Pulmonary

Act fast against anaphylaxis

Anaphylaxis can kill within minutes unless the victim receives immediate treatment. Calling a rapid response team to the scene can avert disaster.

Airway pressure release ventilation: A boost for spontaneous breathing

Many clinicians are using this mechanical ventilation mode to help reduce lung damage, pneumonia, and other complications of ventilation. Find out how it works, when it’s indicated, how it preserves spontaneous breathing, and why it reduces sedation requirements.

Challenge to CPR

In the Jan. 27 issue of The New England Journal of Medicine, Gust H. Bardy, MD, suggests the value of…

Challenging nursing’s sacred cows

Do you routinely instill normal saline solution into endotracheal tubes before suctioning? Use only the Glasgow Coma Scale for neurologic assessment? Evidence on these and other sacred cows of nursing practice might surprise you.

Derailing potentially deadly dehydration

When a dehydrated patient falls into a stupor and her vital signs head south, a rapid response team can help unit nurses stabilize her quickly – and avoid the semmingly inevitable.

Detecting, managing, and preventing pulmonary embolism

Detecting, managing, and preventing pulmonary embolism

Pulmonary embolism (PE) kills about 25% of those it strikes. This article explains how deep vein thrombosis (DVT) sets the stage for PE and describes how to assess, manage, and prevent both DVT and PE.

Detecting, managing, and preventing pulmonary embolism

Detecting, managing, and preventing pulmonary embolism

Pulmonary embolism (PE) kills about 25% of those it strikes. This article explains how deep vein thrombosis (DVT) sets the stage for PE and describes how to assess, manage, and prevent both DVT and PE.

Dodging a trach tragedy

When a patient’s O2 Sat falls and subcutaneous neck edema arises, adroit troubleshooting identifies the cause.

Does your workplace culture need CPR?

If you suspect your workplace culture is “ill,” assessment is a crucial first step. Using an established assessment tool can help ensure more thorough data collection.

Drugs Today – November 2008

Web Exclusive! An update of drug news, including alerts, approvals, and removals at www.AmericanNurseToday.com/journal.

FDA approves new COPD treatment

On July 23, the U.S. Food and Drug Administration (FDA) approved Tudorza Pressair (aclidinium bromide) for the long-term maintenance treatment…

FDA approves new device for asthma

On April 27, the U.S. Food and Drug Administration approved the first medical device that uses radiofrequency energy to treat…

FDA approves new drug for COPD

The U.S. Food and Drug Administration has approved roflumilast, an oral drug that reduces exacerbations from severe chronic obstructive pulmonary…

FDA approves Zykadia for NSCLC

On April 29, the U.S. Food and Drug Administration (FDA) approved Zykadia for patients with a certain type of late-stage…

Keeping asthma at bay

NIH has updated its guidelines on asthma diagnosis and treatment. Learn how to help your asthma patients lead fuller lives.

Keeping asthma at bay

NIH has updated its guidelines on asthma diagnosis and treatment. Learn how to help your asthma patients lead fuller lives.

Letters to the Editor – July 2007

Oversight not needed As a recent graduate of a nurse practitioner (NP) program, I appreciated your article “Retail-based clinics: New…

MERS resources from the CDC

The Centers for Disease Control and Prevention (CDC) has published information about Middle East Respiratory System (MERS) for healthcare professionals.…

Negative effects of ARDS linger

Five years after having acute respiratory distress syndrome (ARDS), survivors still had not recovered to normal physical function, and many…

Noninvasive ventilation makes a comeback

Although it’s not suitable for all patients, noninvasive positive pressure ventilation reduces many of the risks associated with mechanical ventilation.

Obesity treatment devices resource

“Obesity Treatment Devices,” a section on the U.S. Food and Drug Administration (FDA) website, provides information on the only two…

PA catheter controversy

Standard of care in the ICU – or object of overuse, abuse, and misuse? The authors explain why they believe PA catheter use may harm more critically ill patients than it helps.

Persevering against pediatric pulmonary hypertension

Despite recent gains in treating pulmonary arterial hypertension, a cure is a long way off. Diagnosis and therapy can be tricky, and prognosis remains poor. Still, there are ways nurses can help slow disease progression and improve quality of life for a child with this condition.

Pertussis resurgence continues unabated

American Nurse Today…Online reported on the nationwide pertussis, or whooping cough, outbreak in June. Unfortunately, four months later, the updated…

Preparing for disaster

The power shuts down…the phones go dead…an explosion at a nearby nuclear power plant sends a dozen critically injured victims to your hospital. What actions should you take? Learn how to plan for a disaster so you’ll know exactly what to do when one strikes.

Preventing airway obstruction

Complications of an anterior cervical fusion did not lead to an airway obstruction because of one nurse’s assessment skills and critical thinking.

Putting the breaks on pulmonary edema

I.V. fluids should help a dehydrated patient, but for one with a history of atrial fibrillation and coronary artery disease, they could contribute to pulmonary edema. For Grace Johnson, quick assessment and action staved off a poor outcome.

Quiz Time

A nurse working in the intensive care unit administers 100 mg of diazepam I.V. as ordered by the new resident.…

Quiz time

Which sedation strategy for ICU patients on mechanical ventilation can help mitigate post-intensive care syndrome? a. Keep the patient heavily…

Quiz Time

Which of the following is an advantage of a dry-suction chest drainage system? a. Lower levels of suction pressure b.…

Reversing opioid-induced respiratory depression

For a patient receiving high-dose opioids, frequent monitoring of the sedation level and quick intervention when that level increases stops respiratory depression from claiming another victim.

Suppressing a COPD flare-up

Nursing vigilance helps a patient with chronic obstructive oulmonary disease stave off respiratory failure.

estrogen women woman note

Take Note – August 2007

Good news for younger women taking estrogen     Estrogen therapy may have cardioprotective effects for women who start taking it in…

Take Note – August 2008

Web exclusive! A monthly round-up of clinical and practice news and alerts at www.AmericanNurseToday.com

ibuprofen medication meds pills pill

Take Note – December 2006

CDC recommends HIV screening for everyone New recommendations from the Centers for Disease Control and Prevention (CDC) call for routine…
cpr family friend note

Take Note – February 2007

Low-carb diets don’t affect cardiac risk Although diets low in carbohydrates and high in fats and proteins have been popular…
flu shot kids note

Take Note – October 2006

CDC recommends annual flu shots for children ages 2 to 4 For the first time, the Centers for Disease Control…

Take Note – Sept/Oct 2009

Patients lose when nurse staffing is insufficient Heavy workloads and insufficient staffing affect patient care, according to about 2,000 nurses…

Taking action against acute COPD

Each year, emergency departments see about 1.5 million patients with chronic obstructive pulmonary disease. Update your knowledge of the disease and its treatment.

Thwarting a pneumothorax

As a patient deteriorates, assessment and history findings guide
clinicians to the right diagnosis and interventions.

Tracheostomy care

Tracheostomy care: An evidence-based guide

To promote positive outcomes in patients with trach tubes, nurses need to stay up-to-date on best practices and develop and maintain the necessary skills.

Understanding MCS

More research is needed to increase our understanding of multiple chemical sensitivity.

Using antibiotics effectively for acute-care patients

In the ever-escalating war between bacteria and human beings, some of the bugs are outsmarting us. Here’s what you need to know about antibiotic therapy to help reduce bacterial resistance and optimize therapy for patients with acute infections.

When asthma escalates to an emergency

In asthma, airway inflammation leads to airway obstruction, which may be chronic or arise as an acute symptom exacerbation. Asthma…

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