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Strictly Clinical

July 2019 Vol. 14 No. 7

Averting a Crisis.


Hepatorenal syndrome (HRS), impaired renal function resulting from advanced liver disease, is characterized by renal vasoconstriction, systemic vasodilatation in the absence of other identifiable causes, decreased glomerular filtration rate, and hypotension. 
Large-volume paracentesis is defined as removing 5 liters or more of ascitic fluid during . . .

July 2019 Vol. 14 No. 7

Nurses should have reprocessing knowledge, training, and competency.

In 2018, more than 50% of hospitals surveyed by The Joint Commission were found to be noncompliant with high-level disinfection and sterilization standard IC.02.02.01, EP2. 
Careful and detailed reprocessing of medical devices is necessary to protect patients . . .

June 2019 Vol. 14 No. 6

Quick action prevents respiratory failure.

Acute cardiogenic pulmonary edema occurs with reduced cardiac muscle efficiency.
Decreased pump function results in increased pulmonary venous and capillary hydrostatic pressure, which allows fluid to accumulate in the lung interstitium and interfere with gas exchange.
Impaired gas exchange can lead to acute type . . .

May 2019 Vol. 14 No. 5

Follow the basics to keep your patients safe.

· Central line–associated bloodstream infection prevention requires meticulous attention to insertion, care, and maintenance of central lines.

· Collaboration between front line staff, the infection prevention team, and vascular access specialists can help identify opportunities for improving care of patients with vascular . . .

April 2019 Vol. 14 No. 4

Training, teamwork, and the right equipment can prevent pressure injuries.

Bariatric patients have a threefold risk of developing a pressure injury compared to those with a body mass index less than 40. 
Though challenging, turning and repositioning bariatric patients is crucial to reducing the risk of hospital-acquired pressure . . .

December 2018 Vol. 13 No. 12

Get your patients back on their feet with thorough assessments that lead to early and accurate diagnoses.
POSTURAL orthostatic tachycardia syndrome (POTS) affects over 1,000,000 Americans (80% are women of childbearing age). Since POTS was first characterized in 1993, diagnostic criteria and treatments have been established based new . . .

November 2018 Vol. 13 No. 11

Learn about the connection between this rare condition and a common childhood illness. 

Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is thought to be an autoimmune disease presents with the sudden onset of obsessive compulsive behaviors in children.
Nurses can play an important role in educating children . . .

September 2018 Vol. 13 No. 9

Using the right securement method can improve outcomes and reduce costs.

Failure of vascular access devices (VADs) can be attributed to inserter characteristics, patient-related factors, anatomic placement, and healthcare facility adherence to international best practices and infection prevention guidelines.  
Current VAD securement solutions can be grouped into five . . .

September 2018 Vol. 13 No. 9

Recognize potential danger for a positive outcome.

Abdominal aortic aneurysm is a serious condition that requires prompt identification and effective interventions. 
Early recognition of abdominal aortic aneurysm is key to effective management and prevention of fatal complications. 
Nurse practitioners play a critical role in identifying abdominal aortic aneurysm. 

Mark . . .

August 2018 Vol. 13 No. 8

Innovative approaches can encourage healthy eating and activity in adolescents.

Nurses can help their adolescent patients with obesity by encouraging a healthy diet and greater activity
Smartphone apps for diet and exercise tracking may be an effective tool to help adolescents with obesity lose weight.
Recommend apps that are . . .

April 2018 Vol. 13 No. 4

Teach patients how to manage PBA for optimal quality of life.

Pseudobulbar affect (PBA) can develop after a stroke or in conjunction with Alzheimer’s disease, traumatic brain injury, and multiple sclerosis.
Symptoms include inappropriate emotional responses, sudden emotional outbursts, and facial expressions that don’t match the emotional . . .

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