Fundamental electrolytes are going to go to page 79. In your book.

Case 79 in your
book. Okay 70 now okay. electrolytes is learned in fundamental. That is the first
thing you should learn in nursing school. Mommy, there's chairs, somewhere. There's
chairs instead of you guys see there's chairs on this side dishes, right? You don't
have to sit next to each other. And right here. Okay. Okay, so welcome to electron.
Miss Song you're ready for nothing more low potassium. high potassium? No. Right.
So Young, high sodium, low calcium, high house. Any question? Those are all you
need to know, do everybody say deal? Are you gonna read more than that? Now
influence as a lack of electrolytes. Right? Now, let's go to page 17. Now yellow,
blue, purple, blue don't have all over the place. Yellow book purple book, I need
you to get with a pen. And I need you to make a copy of the book. Okay, please,
please, I need you to purchase the whole Promise. Promise goes by is very cheap on
Amazon. All right, so please, please, let's go to page 79. Okay, now before we go
to page 79. Let's go look at Box nine, three, box nine through Everybody with me
right now, on the top you should see cause true. On the bottom, you see signs and
symptoms. And on the green box, you see the value and the food. Right? That's the
way you're going to spend. Right? What costs potassium? No. But the Sonia, what do
they say low potassium, high potassium. Why is this important? Why is all of these
guys electrolyte is important because electrolytes help the bottom. So function
right? Now. Let me explain to you how would I know your potassium is low or high?
Because now, Mr. Potassium, right. Mr. Potassium helps with muscle contractility of
the muscles. We have muscles in my face. We have muscles, right respiratory or
heart We have muscles in our lives. We have muscles right? Now, since potassium
helps with muscles. If your potassium is low or high or low, the patient can have
any question so let's see what will cause someone to have low potassium, something
I taught you yesterday. So let's go see if what I told you yesterday was true.
Great. Ready? What cause potassium to be low diabetics like one lady Seriously,
diarrhea, vomiting, inadequate intake of potassium, excessive gastric suctioning,
which is an energy to write cause your potassium to go low. Excessive fistula
drainage, lack of big move when you do that costs potassium to go low. We make use
of steroids on steroids and with zone, right can affect your potassium. renal
disease. Did I say renal film? No, I said renal disease. Can I ask you a question?
When I'm in renal failure? How do we try to fix that renal failure? dialysis? So
let me tell you what NCLEX a patient is on dialysis which electrolyte is
compromised? Any time you want dialysis your potassium is always high. High renal
disease is low renal failure it is on the store any time you do dialysis, the
doctor order k renal disease is no product syndrome renal disease acute blood that
it's a disease of the renal failure says that kidney is no good kidney no good at
all, but is high renal disease potassium Okay, continuing on gpn Oh, GPA burn gpn
potassium is low uncontrolled diabetes yesterday remember on control diabetes that
means I give you insulin insulin has to check your sugar okay. So, let me actual
question is diabetic patient potassium, potassium. So, diabetic patient your
potassium is is when we get a question okay. So, Simon's symptom of low potassium.
So, potassium is low in the blood, this is what I was seeking power ready, let you
look 30 weakness you agree? shallow respiration, your grief, confusion. You agree?
The grease excellent reflexing you agree now p v wade way where did I teach you
that? So, here's intellects, they give you four EKGs and they say what you say when
potassium is low, the EKG strip looks like this ready? Be ready. chalky you Are you
a new black? Right black T I will give you EKG you can be an EKG so Toppy right
flat This is a normal EKG right? p q r s t this is a normal and he has boxes divide
a p q r s t mean more than a p p is like a Christmas tree. It's supposed to be like
this laptop. Okay, don't worry. I'll give in. No Mondavi. Nice. Any question? So
intellects give you this and they say what do Do a call doctor. Call Dr. b. c give
the Jackson The answer is B EKG quani they give your EKG of low pass and guys
students a Romi Sonia Don't you have to call the doctor it is understand when you
are in the people know you know you gotta call the doctor but they want to know Do
you know how to look? Any question and guys the Sonia Singh intellects anytime you
see called the doctor I want you to go to the choices are what you see is there
anything else as the nurse I can do you can give potassium anytime you see
something in the choices that you can do call the doctor nothing and call the
doctor Don't be a doctor they want to know what you want people know what the
doctor don't get out. Listen anytime out in the choices the patient the patient the
patient Bengals fell off some geeks.com meaning it's under your control but guys if
I could call the doctor give potassium you know the answer is give potassium
because that is something orange can do. Yes okay now for the doctor Let me tell
you what she said the patient was normal eight o'clock and they gave you a nice
respiration at the palace for stuff going down because you go on from that teacher
that that mean depression going bad two words. You okay? You will work you lost
your job so you have money in the bank? You stop working so you had to use the
money now there's no money no more. What are your options? You see is the same
thing, but that is understood. Yes. Some good potassium this order? Yes. But I want
you to snow to audit is good to see that. These are the critical thinking
questions. I'm trying to pull out guys. Oh, Sonia. Yes. You say that? No, shit. No,
no. If they give you an EKG like this, and they actually what is your initial? Why?
