Podcasts about iv fluids

Understanding End-of-Life Care with Barbara Karnes RN In episode 142 of Hospice Explained, host Marie Betcher, RN, discusses crucial aspects of end-of-life care with renowned hospice educator Barbara Karnes RN. The conversation covers Barbara's background, her influential booklet 'Gone From My Sight,' and the importance of end-of-life education. They address common misconceptions about the dying process perpetuated by media, emphasizing the need for accurate knowledge to transform a potentially frightening experience into a sacred memory. Barbara also delves into practical topics such as the appropriate use of food and fluids at the end of life, the natural stages of dying, terminal agitation, and the critical role of comfort in hospice care. This episode provides valuable insights for caregivers, healthcare professionals, and anyone seeking a deeper understanding of the end-of-life journey. 00:00 Introduction to Hospice Explained 00:50 Meet Barbara Karnes: End of Life Educator 02:53 Understanding End of Life Education 05:24 Personal Experiences with End of Life 07:19 Discussing Barbara's Book: Always Offer, Never Force 11:43 The Role of IV Fluids at End of Life 12:59 The Importance of Comfort in End of Life Care 14:53 Feeding Tubes and End of Life Nutrition 18:07 Barbara's Booklets: A Guide for Caregivers 23:21 Terminal Agitation and Restlessness 27:08 Conclusion and Resources https://bkbooks.com/     Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.  Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast.   In addition you can donate to help support Hospice Explained at the Buy me a Coffee link  https://www.buymeacoffee.com/Hospice Kacie Gikonyo's Death Doula School https://hospiceexplained--deathdoulaschool.thrivecart.com/death-doula-school/ Affilitate for the Caregiving Years Training Academy:  https://www.careyearsacademy.com/ref/1096/  Affiliate for DNA is Love listeners also get a 5% discount!! https://dnaislove.com/?coupon=hospiceexplained5  The Death Deck and the E*O*L deck:  https://thedeathdeck.goaffpro.com/  Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com

In this solo episode of the Bendy Bodies Podcast, Dr. Linda Bluestein tackles your most pressing questions about preparing for surgery with conditions like Ehlers-Danlos Syndrome (EDS), POTS, and MCAS. Dr. Bluestein explains how the recent IV fluid shortage may affect you, which supplements to stop before surgery, and why hydration is key for successful outcomes. She also addresses the importance of communicating with your surgeon about your unique medical needs and provides practical pre- and post-surgery hacks to optimize recovery. Packed with valuable tips, this episode is a must-listen for anyone navigating surgery with chronic conditions. Takeaways: IV Fluid Shortages Can Impact Surgery: The recent IV fluid shortage in the U.S. means patients may receive less fluid during surgery, making pre-surgery hydration even more critical, especially for those with POTS. Stop Certain Supplements Before Surgery: Supplements like ginger, garlic, ginkgo, ginseng, fish oil, turmeric, and CBD oil can increase bleeding risk and should be stopped 1-2 weeks before surgery. Talk to Your Surgeon About Medications: People with POTS or MCAS may need to adjust medications before surgery. Discuss your supplements and medications with your surgical team to avoid complications. Hydration is Essential: Going into surgery well-hydrated can make IV insertion easier and help prevent complications, especially for those with chronic illnesses like POTS. Tailor Your Pain Management Plan: Discuss post-surgery pain management with your doctor ahead of time to ensure you have appropriate medications and tools to manage pain and prevent complications like constipation. Connect with YOUR Hypermobility Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com YOUR bendy body is our highest priority! Keep up to date with the HypermobilityMD: YouTube: youtube.com/@bendybodiespodcast Twitter: twitter.com/BluesteinLinda LinkedIn: linkedin.com/in/hypermobilitymd Facebook: facebook.com/BendyBodiesPodcast Blog: hypermobilitymd.com/blog Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

In this solo episode of the Bendy Bodies Podcast, Dr. Linda Bluestein tackles your most pressing questions about preparing for surgery with conditions like Ehlers-Danlos Syndrome (EDS), POTS, and MCAS. Dr. Bluestein explains how the recent IV fluid shortage may affect you, which supplements to stop before surgery, and why hydration is key for successful outcomes. She also addresses the importance of communicating with your surgeon about your unique medical needs and provides practical pre- and post-surgery hacks to optimize recovery. Packed with valuable tips, this episode is a must-listen for anyone navigating surgery with chronic conditions. Takeaways: IV Fluid Shortages Can Impact Surgery: The recent IV fluid shortage in the U.S. means patients may receive less fluid during surgery, making pre-surgery hydration even more critical, especially for those with POTS. Stop Certain Supplements Before Surgery: Supplements like ginger, garlic, ginkgo, ginseng, fish oil, turmeric, and CBD oil can increase bleeding risk and should be stopped 1-2 weeks before surgery. Talk to Your Surgeon About Medications: People with POTS or MCAS may need to adjust medications before surgery. Discuss your supplements and medications with your surgical team to avoid complications. Hydration is Essential: Going into surgery well-hydrated can make IV insertion easier and help prevent complications, especially for those with chronic illnesses like POTS. Tailor Your Pain Management Plan: Discuss post-surgery pain management with your doctor ahead of time to ensure you have appropriate medications and tools to manage pain and prevent complications like constipation. Connect with YOUR Hypermobility Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com YOUR bendy body is our highest priority! Keep up to date with the HypermobilityMD: YouTube: youtube.com/@bendybodiespodcast Twitter: twitter.com/BluesteinLinda LinkedIn: linkedin.com/in/hypermobilitymd Facebook: facebook.com/BendyBodiesPodcast Blog: hypermobilitymd.com/blog Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

 With the election looming, the US economy added far fewer jobs in October. Police in Orlando say a 17-year-old shooter opened fire at two Halloween gatherings. A crucial manufacturer of IV fluids has resumed operations, but supply shortages across the country could last a few more weeks. Crew and passengers on a United Airlines flight had to stop what documents describe as an unprovoked attack on a sleeping passenger. Plus, Wendy's is closing stores in underperforming areas. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Hurricane Helene has caused massive devastation for a part of the US, and now we are bracing again for Milton, set to affect Florida within the next 24 hours. Baxter, one of the country's leading manufactures for IV fluid bags has closed its plant for an unknown amount of time as it was affected by Helene. On October 4, 2024, the SMFM released a news brief on IVF conservation intrapartum. Listen in for details.

We discuss migraines with one of the authorities in the field. Hosts: Benjamin Friedman, MD of Montefiore Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Migraines.mp3 Download Leave a Comment Tags: Neurology Show Notes Initial Approach to Diagnosing Migraines: Differentiating between primary headaches (migraine, tension-type, cluster) and secondary causes (e.g., subarachnoid hemorrhage). The importance of patient history and reevaluation after initial treatment. Recognizing the unique presentation of cluster headaches and their management implications. Effective Acute Migraine Treatments: First-line treatments including anti-dopaminergic medications like metoclopramide (Reglan) and prochlorperazine (Compazine), and parenteral NSAIDs like ketorolac (Toradol). The limited role of triptans in the ED due to side effects and less efficacy compared to anti-dopaminergics. The use of nerve blocks (greater occipital nerve block and sphenopalatine ganglion block) as effective treatments without systemic side effects. Treatments to Avoid or Use with Caution: Diphenhydramine (Benadryl): Studies show it does not prevent akathisia from anti-dopaminergics nor improve migraine outcomes. IV Fluids: Routine use is not supported unless the patient shows signs of dehydration. Magnesium: Conflicting evidence with some studies showing no benefit or even harm. Managing Refractory Migraines: Second-line treatments including additional doses of metoclopramide combined with NSAIDs or dihydroergotamine (DHE). Considering opioids as a last resort when other treatments fail.

