The Nursing Show: News, Tips, and Commentary for Nurses and Students http://nursingshow.com The Nursing Show features news, tips and tricks, medication information, nursing career interviews, education and commentary for nurses, nurse students, and anyone interested in general medical information. Feeder 1.5.10(880) http://reinventedsoftware.com/feeder/ http://blogs.law.harvard.edu/tech/rss en This work is licensed under a Creative Commons Attribution-Noncommercial No Derivative Works 3.0 United States License. podmedic@mac.com (Jamie Davis) podmedic@mac.com (Jamie Davis) Fri, 06 Mar 2009 11:26:54 -0500 Fri, 27 Aug 2010 06:03:02 -0400 http://www.mediccast.com/images/LaptopScrubsiTunes144.jpg The Nursing Show: News, Tips, and Commentary for Nurses and Students http://nursingshow.com 144 144 The Nursing Show: Featuring News, Tips, and Commentary for Nurses and Students Jamie Davis The Nursing Show: Featuring News, Tips, Meds, Reviews and Commentary for Nurses and Nursing Students and Instructors nurse, nursing, nurse student, education, medical, hospital, patient, news clean Jamie Davis, the Podmedic podmedic@nursingshow.com http://www.nursingshow.com/feed/podcast/ no Psychological Assessment and Episode 145 http://www.nursingshow.com/2010/08/27/psychological-assessment/ Welcome to Episode 145 of the Nursing Show

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News--

Better Treatment for A-fib and Risks

Smart Stem Cells Repair Hearts

Cheaper Generics Just as Good as Branded BP Meds

-----------------------------------

Tip of The Week- Psychological Assessment Review

Psychological assessment is basically gathering information or testing a person to evaluate a mental health complaint. It explores the patient's personal history including the presenting problem, when it started, medical and psychological history, substance abuse, mental status evaluation, and more. In assessing behavioral or psychological patients, nurses should keep in mind the communication techniques for these types of patients watch out for defense mechanisms displayed by the person interviewed and be able to get through those barriers for a more effective assessment.

To get the most out of the interview, nurses should start with open ended questions and proceed with leading questions focusing on the patient's feelings. Since the mental and emotional stability of the patient can not be ensured, it is best to conduct the assessment process in a safe environment such as the nurse will not be in a cornered area and the objects that can pose physical threat are not within the patient's reach.

For more tips and interview techniques for psychological patients, nurses and nursing students can follow the links below.

History and Mental Status Examination

Defense Barriers to Communication

Psychological Assessment

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Song this week: Brakelazy with "Tricks"
Matthew Ebel

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Fri, 27 Aug 2010 06:03:02 -0400 psychological-assessment-and-episode-145 Jamie Davis the Podmedic no 35:47
Acetaminophen Medication Review for Nurses and Episode 144 http://www.nursingshow.com/2010/08/20/acetaminophen-med-review/ Welcome to Episode 144 of the Nursing Show

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News--

Acetaminophen: Teen Asthma Trigger?

New Guidance on Care Record Violence Markers

Working Conditions Less Better for Nurses in Magnet Hospitals

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Tip of The Week- Acetaminophen (Tylenol) Medication Review

Acetaminophen, more popularly known as Tylenol is one of the over the counter drugs that can be found in most American households. This medication is mainly used for minor pain and aches and for fever reduction. Since this is a common drug taken by most people, nurses should be aware of the basics of this drug to be able to provide the correct information to patients and avoid overdosing or under dosing on the drug.

Knowing information like how it works, its interactions with other drugs, and contraindications is also necessary to avoid unwanted side effects that can arise. For more information on the medication Tylenol, nurses and nursing students can follow the links below.

Medicine Net.com on Acetaminophen (Tylenol)

Nursing Show Episode on Acetaminophen Overdose

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Song this week: Johanna Stahley with "I’m Not Perfect"

Johanna Stahley - I'm Not Perfect

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————————————

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Fri, 20 Aug 2010 06:10:47 -0400 psychological-pain-assessment-and-episode-145 Jamie Davis the Podmedic no 38:23
Johnson & Johnson Campaign for Nursing's Future and Episode 143 http://www.nursingshow.com/2010/08/06/discover-nursing-episode/ Welcome to Episode 143 of the Nursing Show

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News--

Heart Attack Risk Increased by Calcium Supplements

Compressions Only CPR Better for Cardiac Arrest

Home Monitoring Devices Help Cut Heart Failure Hospitalizations

-----------------------------------

Tip of The Week- Interview with Andrea Higham of Johnson and Johnson Campaign for Nursing's Future

Campaign for Nursing

Discover Nursing home page

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Other Podcasts from Jamie Davis:

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Song this week: Geoff Smith with “Not on the Radio”

Geoff Smith

Click here to get Songs from the MedicCast at the iTunes Store.

————————————

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Fri, 06 Aug 2010 06:00:39 -0400 johnson-johnson-campaign-for-nursings-future-an Jamie Davis, the Podmedic no 40:16
Patient Communication and Episode 142 Welcome to Episode 142 of the Nursing Show

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News--

Midwife Independence Legislation Approved

Open Letter to the ANA

Home Births Linked to Increased Newborn Mortality

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Tip of The Week- Patient Communication


———————————–

Don’t miss an episode! You can receive the Nursing Show Newsletter in your email inbox.

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Song this week: Rhyn with "Fall Away"

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Fri, 30 Jul 2010 06:15:51 -0400 patient-communication-and-episode-142 Jamie Davis the Podmedic no 31:25
Toxic Syndromes With Lisa Booze and Episode 141 http://www.nursingshow.com/2010/07/23/toxic-syndromes-episode-141/ Welcome to Episode 141 of the Nursing Show

The Nursing Show is a proud member of the ProMed Podcast Network.

Subscribe to the Nursing Show, free!

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News--

Master's Degree Program Prepares Nurses For Advanced Practice

Nursing: Most Ethical Profession for 16 Years

Nursing Jobs Still Strong

-----------------------------------

Tip of The Week- Toxidromes


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Other Podcasts from Jamie Davis:

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Song this week: Matthew Ebel with “An Ordinary Guy”

Matthew Ebel

Click here to get Songs from the MedicCast at the iTunes Store.

————————————

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Fri, 23 Jul 2010 06:54:53 -0400 toxic-syndromes-with-lisa-booze-and-episode-141 Jamie Davis, the Podmedic no 28:50
Pharmacokinetics, Pharmacodynamics, Nursing Care and Episode 140 http://www.nursingshow.com/2010/07/16/pharmacokinetics-pharmacodynamics-nursing-care-and-episode-140 Welcome to Episode 140 of the Nursing Show

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-----------------------------------

News--

Physician Shortage Create Workforce Issues

AHA Says 1 in 9 jobs Supported by Hospitals

Fake Terror Drill May Cause Hospital to be Fined

-----------------------------------

Tip of The Week- Pharmacokinetics, Pharmacodynamics and Nursing Care

Pharmacokinetics is defined as the process by which a drug is absorbed, distributed, metabolized, and eliminated by the body. In other words, it is the study of how the drug moves into the body from the point of administration as it goes into the different parts of the body then broken down and later on released via the involved organs involved in the excretory system.

Pharmacodynamics on the other hand is defined as the study of the biochemical and physiological effects of drugs and the mechanisms of their actions, including the correlation of their actions and effects with their chemical structure. It is the study of the effects of substances or drugs to the body.

As nurses, it is important to have knowledge of the pharmacodynamics and pharmacokinetics of drugs to better understand how they work in the body and how they affect physiological processes. This knowledge can be applied in assessing our patients on their response to medications and to better explain to patients how their medications work and why it is important to adhere to them.

For more information on these topics, nurses and nursing students can follow the links below.

NIH/MedlinePlus (2010). “Drugs & supplements.”

Thompson, A.(2004). “Back to basics: pharmacokinetics.”

“Understanding pharmacokinetics: parts 1-4.” AJN, American Journal of Nursing. 108(5-8) May-Aug, 2008

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Song this week: Alyssa Hendrix with "Good Summer Rain"

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Fri, 16 Jul 2010 06:45:52 -0400 pharmacokinetics-pharmacodynamics-nursing-care-a Jamie Davis the Podmedic no 31:50
Immune System Review and Episode 139 http://www.nursingshow.com/2010/07/09/immune-system-episode-139/ Welcome to Episode 139 of the Nursing Show

The Nursing Show is a proud member of the ProMed Podcast Network.

Subscribe to the Nursing Show, free!

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-----------------------------------

News--

Thousands Die Annually from Hospital Preventable Infections

Helmets Save Heads

Exercise Buffers Effects of Stress

-----------------------------------

Tip of The Week- Immune System Review

The immune system is the body's defense from diseases and infections. In this episode, nurses and nursing students will have an overview of the anatomy and physiology of the immune system, have a better understanding of how the immune system works, the different organs that comprise of the the immune system, as well as problems that we see in reactions like allergies and auto immune disorders.

We will see that the immune system comprises of different cells that are produced by corresponding organs and have a specific functions and types of immunity.

For more information and for a better review on this featured tip, follow the links provided below.

Kids Health Article on the Immune System

University of Hartford Immune System Review

National Institute of Allergy and Infectious Diseases

———————————–

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Other Podcasts from Jamie Davis:

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Song this week: "No More Summertime Blues" by Geoff Smith

Geoff Smith

Click here to get Songs from the MedicCast at the iTunes Store.

————————————

Creative Commons License

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Fri, 09 Jul 2010 06:45:52 -0400 immune-system-review-and-episode-139 Jamie Davis, the Podmedic no 38:30
Public Health Nursing Career Interview and Episode 138 http://www.nursingshow.com/2010/07/02/public-health-nursing Welcome to Episode 138 of the Nursing Show

The Nursing Show is a proud member of the ProMed Podcast Network.

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-----------------------------------

Tip of The Week- Public Health Nursing Interview with Ann Robinson

———————————–

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Song this week: Derek James with “Summer”

Derek James - Stray - summer

Click here to get Songs from the MedicCast at the iTunes Store.

————————————-

Creative Commons License

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Fri, 02 Jul 2010 06:30:36 -0400 public-health-nursing-career-interview-and-episode Jamie Davis, the Podmedic no 41:23
Nursing Care of Pediatric Poisonings and Episode 137 http://www.nursingshow.com/2010/06/25/pediatric-poisoning-episode-137 Welcome to Episode 137 of the Nursing Show

The Nursing Show is a proud member of the ProMed Podcast Network.

