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Acute Care

July 2015 Vol. 10 No. 7

Author: Susan M. Dirkes, BSN, MSA, CCRN

When you arrive for your afternoon shift, you receive report from the day-shift nurse. He states he just admitted Marc Stevens, age 78, after a colostomy takedown. He reports that the patient’s blood pressure (BP) decreased in the operating room several times, with systolic BP dropping to 70 . . .

March 2015 Vol. 10 No. 3

Author: Barbara Quinn, MSN, CNS, RN, and Dian Baker, PhD, APRN-BC, PNP

May Grossman, age 57, is admitted for elective surgery to reverse a colostomy from a previous surgical procedure. Her health has been good except for occasional diverticulitis bouts. She takes care of her three grandchildren several times a week.

Mrs. Grossman tolerates the surgery well until postop day 2, when . . .

January 2015 Vol. 10 No 1

Author: Mark P. Mueller, BSN, RN-BC; Tom Ustruck, BSN, RN; Stephenie Cerns-Rach, MSN, ACNS-BC, RN-BC, CHPN; Linda A. Cayan, MSN Ed, RN-BC, CPN; and Mary E. Hagle, PhD, RN, FAAN

Stool consistency and form are significant aspects of a GI assessment, providing valuable information about the patient’s bowel motility. Properly identifying and describing these components can help prevent adverse outcomes and promote patient comfort and well-being. Historically, though, clinicians’ interpretation of stool consistency has been subjective due to . . .

December 2014 Vol. 9 No. 12

Author: Stacey A. Seggelke, MS, RN, CNS, CDE, BC-ADM

Continuing Nursing Education
Learning objectives 1. Differentiate between enteral and parenteral nutrition. 2. Discuss how to manage hypoglycemia and hyperglycemia in patients with diabetes who are receiving supplemental nutrition. 3. Describe insulin use in patients with diabetes who are receiving supplemental nutrition. Purpose/goal: To provide nurses with information on . . .

December 2014 Vol. 9 No. 12

Author: Kathlyn J. Schumacher, CRNP, MSN, ANP-BC and

When arterial blood is desired in the research setting, blood obtained from a heated hand using a retrograde venous access device is an acceptable alternative to arterial blood. The “arterialized” venous blood obtained this way commonly is used to collect data required in metabolic research protocols.

The retrograde I.V . . .

November 2014 Vol. 9 No. 11

Author: Michelle Fournier, MN, RN, CCRN-K

Respiratory failure is one of the most common reasons for admission to the intensive care unit (ICU) and a common comorbidity in patients admitted for acute care. What’s more, it’s the leading cause of death from pneumonia and chronic obstructive pulmonary disease (COPD) in the United States. This . . .

November 2014 Vol. 9 No. 11

Author: Shannon Hudson, PhD, RN

Adrienne Johnson, age 5, is admitted to the general pediatric unit. She has sickle cell anemia (hemoglobin SS subtype) and recently was discharged after being hospitalized for acute chest syndrome. According to her mother, Adrienne has been complaining of severe persistent headaches for the past 24 hours. Her primary care . . .

September 2014 Vol. 9 No. 9

Author: Julie S. Lampe, MSN, CNS, CNS-BC, ADM-BC

It’s lunchtime. Three of your patients are scheduled to receive rapid-acting insulin in addition to sliding-scale insulin.

Mr. Jones, age 87, has type 2 diabetes. His blood glucose level is 223 mg/dL. He’s on a clear diet.
Mrs. Smith, age 63, has type 1 diabetes . . .

September 2014 Vol. 9 No. 9

Author: Laura Mcilvoy, PhD, RN, CCRN, CNRN

Nina Robbins, age 36, is admitted to the medical unit with pyelonephritis. She states she has had a fever above 102° F, back pain, vomiting, and painful urination for the last 24 hours. Her urinalysis reveals bacteria. Admitting vital signs are blood pressure (BP) 140/82 mm Hg, heart rate . . .

June 2014 Vol. 9 No. 6

Author: Cindy Lefton, PhD, RN

On June 20, the U.S. Food and Drug Administration (FDA) approved Sivextro (tedizolid phosphate) to treat patients with acute bacterial skin and skin structure infections caused by certain susceptible bacteria, including Staphylococcus aureus. Read more . . .

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