Veterinarians across Australia grappling with a global IV drip shortage, SA's red meat and wool industries launch a new blueprint with targets for the rest of the decade, and South East dairy farmer James Mann stepping down as chair of the Dairy Australia Board.

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WA Health is instructing doctors at Perth Children's Hospital to consider alternatives to administering a drip, to conserve stock levels of IV fluids.    Nine Network's Medical Expert Dr Nick Coatsworth joined Oly Peterson on Perth Live to talk about the global shortage.  See omnystudio.com/listener for privacy information.

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In today's episode, I call out IV Fluids for what they really are- unnecessary!  I walk you through the numerous downfalls to this pesky intervention, and I outline some key strategies to help you navigate declining IV fluids in the hospital. Feeling overwhelmed by an avalanche of advice?  Wish someone would spell out all of your options, and not just the routine ones? You're not alone. I am SO excited to bring you The Empowered Pregnancy Podcast, your shortcut to evidence-based info, minus the fluff. On my show, we question the status quo, geek out on some research, and keep it real with the unfiltered truth. Subscribe to the show and leave a rating and a review so we can empower more pregnant women with evidence-based birth information and choices. Upload a screen shot of your review here and get automatically entered to win a free 1:1 coaching session with your personal pregnancy coach (that's me!).  Looking for more tips? Join my FREE training "3 Game-changing Things I Wish I had Known Before Birth."Oh ya, and if you're not feeling great these days, grab a copy of my free "Morning Sickness Survival Guide" here.   It's never too early and never too late to take charge of your pregnancy and make your dream birth a reality! Sign up for my 6-week program, Empowered Birth Academy and avoid the traumatic birth depicted in the movies

In this episode of "Beyond the Mirror," host Dena Woulfe invited Tabitha Braun, a newly-appointed Nurse Practitioner at Elemental Wellness, with nursing experience since 2007, on the podcast.Key Topics Discussed:Introduction to IV Fluids: IV fluids as a tool for supporting immunity, brain health, performance, mood, and more. Benefits of preventive medicine and aesthetics, moving away from the acute hospital setting.Current Health Climate: Discussion on the prevalence of viruses, especially during the flu season (October to April). Importance of preventative measures to avoid severe impacts from common viruses.IV Fluids and Immune Support: Overview of various IV fluid options, including regular IV drips and intramuscular injections of vitamins, minerals, and amino acids. Highlight on specific IV blends like Recovery and Performance, containing ascorbic acid, amino blend, and mineral blend for comprehensive support.Recovery and Performance IV: Ideal for those with immune deficiencies, athletes, or anyone recovering from illness or stress. Discussion on components such as amino acids for protein synthesis and overall cellular function.Myers Cocktail and Inner Beauty IVs: Myers Cocktail for basic immune support and recovery from illnesses like tonsillitis. Inner Beauty IV for skin, hair, nail health, and additional benefits like weight loss and healthy sweat glands.Customizable IV Options: Flexibility to add IV boosters for personalized health benefits. Importance of considering pre-existing medical conditions before opting for IV therapy.Contraindications and Precautions: Cautions for individuals with conditions like congestive heart failure, uncontrolled hypertension, or kidney issues.Personal Favorites and Specialized IVs: Host and guest share their preferred IV options. Introduction to Brainstorm IV for cognitive function and neuroprotection.Don't forget to rate, review, and subscribe to "Beyond the Mirror" for more insightful discussions on beauty and wellness. Your support helps us bring valuable content to beauty enthusiasts everywhere.Hosts Contact Information:Websites - www.elementalwellnessandlongevity.com www.elementalesthetics.comSocial Media - www.instagram.com/ElementalWellnessandLongevity www.instagram.com/ElementalEsthetics www.facebook.com/ElementalWellnessandLongevity www.facebook.com/ElementalEsthetics

In this episode, Dr's J and Santhosh discuss the history behind the ubiquitous use of IV fluid in medicine. ALong the way they cover the death of a pope, international infusion bans, cholera pandemics, physician math, thomas latta and direct infusion, old timey medical letters, vascular anatomy, lactated ringers, albumin and world war 2, important typos, fluid selection, balance and cost, the 4-2-2 rule, colloid v crystalloid, banana bags and more! so sit back and relax as we infuse with knowledge of iv fluids!Further Readinghttps://sci-hub.se/https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(02)80289-6/fulltexthttps://www.nejm.org/doi/full/10.1056/NEJMra1208627Support Us spiritually, emotionally or financially here! or on ACAST+travelmedicinepodcast.comX/Twitter: @doctorjcomedy @toshyfroTikotok: DrjtoksmedicineGmail: travelmedicinepodcast@gmail.comSpotify: https://open.spotify.com/show/28uQe3cYGrTLhP6X0zyEhTFacebook: facebook.com/travelmedicinepodcastPatreon: https://www.patreon.com/travelmedicinepodcast Supporting us monthly has all sorts of perks! You get ad free episodes, bonus musical parody, behind the scenes conversations not available to regular folks and more!! Your support helps us to pay for more guest interviews, better equipment, and behind the scenes people who know what they are doing! https://plus.acast.com/s/travelmedicinepodcast. Hosted on Acast. See acast.com/privacy for more information.

With sepsis, or septicemia, it can get real complicated, real fast. But we're gonna try to just keep it simple today and talk about what you really need to know as nursing students.Sepsis is when the body has an extreme response to an infection. The body tries so hard to fight off the infection, that it can even damage the patient's own tissues and organs. Sepsis usually starts with a bacterial infection, but we also see it caused by fungal, viral, or even parasitic infections.Acronyms used in this episode:TIME: Temperature, Infection, Mental decline, and Extremely illHATTT: Hypotension, Altered Mental State, Tachycardia, Tachypnea, and TemperatureCALL IT: Cultures, Antibiotics, Lactate, Lactate, IV Fluids, and Tissue perfusionCheck out Picmonic for an audiovisual learning system with unforgettable stories to help you remember EVERYTHING you need to know for nursing school.Click here for 20% off!https://www.picmonic.com/viphookup/nursingschoolweekbyweekLEW23Instagram: Nursing School Week by Week PodcastFacebook: https://www.facebook.com/nursingschoolweekbyweekWebsite: www.nursingschoolweekbyweek.com

The updated guidance went into effect in October 2022 and focuses on employing strategies to prevent infusion catheter related infections and complications. Key elements of the new guidance include more detailed assessment of the vascular access device and the resident's ability to report signs and symptoms of complications. Is your facility prepared?

2023 SCCM PharmD Speakers Part I 03:46 – PAH Pharmacotherapy with Diana Lemieux, PharmD, BCCCP 17:01 – USA v. EU AF Mgmt. with Cait Kulig, PharmD 30:25 – Caring for Special Populations in the ED with Erin Wieruszewski, PharmD, BCCCP 42:26 – Medical Treatments to Consider with RV Failure in VV ECMO with Patrick Wieruszewski, PharmD, BCCCP 57:30 – Toxicology Year in Review with Rachel Wein, PharmD, BCPS 65:40 – Effect of IV Fluids on Microcirculation with Susan Smith, PharmD, BCPS, BCCCP, FCCM 75:15 – Finding Fluid Stewardship in the ICU & Phases of Fluid Management in the ICU with Anthony Hawkins, PharmD, FCCM PharmacyToDose.Com  @PharmacyToDose  PharmacyToDose@Gmail.com

A quick rundown on some often confused terms hypotonic, hypertonic, and isotonic as it relates to IV fluids. Need more help; you can find many of my mnemonics books on Audible that you might be able to get your first for free if you've never had one before.  https://www.audible.com/pd/Memorizing-Pharmacology-Mnemonics-Audiobook/B07DLGC8MP?source_code=AUDFPWS0223189MWT-BK-ACX0-118296&ref=acx_bty_BK_ACX0_118296_rh_us 

Come learn about the most prescribed medicine in pediatrics, IV fluids! Dr. Michelle Starr (Indiana) returns to teach us about maintenance fluids, adding electrolytes to fluids, and why Justin shouldn't worry so much about his medical decision-making. Listen now to find out if you'd like to be a member of Team LR! __________________________________ Announcement: Dear Listeners, we will be on a short break throughout the month of January. Please stay tuned for our next release on February 1. We hope everyone has a Happy New Year, thank you so much for listening to our show!

