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bowel-obstruction

Small bowel obstruction

Early identification results in a positive outcome.   Takeaways: Abdominal pain, bloating and distension, vomiting, and obstipation are warning signs of small bowel obstruction. Small bowel...
bradykinin induced angioedema

Bradykinin-induced angioedema

Quick treatment results in a good outcome. Takeaways: Angiotensin-converting enzyme inhibitors can increase the release of bradykinin, which can increase tissue permeability with dilatation of...
Anaphylasxis_schoolnurse

Anaphylaxis in the school setting

Quick action results in positive outcome.  Takeaways: School mealtimes are important for socialization and nutrition, but food allergies can be life-threatening. Quick assessment and action...

Bacterial meningitis

Rapid recognition prevents patient harm. Takeaways:  Early recognition of bacterial meningitis decreases morbidity and mortality.  Photophobia, nuchal rigidity (stiff neck), severe headache, fever, and confusion...

Atypical presentation of myocardial infarction

Quickly recognizing unusual symptoms can save lives. Takeaways  Cardiovascular disease remains the leading cause of death in women, but it’s often under-recognized because of atypical...

A case of acute chest syndrome

Quick thinking and anticipating treatment results in a good outcome. Takeaways:  Patients with sickle cell disease are at high risk for rapid deterioration.  Strong nursing...
tube feeding aspiration

Tube feeding aspiration

What would you do in this situation? Takeaways: Acute aspiration of tube feeding can result in a respiratory emergency Know the signs and symptoms of...
pulmonary atelectasis retained secretions

Pulmonary atelectasis and retained secretions

Critical thinking averts serious consequences. Takeaways: Atelectasis is a serious postoperative pulmonary complication. Risk factors include advanced age, obesity, upper abdominal or thoracic surgery, smoking...
complicated adenovirus

A complicated case of adenovirus

Immunocompromised patients are at risk for serious complications. Takeaways: Adenovirus, which typically presents as a febrile respiratory illness for 1 week, is most commonly found...
danger respiratory syncytial virus

Danger of respiratory syncytial virus

Education may help avoid decompensation and escalation. Takeaways: Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis in children less than age 12...
prolonged qt syndrome unexpected pause

Prolonged QT syndrome: An unexpected pause

 Knowing what to assess and when can prevent a dangerous complication for older adults.  Takeaways: Older adults are often prescribed psychotropic medications for a variety...
case obstetrical sepsis

A case of obstetrical sepsis

Quick action results in a positive outcome. By Debra A. Hrelic, PhD, RNC Takeaways: In sepsis, tachycardia and tachypnea are a response to an increased metabolic rate...
isopropyl alcohol poisoning ant

Isopropyl alcohol poisoning

Quick action puts a patient on the path to recovery. Takeaways: Isopropyl alcohol poisoning is uncommon and resembles ethanol intoxication because both toxins affect...