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News--

Hospital Crowding and Nurse Depression

Chances of Heart Attack Survival Depends on Location

New Vaccine Could Possibly Eliminate Breast Cancer

-----------------------------------

Tip of The Week- Pediatric Poisonings with Lisa Booze of the Maryland Poison Center

NIH Medline Resources on Lead Poisoning

Emory University: Pediatric Poisonings powerpoint presentation

Preventing Poisoning in Children

Poison Proofing Your Home

———————————–

Don’t miss an episode! You can receive the Nursing Show Newsletter in your email inbox.

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Song this week: David Homyk with “Summer State of Mind”

David Homyk

Click here to get Songs from the MedicCast at the iTunes Store.

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Fri, 25 Jun 2010 06:44:44 -0400 nursing-care-of-pediatric-poisonings-and-episode-1 Jamie Davis, the Podmedic Tip of The Week- Pediatric Poisonings with Lisa Booze of the Maryland Poison Center Children under the age of 6 have the habit of putting everything they get their hands on straight to their mouth. This habit makes them susceptible to acquiring infections, choking and most importantly, poisoning. Although most of the poisonings are unintentional exposures when the child gains access to a product or drug, many therapeutic errors are also reported to poison centers. Giving double doses or the wrong dose, or the wrong medicine, measuring out the wrong amount are all common reasons for these therapeutic errors. Nurses attending to children coming in should carefully asses the child for symptoms that may appear. Taking the history of ingestion from the parent or guardian is also helpful in the assessment and prediction of the possible effects of the substance to the child. Before discharge, nurses should always remember to remind the adults looking after the child to keep medications out of children's reach and in locked cabinets where they can not easily be accessed by a child. Household cleaners and other home chemicals should also be stored safely away from where children can get them. These measures if taken by all adults with children in their homes could greatly reduce the occurrence of pediatric poisonings. NIH Medline Resources on Lead Poisoning Emory University: Pediatric Poisonings powerpoint presentation Preventing Poisoning in Children Poison Proofing Your Home no 31:31
Drowning, Near-Drowning Emergencies and Episode 136 http://www.nursingshow.com/2010/06/18/drowning-and-episode-136/ Welcome to Episode 136 of the Nursing Show

The Nursing Show is a proud member of the ProMed Podcast Network.

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-----------------------------------

News--

Shocked OR Nurse Highlights Need to Improve OR Safety Policies

More Babies Born to Older Aged Mothers

Miscarriage and Antidepressants

-----------------------------------

Tip of The Week- Drowning and Near Drowning Emergencies

Surviving Drowning

Emedicine on Near Drowning

CDC on Healthy Swimming & Recreational Water Topics

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Other Podcasts from Jamie Davis:

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Song of the week: Brother Love with "Summertime"

Brother Love - Album of the Year - Summertime

————————————

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Fri, 18 Jun 2010 06:45:33 -0400 drowning-neardrowning-emergencies-and-episode-13 Jamie Davis, the Podmedic no 42:40
Asthma, Reactive Airway Disease and Episode 135 http://www.nursingshow.com/2010/06/11/asthma-and-episode-135 Welcome to Episode 135 of the Nursing Show

The Nursing Show is a proud member of the ProMed Podcast Network.

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News--

School Nursing Strategy Launch Welcomed

School Nurse Practitioners Help Heal Kids

One of a Kind Army Nurse

-----------------------------------

Tip of The Week- Reactive Airway Disease

Emedicine: Asthma Care in Children

Emedicine: Reactive Airway Disease

NIH Medline on Asthma

NIH Medline on Allergy

———————————–

Don’t miss an episode! You can receive the Nursing Show Newsletter in your email inbox.

NursingShow@gmail.com

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Song this week: I'm Not Responsible by Laura Clapp

Laura Clapp

Click here to get Songs from the MedicCast at the iTunes Store.
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Fri, 11 Jun 2010 06:45:57 -0400 asthma-reactive-airway-disease-and-episode-135 Jamie Davis, the Podmedic no 34:45
Nurses Review on Allergies and Episode 134 http://www.nursingshow.com/2010/06/04/allergies-and-episode-134/ Welcome to Episode 134 of the Nursing Show

The Nursing Show is a proud member of the ProMed Podcast
Network
.

Subscribe
to the Nursing Show, free!

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News--

Let Nurses Fix Aged Care

Cali RNs Strike as Part of Largest Nursing Strike in US
History

Nurses' Program Aims to Raise Healthier Kids

-----------------------------------

Tip of The Week- Understanding Allergies

National Institute of Allergy and Infectious Diseases

Allergy Tests

NIH Medline on Allergy

———————————–

Don’t miss an episode! You can receive the Nursing Show Newsletter
in your email inbox.

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Song this week: Julia Wilde with "People Like Us"

RushJulia Wilde

Julia Wilde - Rush - People Like Us

Click here to get Songs
from the MedicCast
at the iTunes Store.

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Fri, 04 Jun 2010 06:45:13 -0400 nurses-review-on-allergies-and-episode-134 Jamie Davis, the Podmedic no 35:03
Atrial Flutter Nurse Review and Episode 133 http://www.nursingshow.com/2010/05/28/atrial-flutter-and-episode-133/ Welcome to Episode 133 of the Nursing Show

The Nursing Show is a proud member of the ProMed Podcast Network.

Subscribe to the Nursing Show, free!

Visit the Nursing Show site for more now

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-----------------------------------

News--

AAP Launches Campaign for Vaccine Preventable Illnesses

Recession Decrease Birth Rates

Single Screening Cuts Colon Cancer Risk

-----------------------------------

Tip of The Week- Atrial Flutter

For nurses and nursing students who want to know more about atrial flutter, follow the resource links provided below.

NIH Medline on Atrial Fibrillation/Flutter

National Heart, Lung and Blood Institute

WedMD: Atrial Flutter

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Song this week: Mercury in Summer with “No I Won’t Let You Go”

Mercury in Summer - Can You Feel It? - No I Won't Let You Go

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Fri, 28 May 2010 06:45:30 -0400 atrial-flutter-nurse-review-and-episode-133 Jamie Davis, the Podmedic Atrial Flutter Nurse Review and Episode 133 of the Nursing Show for RN, LPN, student nurses and educators Tip of The Week- Atrial Flutter Atrial flutter is a rhythm disorder involving a rapid heart rate, in which the upper heart chambers (atria) are stimulated to contract in a very disorganized and abnormal manner. Though atrial flutter is somewhat similar with atrial fibrillation, the underlying mechanism of atrial flutter makes it amenable to cure this arrhythmia with percutaneous catheter-based techniques In atrial fibrillation, the atria are stimulated to contract very quickly and differently from the normal pattern. The impulses are sent to the ventricles in an irregular pattern. This makes the ventricles beat abnormally, leading to an irregular (and usually fast) pulse. In atrial flutter, the ventricles may beat very fast, but in a regular pattern. Causes of atrial flutter include cardiac issues like RHD, CHD, left ventricular dysfunction and postcardiac surgery. Other disorders like thyroid disease, obesity, pulmonary disease and PE have been associated with atrial fibrillation and flutter. For nurses and nursing students who want to know more about atrial flutter, follow the resource links provided below. NIH Medline on Atrial Fibrillation/Flutter National Heart, Lung and Blood Institute WedMD: Atrial Flutter no 34:00
Calcium Channel Blocker Overdose and Episode 132 http://www.nursingshow.com/2010/05/21/ca-channel-blockers-episode-132 Welcome to Episode 132 of the Nursing Show

The Nursing Show is a proud member of the ProMed Podcast Network.

Subscribe to the Nursing Show, free!

visit the Nursing Show site

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-----------------------------------

News--

Tri Council Issues Policy Statement on Educational Advancement of RNs

What A Bad Lifestyle Does to Your Lifespan

Chicago Tribune Examines Reproductive Health Knowledge among Young People

-----------------------------------

Tip of The Week- Calcium Channel Blockers Overdose With Lisa Booze of Maryland Poison Center

Refer to the links below for more on calcium channel blockers overdose.

NIH Article on Calcium Channel Blocker Overdose

Medscape article on Calcium Channel Blocker Toxicity

Maryland Poison Center

———————————–

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Song this week: Adrina Thorpe with “Everything Changes”

Adrina Thorpe - Halflight & Shadows - Everything Changes

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Fri, 21 May 2010 06:50:53 -0400 calcium-channel-blocker-overdose-and-episode-132 Jamie Davis, the Podmedic Calcium Channel Blocker OD and Episode 132 of the Nursing Show program for RN, LPN, student nurses and educators Tip of The Week- Calcium Channel Blockers Overdose With Lisa Booze of Maryland Poison Center Calcium channel blockers and beta blockers are drugs primarily used for hypertension, cardiovascular disease, and arrhythmias. They are very commonly prescribed and very commonly involved in unintentional as well as intentional overdoses. Nurses should keep an eye on patients taking calcium channel blockers for symptoms of overdose include confusion, dizziness, confussion, arrhythmia, slurred speech, bradycardia, SOB and weakness. To resolve the symptoms, hospital protocols for bradycardia and hypotension should be followed, and may include atropine, epinephrine, norepinephrine, other vasopressors and IV fluids. Calcium and Glucagon may also be given as antidotes to calcium channel blockers. For patients following treatment of overdose, calcium levels should be monitored and observed for complications of overaggressive calcium administration. Refer to the links below for more on calcium channel blockers overdose. NIH Article on Calcium Channel Blocker Overdose Medscape article on Calcium Channel Blocker Toxicity Maryland Poison Center no 26:32
Cardiac Laboratory Tests and Episode 131 http://www.nursingshow.com/2010/05/14/cardiac-labs-episode-131/ Welcome to Episode 131 of the Nursing Show

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Cardiac Labs and Episode 131 of the Nursing Show

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Suppressed Anger Triples Risk for Heart Attack

Laughter Impacts Appetite

Nursing Education Program for Career Switchers

-----------------------------------

Tip of The Week- Cardiac Related Lab Values

Cardiac Enzyme Studies

Blood Tests for Heart Attack Detection

Electrolytes, Sodium, Chloride and Bicarbonates

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Song this week: Fire Apes with "Hey Kate"

