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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...
sepsis protocol action ant

Sepsis protocol in action

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...
hypoglycemia chronic kidney disease ant

Rapid Response: Hypoglycemia and chronic kidney disease

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...

Supraventricular tachycardia

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...