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clinical topics

Deafblindness and health advocacy

Patients with moderate-to-severe visual and hearing impairments (deafblindness) need their nurses to understand their needs and provide safe care. Nurses have fundamental knowledge about caring for patients with…

ECMO and nurse-led mobilization

Early mobilization involves the early application and intensification of physical therapy within the first 2 to 5 days of a critical illness.

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 point-of-care investigative tool for…

Hepatitis C: Updates and beyond

In October 2021, the Infectious Diseases Society of America (IDSA) and the American Association for the Study of Liver Diseases (AASLD) updated their hepatitis C virus (HCV) guidelines…

Improving hypertension using virtual modalities

According to the U.S. Department of Veterans Affairs/Department of Defense (VA/DoD) Clinical Practice Guidelines (CPG), military com­bat exposure can increase the risk for hypertension (HTN) in veterans.

Improving PrEP adherence

PrEP-RN intervention would allow more healthcare professionals to counsel and initiate PrEP, which might help improve adherence.

Infiltration of xylazine in illicit fentanyl

Be alert for the signs of this drug, a growing contributor to the opioid epidemic. In addition to the influx of fentanyl in the illicit drug supply, xylazine,…

Insulin injection and changing injury trends

A lot can change in healthcare over 5 years, including advancements in precise and early diagnosis of disease, treatment options, expansion of outpatient and pharmacy services, robotics for…

Neuroleptic malignant syndrome

Neuroleptic malignant syndrome, a life-threatening neurologic emergency, frequently occurs with dopamine antagonists (antipsychotics and antiemetics).

Pediatric malignant hyperthermia

Daniel Sanchez*, an 8-year-old boy, arrives in the pediatric recovery unit after an appendectomy. You note that his electronic health record (EHR) indicates Daniel weighs 57 lbs (25.8…

Project ECHO and the geriatric healthcare workforce

Project ECHO is a collaborative learning model that connects rural clinicians with an interprofessional team of specialists via videoconferencing. The American Nurses Association reports that many factors influence…
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Recognizing and treating dissociative disorders

Dissociative disorders are a group of psychiatric disorders that result from experiencing or witnessing trauma; affects up to 10% of the general population. As essential partners in the…

Risk stratification of CVD in type 2 diabetes

An estimated 34 million Americans, age 18 years and older, have diabetes, most with type 2 diabetes (T2DM) as well as a high risk for cardiovascular disease (CVD).…

Seasonal flu: 2023-24

In June, the Centers for Disease Control and Prevention (CDC) adopted the Advisory Committee on Immunization Practices’ influenza vaccination recommendations for the 2023–2024 flu season This content is…

Skin failure: A historical perspective

Kennedy terminal ulcer. Kennedy lesion. Skin failure. Skin changes at life’s end. Terminal ulcers. Trombley-Brennan terminal tissue injury. End-stage skin. Skin changes associated with dying. Decubitus ominosus. Unavoidable…

Subarachnoid hemorrhage

Karen Thompson*, a 55-year-old woman, ar­rives in the ED via ambulance. She reports the worst headache of her life and sensitivity to light. She has no significant medical…

Takotsubo cardiomyopathy: The tale of a broken heart

Patients with Takotsubo cardiomyopathy experience symptoms similar to those of acute MI or acute heart failure. The most common symptoms include chest pain, dyspnea, dizziness, generalized weakness, and…

UTI revisited: Optimizing best practices

Urinary tract infection (UTI) continues to attract clinical attention as one of the world’s most prevalent infections. UTI broadly describes several clinical conditions, including cystitis, pyelonephritis, and renal…

Vancomycin flushing syndrome

Shantae Demano*, a 62-year-old woman with a history of recent total left knee surgery, is admitted to the ICU with sepsis and an infection of the knee, which…

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