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Rapid Response

June 2018 Vol. 13 No. 6

Quick action puts a patient on the path to recovery.
Takeaways:

Isopropyl alcohol poisoning is uncommon and resembles ethanol intoxication because both toxins affect the central nervous system.
People ingest isopropyl alcohol to become intoxicated (when traditional alcohols aren’t available) or to harm themselves.
The presence of an anion . . .

May 2018 Vol. 13 No. 5

A nurse’s quick action prevents progression to septic shock.
Takeaways:

Rapid and accurate identification of sepsis improves patient outcomes.
The source of infection may not always be obvious, and it’s the nurse’s role to investigate any unusual symptoms.
Not all patients present with sepsis the same way . . .

April 2018 Vol. 13 No. 4

Insulin administration requires close monitoring.
Takeaways:

When administering insulin, closely monitor food intake and potential side effects including hypoglycemia.
Chronic kidney disease can alter insulin metabolism, adding another risk factor for hypoglycemia.

By Sandra Hladik, MSN, RN-BC

Robert Johnson,age 52, is admitted to the cardiac-renal unit. He . . .

March 2018 Vol. 13 No. 3

Quick action reverses SVT and prevents a disastrous outcome.
Takeaways:

Atrial fibrillation and atrial flutter are the most common subtypes of supraventricular tachycardia, which is relatively common in women.
The treatment of choice for unstable patients is synchronized cardioversion.
For stable patients, initial treatment is a vagal maneuver, such as . . .

February 2018 Vol. 13 No. 2

Patient history, new symptoms, and assessment findings prompt a call for the rapid response team
Takeaways:

Atrial fibrillation results from rapid electrical activity that arises from different ectopic foci.
Definitive diagnosis of atrial fibrillation is made with a 12-lead ECG
Pharmacologic treatment includes selective beta 1 adrenergic receptor blockers . . .

January 2018 Vol. 13 No. 1

An accurate history reduces risk.
By Fidelindo Lim, DNP, CCRN, and Nick Deuz, BSN, RN

Yi Rong Huang, a 55-year-old man who speaks only Chinese, comes to the emergency department (ED) for nonradiating substernal chest pain. His electrocardiogram (ECG) shows a sinus rhythm with no ST changes; his . . .

November 2017 Vol. 12 No. 11

Quick identification of stroke in a postpartum patient yields positive result.
Anna Connor, a 30-year-old woman, is admitted to the medical-surgical unit with a diagnosis of pneu­­monia. Her vital signs are stable (blood pressure [BP] is 103/74 mm Hg, pulse is 104 beats per minute . . .

September 2017 Vol. 12 No. 9

Quick response includes paying attention to the details.
Takeaways:

Rapid assessment is key to identifying early complications in the oncology patient.
Sense of urgency for early intervention is key to prevent patient complications.

By Stephanie Magallanes, MSN, RN, PHN

Assessment hints
Susan finds Ms. Little to be pale, but alert . . .

August 2017 Vol. 12 No. 8

A twist on the RRT positions nurses as leaders in responding to non-life-threatening situations.
Takeaways

Medical emergencies occur in many medical settings, including psychiatric hospitals. Psychiatric nurses are expected to respond with the same quality care to the medical needs of all patients, and, when necessary, employees and . . .

June 2017 Vol. 12 No. 6

Key takeaways

Initial presentation of tension pneumothorax in patients with unassisted breathing is slower and more subtle than in patients who are mechanically ventilated.
Early detection of tension pneumothorax in these patients requires astute respiratory system assessment and awareness of who is at risk.

A.J. McCarthy, age 26, is . . .

May 2017 Vol. 12 No. 5

Author: Danielle Van Damme, MSN, CPNP-AC, and Lauren Marentette, BSN, RN

After cleft palate repair, 16-month-old Nicholas* is admitted to the general care unit in a children’s hospital for postoperative monitoring. Because of the nature of the procedure, Nicholas has a nasal trumpet sutured in place by the plastic surgeon to maintain airway patency. Nicholas’s initial vital . . .

March 2017 Vol. 12 No. 3

Author: Laura Mcilvoy, PhD, RN, CCRN, CNRN

Mary Meyer, a 20-year-old college student, is admitted to the medical unit with flulike symptoms including nausea, vomiting, headache, and fever. Her neck is stiff and sore. She reports feeling increasingly ill over the last 24 hours. Mary is admitted for treatment of dehydration and to rule out . . .

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