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?
In this episode, we go through the basics of liver failure using my ingenious, wonderful, amazing LATTE method, which breaks down any patient condition into the “need to know” info.
- L = How will the patient LOOK?
- A = How will you ASSESS the patient?
- T = What TESTS will be ordered?
- T = What TREATMENTS will be provided?
- E = How do you EDUCATE the patient/family?
Amazing, right? For more resources, visit www.straightanursingstudent.com. For LATTE resource sheets, look under “resources” in the top nav bar. Enjoy!
When you begin taking care of patients who are on cardiac monitoring (AKA “tele monitoring”) you’ll need to chart a few key ECG measurements once per shift and any time there is a change in the rhythm. These are the PR interval, the QRS, the QT and the QTc. You probably are already very familiar with the PR interval and QRS measurements…but what is a QT and why do you need to measure it?
If there’s one thing that will separate the rookie nurse from the seasoned pro is how an elevated lactate is interpreted. The gut reaction in many cases is to scream SEPSIS from the rooftops. After all, sepsis is very serious and catching it early plays an enormous role in reducing mortality. And yes, one of the signs of sepsis IS an elevated lactate. However, loads of other things can cause it to be high, and knowing what these are will not only make you come across as incredibly competent, you’ll be prepared to take even better care of your patients.