In this week's episode, I'm going to cover the “2022 A Year in Review” and reflect on all the projects and research we accomplished at Evidence Based Birth®. I share my favorite projects and podcast episodes from this year; the top five most downloaded episodes in 2022; and discuss the research recap on the four updated Signature Articles: o   Signature Article on the Evidence on Birthing Positions o   Signature Article on the Evidence on Eating and Drinking in Labor o   Signature Article on the Evidence on IV fluids o   Signature Article on the Evidence on Freidman's Curve and Failure to Progress + 1-page handout on Debunking Pelvic Shapes   Thanks for tuning in and supporting Evidence Based Birth® in 2022! Because of you we were able to surpass over 4 million downloads –putting us in the top 5 percent of all podcasts! Thank you for helping us to uplift birth workers and empower families with evidence-based knowledge.   Content Warning: abortion & medical interventions Resouces: Find the updated Signature Article on the Evidence on Birthing Positions here Listen to the associated Podcast episodes on Birthing Positions: 196 – Pelvic Biomechanics and Movement in Labor with Brittany Sharpe McCollum 221- Evidence on Birthing Positions and Tried-and-True Midwifery Practices for Protecting the Perineum 241- The Updated Evidence on Birthing Positions Find the updated Signature Article on the Evidence on Eating and Drinking in Labor here Listen to the associated Podcast episodes on Eating and Drinking: 198 & 233 – Updates on Eating During Labor   Fina the updated Signature Article on the Evidence on IV fluids here Listen to the associated Podcast episodes on IV fluids: 235 – Evidence on IV Fluids with Dr. Rebecca Dekker 208 – Advocating for Your Rights in Birth with EBB Childbirth Class Graduation Cheyanne Saenz 104 – The Evidence on Saline Locks Find the updated Signature Article on the Evidence on Freidman's Curve and Failure to Progress here Listen to the associated Podcast episodes on Failure to Progress: 224 – Failure to Progress or Failure to Wait with Ihotu Ali, Erin Wilson, and Rebecca Dekker 196 – Pelvic Biomechanics and Movement in Labor with Brittany Sharpe McCollum 75 – Birth in Twilight Sleep – the Experiences of Rebecca's Mom   Debunking Pelvic Shapes Handout and the Abortion Research guide can be found here. Free Public Webinars: Spring Webinar: Failure to Wait Fall Webinar: Evidence on Pitocin Rebecca's Favorite Projects: Protecting the Perineum Series 221 – Evidence on Birthing Positions and Tried-and-True Midwifery Practice for Protecting the Perineum 218 – The Evidence on Perineal Massage During Labor with Dr. Rebecca Dekker 216 – The Evidence on Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker 206 – Evidence on Perineal Tears and the Importance of Avoiding Episiotomy with EBB Founder, Dr. Rebecca Dekker   Abortion Research Guide 240: Top Five Most Surprising Findings from the EBB Abortion Research Guide with Dr. Dekker & Doctoral Candidate Tyler Jean Dukes   Reproductive Justice 217 – Disability Justice in Birth and Parenting with Stefanie Lyn Kaufman-Mthimkhulu 234 – Tackling Fatphobia in Lactation with Kristin Cavuto 243 – Importance of Kick Counting for Preventing Stillbirth with Stephaney Moody, Health Equity Ambassador of Count the Kicks 227 – Amplifying the Need for Intersectional Birth Support for QTBIPOC Birthing People with Xian Brooks of the Dandy Doula 238 – Black Fatherhood and Fighting Anti-Black Racism with Brandon Diggs Williams, Licensed Clinical Social Worker 228 – Uplifting Radicalized Birth Work with Anna, The Pocket Doula 229 – Evidence on Doulas: Community-Based Models, the Pandemic and Reimbursement with the Research Team Most downloaded Episodes in 2022 #5 - 235 – Evidence on IV Fluids with Dr. Rebecca Dekker #4 – 222 – Navigating Induction and Pregnancy at 35+ with EBB Instrutor and Birth Fusion Founder, Jennifer Anderson #3 - 224 – Failure to Progress or Failure to Wait with Ihotu Ali, Erin Wilson, and Rebecca Dekker #2 - 221 – Evidence on Birthing Positions and Tried-and-True Midwifery Practice for Protecting the Perineum #1 – 241 – The Updated Evidence on Birthing Positions Watch Bringin' in Da Spirit Trailer here Listen to Team EBB's 2022 Spotify Playlist here        

Theme: Critical Care.Participants: Dr Alex Yartsev (intensivist at Westmead Hospital), Dr Mark Salter (emergency physician at Westmead Hospital), Maddy Jegatheeswaran (intensive care Fellow at Westmead Hospital), Gladis Kabil (registered nurse at Westmead Hospital), Kristian Adams, Pramod Chandru, Caroline Tyers, Amanda De Silva, Shreyas Iyer, and Samoda Wilegoda. Discussion:Kabil, G., Liang, S., Delaney, A., Macdonald, S., Thompson, K., Saavedra, A., Suster, C., Moscova, M., McNally, S., Frost, S., Hatcher, D., & Shetty, A. (2021). Association between intravenous fluid resuscitation and outcome among patients with suspected infection and sepsis: A retrospective cohort study. Emergency Medicine Australasia, 34(3), 361–369. https://doi.org/10.1111/1742-6723.13893. Presenter: Gladis Kabil - registered nurse at Westmead Hospital and PhD candidate. Music/Sound Effects: Lagoon by LiQWYD & Luke Bergs | https://www.liqwydmusic.com, https://soundcloud.com/bergscloud, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. My Old East Coast by Vendredi feat. Melanie | https://soundcloud.com/vendrediduo, Music promoted by https://www.free-stock-music.com, Creative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. Slipz (audio logo) by tubebackr | https://soundcloud.com/tubebackr, Music promoted by https://www.free-stock-music.com. Trick Or Treat by LiQWYD | https://www.liqwydmusic.com, Music promoted by https://www.free-stock-music.comCreative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. When The Lights Go On by Vlad Gluschenko | https://soundcloud.com/vgl9, Music promoted by https://www.free-stock-music.comCreative Commons Attribution 3.0 Unported License, https://creativecommons.org/licenses/by/3.0/deed.en_US. Disclaimer:Please be advised that the individual views and opinions expressed in this recording strive to improve clinical practice, are our own, and do not represent the views of any organization or affiliated body. Therapies discussed are general and should not be a substitute for an individualized assessment from a medical professional.Thank you for listening!Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.You can also follow us on Facebook, Instagram, and Twitter!See you next time!~

  In today's episode, hosted by Evidence Based Birth® founder, Dr. Rebecca Dekker, we talk about four major topics related to updated research evidence on IV Fluids: 1) research on how IV Fluids can affect the length of labor, 2) research on how IV Fluids can impact breast/chest/body feeding, 3) the relationship between fluids, newborn weight, and blood sugar levels, and 4) finally, review the current recommendations surrounding IV use in labor. This podcast is also posted on our YouTube channel in case you want to access the video  As a content note, this episode includes a discussion of newborn weight drop, newborn feeding struggles, and Cesareans.  The current episode is taught by Rebecca Dekker, PhD, RN (she/her). Dr. Dekker is a nurse with her PhD, who is the founder and CEO of EBB.   Content warning: Cesarean, breastfeeding/chestfeeding struggles, infant weight drop   Resources: For a full list of scientific references, see the blog post that goes along with this episode Check out our Signature Article blog post and download our 1-page handout on: Evidence on: Eating and Drinking During Labor Evidence on: IV Fluids During Labor Evidence on: Failure to Progress  Additional podcasts to listen to include: EBB 12 - Epidurals & Breastfeeding EBB 104 – The Evidence on Saline Locks Go to our YouTube channel to see video versions of the YouTube episodes you listed above!!   For more information and news about Evidence Based Birth®, visit www.ebbirth.com.  Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/ ), Pinterest (https://www.pinterest.com/ebbirth/ ). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Become an EBB Instructor with Applications opening April 24th! https://www.evidencebasedbirth.com/instructor  Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ), and click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth® Childbirth Class.

