the teaching aspects of the breakdown on what's in these solutions and why we choose what we choose!!!

In the first of a new series on common problems seen on the surgical ward after an operation, Jennifer Murphy discusses hypotension in the post operative period with Daniel Couch. The symptoms, signs and of causes of hypotension in the post op period are discussed, as well as an algorithm for diagnosis and treatment for each cause. Essential listening for medical students coming up to finals or wanting to be well prepared for their first surgical job. Also important revision for foundation doctors (interns) and junior residents. Jennifer Murphy is a core trainee and Daniel Crouch is a speciality trainee in General Surgery, both on the East Midlands, UK training scheme.

Despite ongoing controversial expert discussions the European Medicines Agency (EMA) recently recommended to suspend marketing authorisations for hydroxyethyl starch. This comment critically evaluates the line of arguments. Basically, the only indication for a colloid is intravascular hypovolemia. Crystalloid use appears reasonable to compensate ongoing extracellular losses beyond. In the hemodynamically instable patient this leads to the distinction between an initial resuscitation phase where colloids might be indicated and a crystalloidal maintenance phase thereafter. It is important to bear this in mind when reevaluating the studies the EMA referred to in the context of its recent decision: i) VISEP compared ringer's lactate to 10% HES 200/0.5 in septic patients and found an increased incidence of renal failure in HES receivers. Unfortunately, study treatment was started only after initial stabilization with HES, randomizing hemodynamically stable patients into a rational (crystalloids) and an irrational (high dose starch until ICU discharge) maintenance treatment. ii) 6S compared ringer's acetate to 6% HES 130/0.42 for fluid resuscitation in septic patients and found an increased need of renal replacement therapy and a higher mortality in the HES group. However, patients of both groups were again randomized only after initial stabilization with colloids, the actual comparison was, therefore, again rational vs. irrational. Beyond that, the documentation is partly fragmentary, leaving many important questions around the fate of the patients unanswered. iii) CHEST randomized ICU patients to receive saline or 6% HES 130/0.4 for fluid resuscitation. Actually, despite partly discussed in a different way, this trial showed no relevant differences in outcome. In all, two studies showed what happens to septic patients if starches are used in a way we do not observe in daily practice. The third one actually proves their safety. The benefit of perioperative goal-directed preload optimization using starches is unquestioned. Taking these informations into account, the recommendation of the EMA starches to be generally dangerous remains mysterious and incomprehensible. An authority being able to dictate behavior should stand clear from oppressively ending a worldwide expert discussion and step back into the role of the observer until science achieves an agreement.