The Fire Apes - The Fire Apes - Hey Kate

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Fri, 14 May 2010 07:15:18 -0400 cardiac-laboratory-tests-and-episode-131 Jamie Davis, the Podmedic Cardiac Laboratory Tests and Episode 131 of the Nursing Show for RN, LPN, student nurses and educators. Tip of The Week- Cardiac Related Lab Values Cardiac enzyme studies measure the level of certain enzymes and proteins in the blood. Normally, the level enzymes looked at in this study are low. In case of injury to the heart muscle, the enzymes and proteins leak out of damaged heart muscle cells, and their levels in the bloodstream rise. These tests are done to confirm diagnosis of a suspected impending heart attack especially if the patient complains of chest pain, shortness of breath, nausea and abnormal ECG results. Electrolytes on the other hand not only affect organs related to fluid regulation but also to the heart. Take for instance the Potassium, it affects not only contractility of the skeletal muscles but also the muscles of the heart. Abnormal serum potassium levels can put a patient at risk for arrhythmias. Professional nurses and nursing students should always keep in mind the importance of these tests especially to patients at increased risk for cardiac arrest or MI and also remember the factors that can affect the test results like medications, recent activity, alcohol use, and other disease processes. Cardiac Enzyme Studies Blood Tests for Heart Attack Detection Electrolytes, Sodium, Chloride and Bicarbonates no 29:46
Atrial Fibrillation Review for Nurses and Episode 130 http://www.nursingshow.com/2010/05/07/atrial-fibrillation-episode-130 Welcome to Episode 130 of the Nursing Show

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Heart Risk Factors Common in US

Expensive Heart Screenings- Not Worth It

Arrhythmia Linked to Alzheimer's

-----------------------------------

Tip of The Week- Atrial Fibrillation

Medline Plus on Atrial Fibrillation/Flutter

National Heart Lung and Blood Institute

WebMD: Atrial Fibrillation and Heart Disease

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Song this week: Uncle Seth with "To Be An Angel"

Uncle Seth

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Fri, 07 May 2010 06:55:27 -0400 atrial-fibrillation-review-for-nurses-and-episode Jamie Davis, the Podmedic Atrial Fibrillation Review for Nurses and Episode 130 of the Nursing Show for RN, LPN, and students nurses at all levels. Tip of The Week- Atrial Fibrillation Atrial Fibrillation is the most common type of arrhythmia. In this case, rapid, disorganized electrical signals cause the atria, the two upper chambers of the heart, to contract very rapidly. To better understand how atrial fibrillation happens, nurses and nursing students should brush up on their knowledge in cardiac anatomy and how electrical conduction in the heart works. The incidence of this condition becomes more common with age. Atrial fibrillation can be caused by alcohol use, CHF, CAD, heart surgery, hypertension, pericarditis, medications and valvular heart disease. Nurses in floor observing patients with heart risks should suspect atrial fibrillation if the patient presents with palpitations, SOB while lying down, confusion, dizziness, light headedness, fainting and fatigue. To better understand atrial fibrillation, RNs and nursing students can refer to the links below. no 31:49
Acute Adrenal Crisis and Episode 129 http://www.nursingshow.com/2010/04/30/adrenal-crisis-episode-129/ Welcome to Episode 129 of the Nursing Show

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Specialty Nurse Conference and Trade Show Invites Media

AHA: Salt Reduction Initiative in the Right Direction

UK Nurses Need Be Trained in Dementia Care

-----------------------------------

Tip of The Week- Acute Adrenal Crisis Review for Nurses

NIH Medline Article on Acute Adrenal Crisis

Hormones of the AdrenalCortex

eMedicine on Adrenal Insufficiency and Adrenal Crisis

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Song this week: Matthew Ebel with "An Ordinary Guy"

Matthew Ebel

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Fri, 30 Apr 2010 06:50:57 -0400 acute-adrenal-crisis-and-episode-129 Jamie Davis, the Podmedic Acute Adrenal Crisis Nursing Review and Episode 129 of the podcast for nurses, RN, LPN, students, and educators in the nursing field. Tip of The Week- Acute Adrenal Crisis Review for Nurses In the featured tips here on the Nursing Show over the past weeks, we have covered disorders of the adrenal glands Cushing's syndrome and Addison's disease. Nursing students will have a follow-up on last week's tip in this week's episode on acute adrenal crisis. Acute adrenal crisis is a life threatening condition which arises from lack of production of cortisol by the adrenal glands. Nurses should be able to recognize the signs of the crisis early so that they can be prepared to initiate the supportive treatments necessary to sustain a patient while the causes are resolved. Adrenal crisis is different from the chronic conditions associated with Addison's disease. In contrast with Addison's disease, acute adrenal crisis does not only arise from damaged adrenal glands but also from other causes like injured pituitary glands, recently discontinued corticosteroid treatments, and untreated adrenal insufficiency. To better understand acute adrenal crisis, nurses, RNs, LPNs, and student nurses may follow the links below. NIH Medline Article on Acute Adrenal Crisis Hormones of the AdrenalCortex eMedicine on Adrenal Insufficiency and Adrenal Crisis no 31:20
Addison's Disease and Episode 128 http://www.nursingshow.com/2010/04/23/addisons-episode-128/ Welcome to Episode 127 of the Nursing Show

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Latest high-fructose corn syrup study generates buzz

Event Addresses How TV Can Raise Awareness Of Global Health Issues

Study Shows Single Dose Epinephrine Not Enough for Severe Allergies

-----------------------------------

Tip of The Week- Addison's Disease

Adrenal Insufficiency and Addison's Disease

NIH Article on Addison's Disease

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Song this week: Darren Geffre with "Sweat"

Darren Geffre - Uncivilized - Sweat

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Fri, 23 Apr 2010 06:59:33 -0400 addisons-disease-and-episode-128 Jamie Davis, the Podmedic Addison's Disease and Episode 128 of the Nursing Show for nurses, RN, LPN, students and educators Tip of The Week- Addison's Disease Addison's disease is an endocrine disorder where the adrenal glands don't produce enough hormones (cortisol and aldosterone). To fully understand the signs and symptom's presented by the disorder, RNs and student nurses should know the what adrenal hormones do and how they work in the body. Symptoms of Addison's disease include weight loss, muscle weakness, fatigue, hypotension, hypoglycemia and patchy dark skin. Patient's with this disorder should take hormone replacement pills for life. If left untreated, patient may go into a life threatening condition called Addisonian crisis, which is the sudden sever worsening of symptoms. Symptoms that nurses should watch out for include severe vomiting and diarrhea, low blood pressure, dehydration, loss of consciousness, and sudden penetrating pain in the lower back. For more information for nurses, students and their patients on Addison's disease and other Endocrine disorders, follow up with the linked resources below. no 32:00
Synthetic Marijuana, Designer Drugs and Episode 127 http://www.nursingshow.com/2010/04/16/synthetic-marijuana-episode-127 Welcome to Episode 127 of the Nursing Show

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Profile America features distinguished nurse

College’s nursing program questioned

Health Debate Must Be About Keeping People Out Of Hospital

-----------------------------------

Tip of The Week- K2 and Designer Drugs with Toxicology Specialist Lisa Booze

K2, Fake weed, spice, and zohai are just some of the names given to synthetic marijuana. It is a chemical that is intended to substitute marijuana and mimics its effects only more potent. It may be a mixture of herbal and spice plant products, but it is sprayed with a potent psychotropic drug and likely contaminated with an unknown toxic substance that is causing many adverse effects. Unlike marijuana, reactions from using K2 include agitation, anxiety, tachycardia, and elevated blood pressure.

There are also synthetic/designer drugs out there like K2 that are contaminated with unknown substances and untested substances making it difficult to identify and predict its effects. Nurses should continuously assess these patients for unexpected adverse reactions and document their findings. Coordination with poison control centers and providing them the information gathered from these patients will help in providing effective nursing interventions and treatment and also to have reference for same cases that may be encountered in the future.

American Association of of Poison Control Centers Press Release

Maryland Poison Center

Article on K2 Causing Hallucinations in Teens

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Song this week: Natalie Gelman with "Never Had You"

Natalie Gelman - Natalie Gelman - Never Had You

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Fri, 16 Apr 2010 10:50:40 -0400 synthetic-marijuana-designer-drugs-and-episode-12 Jamie Davis, the Podmedic Synthetic Marijuana, Designer Drugs and Episode 127 of the Nursing Show for nurses, RN, LPN, students and educators in nursing careers. Tip of The Week- K2 and Designer Drugs with Toxicology Specialist Lisa Booze K2, Fake weed, spice, and zohai are just some of the names given to synthetic marijuana. It is a chemical that is intended to substitute marijuana and mimics its effects only more potent. It may be a mixture of herbal and spice plant products, but it is sprayed with a potent psychotropic drug and likely contaminated with an unknown toxic substance that is causing many adverse effects. Unlike marijuana, reactions from using K2 include agitation, anxiety, tachycardia, and elevated blood pressure. There are also synthetic/designer drugs out there like K2 that are contaminated with unknown substances and untested substances making it difficult to identify and predict its effects. Nurses should continuously assess these patients for unexpected adverse reactions and document their findings. Coordination with poison control centers and providing them the information gathered from these patients will help in providing effective nursing interventions and treatment and also to have reference for same cases that may be encountered in the future. no 26:28
Cushing's Syndrome Nursing Review and Episode 126 http://www.nursingshow.com/2010/04/09/cushings-syndrome-episode-126/ Welcome to Episode 126 of the Nursing Show

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News--

Study Shows Effective Protection of Surgical Masks Against H1N1

Fatty foods may cause cocaine-like addiction

Want healthy kids? Learn how to cook

-----------------------------------

Tip of The Week- Cushing's Syndrome

Cushing's Syndrome by National Endocrine and Metabolic Diseases Information Service

Medline Plus Article on Cushing's Syndrome

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Song this week: Mercury in Summer with "No I Won't Let You Go"

Mercury in Summer - Can You Feel It? - No I Won't Let You Go

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Fri, 09 Apr 2010 06:57:43 -0400 cushings-syndrome-nursing-review-and-episode-126 Jamie Davis, the Podmedic Cushing's Syndrome Nursing Review and Episode 126 Tip of The Week- Cushing's Syndrome Review for Nurses and Nursing Students Nurses often see signs and symptoms of chronic disorders before other health care professionals. When a nurse or nursing student is trained to recognize warning signs of a chronic problem, they can work with the patient's health care team to provide the treatments and support needed to return that patient to their optimal health level. Cushing's Syndrome is a rare endocrine disorder involving chronically increased levels of cortisol, a hormone released by the adrenal cortex and one of the corticosteroids. Cortisol is important in the regulation of insulin function, metabolizing of proteins and fats, and regulation of blood pressure. Nurses should learn to recognize possible signs and symptoms of hypercortisolism or Cushing's Syndrome in a patient. Signs and symptoms may include obesity in just the torso, a round face, and neck fat. The arms and legs will appear normal. Patients also may have thin, fragile skin and experience easy bruising and slow healing. Their bones may also be weak and subject to stress fractures from normal daily activities. Other common signs and symptoms include * severe fatigue * weak muscles * high blood pressure * high blood glucose * increased thirst and urination * irritability, anxiety, or depression * a fatty hump between the shoulders For more information for nurses, students and their patients on Cushing's Syndrome and other Endocrine disorders, follow up with the linked resources below. no 30:10
MRSA Nurse Review and Episode 124 http://www.nursingshow.com/2010/04/02/mrsa-and-episode-124/ Welcome to Episode 124 of the Nursing Show

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Community-Acquired MRSA Becoming More Common

Perioperative Hand Hygiene Champions Award

DEA Preventing Nursing Home Patients From Getting Pain Medication

-----------------------------------

Tip of The Week- Review of Methicillin Resistant Staphylococcus Aureus

MRSA, otherwise known as methicillin-resistant staphylococcus aureus, is a type of staphylococcus bacteria that is resistant to certain types of antibiotics. It can either be hospital associated (HA-MRSA) which happens in the healthcare setting or community acquired (CA- MRSA) which is passed through skin contact with infected people.