I don't want you surprised by what you're going to see in labor and delivery -- so, today we're chatting about what to expect to see with one of my favorite labor nurses on the inter-webs. Today's guest is Jen Hamilton. She found accidental social media fame from sharing the hilarious, vulnerable, and real parts of being a mom, being a wife, and being a nurse. Since joining tiktok at the beginning of the pandemic, she has now accumulated almost 2 million followers ok Tiktok. She is a labor and delivery nurse in North Carolina and is married to her OR nurse husband, Brian. They have 2 boys who are 9 and 5 who provide her with plenty of funny stories to share. Follow her on Tiktok: https://www.tiktok.com/@jen_hamilton This episode was inspired by chapter 5 of The Online Prenatal class for Couples. This is just an appetizer for what you can learn about labor and delivery! Big thanks to our sponsor The Online Prenatal Class for Couples. If you're looking to learn more about your birth, it is the class for you! In this episode IV's, Chux, catheters, pumps, what you can and can't touch in labor and delivery. Other things that might interest you IV Fluids in Labor: https://pregnurse.com/iv-fluids-labor/ Producer: Drew Erickson

Access to video version of lecture & supplemental materials at: https://www.icuedu.org/acidbasecasedka

Today, we are going to explore brand new updates to the Evidence Based Birth® Signature Article, Evidence on: Eating during Labor!We talk about four major topics:  Nutritional needs during labor New info on gestational or pre-gestational diabetes and eating during labor New research on anesthesiology and its relationship to eating and drinking during labor, and Finally, how body mass index and fatphobia relate to anesthesia concerns, and what that has to do with eating during labor.   In this exciting podcast episode, hosted by EBB founder Rebecca Dekker, PhD, RN (she/her). Dr. Dekker is a nurse with her PhD.   Content Warning: pregnancy related death, anesthesia related death, fatphobia and anesthesia, microaggressions related to health care workers reaction to ethnic foods   Resources: Refer to previous podcast episode: EBB 198 - Evidence on Eating & Drinking (linked on blog post below) Check out our Signature Article… Evidence on: Eating and Drinking during Labor at Check out our Signature Article... Evidence on: IV Fluids on Labor Check out our Signature Article... Evidence on: Diagnosing Gestational Diabetes Fat Phobia and It's Racist Past and Present: https://www.npr.org/transcripts/893006538 For a full list of scientific references, see the blog post that goes along with this episode

Link to Etsy shop: https://linktr.ee/Nursedose It is all about IV fluids in this episode. We go over everything IV fluids including osmosis, osmolarity, tonicity, and types. We talk about the indications for certain fluids and the differences between them. After listening to this episode you should have a firm understanding of the what, why, and how of IV fluids! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

This episode covers intravenous fluids.Written notes can be found at https://zerotofinals.com/surgery/general/ivfluids/ or in the general surgery section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.

Show Notes: https://eddyjoemd.com/fluid-resuscitation Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way.

Pediatric intensivist Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients. What do you need to know from the 2018 AAP maintenance IV fluid guideline?  How common is hyponatremia in hospitalized patients and why does it matter to your practice?  What is SIADH and how does it contribute to hyponatremia in acutely ill children?  How can we prevent hyponatremia in our hospitalized patients?  What are the differences between hypotonic and isotonic fluids?  What are balanced solutions and why might they be preferred as compared to saline in some clinical settings?  All of this and more from the Department of Pediatrics and the Medical College of Georgia.  Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Asif Mansuri and Dr. Gene Fisher for providing peer review for this episode. Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu  Want Further Reading? Check out the clinical practice guideline from the AAP and our other references below. Feld LG,Neuspiel DR, Foster BA, et al. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics. 2018;142(6):e20183083. doi:10.1542/peds.2018-3083  Semler MW, Self WH, Wanderer JP, et al. Balanced Crystalloids versus Saline in CriticallyIll Adults. N Engl J Med. 2018;378(9):829-839. doi:10.1056/NEJMoa1711584  CuzzoB, Padala SA, Lappin SL. Vasopressin (Antidiuretic Hormone, ADH) [Updated 2020 Apr 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526069/  Chowdhury, Abeed H. BSc, MRCS*; Cox, Eleanor F. PhD†; Francis, Susan T. PhD†; Lobo, Dileep N. DM, FRCS, FACS*A Randomized, Controlled, Double-Blind Crossover Study on the Effects of 2-L Infusions of 0.9% Saline and Plasma-Lyte® 148 on Renal Blood Flow Velocity and Renal Cortical Tissue Perfusion in Healthy Volunteers, Annals of Surgery: July 2012 - Volume 256 - Issue 1 - p 18-24 doi: 10.1097/SLA.0b013e318256be72  Peti-Peterdi J, Harris RC. Maculadensa sensing and signaling mechanisms of renin release. J Am Soc Nephrol. 2010;21(7):1093-1096. doi:10.1681/ASN.2009070759  Wilcox CS. Regulation of renal blood flow by plasma chloride.J Clin Invest. 1983;71(3):726-735. doi:10.1172/jci110820 

Using leftover IV fluids to clean the surgical incision site after closure by AORNJournal

Looking into which fluids we should use to resuscitate our patients who are in Diabetic Ketoacidosis based on the findings of the SALT-ED and SMART trials. Show Notes: www.eddyjoemd.com/ivf-guide Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way.

Intravenous fluids can be daunting, and for good reason - more adverse events are reported from IV fluids than any other drug. Today we give you an overview of "how much", "how fast" and "what kind" of fluid to give in a variety of circumstances: Resuscitation Maintenance Replacement Rehydration Links and resources: Follow us on Instagram: https://www.instagram.com/yourekiddingright.pod/ and  Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don’t miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn’t individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

The post QOD 081: Adult iv fluids (Pharmacological and Parenteral therapies) appeared first on NURSING.com.

The post QOD 081: Adult iv fluids (Pharmacological and Parenteral therapies) appeared first on NURSING.com.

Lecture 1 on my IV Fluid Series. In this podcast, I discuss how much fluid we keep intravascularly after resuscitation, as well as the history behind the creation of Normal Saline, Ringer's lactate/lactated ringers, Plasma-lyte and Normosol. Show Notes: https://eddyjoemd.com/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way.

In this short and sweet episode, we tackle the different types of IV fluids, what they are, their composition and when you should administer them. LINKS! Youtube video: https://youtu.be/OWMJ_gjnCAk and lecture notes found at: https://bit.ly/utdnotesIVFluids

Prescribing intravenous fluids may seem trivial, however there is a great deal to think about before doing so. In this episode, Dr Alex Light shares some wisdom about the important points to consider when prescribing fluids for patients.

