Every medical school in the world should close and just have students subscribe to this channel. I am an Australian Emergency Medicine advanced trainee preparing for my Fellowship examinations and I don't know where or what I would be without you!!!
Best video explaining vasopressors ever! I'm an ICU nurse trying to get into CRNA school and this video definitely helps a lot. Thank you for your hard work!
You and your team are literally hands down the best out there. Thank you for all your hard work and for helping us all to become better medical professionals!
I am currently studying for my CCRN test, and this video was very helpful in explaining the mechanism of action for some common medications seen in the test. Thank you and your team for putting this together!
Please continue giving back to the Universe…The Universe will give it back to you. You have helped so many of us. I am getting ready to transition to a critical care and your lecture is valuable to my growth.
I watched all of your videos when I was taking anatomy courses and then tutoring anatomy. Now I watch your videos to help me be a good nurse in the ICU. Thank you
This is so awesome from ninja nerd and Prof Zach , my cardiovascular disease exam is on next Friday and this and atrial fibrillation video just dropped right in time for my further understanding and revision 😄
Incredible video guys! I feel like a lot of learning these things is spaced repetition, contextualisation and seeing the same topic presented in different ways. You do such an fantastic job with these drugs, especially the ones that act on multiple systems. The way you repeat the MOA is seriously great teaching, it makes me understand the principles so that by remembering something like, phenylephrine has strong alpha activity and mild beta activity, you can predict it's effect and side effects. Love it
I really enjoyed this lecture and learned so many things that would have taken me days to grasp from books...your style and presentation are both awesome and concise. Thank you
This video is very very good, I'm new to ICU, can you do a video on the medications use for intubation and why they choose them. Analgesic, paralytic, nerve blocking agents. Thank you
Great one Zach. As for AT-II, I’m with you. As a nurse, it would be very hard for me to advocate for such a drug in any critically ill patient. Especially if they are intubated and/or have any potentially worsening pulmonary pathology. Excess ACE-II can lead to micro and macro vascular endothelial dysfunction. This could potentially worsen any underlying SIRS response, contribute to a pro-coagulopathic state, etc. All of which could contribute to the development of ARDS, DIC, worsening vasoplegia, increased vascular permeability, etc. etc. etc. It just seems like an unnecessary risk to take when we have better options.
I am researching this now and any comments appreciated. I am 59 female and only known problems is my recent bloodwork shows my RBC steadily climbing and now flagged high and my hemotocrit and hemoglobin has been flagged high for 8 years. Dr is wanting me to go for a sleep study next week something about oxygen🤷♀️. Also I have to get a thyroid ultrasound annually , it is enlarged and nodules that needs monitored and I have 2 doctors fighting over whether to take it out •. I prefer to keep my organs and no prescription meds.
My understanding is that MAP of 65 is for when you don’t know your patient’s baseline. If you do know your pop patient’s baseline then the goal should be +\- 20% of baseline. Is that correct?
Methylene Blue fixes many things inside the human body. Are the blood pressure increases caused by taking MB cause for alarm? Cellular respiration is improved with MB, so does one offset the other in terms of oxygen delivery? It would seem that MB would overall be a positive for the patient in most cases.
Hey! Big fan! Really love the videos and how you make absurdly complex subjects so simple and easy to understand. Ive got three questions. #1 I get regularly scolded for saying dopamine is dose dependent. As i understand, internists say that dopamine’s dose dependant title was no longer accurate (according to some recent studies). Again, this probably has low impact on a patient that has already exhausted all other options, but why is this particular drug still named as an option if these potential side effects and overall effectivenes are this extremeis? #2. Based strictly on its mechanism on action and physiological response, should Levosimendan be considered as a possible inotrope? 3. In a cardiogenic shock context (purely from an ischemic etiology) , wouldnt chronotropes and vasopressors induce higher myocardial oxygen consumption leading to a higher degree of tissue damage? Thank you!
I can only answer #3, which is - yes. They are known for being bad if you put them in a peripheral IV. Levophed can cause someone to look like they're going through SJS/TEN if you have to push it through a PIV. It will cause massive sloughing of the skin around the PIV site
not quite what I expected. Of course it’s pharmacology, And for emergent, acute situations, this is what our system of medicine does best. But we’re talking about things like measures to tide person over until a permanent pacemaker can be implanted. Why is there no mention hear things like vitamin K2 implementation? and, of course, maybe that’s just the thing. Maybe this is solely about pharmacology and nothing else. If there’s anything in this world, that seems obvious when it comes to caring for people at this point in life, it makes no sense whatsoever, but there doesn’t seem to be even a mention of the measures that can be implemented into lifestyle to make a big difference. when it comes to pacemakers, I personally know of one patient who while she waited for her call for a pacemaker, she was open to experimenting with vitamin K2, with medical supervision. That was 15 years ago, and she doesn’t have a fib on a regular basis. She may have it happen if something extreme happens, like she misses most of the nights, sleep, and then has something totally freaky happened on the highway. That might happen once or twice a year, and it comes under control very quickly. Certainly these things should be part of the discussion?
