When you think of dialysis, you probably think of patients who have chronic renal failure who go to the dialysis center three days a week, sit there for a few hours, then go home. But wait…there’s more! In this post we’ll cover the main types of dialysis, indications for urgent dialysis and the nursing care of these often-complex patients.
When your patient has a tracheostomy, being prepared for the worst that could happen is crucial. There are three basics types of tracheostomy emergencies: occlusion, dislodgement and hemorrhage.
Tracheostomy Emergencies: Occlusion
Let’s say your patient has a trach, is on a trach mask and you heard in report that they have thick, copious secretions. Suddenly, the monitor alarm goes off, and you see that your patient’s O2 saturation has dropped to 62%. Whaaaaat? Knowing what you do about their thick secretions, you hurry in to the room pretty confident that you know what the problem is.
In this podcast, we talk about the very important skill of understanding when your patient is in respiratory distress and how to know if intubation is needed.
- Normal respiratory parameters and assessment findings
- Abnormal findings and what to do about them
- The nurse’s role in the intubation process
- Taking care of your patient post intubation
You can also read about this process here.
And something we don’t cover in the podcast, but that’s super helpful to understand is the P/F ratio, which you can check out here!
In this podcast episode we talk about the basics of hyponatremia:
- What is hyponatremia?
- Common causes including neuro injury, psych disorder, even just plain ol’ poor judgment
- The signs/symptoms of hyponatremia
- How you treat it a
As usual, this podcast and blog are not intended to replace current evidence-based practice or your institutions policies and procedures. It is intended for educational purposes only.
Prone positioning is likely to be one of the most intimidating things you’ll encounter in the ICU…the beds are big, they don’t provide instant access to your patient and the risk for complications is higher than in a standard bed. But, with excellent nursing care you can keep your patient safe without biting your fingernails down to the quick!
Let’s review basic arrhythmias, what causes them, how to identify them AND what you are going to do about them. Ready?
In this podcast, we cover loads of goodies:
- Atrial Flutter
- Atrial Fibrillation
- Idioventricular rhythms
- Pulseless rhythms
This episode is a great review if you’re in Advanced Med/Surg, heading into your 4th semester preceptorship or starting out as a new nurse. For even more information about arrhythymias, check out this post or this one on heart blocks.
At the time of this writing there are a handful of new-fangled diabetes medications out there. Maybe you’ve seen the commercials showing impossibly happy people managing their blood sugar with complete and total ease (this is my favorite!) Or, perhaps you’re seeing these meds pop up in the hospital (or wherever it is that you care for patients). The fact is, there are a LOT of treatments for diabetes that go beyond insulin…but since that’s what we use the most in the clinical setting, let’s start there then we’ll branch out to the fancy stuff. Ready?