Oh, right when you see that. That's something wrong flat t Yeah, I can call the
doctor. But something else I can do because initial is a priority. And I told you
anytime you see initial first best. All of the answers are good. is good. B is
good. C's good D but you're looking for the best. Calling the doctor will Do what
for the patient with? No. Not thing You see, when the patient has this guy's this?
What's priority call to my question to you? What will that do for the patient?
Great now? Nothing. That's how I want you to think. Yesterday in test taking
strategy. We had a question. The patient had emphysema, the family came to see the
patient. The family took the oxygen. And Tim three says, Hi, what is the initial
nursing intervention? Watch? And this one is a pretty one. The choices were this.
Bring it back to two leader. Explain. Explain to the family. Why? And then bring it
back? I'm sure sock. Three. I think it was one tell the family to leave. No, only
the nurse has to Yeah, or one say only the nurse something and the other one is
called supervisor. Something didn't make sense. Keep it the same. Yes. Ah, now I
say bring it back to five. Bring it, bring it back. Whatever brings back bring back
to five liters. Okay, hello. The patient had emphysema. What I noticed the students
didn't know what was in to see my neck scared. Because I had to say I didn't put
COPD. On the scenario. It was emphysema. So you must know that emphysema and
bronchitis. So if I was you, I would change it to COPD. Now low choice, bring it
back to two liter. Explain family and bring it back to two to two liter. Now, let's
take out what's no good. I want you to think what's going to help the patient now.
Let's go. So we said let's take out the ones no good. True. We gonna take do
everybody agree? Yes. Okay. Now, what what was this only one? We will only that's a
hot. Take that. We left with a and b. So now you were nervous. They said which one
is priority? What did miss Sonia tell you about priority? All of them as good but
you look in so now on him collects as COPD? Let's search respiratory. So you're not
a board? You put a term double. Okay, now, COPD, I know the oxygen cannot be more
than later on. Oh, what the family? Ah, okay, so do I. I don't want to be mean to
the family. But I got a look at the patient. So do I explain and then bring it
down? Or do I bring it down? Break it down and then explain later because I need
any questions. Can y'all think like, you promise me now listen. Listen, is this
wrong? It's not wrong. But what's the key? See, you don't you the kids do something
and you Oh, oh. You explain later. Or you explain then. What's the best parenting
explained first and then you tell them you said the reason I spank us because I
want you to know that is not good. Yes, you got it. This is why it's not because
you don't. I like to mess with you guys. But guys, honestly my heart of heart.
Everybody needs something. The problem is you don't keep them critical. Some people
don't understand. We call Okay, now, if your potassium is low, but what numbers do
we have? 3.5 to five. Listen, you don't call the doctor no 5.2 after he calls you
out, because some seasoning on you know good luck guys. 3.0 drop dead emergency. No
only 1.554 right, you call 143 point 422-222-2222 No, you see, so no your labs,
food that have potassium. And let me tell you what, intellects. They do this, which
who has the highest note when we jump? Right. So look, look, watch, watch. Let's
go. Let me show you. Avocado. Banana. cantaloupes carries everything in
alphabetical order. Fish, Muslim, oranges, potatoes, or beans in Real Racing,
spinning strawberries, tomatoes. They don't like that. They say juice. Can tomato
soup. What is they don't give you go memorizing. They give you something watch. You
see the races they drive they drive. This you know God if I tell you
dates, or I give you apricots is not the same as Dr. Boone is still saying. So
make sure you know that and this is strawberry shortcake. You see Strawberry
Shortcake? Okay, banana split. And the reason because my opinions, that's our test.
This is so in clecs is about what true. We learned that now. Yes, that's why
everybody let's go to high potassium. renal failure. I don't have to put renal
failure. I'm going to give you a bu M and preact What is a normal reaction?
Normally? Point 001 so that's a pain if I gave you this how much I did. Once right?