A critical care crash course with Mizuho Morrison and Scott Weingart. We discuss: Big picture and escalation of care Step by step approach to respiratory support for the 'happy hypoxemic' COVID intubation Ventilator settings and troubleshooting Society of Critical Care guidelines IV Fluids, vasopressors, steroids, anticoagulation Complete show notes: Click Here Complete show notes PDF: Click Here Hippo Education COVID resource site: https://covid.hippoed.com Learn more about ERcast: https://www.hippoed.com/em/ercast/

Intravenous fluid therapy is one of the most common interventions in acutely ill patients. Each day, over 20% of patients in intensive care units (ICUs) receive intravenous fluid resuscitation and more than 30% receive fluid resuscitation during their first day in the ICU. Virtually all hospitalized patients receive intravenous fluid to maintain hydration and as diluents for drug administration. Until recently, the amount and type of fluids administered was based on a theory described over 100 years ago, much of which is inconsistent with current physiological data and emerging knowledge. Despite their widespread use, various fluids for intravenous administration entered clinical practice without a robust evaluation of their safety and efficacy. High-quality, investigator-initiated studies have revealed that some of these fluids, notably hydroxyethyl starch and other synthetic colloids, have unacceptable toxicity; as a result, several have been withdrawn from the market whereas others, controversially, are still in use. The belief that dehydration and hypovolaemia can cause or worsen kidney and other vital organ injury has resulted in liberal approaches to fluid therapy and the view that fluid overload and tissue oedema are ‘normal’ during critical illness; this is quite possibly harming patients. Increasing evidence indicates that restrictive fluid strategies might improve outcomes. For generic use, a buffered salt solution such as Plasmalyte or Hartmanns (Lactated Ringers) is a safe first choice. In patients with septic shock not responding to crystalloid resuscitation, albumin is a rationale second choice. Although the evidence is less clear, normal saline should be the first choice for a patient with acute brain injuries; albumin in a hypotonic carrier fluid is contra-indicated for such patients. There is no role for hydroxyethyl starch solutions is acutely or critically ill patients and their continued use harms patients.

Intravenous fluid therapy is one of the most common interventions in acutely ill patients. Each day, over 20% of patients in intensive care units (ICUs) receive intravenous fluid resuscitation and more than 30% receive fluid resuscitation during their first day in the ICU. Virtually all hospitalized patients receive intravenous fluid to maintain hydration and as diluents for drug administration. Until recently, the amount and type of fluids administered was based on a theory described over 100 years ago, much of which is inconsistent with current physiological data and emerging knowledge. Despite their widespread use, various fluids for intravenous administration entered clinical practice without a robust evaluation of their safety and efficacy. High-quality, investigator-initiated studies have revealed that some of these fluids, notably hydroxyethyl starch and other synthetic colloids, have unacceptable toxicity; as a result, several have been withdrawn from the market whereas others, controversially, are still in use. The belief that dehydration and hypovolaemia can cause or worsen kidney and other vital organ injury has resulted in liberal approaches to fluid therapy and the view that fluid overload and tissue oedema are ‘normal’ during critical illness; this is quite possibly harming patients. Increasing evidence indicates that restrictive fluid strategies might improve outcomes. For generic use, a buffered salt solution such as Plasmalyte or Hartmanns (Lactated Ringers) is a safe first choice. In patients with septic shock not responding to crystalloid resuscitation, albumin is a rationale second choice. Although the evidence is less clear, normal saline should be the first choice for a patient with acute brain injuries; albumin in a hypotonic carrier fluid is contra-indicated for such patients. There is no role for hydroxyethyl starch solutions is acutely or critically ill patients and their continued use harms patients.  

Jason M. Jennings, MD and Douglas A. Dennis, MD started to look closer at the amount of IV fluids administered to patients in the perioperative period around total knee arthroplasty. They decided to do a study on patient hydration to see if having patients drink more water instead might reduce some of the side effects […]

Jason M. Jennings, MD and Douglas A. Dennis, MD started to look closer at the amount of IV fluids administered to patients in the perioperative period around total knee arthroplasty. They decided to do a study on patient hydration to see if having patients drink more water instead might reduce some of the side effects […] The post Drinking Water Provides Better Hydration Than IV Fluids first appeared on AAHKS.

George Wrighster and Ralph Amsden break down and dissect all the games from Week 3 of the Pac-12 football season. All twelve Pac-12 teams are in action this weekend. The Apostles believe this could be the most important weekend of the Pac-12 season because all the games are non-conference matchups. The results of these games against Michigan State, Houston, Texas Tech, BYU, and Oklahoma will ultimately be used to judge the strength of the Pac-12 come bowl time. Player hydration has been a major topic this season. Coaches are talking about giving their players IV fluids before the games. Ralph has concerns about it but George sheds some light on how common they really are. UCLA has a significant attendance problem. Only about 35,000 people showed up to the 100,00+ seat Rose Bowl to see the Bruins play San Diego State. They have even resorted to giving away 4 tickets to this week's game against #5 Oklahoma. This is similar to a couple of seasons ago when Michigan gave away free tickets to fans who brought a Coke can. Visit Unafraid Show to read unapologetic articles about the conference and the teams you love. The Pac-12 Apostles is a podcast for fans who love the Pac-12 conference. George Wrighster and Ralph Amsden are committed to the honest and fair conversation about the Pac-12 conference. They talk about the good, bad, and the ugly about the Pac-12. Join them in becoming a Pac-12 Apostle by subscribing and sharing the podcast. Send your thoughts, comments, and :30 ranks to immad@unafraidshow.com. The best comments and rants will be included in the show.

In this episode, we discuss IV fluids for hospitalized patients, including normal saline (0.9% NaCl) and lactated ringer’s. In addition, we review the newest literature supporting the use of balanced crystalloids over normal saline from the SMART and SALT-ED trials.

In this podcast, Maddi & I discuss the pharmacology of Intravenous fluids used in intensive care. IV fluids are an integral part of ICU patient management, and in-depth knowledge of these agents is essential.

