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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

A team’s quick actions ensure a positive outcome.   Takeaways: After a patient is admitted with gestational hypertension, she experiences an acute change in mental status. Suspecting amniotic fluid…
ALS

Amyotrophic lateral sclerosis and the trajectory of care

This case presentation illustrates ALS progression and accompanying care. Takeaways: Amyotrophic lateral sclerosis care focuses primarily on palliation. Nurses must know how to identify symptoms, recommend treatment, coordinate…
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 life-threatening. Quick assessment and action by school nurses…
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

A strategic, team approach ensures optimal results. Takeaways: Delirium may go unrecognized in pediatric patients. Strategies used to manage the symptoms of delirium also aid in prevention. Effective…
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

Raising awareness can help mitigate negative outcomes. Takeaways: In a COVID-19 pandemic and vaccination world, nurses should raise their clinical suspicion for myocarditis when healthy, young, or athletic…
myxedema-coma

Myxedema coma

Emergent and aggressive treatment are key to a good outcome.   Takeaways: Myxedema coma is the most severe, potentially life-threatening form of hypothyroidism and a medical emergency. Myxedema…
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

Your prompt action on the scene aids quick recovery.    Takeaways: School-age children frequently skip meals or have poor nutrition that may lead to adverse events. Primary and secondary…
STEADI, nursing, nursing journal, healthcare, american nurse journal

Preventing falls in long-term care facilities

Use the CDC’s STEADI initiative to enhance patient safety. Takeaways: Fall-related death rates among adults 65 and older continue to rise, with older long-term care facility residents at…
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

Early identification results in a positive outcome.   Takeaways: Abdominal pain, bloating and distension, vomiting, and obstipation are warning signs of small bowel obstruction. Small bowel obstructions are treatable…

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

Nursing skills and implications. Takeaways: Suicide is a preventable and growing public health risk, and nurses are in a prime position to provide assessment and follow-up care. Many…

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

Do you know the magic number?  Takeaways: Follow your organization’s policies and procedures for interpreting TB skin test results and stay up-to-date on the most recent guidelines and…

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