Hypoglycemia and the Rule of 15
The parents of Susie Johnson*, a healthy 8-year-old child, bring her to the emergency department because she’s been experiencing abdominal pain, nausea, and vomiting.…
Rapid Response
Hemothorax
Treatment for respiratory distress follows the ABC acronym (airway, breathing, circulation). Responders must first ensure adequate ventilation and oxygenation and then perform FAST, a…
Ectopic pregnancy
Courtney Thomas*, a 30-year-old patient, is 6 weeks pregnant with occasional mild lower abdominal pain and vaginal spotting. While in the outpatient lab, she…
Metformin-associated lactic acidosis
Metformin-associated lactic acidosis is associated with a high mortality rate when treatment is delayed or the patient takes an unintentional overdose. Patients at risk…
Adult intussusception
Quick action ensures prompt diagnosis and treatment. Takeaways: Metformin-associated induced lactic acidosis (MALA) is a life-threatening condition that requires prompt, aggressive management. Early recognition…
Recognizing autonomic dysreflexia
Your quick action ensures a good outcome. Takeaways: Autonomic dysreflexia results from a noxious stimulus, such as a distended bladder or bowel. Signs and…
Pleural effusion
Early identification results in prompt diagnosis. Takeaways: Parapneumonic effusions can increase in size despite antimicrobial therapy. Nurses should be attuned to changes in pulmonary…
Atypical myocardial infarction
While Jane*, a 47-year-old woman with no significant medical history, visits her neighbor, Helen, in the hospital, Helen notes that Jane appears pale. Jane…
Amniotic fluid embolus
Immediate treatment to optimize hemodynamic function, cardiac output, respiratory support, combined with aggressive management of volume and coagulopathy, enhances maternal outcome.
Sickle cell crisis in the ED
Following the pain pathway leads to a good outcome. Takeaways: Quick action and critical thinking leads to optimal pain control for sickle cell patients…
Pediatric hypoglycemia
While watching a children’s softball game on a sunny 88° F day, you see one of the players, Mia Smith*, suddenly collapse. Mia’s mother…
Acute hypopituitarism
Your recognition of troubling signs and symptoms results in prompt diagnosis and treatment. Takeaways: Hypopituitarism is the deficient secretion of one or more pituitary…
Hypoglycemia and the Rule of 15
The parents of Susie Johnson*, a healthy 8-year-old child, bring her to the emergency department because she’s been experiencing abdominal pain, nausea,…
Hemothorax
Treatment for respiratory distress follows the ABC acronym (airway, breathing, circulation). Responders must first ensure adequate ventilation and oxygenation and then perform…
Ectopic pregnancy
Courtney Thomas*, a 30-year-old patient, is 6 weeks pregnant with occasional mild lower abdominal pain and vaginal spotting. While in the outpatient…
Metformin-associated lactic acidosis
Metformin-associated lactic acidosis is associated with a high mortality rate when treatment is delayed or the patient takes an unintentional overdose. Patients…
Adult intussusception
Quick action ensures prompt diagnosis and treatment. Takeaways: Metformin-associated induced lactic acidosis (MALA) is a life-threatening condition that requires prompt, aggressive management.…
Recognizing autonomic dysreflexia
Your quick action ensures a good outcome. Takeaways: Autonomic dysreflexia results from a noxious stimulus, such as a distended bladder or bowel.…
Pleural effusion
Early identification results in prompt diagnosis. Takeaways: Parapneumonic effusions can increase in size despite antimicrobial therapy. Nurses should be attuned to changes…
Atypical myocardial infarction
While Jane*, a 47-year-old woman with no significant medical history, visits her neighbor, Helen, in the hospital, Helen notes that Jane appears…
Amniotic fluid embolus
Immediate treatment to optimize hemodynamic function, cardiac output, respiratory support, combined with aggressive management of volume and coagulopathy, enhances maternal outcome.
Sickle cell crisis in the ED
Following the pain pathway leads to a good outcome. Takeaways: Quick action and critical thinking leads to optimal pain control for sickle…
Pediatric hypoglycemia
While watching a children’s softball game on a sunny 88° F day, you see one of the players, Mia Smith*, suddenly collapse.…
Acute hypopituitarism
Your recognition of troubling signs and symptoms results in prompt diagnosis and treatment. Takeaways: Hypopituitarism is the deficient secretion of one or…
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