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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 one or more pituitary hormones. The most common…

Adult migraine: More than a headache

Migraine is a debilitating condition that alters the lives of many people worldwide. Migraine frequently goes misdiagnosed, underdiagnosed, and undertreated. Nurses play an important role in assessing for…
Amniotic fluid embolus

Amniotic fluid embolus

Immediate treatment to optimize hemodynamic function, cardiac output, respiratory support, combined with aggressive management of volume and coagulopathy, enhances maternal outcome.
ALS

Amyotrophic lateral sclerosis and the trajectory of care

Amyotrophic lateral sclerosis (ALS), a progressive neurodegenerative disease whose pathophysiology isn’t understood, results in upper and lower motor neuron dysfunction. This neural damage leads to muscular atrophy, spasms,…
Anaphylasxis_schoolnurse

Anaphylaxis in the school setting

School mealtimes are important for socialization and nutrition, but food allergies can be life-threatening. Quick assessment and action by school nurses are essential to help students in distress.…
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 tissue permeability with dilatation of the vessels and…
obesity

Caring for adult patients with obesity in primary care

Obesity is a complicated chronic disease with many contributing and interrelated factors that include genetics, biology, metabolism, and neurobehavior. It’s also affected by society, the economy, and culture.
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 neurologic assessments to monitor for vasospasm. Vasospasm occurs…
Curriculum_Technology

Enhancing nursing curriculum with an injection of technology

Use online tools to engage and motivate students. Evidence-based research has changed teaching from a traditional teacher-centered approach to a student-centered (constructivist) approach. According to neuroscience research, the…
FES

Fat embolism syndrome

Early identification prevents negative outcomes.    Takeaways: Fat embolism syndrome is a rare complication that can occur after traumatic orthopedic injuries. Early identification of neurologic, respiratory, and dermatologic symptoms…
carbohydrate counting

Getting comfortable with carbohydrate counting

Mr. Tucker,* a 20-year-old man with type 1 diabetes, is admitted to the hospital for a severe hypoglycemic event. For about a month, he’s experienced these events about…

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…
delirium in Pediatric Patients

Managing delirium in the pediatric patient

Today you’re caring for 8-year-old Ethan*, who ran between two parked cars while chasing his basketball and was struck by a passing vehicle 2 days ago. His left…
migraine, nursing journal, healthcare, nursing

Managing migraine in underserved populations

Collaboration addresses barriers to care. Takeaways: Managing migraine in underserved populations presents unique challenges in an urban outpatient neurology clinic. Barriers to care include psychiatric comorbidities, sleep disorders,…

Mobile stroke units

Mobile stroke units (MSUs), ambulances equipped to evaluate, diagnose, and treat strokes in the prehospital environment, decrease door-to-thrombolytic administration time, cut door-to-thrombectomy time, reduce the risk of mortality…
myocarditis

Myocarditis and COVID-19

In a COVID-19 pandemic and vaccination world, nurses should raise their clinical suspicion for myocarditis when healthy, young, or athletic patients present with fatigue, palpitations, and chest pain.…
myxedema-coma

Myxedema coma

Myxedema coma is the most severe, potentially life-threatening form of hypothyroidism and a medical emergency. It frequently results from untreated or undertreated hypothyroidism. Hallmarks of myxedema coma include…
prefilled-flush-syringes

One and done: Prefilled flush syringes

Reinforce safe practices in your organization. Editor’s Note: This is an early release of a web exclusive article for the July 2021 issue of American Nurse Journal. The…

Ostomy basics

Overview of ostomy care and management   Takeaways: Ostomies save lives and improve patients’ quality of life, but stigma about odor and interference in daily life still exist. Focus…
pediatric hypoglycemia

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 runs to her child’s…
STEADI, nursing, nursing journal, healthcare, american nurse journal

Preventing falls in long-term care facilities

On November 8, 2019, Ms. Jane Broom’s* heirs filed a lawsuit against Holy Acres Nursing Home claiming negligence. Ms. Broom was admitted to the nursing home after a…
Pyelonephritis

Pyelonephritis

Early identification results in a positive outcome.     Candance Walker* is a 28-year-old woman who arrives in a wheelchair in the emergency department accompanied by her husband. She’s crying…
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 or bowel. Signs and symptoms include sweating, hypertension,…
telemetry

Reducing overuse of telemetry

Editor’s note: This is a web exclusive article for the July 2021 issue of American Nurse Journal. Strategies for nurses Continuous cardiac monitoring or telemetry is commonly used…
bowel-obstruction

Small bowel obstruction

Abdominal pain, bloating and distension, vomiting, and obstipation are warning signs of small bowel obstruction. Small bowel obstructions are treatable if recognized early. Some bowel obstructions are life-threatening…

Strabismus and mental health

In a recent JAMA Ophthalmology article, Lee and colleagues’ retrospective chart review found that children with strabismus (a disorder in which the eyes do not line up in…
suicide

Suicide assessment and follow-up care

Suicide is a preventable and growing public health risk, and nurses are in a prime position to provide assessment and follow-up care. Many nurses lack sufficient education to…

Team-based approach to behavioral health emergencies

Pre-defined roles and training can help address disruptive client incidents. Takeaways: Few hospitals have a formal plan to address combative clients. REACT (Rapport, Escort, Antipsychotics/anxiolytics, Communicate, Times) is…
TB

Tuberculin skin test interpretations

As required for volunteer work at a local hospital, Monica, a 28-year-old woman, arrives as a new patient at a small community clinic to request a tuberculosis (TB)…

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Which of the following best describes the primary purpose of the Assessment component in the HCEA Patient Education Practice Guidelines?