I don't understand what stimulates or drives one to put silly ink "art"/ graffiti on a God designed body! It reminds me of walls in the black ghettos, marked up with "cool" crap art!
Every medical school in the world should close and just have students subscribe to this channel. I am an Australian Emergency Medicine advanced trainee preparing for my Fellowship examinations and I don't know where or what I would be without you!!!
Hi, is that a position in medical school?
Best video explaining vasopressors ever! I'm an ICU nurse trying to get into CRNA school and this video definitely helps a lot. Thank you for your hard work!
You and your team are literally hands down the best out there. Thank you for all your hard work and for helping us all to become better medical professionals!
I am currently studying for my CCRN test, and this video was very helpful in explaining the mechanism of action for some common medications seen in the test. Thank you and your team for putting this together!
I'm from Brazil and i just wanna thank you for everything you do for people who whants to learn. Amazing man! Best regards!
So addicted to watching your videos everyday
Wonderful! Can you also pls talk about Impella and intra-aortic balloon pump? Thank you, Professor Zach.
Please continue giving back to the Universe…The Universe will give it back to you. You have helped so many of us. I am getting ready to transition to a critical care and your lecture is valuable to my growth.
love your enthusiasm in teaching, you keep my attention and make me enjoy learning!
agree
I watched all of your videos when I was taking anatomy courses and then tutoring anatomy. Now I watch your videos to help me be a good nurse in the ICU. Thank you
I don't know how to thank you Zach you are so great👏🏻
Finally someone who explains methleyne blue well.
This is so awesome from ninja nerd and Prof Zach , my cardiovascular disease exam is on next Friday and this and atrial fibrillation video just dropped right in time for my further understanding and revision 😄
Good luck on the exam! You got this!
V hardworking team ,,, perfect sketches,, and error free lectures
I love you. i am a pharmacist, the best lecture, ever. thank you
I'm enjoying your presentations. Not a wasted breath.
I am getting the window of Vasopressor significantly from You Doc,
This is Great Video Prof.
Hi from Ghana.
Incredible video guys! I feel like a lot of learning these things is spaced repetition, contextualisation and seeing the same topic presented in different ways. You do such an fantastic job with these drugs, especially the ones that act on multiple systems. The way you repeat the MOA is seriously great teaching, it makes me understand the principles so that by remembering something like, phenylephrine has strong alpha activity and mild beta activity, you can predict it's effect and side effects. Love it
the best professor thank u for saving lives
I really enjoyed this lecture and learned so many things that would have taken me days to grasp from books...your style and presentation are both awesome and concise. Thank you
This video is very very good, I'm new to ICU, can you do a video on the medications use for intubation and why they choose them. Analgesic, paralytic, nerve blocking agents.
Thank you
make more videos please am clinical pharmacy student your lecture is fantastic
This dropped at the perfect time for my med school curriculum😭👏
Yeah, finished the Cardiovascular Pharmacology Playlist, that was interesting, thank you!
Wow! You love teaching and it shows. Ty for this great lecture. Awesome!!
Great one Zach. As for AT-II, I’m with you. As a nurse, it would be very hard for me to advocate for such a drug in any critically ill patient. Especially if they are intubated and/or have any potentially worsening pulmonary pathology. Excess ACE-II can lead to micro and macro vascular endothelial dysfunction. This could potentially worsen any underlying SIRS response, contribute to a pro-coagulopathic state, etc. All of which could contribute to the development of ARDS, DIC, worsening vasoplegia, increased vascular permeability, etc. etc. etc. It just seems like an unnecessary risk to take when we have better options.
Lol and just as I finish typing my comment, you basically point all of that out. 😅
You are agreat Dr.
You are the Best.
Thank you very much
Yes … plz discuss Impella device, screen device , parameter , care of patient , risks and benefits … :)
GREAT LECTURE THANK YOU
you made this topic a piece of cake. thank u
King in medical sciences
Brilliant teaching Sir
This helped me so much! Thankyou
thanks a million and zillions DR. zach you're a blessing :)
thank you master 👍
No doubt a legend u are❤
Simply the best
Can you make a lecture about immunosuppressive drugs, your explanation helps me a lot
the legend ZACH sir
You're awesome!! Can't thank you enough
Excuse me guys , in which order should I study physiology playlists in this wonderful channel ?