MRSA may present as a skin infection or a bump which may be red, swollen, painful, warm to touch, with pus or drainage and accompanied by fever.

The incidence of MRSA in both hospital and community setting lies in proper infection control and good hand hygiene. Some of the things that nurses should remember when it comes to the prevention of the spread of MRSA in the healthcare setting includes, wound and drainage precautions, disinfection of articles contaminated with wound drainage and practice of proper handwashing in between patients.

MRSA: medline plus

MRSA: antimicrobial resistance

CDC: national MRSA education initiative

Hand Hygiene in Healthcare Setting

———————————–

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Song this week: Fire Apes with "Hey Kate"

The Fire Apes - The Fire Apes - Hey Kate

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Fri, 02 Apr 2010 07:12:31 -0400 mrsa-nurse-review-and-episode-124 Jamie Davis, the Podmedic MRSA Nurse Review and Episode 124 of the Nursing Show podcast for nurses, RN, LPN, students and educators. Tip of The Week- Review of Methicillin Resistant Staphylococcus Aureus MRSA, otherwise known as methicillin-resistant staphylococcus aureus, is a type of staphylococcus bacteria that is resistant to certain types of antibiotics. It can either be hospital associated (HA-MRSA) which happens in the healthcare setting or community acquired (CA- MRSA) which is passed through skin contact with infected people. MRSA may present as a skin infection or a bump which may be red, swollen, painful, warm to touch, with pus or drainage and accompanied by fever. The incidence of MRSA in both hospital and community setting lies in proper infection control and good hand hygiene. Some of the things that nurses should remember when it comes to the prevention of the spread of MRSA in the healthcare setting includes, wound and drainage precautions, disinfection of articles contaminated with wound drainage and practice of proper handwashing in between patients. no
Foodborne Illnesses and Episode 124 http://www.nursingshow.com/2010/03/26/foodborne-illness-episode-124/ Welcome to Episode 124 of the Nursing Show

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Commission Heralds New Image For Nursing

Online Tool to Educate Nurses and Physician Assistants on Genomics

$152B Spent on Foodborne Illnesses Annually

-----------------------------------

Tip of The Week- Foodborne Illnesses

CDC on Foodborne Illnesses

Bacteria and Foodborne Illnesses by NDDIC

Nursing Show Episode on Salmonellosis

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Song this week: Adrina Thorpe with "Everything Changes"

Adrina Thorpe - Halflight & Shadows - Everything Changes

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Fri, 26 Mar 2010 06:48:53 -0400 foodborne-illnesses-and-episode-124 Jamie Davis, the Podmedic no 30:23
Bipolar Disorder Review for Nurses and Episode 123 http://www.nursingshow.com/2010/03/19/bipolar-disorders-episode-123/ Welcome to Episode 123 of the Nursing Show

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Men in Nursing Making Mark on Community

YouTube Video "Wash This Way"

School Paved Way for Country's Nursing Education

Studies Examine Team Approaches To Hospital Care

-----------------------------------

Tip of The Week- Bipolar Disorders

Bipolar Disorders by NIH Medline

National Institute of Mental Health on Bipolar Disorders

Kidshealth.org on Bipolar/Depressive Disorders

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Song this week: Candy Butchers with "What to Do With Michael"

Candy Butchers - Hang On Mike - What to Do With Michael

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Fri, 19 Mar 2010 06:52:03 -0400 bipolar-disorder-review-for-nurses-and-episode-123 Jamie Davis, the Podmedic no 31:06
Army Nursing Careers and Episode 122 of the Nursing Show http://www.nursingshow.com/2010/03/12/army-nursing-and-episode-122/ Welcome to Episode 122 of the Nursing Show

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Nurse Shot by Patient

Nurses Fired for Not Coming to Work In Snow Storm

Nursing Provides Haven for Mid-Career Switches

-----------------------------------

Tip of The Week- Army Nursing Careers Interview with Lydia Crystobal

US Army Nurse Corps

Army Nurse Corps Overview

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Song this week: Uncle Seth with "To Be An Angel"

Uncle Seth

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Fri, 12 Mar 2010 07:15:24 -0500 army-nursing-careers-and-episode-122-of-the-nursin Jamie Davis, the Podmedic Army Nursing Careers and Episode 122 of the Nursing Show for Nurses, RN, LPN, Student and Educators no 33:15
Nursing Care of Depressed Patients and Episode 121 http://www.nursingshow.com/2010/03/05/depressed-pts-episode-121/ Welcome to Episode 121 of the Nursing Show

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News--

Hospital Cuts Endanger Patient Care

Nursing Jobs No Longer Recession-Proof

Expanded Role For Nurse Practitioners in California

-----------------------------------

Tip of The Week- Care of Depressed Patients

National Institute of Mental Health on Depression

Depression by American Psychiatric Association

Clinical Assessment and Management of Depression

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Song this week: Ingrid Michaelson with "The Way I Am"

Ingrid Michaelson - Girls and Boys

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Fri, 05 Mar 2010 07:00:21 -0500 nursing-care-of-depressed-patients-and-episode-121 Jamie Davis, the Podmedic Nursing Care of Depressed Patients and Episode 121 of the Nursing Show for nurses, RN, LPN, students and educators Tip of The Week- Care of Depressed Patients The death of a loved one, loss of a job, or the ending of a relationship are difficult experiences for a person to endure. The feeling of sadness during these circumstances are normal for a person, but when the feeling persists for months or years and interferes with the normal functioning of the person, they may be experiencing depression. Depression can affect anyone but several factors like biochemistry, genetics, personality and environmental factors can put a person at a higher risk. Treatment includes medications and psychotherapy. Nursing intervention following the assessment of the depressed patient may involve direct care and/or referral to other disciplines as needed. Direct nursing care includes psycho-education (teaching about the illness of depression, identifying early signs of relapse, finding resources, managing medication and symptoms, and promoting social activities), as well as individual and group psychotherapy, family therapy, and case management. no 28:03
Nurse Poison Prevention Program Tips and Resources and Episode 120 http://www.nursingshow.com/2010/02/26/nurse-poison-prev-and-episode-120 Welcome to Episode 120 of the Nursing Show

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News--

Study Finds Nurse Educators Significantly Increase Awareness For Product Launch

Joint Commission Alert Reports Rise In Maternal Death, Suggests Preventive Actions

Violence Is Part Of The Job Say Nurses As Study Shows Only 1 In 6 Incidents Are Reported

-----------------------------------

Poison Prevention Week Tips

With Angel Bivens, PharmD, from the Maryland Poison Center

Downloadable resources for getting your PPW program running

American Academy of Pediatrics PPW and Poison Prevention info

CDC National Poison Information Center

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Song this week: Ingrid Michaelson with "The Way I Am"

Ingrid Michaelson - Girls and Boys

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Fri, 26 Feb 2010 07:41:27 -0500 nurse-poison-prevention-program-tips-and-resources Jamie Davis, the Podmedic Nurse Poison Prevention Program Tips and Resources and Episode 120 of the Nursing Show podcast for RN, LPN, student and educator nurse professionals Poison Prevention Week Tips With Angel Bivens, PharmD, from the Maryland Poison Center Poison Prevention Week is coming up March 15 thru the 21, 2010. This gives nurses an opportunity to collaborate with their local poison centers and arrange activities for poison awareness not only for health professionals but most especially for the public. For this episode, I am joined by Toxicology Specialist and community educator, Angel Bivens, PharmD, from the Maryland Poison Center (MDPoison.com) to chat about using resources from the regional poison centers to set up a local education program, meeting, or training to teach the public about poison prevention for patients at all ages. Angel covers some of the programs health providers can do to help manage emergencies and trips to the hospital by utilizing their local poison center resources. For more on setting up a Poison Prevention Program in your community, see links below Downloadable resources for getting your PPW program running American Academy of Pediatrics PPW and Poison Prevention info CDC National Poison Information Center no 29:50
Anxiety Disorder Review for Nurses and Episode 119 http://www.nursingshow.com/2010/02/19/anxiety-disorders-episode-119/ Welcome to Episode 119

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Prescription Pill Abuse Surpasses Street Drugs

Nurse Gave Patient Drugs and Removed Call Bells for an 'Easy Night'

Pedometer Could Cut Type 2 Diabetes by Half

-----------------------------------

Tip of The Week- Anxiety Disorders

National Mental Health Information Center

National Institute of Mental Health

Anxiety Disorders Association of America

American Psychiatric Association

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Song this week: Matthew Ebel with "Downtown"

Matthew Ebel on iTunes song called DownTown

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Fri, 19 Feb 2010 06:03:36 -0500 anxiety-disorder-review-for-nurses-and-episode-119 Jamie Davis, the Podmedic Anxiety Disorders Review for Nursing and Episode 119 of the Nursing Show for nurses, RN, LPN, student and educator. Tip of The Week- Anxiety Disorders Mild to moderate anxiety is a normal response when confronted with stressful situations. It helps the person cope with situation by making them more alert, however, too much anxiety can be a disabling disorder. There are five major types of anxiety disorders: * Generalized anxiety disorder * Obsessive-compulsive disorder * Panic disorder * Post-traumatic stress disorder * Social Phobia or social anxiety disorder no 32:43
Acute Respiratory Distress Syndrome Review for Nurses and Episode 118 http://www.nursingshow.com/2010/02/12/ards-and-episode-118/ Welcome to Episode 118

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KHN Column: Give Nurses A Bigger Role In Improving Health Care

Budget Cuts Endanger Mental Health Nursing Centers

10 Year Decline in Teen Pregnancy Ends

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Tip of The Week- Acute Respiratory Distress Syndrome

Acute Respiratory Distress Syndrome by NIH Medline

Systematic Approach to Care of ARDS

Nursing CE Course on ARDS

ARDS by eMedicine

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Song this week: Joe Colledge with "Shambala"