Rounding out the trifecta of wonderful nurse guests this month on Maybe Medical is Flight Nurse Colleen R.! We covered how she feels you need to be able to fly by the seat of your pants to perform in her role, as well as have an emergency and critical care background. We talked about work and home partnerships and how to balance it all while supporting each other. She was extremely inspirational and I can not express my gratitude enough for her taking the time to sit down with us. Thank you Colleen!   Registered Nurses* Registered nurses (RNs) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members.   2017 Median Pay: $70,000 per year ($33/hour)   Educational Degree: Initially Associate's Degree or Bachelor's Degree   Number of US jobs in 2016: 2,955,200   10 Year Job Outlook: 15% growth, much faster then avg.   *Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Registered Nurses, on the Internet at https://www.bls.gov/ooh/healthcare/registered-nurses.htm (visited November 16, 2018).       Terms Covered in Episode American Nurses Association Trauma Surgery - Surgical field dealing with acute traumatic injuries such as falls, motor vehicle crashes, gunshots, blunt and penetrating injuries, etc. Pulmonology - A medical specialty that deals with diseases involving the respiratory tract. Consult - When asked to weigh in officially with your medical opinion from your specialty on a patient managed by another team. Perforated Bowel - Opening in the intestines due to trauma (knife, bullet, etc) or disease (infection, cancer, etc).  Is a surgical emergency.  Yuck. Sepsis - A potentially life-threatening condition caused by the body's response to an infection. Ventilator - To move breathable air into and out of the lungs, to provide breathing for a patient who is physically unable to breathe, or breathing insufficiently. "Coding" - What we casually use to describe a cardiopulmonary arrest in which there is a sudden loss of function of the heart or loss of respiratory function that requires immediate intervention in a life or death situation. IR (Interventional Radiology) -  A subspecialty of radiology that uses minimally invasive, image-guided procedures to diagnose and treat diseases in nearly every system or organ of the body. CVA (Cerebral Vascular Assault, Stroke) – Possible permanent damage to the brain from a loss of blood flow from either rupture of a blood vessel or obstruction from a tumor, clot, plaque, etc. MI (Miocardial Infarction) - "Heart Attack" refers to a blocked coronary artery that has caused, or is moments away from causing, irreversible cardiac (heart) tissue damage. ET (Endotracheal) Tube - A tube of varied sizes that is inserted into the trachea for establishing and maintaining a patient's airway. Choose Your Own Adventure Books ER (Emergency Room, Emergency Department, Emergency Ward, Accident & Emergency Dept) - Department that must provide initial treatment for a broad spectrum of illnesses and injuries, some of which may be life-threatening and require immediate attention that arrive unplanned by walk-in, private vehicle, or ambulance. ICU (Intensive Care Unit, Critical Care Unit, or Intensive Therapy/Treatment Unit) - Part of the hospital with the sickest patients requiring the most intervention from both staff and equipment.  May consist of intubated, sedated, and ventilated patients. Bachelor's Degree - On average four to five year University Program to pursue a degree in a specific field. Sacred Heart University College of Nursing Bridge Program - A postgraduate program that is usually shorter then traditional programs that take into account previous experience. Physical Therapist - An important medical provider and part of the rehabilitation team to help assist with treatment, recovery, and overall well being of patients with chronic conditions, illnesses, or injuries. Prerequisites - Classes you may need to take before further applying to a program.  Usually a focus on science/math for the medical field. PA (Physician Assistant) - Providers who practice medicine on teams with physicians and other healthcare workers. They examine, diagnose, and treat patients autonomously and as part of a team in all various specialties of medicine. On average a Master's level degree of education. NP (Nurse Practitioner) - A nurse practitioner is trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and formulate treatment plans.  They may work in a solo practice independently or they may work within part of a hospital system.  They graduate from a Master's or Doctorate level medical program. ASN/ADN - Associate’s Degree in Nursing.  Usually around two years. EMT/Paramedic - Emergency medical technicians and paramedics care for the sick or injured in emergency medical settings by responding to emergency calls, performing medical services and transporting patients to medical facilities as needed. ER Techs - Staff who in all aspects of patient care under the supervision of the Practitioners and Nursing staff.  Many have a paramedic/firefighting background. Travel RN - Nurse who travels for limited contracts working in all variety of places and roles.  On average 8 to 13 week contracts. Smart Pumps Compact Nursing States NCLEX (National Council Licensure Examination) - A standardized exam that each state board of nursing uses to determine whether or not a candidate is prepared for practice. Wake Forest School of Medicine PA Program Harborview Medical Center King County Medic One "Board & Collared" - Refers to the practice of placing a patient on scene on a very hard and rigid backboard to immobilize them and place a neck collar on them to prevent any head movement in the event of a spine injury while they are transported to the hospital.  They are incredibly uncomfortable. Intubated - When an ET Tube, or similar artificial airway, is placed, either in an emergency, where there is loss of respiratory function or planned such as in surgeries. First Responder - Generally refers to the first on scene in an event.  May be police officers, firefighters, or paramedics for example. "Packaged" - Patient is ready to be transported.  IVs are in, airway is secure if one is present, patient is strapped in, paperwork is read.  Let's roll!   EZ-IO - Used to gain access for medications or fluids when unable to get a line in a blood vessel.  Using a drill a hollow bore is inserted into the broad side of a bone.  Yeah, you drill into bone. "Push Line" - An IV that gives you access for medications that need to be administered over a short amount of time.  Pain meds, sedatives, cardiac meds, etc.   Vasopressors - Class of Antihypotensive medications that are used to raise blood pressure by contracting blood vessels.   EJ - An IV placed into the external jugular of the neck.   Central Line - Larger then an traditional IV placed into veins in the neck, chest, groin, or through veins in the arms.   EMS (Emergency Medical Services) - Services that treat illnesses and injuries that requiring an urgent medical response, providing out-of-hospital treatment and transport to definitive care.  Paramedics, Police, Firefighters, etc.   Level One Trauma Center - A Level I Trauma Center is capable of providing total care for every aspect of injury – from prevention through rehabilitation and includes teaching residents and medical students in all fields.   Med/Surg/Floor Nursing - Refers to what you would think of "general hospital patients." Those with pneumonia, new cardiac issues, skin infections, etc that do not require focal subspecialty involvement (cardiac, neuro, ortho, etc) or critical care support.   Nocturnist - Hospital-based practitioner who only works overnight.   Admit - To be brought in to the hospital for specific medical care.  Entails obtaining a medical history, making a medical diagnosis, writing orders for treatment and other diagnostic procedures, diet, activity, etc.   Post-Op/Recovery Room - The period right after surgery.   GI (Gastroenterology) - The branch of medicine focused on the digestive system.   Orthopedics - Branch of surgery concerned with conditions involving the musculoskeletal system.   Neurology - The area of medicine focused on the nervous system.  This includes the nerves, brain, and spine.   Potassium - A naturally occurring mineral and electrolyte consumed in our diet.  Involved in metabolism, hormone secretion, blood pressure control, fluid and electrolyte balance, and more.  Normal standard range is around 3.5-5mEq/L. Critical Values - Any values considered to be too high or low and requires immediate medical attention to prevent further issues. "Bagging" - The act of using a manual balloon like bag that is squeezed for each breath to a patient. "Titrate a Drip" - To adjust the flow rate or dose delivered of medication in a IV or central line. Peggy Sue - Badass Patient Advocate "Shake and Bake" - Hyperthermic Intraperitoneal Chemotherapy is a highly concentrated, heated chemotherapy treatment that is delivered directly to the abdomen during surgery. Patient Advocacy - Doing what is best for the patient in all facets of care provided. Listening to and understanding their needs. Multi System Organ Failure - A cascading domino like effect where multiple organ systems start to shut down due to injury/illness. Krista Haugen and Survivors’s Network Post Resuscitation - The fragile period after performing CPR or similar resuscitation of a patient. M&M (Morbidity and Mortality Meeting) - Where we dissect individual challenging cases to identify what other choices could have been made for possible alternate outcomes. Off-Label - Using a medication that may not necessarily be the indication that it was originally intended for.  For example Demerol that is a pain medication is excellent for post-operative rigors (shakes).  A small dose works like magic...fun! IV Fluids - Intravenous fluids are given through an IV, central line, or IO and usually consist of normal saline or lactated ringer's solution. Levophed (norepinephrine bitartrate) - Medications used to raise blood pressure in critical patients. Used to be referred to as "Leave 'em dead" as any patient sick enough to require norepinephrine to manage their shock, then they were most likely going to die.  Very commonly used nowadays. Epinephrine - Endogenous hormone that is given to patient's to treat a number of conditions including anaphylaxis, cardiac resuscitation, and bleeding.  Inhaled epinephrine is used to help treat symptoms of croup.  Is used in the ICU and cardiac unit to help maintain a high enough blood pressure.   PRBC (Packed Red Blood Cells) – Blood that is transfused after finding the right compatible blood type for the patient.   Plasma – Fluid in blood that is responsible for carrying red blood cells, white blood cells, platelets, etc. Is often used during blood transfusion to help stop the active bleeding by adding pro-clotting factors.   Credo Cube   Transfusion Guidelines Airlift NorthWest   MONA - Morphine, Oxygen, Nitroglycerin, and Aspirin are all meds that should be administered to a patient experiencing chest pain.   Emergency Nurse Association   Balloon Pumps - Intra-Aortic Balloon Pumps use a thin flexible tube that is inserted into the aorta of the heart to pump blood artificially in a heart-like fashion.   ECMO (Extra Corporeal Membrane Oxygenation) - Treatment that uses a pump to circulate blood through an artificial lung back into the bloodstream of a very ill patient.  Provides heart-lung bypass support outside of the body.  You are damn near dead at this point   Skills Lab/”Sims” - Focused area to learn new medical techniques or further practice known skills.   Society of Critical Care Medicine PFCCS - Pediatric Fundamental Critical Care Support ACLS - Advanced Life Support PALS - Pediatric Advanced Life Support Certification NRP - Neonatal Resuscitation Program ATLS - Advanced Trauma Life Support Certification   CCRN - Critical Care Registered Nurse CEN - Board Certification of Emergency Nurses Each and every episode of Maybe Medical is for educational purposes only, not to be taken as medical advice.  The opinions of those involved are of their own and not representative of their employer.  