Perfect. Thank you very much ❤
Wow beautiful. Thank You.
Thank you for the great video
Well done!
What an awesome lecture!!!!
So knowledgeable 👏👏👏
Need more video in pharmacology 🙏 plz
Excellent!
I am researching this now and any comments appreciated. I am 59 female and only known problems is my recent bloodwork shows my RBC steadily climbing and now flagged high and my hemotocrit and hemoglobin has been flagged high for 8 years. Dr is wanting me to go for a sleep study next week something about oxygen🤷♀️. Also I have to get a thyroid ultrasound annually , it is enlarged and nodules that needs monitored and I have 2 doctors fighting over whether to take it out •. I prefer to keep my organs and no prescription meds.
Amazing. Thank you
thank you for this!
Legendary zach
Wow interesting lectures
Thanks prof God bless you
Im reading that at low doses MB can DECREASE BP in some people. Are we dealing with a biphasic dose curve? Or just individual differences?
Awesome thank you
Great lesson !
the best as always
Thanks!
Please add Heparin's notes and illustration on the website.
Please talk about Ischemic Heart disease
My understanding is that MAP of 65 is for when you don’t know your patient’s baseline. If you do know your pop patient’s baseline then the goal should be +\- 20% of baseline. Is that correct?
@Ninja Nerd
Never used the blue infusion at my institution. Will the methylene blue infusion turn the patient blue after 1-3 days?
Methylene Blue fixes many things inside the human body. Are the blood pressure increases caused by taking MB cause for alarm? Cellular respiration is improved with MB, so does one offset the other in terms of oxygen delivery? It would seem that MB would overall be a positive for the patient in most cases.
@16:46 What do you mean never titrate against BP? Meaning use them as a monotherapy just to combat low BP? Can you please clarify? I am confused. TIA
Hey! Big fan! Really love the videos and how you make absurdly complex subjects so simple and easy to understand.
Ive got three questions.
#1 I get regularly scolded for saying dopamine is dose dependent. As i understand, internists say that dopamine’s dose dependant title was no longer accurate (according to some recent studies). Again, this probably has low impact on a patient that has already exhausted all other options, but why is this particular drug still named as an option if these potential side effects and overall effectivenes are this extremeis?
#2. Based strictly on its mechanism on action and physiological response, should Levosimendan be considered as a possible inotrope?
3. In a cardiogenic shock context (purely from an ischemic etiology) , wouldnt chronotropes and vasopressors induce higher myocardial oxygen consumption leading to a higher degree of tissue damage?
Thank you!
I can only answer #3, which is - yes. They are known for being bad if you put them in a peripheral IV. Levophed can cause someone to look like they're going through SJS/TEN if you have to push it through a PIV. It will cause massive sloughing of the skin around the PIV site
I wish salvia divinorum was studied for heart effects
Man are you a cardiologist ?
If so where ! I will travel the country to be your patient
Let me know please
I’m in Miami
Thank uuuuuuuuuuuuuuuuuuuuuu
great❤
Super
how does vasopressors dilates pulonary arteries??
Please Sir can you make a video on MYOCARDIAL INFARCTION please
not quite what I expected. Of course it’s pharmacology, And for emergent, acute situations, this is what our system of medicine does best. But we’re talking about things like measures to tide person over until a permanent pacemaker can be implanted.
Why is there no mention hear things like vitamin K2 implementation?
and, of course, maybe that’s just the thing. Maybe this is solely about pharmacology and nothing else.
If there’s anything in this world, that seems obvious when it comes to caring for people at this point in life, it makes no sense whatsoever, but there doesn’t seem to be even a mention of the measures that can be implemented into lifestyle to make a big difference.
when it comes to pacemakers, I personally know of one patient who while she waited for her call for a pacemaker, she was open to experimenting with vitamin K2, with medical supervision.
That was 15 years ago, and she doesn’t have a fib on a regular basis. She may have it happen if something extreme happens, like she misses most of the nights, sleep, and then has something totally freaky happened on the highway. That might happen once or twice a year, and it comes under control very quickly.
Certainly these things should be part of the discussion?
I've a doubt regarding methylene blue
40/dead got me. LOLOL
👍👍
I love u
🌹🌹🌹❤️❤️❤️
You lost me at hello. 😅
I don't understand what stimulates or drives one to put silly ink "art"/ graffiti on a God designed body! It reminds me of walls in the black ghettos, marked up with "cool" crap art!
Perfect. Thank you very much ❤