Joe Colledge - Out of the Blue - Shambala

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Fri, 12 Feb 2010 20:47:53 -0500 acute-respiratory-distress-syndrome-review-for-nur Jamie Davis, the Podmedic Acute Respiratory Distress Syndrome (ARDS) and Episode 118 of the Nursing Show Podcast for Nurses, RN, LPN, students, and educators. Tip of The Week- Acute Respiratory Distress Syndrome ARDS is a respiratory disorder wherein there is the rapid onset of progressive malfunction of the lungs. It is a life-threatening condition because there is not enough oxygen entering into the blood. It can arise from a number of causes including trauma, sepsis, diffuse pneumonia and shock. Symptoms include dyspnea, profound hypoxemia, low blood pressure and organ failure. The acute onset of symptoms is a specific criteria in the diagnosis of ARDS. Treatment goals are aimed at resolving the underlying cause of ARDS and nursing care is directed at providing rest, comfort, nutrition and interventions to avoid complications. no 25:45
Tuberculosis Nurse Review and Episode 117 http://www.nursingshow.com/2010/02/05/tuberculosis-and-episode-117/ Welcome to Episode 117

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Publisher Announces Partnership With Laerdal Medical

ANA Joins SCHF Coalition In Demanding Stronger Protections From Toxic Chemicals

Health Workers Trained To Take Emotions More Seriously May Prevent Depression Among Patients

-----------------------------------

Tip of The Week- Tuberculosis Review

Tuberculosis by WHO

Tuberculosis: Medline Plus

CDC - Tuberculosis (TB)

CDC- TB Continuing Education Activities

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Song this week: Mike McGill with "Southern California"

Mike McGill - Enjoy the Journey - Southern California

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Fri, 05 Feb 2010 08:36:01 -0500 tuberculosis-nurse-review-and-episode-117 Jamie Davis, the Podmedic Tuberculosis Nurse Review and Episode 117 of the Nursing Show podcast for RN, LPN, student, and nurse educators Tip of The Week- Tuberculosis Review Tuberculosis or TB is caused by the bacteria Mycobacterium tuberculosis. The bacteria usually attack the lungs, but they can also damage other parts of the body. TB spreads through the air when a person with TB of the lungs or throat coughs, sneezes or talks. Individuals who have been exposed to the bacteria may not necessarily exhibit symptoms especially if they have a strong immune system, however, a tuberculin test or special TB blood test will show a positive reaction. Those infected with latent TB will not spread the bacteria but will progress to active TB if their immune system weakens. Since tuberculosis is highly infectious, nurses and caregivers have to take special precautions to prevent the spread or contracting the infection like isolation, use of personal protective equipment and proper disposal and disinfection of sputum stained articles like utensils, sheets and the like. It is also necessary to let the patient understand the importance of completing and adhering to the medication regimen for patients with latent TB to prevent active TB disease, and for patients with active TB to eradicate the bacteria and avoid recurrence. no 29:30
Upper Respiratory Infection Review for Nurses and Episode 116 http://nursingshow.com/2010/01/29/upper-respiratory-episode-116/ Welcome to Episode 116

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Trapped Father Survives With Help of Phone Application

Melbourne Nurse Feels Pull From Haiti

Florida Governor Allows Out-of-State Nurses in Hospitals

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Tip of The Week-Review of Upper Respiratory Tract Infections

Upper Respiratory Infections by eMedicine

Sinusitis by NIH Medline

Tonsillitis by NIH Medline

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Song this week: Carrie Cunningham with "Single Life"

Carrie Cunningham - Honeysweet - The Single Life

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Fri, 29 Jan 2010 22:36:03 -0500 upper-respiratory-infection-review-for-nurses-and Jamie Davis, the Podmedic Upper Respiratory Infection Review for Nurses and Episode 116 of the Nursing Show podcast for RN, LPN, students, and educators Tip of The Week-Review of Upper Respiratory Tract Infections The upper respiratory tract consist of respiratory organs from the trachea moving up which includes the larynx, throat, nose and the mouth and infection of of the upper respiratory tract is referred to as "colds". The common cold is usually a viral infection with symptoms including nasal congestion, runny nose, low-grade fever and cough which is usually dry. Coughing with secretions in an upper respiratory infection may be the result of post-nasal drip which is nasal secretion that have dripped to the back of the throat. Acute sinusitis may be a resulting symptom of upper respiratory infections. the opening air-filled spaces in the skull become blocked with mucus which makes bacteria grow more easily. On the other hand, lymph nodes like the tonsils can be overwhelmed by the ongoing infection and become inflamed, thus, resulting to tonsillitis. Since the common cold is a viral infection, treatment modalities are directed at relieving the symptoms. In children, low-grade fever should not be treated with aspirin because of its association with Reye Syndrome. Nursing care includes increasing fluids to moisten mucus membranes and facilitate secretion of mucus, administration of prescribed medications for symptoms and promotion of rest and comfort. no 30:05
Nursing Shock Review and Episode 115 http://nursingshow.com/2010/01/22/shock-and-episode-115/ Welcome to Episode 115

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Vaccine Refusal Raises Chickenpox Risk

2010 Immunization Schedule- American Academy of Pediatrics

Sleepless in High School

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Tip of The Week- Overview of Shock

To have a better understanding on the different kinds of shock, follow the links below.

Septic Shock by eMedicine

Hypovolemic Shock by eMedicine

Cardigenic Shock by eMedicine

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Song this week: Chad Hollister with "Grow"

Chad Hollister - Chad Hollister - Grow

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Fri, 22 Jan 2010 06:45:54 -0500 nursing-shock-review-and-episode-115 Jamie Davis, the Podmedic Nursing Shock Review and Episode 115 of the Nursing Show podcast for nurses, RN, LPN, students, and educators Tip of The Week- Overview of Shock Shock in general is defined as a critical condition brought on by a sudden drop in blood flow through the body. There is failure of the circulatory system to maintain adequate blood flow. This sharply curtails the delivery of oxygen and nutrients to vital organs. It also compromises the kidney and so curtails the removal of wastes from the body. Shock can be due to a number of different mechanisms including not enough blood volume (hypovolemic shock), infection at a systemic level (septic shock), and not enough output of blood by the heart (cardiogenic shock). no 31:40
Street Drug Contaminants Review for Nurses and Episode 114 http://nursingshow.com/2010/01/15/street-drug-contaminants-and-episode-114

Welcome to Episode 114


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News--


Health Care and Nursing Jobs Continue to Be in Demand

Universities Team Up on Advanced Degree

The New Katrina Flood: Hospital Liability

-----------------------------------

Tip of The Week- Street Drug Contaminants with Lisa Booze of Maryland Poison Center

DrugScope on How Pure are Street Drugs?

Office of National Drug Control Policy: Street Terms

Commonly Abused Drugs by National Institute of Drug Abuse

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Song this week: I'm Not Responsible by Laura Clapp


Laura Clapp

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Fri, 15 Jan 2010 07:15:02 -0500 street-drug-contaminants-review-for-nurses-and-epi Jamie Davis, the Podmedic Street Drug Contaminants Review for Nurses and Episode 114 of the Nursing Show podcast for RN, LPN, students, and educators no 27:00
Patient Education Tips for Nurses and Episode 113 http://nursingshow.com/2010/01/08/patient-education-episode-113/ Welcome to Episode 113

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Spoon Size Leads to Medicine Dosage Errors

Studies Show Quitting Smoking Increases Risk for Diabetes

Autism Clusters Liked to Parenting and Not Local Toxins

-----------------------------------

Tip of The Week- Patient Education

For tips on how to perform a successful patient teaching session and making patient handouts, refer to the links below.

Guidelines for Preparing Patient Education Handouts

BNET Article on Patient Education and the Nursing Process

The Role of Patient Education in Nursing

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Song this week: Downtown by Matthew Ebel

Matthew Ebel

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Fri, 08 Jan 2010 21:05:49 -0500 patient-education-tips-for-nurses-and-episode-113 Jamie Davis, the Podmedic Patient Education Tips for Nurses and Episode 113 of the Nursing Show podcast for RN, LPN, students and educators Patient education is one of the most important service that nurses can provide. Though most nurses may not have the time to perform patient teachings, it is not an excuse to dismiss the task. Patient understanding on their illness and the treatment process they have to go through is essential for them to cooperate and ensure post-discharge compliance especially for disorders needing permanent lifestyle or diet changes and maintenance medications. For the teaching process to be a success, nurses should consider factors that may hinder understanding like language barriers, cultural differences, education, and age. no 34:53
Hyperthyroidism review for nurses and Episode 112 http://nursingshow.com/2010/01/01/hyperthyroidism-and-episode-112 Welcome to Episode 112

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Liver-Targeted Drug Stops Hepatitis C

Heart Disease Screening Could Pick Up Undiagnosed Lung Diseases

Cooling May Benefit Children After Cardiac Arrest

-----------------------------------

Tip of The Week- Hyperthyroidism

NIH Medline on Hyperthyroidism

eMedicine Endocrinology: Hyperthyroidism

National Endocrine and Metabolic Diseases Info Service

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Song this week: Strawberry Soda by Samuel Ventura

Samuel Ventura - Beautiful Tragedy - Strawberry Soda

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Fri, 01 Jan 2010 07:02:20 -0500 hyperthyroidism-review-for-nurses-and-episode-112 Jamie Davis, the Podmedic Hyperthyroidism and Episode 112 of the Nursing Show podcast for nurses, rn, lpn, student and educators. Tip of The Week- Hyperthyroidism This condition is also referred to as "overactive thyroid". Judging by the name itself, there is an oversecretion of thyroid hormones (specifically T4 and T3) which controls metabolic processes in the body. It can be caused by a number of conditions like Grave's disease, thyroiditis, and taking in too much iodine. Since there is overproduction of hormones responsible for metabolism, symptoms of hyperthyroidism would be sweating, tremors, tachycardia, heat intolerance, irritability, goiter, loose bowels and irregular or no menstruation. To make things easier to remember, take note that everything increases except for menstruation. Treatment modalities antithyroid medications, radioactive iodine, and thyroidectomy. If removal of the thyroid is done, nurses should inform the patient that they are to take thyroid hormone replacement pills for life. no 30:39
Nursing Code Management, CPR Leadership and Episode 111 http://nursingshow.com/2009/12/25/code-management--episode-111/ Welcome to Episode 111

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News--

Critical Nursing Scarcity Looming

School Nurse and Police Officer Saves Kid With Undiagnosed Heart Condition

Home Care Patients Worry Over Possible Cuts

-----------------------------------

Tip of The Week- Code Management and CPR leadership

Your Role in a Code Blue

American Heart Association, Management of Cardiac Arrest

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Song this week:

Natalie Brown - Jingle Bells

Natalie Brown

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Fri, 25 Dec 2009 06:00:41 -0500 nursing-code-management-cpr-leadership-and-episod Jamie Davis, the Podmedic Nursing Code Management, CPR Leadership and Episode 111 of the Nursing Show podcast for all nurses, RN, LPN, student, and educators. There are different nursing responsibilities when it comes to attending to cases of cardiac arrest depending on what role the nurse is playing in the team. Since a cardiac arrest is an event that requires immediate interventions and time is of the essence in determining the patient's recovery, institutions appoint cardiac arrest teams. This team is a group of physicians and nurses trained in ACLS. Each member of the team has a designated role when responding to a code. Algorithms or a chart of intervention and assessment cycles are followed depending on institution protocols. All members of the response team should have presence of mind and are well coordinated with each other. It is also important that the leader of the arrest team keep track of what is happening make sure that everything is smooth-running and organized. no 32:00
Oral Anti-Diabetes Meds and Episode 110 http://nursingshow.com/2009/12/18/oral-anti-diabetes-meds-and-episode-110 Welcome to Episode 110

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1 in 5 Without Health Insurance in US Last Year

Doctors Rely on Nurses to Correct Errors

Popular Diabetes Drugs Tied to Heart Failure

-----------------------------------

Tip of The Week- Oral Diabetes Medication Review

American Diabetes Association on Oral Diabetic Medications

NIH Diabetes Information Page

NIH-NIDDK Diabetes Medications Info Page

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Song this week:

Matthew Ebel with "Walk a Thousand Miles"

Matthew Ebel - Songs from the Vault, Vol. 1 - Walk a Thousand Miles

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Fri, 18 Dec 2009 09:59:30 -0500 oral-antidiabetes-meds-and-episode-110 Jamie Davis, the Podmedic Oral Anti-Diabetes Meds and Episode 110 of the Nursing Show podcast for nurses, RN, LPN, student, and educators Tip of The Week- Oral Diabetes Medication Review Oral hypoglycemics are a class of medications used to lower the blood sugar of Type II diabetics. Sulfonylureas like glyburide lowers the blood sugar by stimulating the pancreas while metformin helps regulate the amount of blood sugar in the body. An initial dosage is prescribed and adjustments are made depending on the body's response to the medications. It should be taken religiously and not be discontinued unless advised by the physician. Nurses should carefully educate patients taking oral hypoglycemics that a side effect of the medication is hypoglycemia. They should always check their blood sugar levels and have with them sugar-containing foods or drinks like hard candy or fruit juices. They should also be taught on the symptoms of both hyperglycemia and hypoglycemia including DKA and to report severe persistent side effects to the prescribing physician. no 29:40
Buprenorphine Overdose and Episode 109 http://nursingshow.com/2009/12/11/buprenorphine-overdose-and-episode-109/ Welcome to Episode 109

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Infection Rate in ICUs About 50% Worldwide

Surprising Heart Attack Triggers

ANA to Open Premier Nursing Performance Database to Top Researchers

-----------------------------------

Tip of The Week- Buprenorphine Overdose with Lisa Booze of the Maryland Poison Center

Buprenorphine (Sublingual) by NIH MedlinePlus

US Dept. of Health and Human Services on Buprenorphine Therapy

DailyMed on Buprenophrine Hydrochloride Injection

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Song this week:

Podsafe Holiday Music from Geoff Smith “Some Christmas Huggin and Kissin

Geoff Smith - Christmas Tunes - Some Christmas Huggin' and Kissin'

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Fri, 11 Dec 2009 21:53:13 -0500 buprenorphine-overdose-and-episode-109 Jamie Davis, the Podmedic Buprenorphine Overdose Review for Nurses, Students, RN, LPN, and others in Nursing from the Nursing Show podcast. Tip of The Week- Buprenorphine Overdose with Lisa Booze of the Maryland Poison Center Buprenorphine, more popularly known as Subutex, is an opioid antagonist used to treat opioid dependence such as addiction to narcotic analgesics, heroine, or any drug with an opioid formulation. Suboxone, is buprenophrine added with naloxone to decrease the likelihood of diversion and abuse of the combination product. Ideal candidates for Buprenorphine therapy are chosen following a criteria and three phases of maintenance therapy are followed. The dose of Buprenorphine given in each phase of the therapy is closely monitored by the physician and adjusted through the progression of each phase until medically supervise withdrawal (formerly called detoxification) is achieved. In case of overdose, presenting symptoms include pinpoint pupils, extreme drowsiness, dizziness, blurred vision, and slowed breathing. Nurses should pay attention to the respiratory and cardiac status of the patient and interventions should be aimed at the provision of a patent airway. Oxygen, intravenous fluids, vasopressors, and other supportive measures should be employed as indicated. no 26:40
Assessment and Management of Pulmonary Embolism for Nurses and Episode 108 http://nursingshow.com/2009/12/04/pe-for-nurses-and-episode-108/ Welcome to Episode 108

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News--

Studies Reveal Nurses' Calls Help Lower Blood Pressure

Health Workers Take Emotional Toll from Trauma Victims' Stories

Even A Little Exercise Fights Obesity

-----------------------------------

Tip of The Week- Pulmonary Embolism

Emedicine Pulmonary Embolism

Pulmonary Embolism News, Research and Video

Medline Plus Pulmonary Embolism

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Song this week:

Podsafe Holiday Music from BasicJoy to the World

basic - God Came - JOY to the World

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Fri, 04 Dec 2009 22:58:17 -0500 assessment-and-management-of-pulmonary-embolism-fo Jamie Davis, the Podmedic Assessment and Management of Pulmonary Embolism for Nurses and Episode 108 of the Nursing Show podcast for nurses, RN, LPN, student and educators Tip of The Week- Pulmonary Embolism Pulmonary embolism is a condition where a blood clot that formed in some other part of the body has traveled to the lungs by way of circulation. It is usually the sequelae of deep vein thrombosis (DVT). Not all cases of PE may exhibit symptoms, but if they do, it includes chest pain, shortness of breath, anxiety, coughing (dry but may be associated with blood), sweating, and loss of consciousness. PE may be suspected if any of these symptoms occur in someone who has or recently had a swollen or painful arm or leg or who has any of the risk factors. Upon confirmation of the presence of PE through diagnostic tests, the first line medication would be anticoagulants (usually heparin) to dissolve the blood clot. Thrombolytics are may also be given to patients with massive PE. Patients that are discharged are still closely monitored for recurrence of clot formation. Part of the follow up care includes testing of the INR which shows the level of blood thinning that the medication is achieving. Once the INR is stabilized, less frequent checks will occur. To prevent recurrence of PE, patient teaching gives emphasis on the pathophysiology of DVT and PE including its risk factors and make sure that the patient understands to avoid these risk factors. no 30:14
Deep Vein Thrombosis (DVT) and Episode 107 http://nursingshow.com/2009/11/27/deep-vein-thrombosis-dvt-and-episode-107/ Welcome to Episode 107

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News--

Health Reform Likely to Increase Demand for Nurse Practitioners

Journal Of Cardiovascular Nursing Calls for Policies in Treatment and Prevention of Venous Thromboembolism

Local Nurses Reminisce Nurses Caps Tradition

-----------------------------------

Tip of The Week- Deep Vein Thrombosis

Deep Vein Thrombosis by Medline Plus

Prevention of DVT by National Guideline Clearinghouse

Deep Vein Thrombosis by eMedicine

National Heart, Lung and Blood Institute, DVT

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Song this week:

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Jill Parr with, "Do you hear what I hear?"

Jill Parr - Christmas - Single - Do You Hear What I Hear?

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Fri, 27 Nov 2009 15:41:21 -0500 deep-vein-thrombosis-dvt-and-episode-107 Jamie Davis, the Podmedic Deep Vein Thrombosis (DVT) and Episode 107 of the Nursing Show podcast for nurses, RN, LPN, student and educators in the nursing field. Tip of The Week- Deep Vein Thrombosis Deep vein thrombosis is a condition where blood clots form in the veins deep in the body, usually the lower leg or thigh. Presenting symptoms are similar to the symptoms of a previous trauma so nurses should do a thorough history taking, good assessment skills, and knowledge on the causes and risk factors are required to be able to identify the presence of DVT. Anticoagulants are given to patients who are highly likely to have developed DVT to avoid complications like pulmonary embolism. Measures like elevating the limb, avoiding prolonged sitting and bed rest, and relieving pain by application of warm, moist heat to the area can be done to provide comfort and reduce the risk of the thrombus turning into an embolus. Preventive measures include avoiding risk factors for DVT, use of blood thinners (as prescribed) for patients who are at risk, avoiding long periods of immobility. no 34:45
Anti-Coagulant Labs and Episode 106 http://nursingshow.com/2009/11/20/anti-coagulant-labs-and-episode-106/ Welcome to Episode 106

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Nurse Delivered to Ohio Hospitals' Last Baby

Students Call Nursing School Policy Barring Tattoos Unfair

FDA Plans to Fight Avoidable Injuries From Medication Errors or Misuse

Tattoos Create Issues For Nursing Schools and Students

-----------------------------------

Tip of The Week- Anti Coagulant Labs

ASCLS Hematologic Tests

Blood Thinners by Medline Plus

Anticoagulation by American Heart Association

Joint Commission Safety Requirement for Anticoagulants

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Song this week:

Music from The Podsafe Music Network

This week- Winter Circle with, “Streetlight Flicker

Matthew Ebel - Beer & Coffee - Wasting My Time

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Fri, 20 Nov 2009 16:14:03 -0500 anticoagulant-labs-and-episode-106 Jamie Davis, the Podmedic Anti-Coagulant Labs and Episode 106 of the Nursing Show podcast for nurses, RN, LPN, student, and educators in the field of being a nurse Persons at risk for blood-clot formation or has poor blood flow to the brain are recommended to take anticoagulants. Anticoagulants slow blood clotting, preventing complications like blood clots forming on artificial valves, valve obstruction and blood clots traveling to the brain and causing stroke. A common complication for this type of medication is bleeding so nurses should continuously asses the patient in anticoagulant therapy for signs of bleeding. Hematologic tests are also done from time to time to monitor for the body's response to the prescribed medication as well as to make sure that the drug levels in the blood does not exceed its therapeutic level. Patient education points should be focused on the promotion of safety to prevent injury that causes bleeding like the use of soft-bristled tooth brush, padding furniture or corners with sharp edges, using electric razors to lessen the risk of cuts and more. no 28:28
Nursing Neurological Evaluation and Episode 105 http://nursingshow.com/2009/11/13/nursing-neurological-evaluation-and-episode-105 Welcome to Episode 105