Steve Playfor is an paediatric intensive care consultant at the Royal Manchester Children's Hospital here in the 'real' Virchester. He is an expert in the management of fluid balance in children and has been instrumental in many of the changes to our attitudes, beliefs and practice around IV fluid management. In this episode Simon and Steve discuss the somewhat crazy story of IV fluid management in kids, the pseudo-science, the custom and practice and finally the potential future of IV management. I can guarantee that you will learn something here folks. vb S

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.

In this VETgirl online veterinary continuing education podcast, we interview Dr. Julien Guillaumin, DACVECC, DECVECC, on his recent study entitled "Influence of hang time and location on bacterial contamination of intravenous bags in a veterinary emergency and critical care setting." We all hang bags of fluids around the veterinary clinic and ER/ICU so we can use it as a flush or to dilute drugs. However, should we be doing this? In this study, the authors wanted to evaluate the risk and rate of bacterial contamination of fluid and ports in intravenous bags. Overall, the authors looked at 90 bags of LRS, punctured them daily 3X/day for 10 days. They found bacterial growth in 31.1% of the 198 injection ports overall, and 6.7% of the fluid bags hung in ER were contaminated by Day 7. Listen to find out just how long you should be hanging that bag of fluids, and why hanging it near the veterinary sink isn't ideal!

In this VETgirl online veterinary continuing education podcast, we interview Dr. Julien Guillaumin, DACVECC, DECVECC, on his recent study entitled "Influence of hang time and location on bacterial contamination of intravenous bags in a veterinary emergency and critical care setting." We all hang bags of fluids around the veterinary clinic and ER/ICU so we can use it as a flush or to dilute drugs. However, should we be doing this? In this study, the authors wanted to evaluate the risk and rate of bacterial contamination of fluid and ports in intravenous bags. Overall, the authors looked at 90 bags of LRS, punctured them daily 3X/day for 10 days. They found bacterial growth in 31.1% of the 198 injection ports overall, and 6.7% of the fluid bags hung in ER were contaminated by Day 7. Listen to find out just how long you should be hanging that bag of fluids, and why hanging it near the veterinary sink isn't ideal!

In this interview, Dr. Kathryn Hibbert reviews the biology underlying the effects of various fluids on the body and how sepsis disrupts the body’s natural response to corticosteroids. We also discuss the major points from these four new papers in the March 1, 2018 issue of NEJM and prior literature to get you up to speed on the evidence behind practice.

Adrianne and Andrew are talking tattoos, marijuana, IV fluid shortages and body waxing in the first episode of 2018! Season 2 is guaranteed to be interesting and hilarious as MRC digs deeper into the minds of nurses. Join your favorite long-winded nurses for more stories, anecdotes and food for thought.medroomchronicles.comLISTEN:Spreaker: http://bit.ly/MRCSPREiTunes: https://bit.ly/MRCITUNGoogle Play Music: http://bit.ly/MRCGOOGStitcher: http://bit.ly/MRCSTITIHeartRadio: http://bit.ly/MRCIHEARTSOCIAL MEDIAFacebook: http://bit.ly/MRCFACEIG: http://bit.ly/MRCINSTTumblr: http://bit.ly/MRCTUMBTwitter: http://bit.ly/MRCTWIT

Intravenous or IV fluids are a ubiquitous treatment in medicine, and one of the most cost-effective treatments that we have, costing less than a cup of coffee in the developing world. But it wasn’t always this way. In this episode, called Salt Water, we go back to the second great cholera epidemic, where a young doctor developed IV fluids to help fight this mysterious disease, only to see his invention abandoned for over half a century. We also have a new #AdamAnswers about bloodletting. So join us for another rollicking adventure of Bedside Rounds, a tiny podcast about fascinating stories in clinical medicine!   Sources:   Foex B. How the cholera epidemic of 1831 resulted in a newtechnique for fluid resuscitation. Emerg Med J 2003;20:316–318. Gill G. William O’Shaughnessy and the forgotten cure for cholerain the 1832 British epidemic. Letter from Lord Cavendish: Online at: http://mssweb.nottingham.ac.uk/elearning/view-text.asp?resource=HealthHousing&ref=pwh287&theme=3&view=text&page=1 O'Shaughnessy, W.B. (1838–40). "Case of Tetanus, Cured by a Preparation of Hemp (the Cannabis indica.)". Transactions of the Medical and Physical Society of Bengal. 8: 462–469. Chan C, et al. Historical Epidemiology of the Second Cholera Pandemic: Relevance to Present Day Disease Dynamics. PLOS One: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0072498 BB4: Diary of an Epidemic. Online at: http://www.bbc.co.uk/radio4/history/longview/longview_20030415.shtml Kresta R. The Origin of IV Fluids. Discover Magazine. Online at: http://blogs.discovermagazine.com/bodyhorrors/2016/05/31/intravenous-fluids-cholera/#.WX9z4JdtmUl Prasad V and Cifu A, Medical Reversal: Why We Must Raise the Bar Before Adopting New Technologies. Yale J Biol Med. 2011 Dec; 84(4): 471–478.   Further reading: r/AskHistorians thread: https://www.reddit.com/r/AskHistorians/comments/6nzbfz/if_bloodletting_was_rubbish_why_was_it_considered/ Ending Medical Reversal by Cifu and Prasad. On Amazon at: https://www.amazon.com/Ending-Medical-Reversal-Improving-Outcomes/dp/1421417723

It is extremely important to stay hydrated during your labor and birth, and if you are dehydrated it will affect your labor. You can become lethargic and have a lack of energy, and your uterus is going to have a hard time contracting efficiently, which can slow down or stall your labor. There are three ways you can stay hydrated during your labor, by drinking fluids, receiving fluids from an IV, or a combination of the two. IV is short for intravenous, and IV fluids are delivered via a needle directly into a vein. In U.S. hospitals it is common practice to routinely use IV fluids during labor, especially if you receive other interventions like an epidural or Pitocin. The benefit of being given IV fluids is that you stay hydrated during labor. This intervention also comes along with risks that can impact you, your baby, and even breastfeeding. Whether or not you plan to receive IV fluids during your birth, it is still a good idea to drink fluids during your labor. There are some tips and guidelines on what fluids are best to drink during labor and how you can ensure you stay hydrated during your labor. This episode covers the benefits of staying hydrated during your labor, how you can stay hydrated by drinking fluids, and the benefits and risks of IV fluids during labor.   Show notes: http://pregnancypodcast.com/episode92/   Thank you to Aeroflow for sponsoring this episode. Aeroflow is a company that helps you get a breast pump through your health insurance. There can be some hoops to jump through to get a breast pump through your insurance but Aeroflow does all of this for you and makes it so easy. All you need to do is fill out a form that takes just a minute and they will contact your health insurance company and work out all the details, then they will get in touch with you to help you choose the right breast pump. To get started on ordering your pump go to http://pregnancypodcast.com/breastpump/   Thank you to Zahler for their support of this episode. Zahler makes a high quality prenatal vitamin that has the active form of folate, that I refer after all of the research I have read on folic acid, plus it has omega 3s and DHA. This is the prenatal vitamin I take and the one I recommend. Zahler was very generous and gave me a promo code I can share with you so you can save 25% off when you buy a month supply on Amazon. To order them today go to http://amzn.to/2nOuFVB and enter the promo code PREPOD25 when you checkout.

