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rapid response

Acute cardiac tamponade

Acute cardiac tamponade

Martin Pace, a 65-year-old man, is admitted with an inferior wall ST-segment elevation myocardial infarction and receives a permanent pacemaker…

Acute cardiogenic pulmonary edema

Quick action prevents respiratory failure. Takeaways:  Acute cardiogenic pulmonary edema occurs with reduced cardiac muscle efficiency. Decreased pump function results…
Acute hypopituitarism, healthcare, registered nurse, nursing, nursing journal

Acute hypopituitarism

Your recognition of troubling signs and symptoms results in prompt diagnosis and treatment. Takeaways: Hypopituitarism is the deficient secretion of…

Adult intussusception

Quick action ensures prompt diagnosis and treatment. Takeaways: Metformin-associated induced lactic acidosis (MALA) is a life-threatening condition that requires prompt,…
Amniotic fluid embolus

Amniotic fluid embolus

A team’s quick actions ensure a positive outcome.   Takeaways: After a patient is admitted with gestational hypertension, she experiences an…
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…
Atrial fibrillation

Atrial fibrillation

Patient history, new symptoms, and assessment findings prompt a call for the rapid response team Takeaways: Atrial fibrillation results from…
Atypical myocardial infarction

Atypical myocardial infarction

Clinical judgment leads to swift action.   Takeaways: Myocardial infarctions may present differently in women than men. Not all cardiac emergencies…

Barely breathing

After cleft palate repair, 16-month-old Nicholas* is admitted to the general care unit in a children’s hospital for postoperative monitoring. Because of…
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…
Cerebral Vasospasm

Cerebral vasospasm

Prompt recognition of subtle signs saves patient’s life. Key Points: Patients who experience an aneurysmal subarachnoid hemorrhage (aSAH) require frequent…
esophageal

Esophageal varices

Quick action prevents a negative outcome.     Takeaways: Cirrhosis of the liver causes scaring, shrinking, and hardening. Complications of cirrhosis include…
FES

Fat embolism syndrome

Early identification prevents negative outcomes.    Takeaways: Fat embolism syndrome is a rare complication that can occur after traumatic orthopedic injuries.…

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 managing trauma patients.

Hypoglycemia and the Rule of 15

Follow this protocol and teach it to caregivers and patients. Takeaways: Nurses play an essential role in educating patients and…
myxedema-coma

Myxedema coma

Emergent and aggressive treatment are key to a good outcome.   Takeaways: Myxedema coma is the most severe, potentially life-threatening…
pediatric hypoglycemia

Pediatric hypoglycemia

Your prompt action on the scene aids quick recovery.    Takeaways: School-age children frequently skip meals or have poor nutrition that…

Pleural effusion

Early identification results in prompt diagnosis. Takeaways: Parapneumonic effusions can increase in size despite antimicrobial therapy. Nurses should be attuned…
Pyelonephritis

Pyelonephritis

Early identification results in a positive outcome.     Candance Walker* is a 28-year-old woman who arrives in a wheelchair in the…
Rapid Response

Recognizing autonomic dysreflexia

Your quick action ensures a good outcome.     Takeaways: Autonomic dysreflexia results from a noxious stimulus, such as a distended bladder…
Sickle Cell Crisis

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…
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…
stroke alert ant

Stroke alert

Quick identification of stroke in a postpartum patient yields positive result. Anna Connor, a 30-year-old woman, is admitted to the…
TURP

Transurethral resection of the prostate

Quick response to postsurgical complication.     Takeaways: Benign prostatic hypertrophy, if left untreated, may lead to chronic urinary retention. Medical…

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