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News--

Government Urged to Modify 2009 H1N1 Guidelines for Health Workers

Health Care Jobs Plentiful But Difficult to Get

Florida Hospitals Deploy iPhones to Replace Alarms

-----------------------------------

Tip of The Week- Neurologic Assessment for Nurses

For a better understanding on neurologic assessment, follow these links

Physical Assessment- Neurological System

Neurological Examination Video

Nursing Care for Neurological Patients

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Song this week:

Music from The Podsafe Music Network

Song this week: Natalie Gelman with "Never Had You"

Natalie Gelman - Natalie Gelman - Never Had You
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Fri, 13 Nov 2009 21:42:18 -0500 nursing-neurological-evaluation-and-episode-105 Jamie Davis, the Podmedic Nursing Neurological Evaluation and Episode 105 of the Nursing Show for nurses, RN, LPN, students, and educators. Tip of The Week- Neurologic Assessment for Nurses Part of the overall physical assessment done by nurses is the neurological evaluation. Prior to performing the examination, patients are first asked if they have a history of seizures, loss of consciousness, loss or decreased sensation (especially to pain), twitches , tremors and changes in personality or mental status. A complete neurologic exam covers assessment of the cranial nerve function, motor system, reflexes, sensation, and mental status. This process may take a little more time as compared to the usual head to toe assessment and nurses might go for a quick approach to doing it, however, they should always be thorough in performing any assessment and keep in mind that more is missed by not looking than by not knowing. no 28:06
Newborn Jaundice Care and Assessment and Episode 104 http://nursingshow.com/2009/11/06/newborn-jaundice-care-and-assessment-and-episode-104/ Welcome to Episode 104

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News--

Improved Jaundice Screening Can Protect Newborns

Children of Working Mothers Have Unhealthier Lifestyles

Health Experts Support Tools to Prevent Preterm Birth

-----------------------------------

Tip of The Week- Care and Interventions of Newborn Jaundice

Most preterm and almost 50% of full term newborns present with jaundice, a yellow discoloration of the skin and sclera of the eyes. The yellowish hue comes from bilirubin, a substance produced from break down of red blood cells, when it reaches a blood level greater than approximately 2.5 mg/dL. This bilirubin is excreted in the stool via the liver, in the case of infants, this process takes more time resulting to accumulation in the skin. Jaundice appearing about 2-3 days after birth, called physiologic jaundice is normal in newborns,however, interventions like phototherapy should be instituted to help the infant's body excrete the excess bilirubin.

There are also disorders that can cause bilirubin levels to increase in newborns like blood type incompatibilities, prematurity, polycythemia, etc. If left unresolved, bilirubin may continually increase and cause serious complications such as cerebral palsy, deafness, and kernicterus ( brain damage from very high bilirubin levels).

Infants receiving phototherapy, the first line intervention for jaundice, requires special attention to avoid chilling or burning of the skin. Intake and output should be monitored and carefully documented, including continuous assessment for skin breakdown and bilirubin lab values should always be updated. Serum bilirubin levels above 25 mg/dL or higher at any time is a medical emergency and the infant should be evaluated immediately for exchange transfusion.

For more on nursing care of newborn jaundice, follow links below

Blood Bilirubin Levels

Newborn Jaundice by NIH Medline

eMedicine Article on Newborn Jaundice

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Song this week:

Music from The Podsafe Music Network

This week- “Wednesday Morning” by Slackstring

If you like the track, click below to go to iTunes and purchase it there:

slackstring - slackstring - Wednesday Morning

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Fri, 06 Nov 2009 19:51:12 -0500 newborn-jaundice-care-and-assessment-and-episode-1 Jamie Davis, the Podmedic Newborn Jaundice Care and Assessment and Episode 104 of the Nursing Show free weekly podcast for RN, LPN, student and educator nurses. Tip of The Week- Care and Interventions of Newborn Jaundice Most preterm and almost 50% of full term newborns present with jaundice, a yellow discoloration of the skin and sclera of the eyes. The yellowish hue comes from bilirubin, a substance produced from break down of red blood cells, when it reaches a blood level greater than approximately 2.5 mg/dL. This bilirubin is excreted in the stool via the liver, in the case of infants, this process takes more time resulting to accumulation in the skin. Jaundice appearing about 2-3 days after birth, called physiologic jaundice is normal in newborns,however, interventions like phototherapy should be instituted to help the infant's body excrete the excess bilirubin. There are also disorders that can cause bilirubin levels to increase in newborns like blood type incompatibilities, prematurity, polycythemia, etc. If left unresolved, bilirubin may continually increase and cause serious complications such as cerebral palsy, deafness, and kernicterus ( brain damage from very high bilirubin levels). Infants receiving phototherapy, the first line intervention for jaundice, requires special attention to avoid chilling or burning of the skin. Intake and output should be monitored and carefully documented, including continuous assessment for skin breakdown and bilirubin lab values should always be updated. Serum bilirubin levels above 25 mg/dL or higher at any time is a medical emergency and the infant should be evaluated immediately for exchange transfusion. no 30:10
Cardiac Medication Classifications for Nurses and Episode 103 http://nursingshow.com/blog/2009/10/31/cardiac-medication-classifications-for-nurses-and-episode-103/ Welcome to Episode 103

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News--

Pets' Positive Impact to Life

More Hospitals Restrict Young Visitors

Many Parents Can't Interpret Growth Charts

-----------------------------------

Tip of The Week- Cardiac Medication Classes

Cardiac Medications At-A-Glance by American Heart Association

National Heart Lung Blood Institute

Heart Disease and Antiarrhythmics

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Song this week:

Music from The Podsafe Music Network

This week- Geoff Smith with "Not on the Radio"

Click below for Geoff"s songs on iTunes

Geoff Smith

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Sat, 31 Oct 2009 19:04:52 -0400 cardiac-medication-classifications-for-nurses-and Jamie Davis, the Podmedic Cardiac Medication Classifications for Nurses and Episode 103 of the podcast for nurses, RN, LPN, student, and educator Tip of The Week- Cardiac Medication Classes Cardiovascular disease is prevalent in the United States. Every year, the number of cases of heart disease and stroke increases. Once a person had a heart attack, they will be prescribed with medications they will most likely take for the rest of their lives. Depending on the physician's order, there are different types and combinations of cardiac medications. Full effects of these medications are only taken advantage of when taken religiously so health professionals, nurses in particular, should be aware of the kinds and classifications of cardiac medications as well as its indications and adverse effects so they could educate the patient and make them understand the importance of adhering to the medication. Encouraging the patient to report symptoms of adverse reactions and overdosing should also be included in the teaching plan. no 29:14
Nurse Care for Toxic Gas Poisoning and Episode 102 http://nursingshow.com/blog/2009/10/23/nurse-care-for-toxic-gas-poisoning-and-episode-102 Welcome to Episode 102

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News--

Arguments on Safety, Risks of Home Births

Communication Problems Cause Physical Strain

Compressions-Only CPR, Key to Survival of Cardiac Arrest in EMS Setting

-----------------------------------

Tip of The Week- Toxic Gases Interview with Lisa Booze of the Maryland Poison Center

List of Poisonous Gases

Carbon Monoxide Poisoning

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Song this week:

Podsafe music from the Podsafe Music Network

Laura Clapp — I'm Not Responsible

Laura on iTunes
Laura Clapp

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Fri, 23 Oct 2009 21:28:01 -0400 nurse-care-for-toxic-gas-poisoning-and-episode-102 Jamie Davis, the Podmedic Nurse Care for Toxic Gas Poisoning and Episode 102 Tip of The Week- Toxic Gases Interview with Lisa Booze of the Maryland Poison Center Some substances when mixed together can emit gases or fumes that can be dangerous to one's health.When inhaled, these poisonous gases can affect the respiratory and nervous system. In some cases, gases are colorless and odorless, and symptoms will manifest only after it has already entered the body. It can come from improper storage or improper use of the substance. These chemicals can be household cleaners or materials that can easily be bought so it is important that users check the label for storage and usage instructions. In this toxicology episode with Lisa Booze, she provides a discussion on toxic gases as well as what to do in case of poisonous gas inhalation. no 32:22
Myocardial Infarction Concerns for Nurses and Episode 101 http://nursingshow.com/blog Welcome to Episode 101

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News--

Providers Miss Test Results - Even with Electronic Monitoring

Surgical Masks Useless at Stopping Swine Flu

Is Nursing Still a Recession-Proof Field?

-----------------------------------

Tip of The Week- Myocardial Infarction Review - Nursing Considerations

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Song this week:

Music from The Podsafe Music Network

Matthew Ebel with "Downtown"

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Tue, 13 Oct 2009 20:59:06 -0400 myocardial-infarction-concerns-for-nurses-and-epis Jamie Davis, the Podmedic no 33:22
Patient Dietary Considerations for Nurses and Episode 100 http://nursingshow.com/blog/2009/10/10/patient-dietary-considerations-for-nurses-and-episode-100/ Welcome to Episode 100

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News--

Flu Shots Made Available in Kiosks at NC Airport

High Heels may Cause Foot Pain in Later Life

Elyria Native Nurse-Paramedic Killed In Helicopter Crash

-----------------------------------

Tip of The Week- Nutritional Considerations and Nursing Interventions

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Song this week:

Music from The Podsafe Music Network

Joe Colledge with "Shambala"

Joe Colledge - Out of the Blue - Shambala

Songs from the MedicCast at the iTunes Store.

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Sat, 10 Oct 2009 02:05:37 -0400 patient-dietary-considerations-for-nurses-and-epis Jamie Davis, the Podmedic Patient Dietary Considerations for Nurses and Episode 100 Tip of The Week- Nutritional Considerations and Nursing Interventions Apart from medical interventions, dietary adjustments relative to patient conditions is also an important thing to consider. Adherence to the changes in diet is important for the full recovery of the patient and also works as adjuncts to pharmacologic regimen so it is important for nurses to be able to fully explain the purpose of the special diet to gain the patient's cooperation. Some of the most common kinds of diet include: * Liquid diet (clear liquid diet, full liquid diet, advanced full liquid diet) * Tonsillectomy and Adenoidectomy Cold Liquid Diet * Soft Diet, Mechanical/Dental Soft Diet * Bland Diet * Sodium Restricted Diet * High Fiber and Low Residue Diet * Low-Calorie and High Calorie Diet * High and Low Fat Diet The nurse also has a critical role in the nutritional health of the client. It is important to make observations related to consumption of food and the clients' ability to prepare and eat food and to monitor and teach good dietary habits. Some of the prescribed special diets may not be that palatable and sudden shifts from the patients accustomed food preferences make adherence difficult. Also the patients state of illness affects the patients ability and appetite to eat. Nurses should take these factors into consideration and perform interventions before, during and after providing meals in order to optimize the patients nutritional needs. no 27:04
Nurse Careers Interview with Poison Center Nurse and Episode 99 http://nursingshow.com/blog/2009/10/02/interview-with-poison-center-nurse-randy-goldberg-and-episode-99/ Welcome to Episode 99

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Tip of The Week- Special re-broadcast of Interview with a Poison Center Nurse

I want to thank Randy Goldberg of the Maryland Poison Center for joining me today with his reflections on being a nurse toxicology specialist on the phone lines at the Maryland Poison Center.