Intravenous Fluid Therapy - an intimidating topic when learning it for the first time, and often underestimated in its significance when prescribing on the wards. This two part episode  will provide medical students and junior doctors with a sound foundation  of knowledge and a systematic approach to fluid therapy. Part 1 will address the basics of fluid physiology. 

Part 2 of a two-part episode on intravenous fluid therapy. Having covered basic physiology we now address a systematic approach to prescribing fluids, what fluids are available and the most important complications to pay attention to. 

In this episode I discuss the use of IV fluids for perioperative use including how to decide when to give fluid, the downsides of over resuscitation, whether to use crystalloid or colloid, and whether to use saline or a balanced salt solution such as LR.   Slides to go along with this episode are here: IV … Continue reading "Episode 15: IV Fluids"

Editor's Audio Summary by Derek C. Angus, MD, MPH, Associate Editor, the Journal of the American Medical Association, for the October 27, 2015 issue

Parameters were measured as soon as the patient was induced, at 30 and 60 minutes afterwards, and overall. What'd this study find? Overall, this study found that those patients that received 20 mL of LRS/kg/hour had the greatest total and perfused density vessel (in those vessels that were > 20 μm in diameter, which are mostly venules and arterioles). So what do we take from it? While our healthy patients undergoing elective procedures are at low-risk for hypoperfusion under general anesthesia as compared to our critically ill patients, keep in mind that fluid losses can occur through blood loss, the respiratory tract, and through the abdominal cavity. When these fluid losses occur in the face of anesthetic drugs, there is the risk of poor perfusion. And you know a criticalist's favorite answer to every veterinary question out there: perfusion and metabolic acidosis, right? “When we monitor a patient's blood pressure or oxygen levels, we're not always able to discern what is happening at the cellular level,” Silverstein said. “Sometimes there are tissues and cells that are getting a surplus of oxygen while other cells or tissues are in need of more, but our measuring the big things, like blood pressure, doesn't tell us that. The only way we figure that out is when the patient develops organ dysfunction or new complications arise following anesthesia.” The American Animal Hospital Association and American Association of Feline Practitioners recommend the use of IV fluids in their guidelines under even routine procedures. While it adds to the cost of surgery (well, barely), it's worth it. Based on this study, it may improve the microcirculation in our anesthetized patients! “The larger vessels are the ones that are constricting and dilating to feed the microcirculation,” Silverstein said. “And it appears that the animals that got the highest rate of fluids in this study - which may not be the optimal rate - are the ones that seemed to have the greatest recruitment of arterioles and venules.” For more information, check out Penn News. References: 1. Silverstein DC, Cozzi EM, Hopkins AS. Microcirculatory effects of intravenous fluid administration in anesthetized dogs undergoing elective ovariohysterectomy. Am J Vet Res 2014;75(9):809-817. 2. Keane PW, Murray PF. Intravenous fluids in minor surgery. Their effect on recovery from anaesthesia. Anaesthesia 1986;41:635-;637. 3. Terry RN, Trudnowski RJ. Intraoperative fluid therapy: relationship to anesthetic and surgical complications. N Y State J Med 1964;64:2646-;2654. 4. Trinooson CD, Gold ME. Impact of goal-direct perioperative fluid management in high-risk surgical procedures: A literature review. AANA Journal 2013;81(5):357-368.

Parameters were measured as soon as the patient was induced, at 30 and 60 minutes afterwards, and overall. What'd this study find? Overall, this study found that those patients that received 20 mL of LRS/kg/hour had the greatest total and perfused density vessel (in those vessels that were > 20 μm in diameter, which are mostly venules and arterioles). So what do we take from it? While our healthy patients undergoing elective procedures are at low-risk for hypoperfusion under general anesthesia as compared to our critically ill patients, keep in mind that fluid losses can occur through blood loss, the respiratory tract, and through the abdominal cavity. When these fluid losses occur in the face of anesthetic drugs, there is the risk of poor perfusion. And you know a criticalist's favorite answer to every veterinary question out there: perfusion and metabolic acidosis, right? “When we monitor a patient's blood pressure or oxygen levels, we're not always able to discern what is happening at the cellular level,” Silverstein said. “Sometimes there are tissues and cells that are getting a surplus of oxygen while other cells or tissues are in need of more, but our measuring the big things, like blood pressure, doesn't tell us that. The only way we figure that out is when the patient develops organ dysfunction or new complications arise following anesthesia.” The American Animal Hospital Association and American Association of Feline Practitioners recommend the use of IV fluids in their guidelines under even routine procedures. While it adds to the cost of surgery (well, barely), it's worth it. Based on this study, it may improve the microcirculation in our anesthetized patients! “The larger vessels are the ones that are constricting and dilating to feed the microcirculation,” Silverstein said. “And it appears that the animals that got the highest rate of fluids in this study - which may not be the optimal rate - are the ones that seemed to have the greatest recruitment of arterioles and venules.” For more information, check out Penn News. References: 1. Silverstein DC, Cozzi EM, Hopkins AS. Microcirculatory effects of intravenous fluid administration in anesthetized dogs undergoing elective ovariohysterectomy. Am J Vet Res 2014;75(9):809-817. 2. Keane PW, Murray PF. Intravenous fluids in minor surgery. Their effect on recovery from anaesthesia. Anaesthesia 1986;41:635-;637. 3. Terry RN, Trudnowski RJ. Intraoperative fluid therapy: relationship to anesthetic and surgical complications. N Y State J Med 1964;64:2646-;2654. 4. Trinooson CD, Gold ME. Impact of goal-direct perioperative fluid management in high-risk surgical procedures: A literature review. AANA Journal 2013;81(5):357-368.

Bottoms up on the last discussion on fluids and a review of a few of the trials that contribute to the current mindset in EBM. Andrew creates his own "Mike Tyson Theory of fluids" and Joe subscribes to Dr Joel Topf's (@kidney_boy) delivery service for home-made NaCl (IVF). Joe goes off the deep end...or rather ...into the deep end with his mind...and mouth wide open.

A quick discussion one the topic of which patient to give which fluid. Review of studies from the 90s to 2014 with demographics including pre/post Operative, Septic patient and even Rattus Rattus. (the sewer kind, not the courtroom kind)

IV Fluids, Lost Mudders and Tornados PLUS 10.6 miles of military style obstacles.  The Gun Runners did it!  Tough Mudder Tennessee 2014 in the books.  The day was brutal but we wouldn’t trade it for anything.  Listen to hear what we learned and what we accomplished. For complete show notes, please visit www.fat2fithq.com/095

IV Fluids, Lost Mudders and Tornados PLUS 10.6 miles of military style obstacles.  The Gun Runners did it!  Tough Mudder Tennessee 2014 in the books.  The day was brutal but we wouldn’t trade it for anything.  Listen to hear what we learned and what we accomplished. For complete show notes, please visit www.fat2fithq.com/095

An introduction to the basic science in fluids used to treat hypovolemia.