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Education may help avoid decompensation and escalation.
Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis in children less than age 12 months.
RSV manifests as airway inflammation and mucous production leading to upper and lower airway obstruction.
Supportive care may include mucous clearance with nasopharyngeal suctioning . . .
Knowing what to assess and when can prevent a dangerous complication for older adults.
Older adults are often prescribed psychotropic medications for a variety of conditions.
Certain classes of these medications can cause prolonged QT syndrome, which is especially dangerous in older adults with co-morbid heart conditions.
BETTY . . .
Quick action results in a positive outcome.
By Debra A. Hrelic, PhD, RNC
In sepsis, tachycardia and tachypnea are a response to an increased metabolic rate and the body’s effort to sustain perfusion to the vital organs.
Chorioamnionitis is diagnosed when maternal fever is accompanied by a minimum . . .
Quick action puts a patient on the path to recovery.
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 . . .
A nurse’s quick action prevents progression to septic shock.
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 . . .
Insulin administration requires close monitoring.
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 . . .
Quick action reverses SVT and prevents a disastrous outcome.
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 . . .
Patient history, new symptoms, and assessment findings prompt a call for the rapid response team
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 . . .
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 . . .
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 . . .
Quick response includes paying attention to the details.
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
Susan finds Ms. Little to be pale, but alert . . .
A twist on the RRT positions nurses as leaders in responding to non-life-threatening situations.
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 . . .