If I gave you this how much I gave me Seoul, Korea and you won't small numbers
anytime you see 123 why medical emergency GP no put so no. I don't have to put rain
down here. I don't have to unplug a lap. Or I'll say the patient is on dialysis is
what the patient having a product syndrome, what is the product See? Get so renal
disease your potassium is renal failure your potassium inside me question so I can
get you anything now intestinal obstruction what disease I taught you and just
obstruction to gi disease i b s Crohn's disease ulcerative colitis, but tax is time
now let me explain to you also like colitis because when we are learning the
disease itself make sure potassium is high, but when you start crapping all over
diarrhea, you see the potassium Okay, continuing cell damage any time you have
cancer and you get chemo your potassium is deficient in one cell damage. Yes. No,
okay explain to me what happens still in this one? If I want to think that way. I
will say no, potassium in diabetic patient is always normal. On is when we give you
your potassium. Okay, okay, metallic acidosis now, you remember we did abgs what
the seas fall under metallic acidosis. Respiratory acidosis starvation, hypoxia is
not metallic acidosis. Anytime we talk about hypoxia, we're talking about
respiratory capacity or is lack of oxygen starvation vomiting diarrhea, anorexia,
malnutrition old students. We got Brian we need to know what follows and won't fall
on the risk of being on incorrect All right. Let's continue excessive intake of
potassium anytime all in our on how long the patient has how long the nurse has
3030 minutes, I might hand you chain minutes. When the blood come from the lab to
nurse. The nurse that 30 minutes to Hey, the blood or the blood start life
livestream Greg apart. If you hate that blog that was sick in there more than 60
minutes, not as our blood is kept in the refrigerator. If you hate this blood, that
is lice, lice. We have some fun, right where this patient can die of heart failure
because of your potassium. So now, the four hours Listen to me. And you can want
the blood you got four for each one. For example, if she had blood before 201 hour
suppose the doctor ordered one unit Each unit of her blood come in 400. So 400 if
he had blood before 201 200 so that may amend his blood in two hours, if she never
has blood. So blood has to be gone within four hours. That's what that means. But
they say how long does the blood has to come from the blood bank? Already? Come on.
Oh, I'm scared. Yes. Number three question. That's the level one. Level One Rn, all
school taught that I kept back would have already learned from the blood bank to
the patient and give kids meaning. Or the blood stock license. Old board locks.
They call it lice. T board. And you can see right guys when you look at the PCs,
PCs, if you hate this blood, oh my god. I can. I can. Heart racing. That is a
medical emergency. That is why you're that patient, a lot of them is on par.
Because you ain't him. We don't want these patients our nurse put the blood all the
time and the patient woman to heart All right. Got it? Yes. Right away know you get
the blood from the blood bank. You come to the floor. Members you run enormous say
me right away right away after you do your check with the nurse. You whatever you
gotta block. One, it could be warming up four onwards. But it means from the time
you took it from the frigerator to the floor. The frigerator is set. certain
temperature is not frozen. It's a certain temperature. Yes. If it's all you go give
it to them back. If what she said if the blood come lumpy, the blood gloppy you
send it back to the blood bank. Yeah, if it come to life, just like a new TPM TPM
is breached. You shake it, it's all white. If you see it, it's still cloudy look
crazy. All right. Okay. Any question may show signs of symptoms high potassium,
muscle weakness, bear species hypotension. Value diarrhea. Here is the EKG of
somebody with high high potassium. Look it's the opposite in low potassium. high
potassium is what so we going to do and this year I didn't put you wave sorry. So
this is low guys. Ready for you. S t tall no worry. I will give you an EKG I do
each EKG sadness cyberstalking nursing intervention a fear nursing nice, you guys
Any question? lesson why you only want to know potassium iron because if you know
Keep it simple, right? Keep it simple. No, because if potassium is high, keep it
simple. And I'll explain to you how salt and potassium works. Right? Because one of
the Okay, any question with potassium? So Rn, is potassium a medical emergency? I
or? Yes, I was gonna ask them if the patient has high potassium and you're about to
give a bag of blood, would you call the doctor to hold it? Okay, first of all
blood. If the patient has high potassium, yes, you will call the doctor to hold it.
But intellects something after that to tell him what to do I will potassium. How
you know the ex is worried because the patient diaries. Okay, so yes. So if
potassium is high, you will give k Absolutely. Now some students say you can give
lasix to be careful. If you have potassium drop, right? That'd be potassium I. And
I give you lasix, right, which I can. The reason that's not a good choice of drug
because the client doesn't fit the punishment at the time is because now I give you
the lasix and I work on your kidney to now, tax solely. When you give it You only
got a focus over potassium. If I give lasix to lower the potassium, it will know
the potassium that we're measuring INR two, because of lasix low potassium,
extremely low potassium, but anytime a patient had potassium from the drug of
choice is yes. They have to be on Yes. When you give me the number again, one zero
doctor issues because 5.0 is one and anytime the patient is a 5.0 The doctor will
not drink some more. Drink Yes. Oh, you said my packets normal. Yeah, sorry. I
didn't get that. I thought I think what she wanted to ask if it's one off. If it's
what like 5.2 1.0 Okay, by non potassium. One point, I'm sorry. Okay, any question?
Now let's go to sodium cell. So, right now you see I'm doing this last one calls.
silencing what caused it? What caused? What's the problem with the scrimmage? You
know what cause Okay, so let's go. What caused me to be 549 training. Inadequate
sodium intake, nothing by mouth anytime you're empty or soft tissue. Gi suction and
excessive intake of water? Yes. When we do intergrain we're going to do a disease
called s A d h. Right. So what happened is the kidney on top of the kidney ADH so
therefore, that's why your ad Ah, it's been a lot of HGH in your salt is low
because of this. One kidney spective of this ADH. You Order is taking over the
body. So, water is taking over the body and the water washes out. So that is why
you Hi, oh, nine streaming. And I heard tension because all of the water is
invading the body, but he was the water invading the body. So London is being
watched. And we will learn that in nuclear as