Advanced care of patients with cognitive impairment

In 2016 at PeaceHealth Saint Joseph Medical Center (PeaceHealth), a 256-bed facility in Bellingham, WA, a pattern emerged during a routine caregiver assault incident review. Most of the…

Anticholinergics: Adverse effects

Anticholinergics, widely used in clinical practice for an extensive range of diseases, exert effects on circulation, respiration, alertness, and vision by blocking the action of acetylcholine (a neurotransmitter)…

Neuroleptic malignant syndrome

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

Oxytocin as a treatment for Alzheimer’s

With over 5.5 million people in the United States affected by Alzheimer’s Disease, doctors are constantly on the lookout for a potential treatment. (more…)

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…

Recognizing oncologic emergencies

The American Cancer Society estimates that in 2023 over 1.9 million individuals will receive a diagnosis of some form of cancer. Many will seek care for oncologic emergencies…

Sleep and the glymphatic system

Dr. Rafael Pelayo, a sleep physician from Stanford University, shared this insight into how he explains the sleeping brain: “My mother worked in a factory sewing clothes and…

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…

Wernicke’s encephalopathy

Amber White*, a 35-year-old woman who’s 21 weeks pregnant, arrives in the ED with an altered level of consciousness, blurred vision, weakness, and ataxia. The nurse notes slurred…

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