Discover Nursing Site on Poison Control Nursing (many links and resources)

American Association of Poison Control Centers

See Also - these poisoning and overdose segments on the Nursing Show:

Insecticide Poisonings

Household Cleaner Poisonings

Dextromethorphan OD

Snakebites and Venom (pt 1)

Snakebites (pt 2)

Buprenorphine OD

Phenytoin OD (Dilantin)

Poison Control Centers

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Song this week:

Music from The Podsafe Music Network

Joe Colledge with "Shambala"

Joe Colledge - Out of the Blue - Shambala

Songs from the MedicCast at the iTunes Store.

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Fri, 02 Oct 2009 17:04:12 -0400 nurse-careers-interview-with-poison-center-nurse-a Jamie Davis, the Podmedic Interview with Poison Center Nurse Randy Goldberg and Episode 99 of the Nursing Show for RN, BSN, MSN, student nurses, and educators. no 30:30
GI Elimination Nursing Care and Episode 98 http://nursingshow.com/blog/2009/09/25/gi-elimination-nursing-care-and-episode-98/ Welcome to Episode 98

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-----------------------------------

News--

New Policy on Pediatric Care in the ED

Smoking Bans Greatly Reduce Incidence of Cardiac Arrest

Hollywood Celebrities Criticize Health Insurance CEOs

-----------------------------------

Tip of The Week- Review on GI Elimination

MedlinePlus Article on Bowel Movement

Constipation in Adults by eMedicineHealth

Normal Function of Lower GI Tract

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Song this week:

Music from The Podsafe Music Network

Curtis Peoples with, "Back Where I Started"

Curtis Peoples

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Fri, 25 Sep 2009 21:06:24 -0400 gi-elimination-nursing-care-and-episode-98 Jamie Davis, the Podmedic GI Elimination Nursing Care Review and Episode 98 Tip of The Week- Review on GI Elimination Bowel movement is the end result of digestion where what is left from the substances that we eat are expelled from the body after all the nutrients have been absorbed. In a normal functioning GI tract, bowel is expelled at least three times in week up to three times in 24 hours. However, certain factors like physical conditions and infections can disrupt the normal elimination patterns of the body. Some of the most common changes in elimination pattern are constipation and diarrhea. In diarrhea, bowel movements occur more frequently than normal because the irritated muscles in the lower GI tract move faster. Consistency of stool may be soft or watery depending on the underlying cause of diarrhea. Most common causes are food poisoning, ingestion of bacteria from contaminated food or water, and other GI disorders. On the other hand, constipation is a condition where the passage of stool becomes less frequent than normal. Fecal material is hard in consistency, dry and difficult to pass. Common causes for constipation include poor diet, poor bowel habits, medications and physical conditions like pregnancy. In assessing for patients with elimination problems, nurses must first know the normal pattern because frequency of elimination depends for each and every individual. The nurse should also assess underlying causes for the change in bowel movement and try to aim interventions at resolving the cause. The following can be used for patient education points on ways to improve elimination patterns: * maintain hydration * develop regular bowel habits * maintain a well balanced diet * exercise regularly (aids in peristalsis) * use laxatives in moderation and avoid using it for a long period of time no 30:16
Poisoning and Toxicology Myths and Episode 97 http://nursingshow.com/blog/2009/09/18/poisoning-and-toxicology-myths-and-episode-97 Welcome to Episode 97

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-----------------------------------

News--

USRN's To Obama: Expansion of Medicare to Everyone is Best Solution

Soda Tax Proposed to Fight Obesity

ANA Participate in 9/11 "Day of Service and Remembrance"

-----------------------------------

Tip of The Week- Poisoning and Toxicology Myths Toxtidbit with Lisa Booze of the Maryland Poison Center

US Poisoning Fact Sheet

Poisoning by MedlinePlus

American Association of Poison Control Centers

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Fri, 18 Sep 2009 19:13:36 -0400 poisoning-and-toxicology-myths-and-episode-97 Jamie Davis, the Podmedic Poisoning and Toxicology Myths and Episode 97 of the Nursing Show podcast for RN, LPN, CNA, and student nurses and educators of all types. Tip of The Week- Poisoning and Toxicology Myths Toxtidbit with Lisa Booze of the Maryland Poison Center A poison is defined as substance that is harmful to the body. It may be ingested, inhaled, injected or absorbed through the skin. Common poisonous substances include, medications (if taken in high doses), household cleansers, insecticides, illegal drugs, carbon monoxide, plants with toxic substances, spoiled food, and heavy metals like lead and mercury. In the United States, unintentional poisoning was second only to motor vehicle crashes as a cause of unintentional injury death in 2005. In 2006, more than 700,000 emergency department visits were caused by unintentional poisoning and 25% of these cases resulted to hospitalization or transfer to another facility. In addition, self-harm poisoning was the second-leading cause of ED visits for intentional injury. The increasing incidence of poisoning is a call for health providers on the immediate measures to perform in the event of poisoning. Since time will be a big factor in the success of treatment for a person who was poisoned, it is important that the interventions to be done are correct. It has been a common misconception that syrup of ipecac should be used as a first aid treatment or home remedy for poisoning. The idea is to induce vomiting and expel the ingested poisonous substance, but it might do more harm than good. If it was a harsh chemical that was ingested, stimulating emesis would make the chemical move up again,burning the walls of the upper GI tract. Studies have also shown that continuous vomiting caused by ipecac may later result in the child being unable to tolerate activated charcoal or other poison treatments. The best thing to do is to identify the poisonous substance to be able to institute the appropriate interventions. Activated charcoal binds to poison in the stomach which prevents it from being absorbed in the GI tract. Other measures include gastric lavage (aspiration of gastric contents) and giving antidotes if available. no 29:30
Medication Administration for Nurses and Episode 96 http://nursingshow.com/blog/2009/09/11/medication-administration-for-nurses-and-episode-96 Welcome to Episode 96

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News--

Safety of Midwife Attended Home Birth

Parents' Impact on Teen Tobacco Smoking

Insulin-Producing Cells Derived from Adult Skin Cells

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Tip of The Week- Medication Administration

Administration of Medication

Best Practices for Safe Medication Administration

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Fri, 11 Sep 2009 16:51:14 -0400 medication-administration-for-nurses-and-episode-9 Jamie Davis, the Podmedic Medication Administration for Nurses and Episode 96 of the Nursing Show podcast for nurses, students, and educators in the nursing field including RN, LPN, and other nursing careers. Tip of The Week- Medication Administration Administration of medications is a chief responsibility of a nurse. It involves providing the patient with a substance prescribed and intended for the diagnosis, treatment, or prevention of a medical illness or condition. Since a lot of problems arise from medication errors, nurses should be knowledgeable on the type of medication they are about to administer including the safe dosage and the right route for the drug. The following are tips for nurses to ensure safe medication administration and eliminate errors. Be familiar with the medication Commonality of medications depend on the clinical area. For example, in surgical units, expect post operative patients receiving pain control meds and antibiotics. If a nurse encounters a medication for the first time, she should make an effort to know more about the drug and make sure the order is consistent with the drug facts. Know the drug class and what it is for including the routes of administration and how the drug moves into the body. Some examples of medication routes are parenteral (use of injection), oral (by mouth), topical (applied to the skin), suppository (vaginal or rectal), and inhalants. Effects of the drug The therapeutic effect are the desired or intended effects of the drug though it may normally come with expected side effects, either from drug interactions, route of administration or the drug itself, may cause discomfort to the patient and should be addressed. Adverse effects are abnormal and should be dealt with immediately. Educate the patient about these for them to be able to report symptoms of adverse affects to the nurse or the physician. Drugs may also interact with food or other medications so it is important to know all the drugs the patient is taking including their diet. Check Calculations Doses ordered do not always match the stock doses in the pharmacy, not to mention the use of diluents. Safe administration of medications greatly lie on the accuracy of dosage computation. A single decimal point can make a huge difference that can yield drastic effects to patients. To avoid such mistake, calculations should be double checked. The use of medication math techniques can also be helpful. no 29:06
Dementia Review for Nurses and Episode 95 http://nursingshow.com/blog/2009/09/04/dementia-review-for-nurses-and-episode-95 Welcome to Episode 95

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News--

New Markers for Identifying Myocardial Infarction

Lower Cost of Care at Retail Medical Clinics, Similar Quality

Increased Swine Flu Activity Seen as School Starts

-----------------------------------

Tip of the Week-- Patient care of Dementia

Link to last week's podcast episode on Assessment and Nursing Care of Delirium.

Dementia And Delirium

Sorting out Delirium, Dementia, and Depression

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Matthew Ebel

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Fri, 04 Sep 2009 12:32:16 -0400 dementia-review-for-nurses-and-episode-95 Jamie Davis, the Podmedic Dementia Review for Nurses and Episode 95 of the Nursing Show podcast for RN, LPN, students, and educators in the broad field of nursing. Tip of the Week-- Patient care of Dementia Link to last week's podcast episode on Assessment and Nursing Care of Delirium. Dementia is described as a progressive neurologic disorder. Affected cognitive areas include attention, orientation, judgment, abstract thinking and personality. In 2001, it was cited as the eighth leading cause of death in the United States. As opposed to delirium, symptoms of dementia aren't usually reversible. Dementia is rare in under 50 years of age and the incidence increases with age. It afflicts up to 10% of adults ages 65 to 85, 20% of adults ages 75 to 85, and 50% of adults over age 85. Causes and Risk Factors 65-70% of dementia cases are related to Alzheimer's disease. Other common causes include Stroke, Pick’s disease, Huntington’s, Downs Syndrome, Creutzfeldt-Jacob, AIDS, alcoholism, Parkinson’s disease and other neurodegenerations, and drug intoxication. Risk factors of dementia comprise of the following: * Age - above 50 * Down's Syndrome * Head Injury * Fewer years of education- less brain cell activity * Gender- higher risk for females Assessment In the early stages of dementia, patients display signs and symptoms like changes in personality, progressive memory loss, difficulty finding the right words, and an inability to perform familiar tasks. As the disorder progresses, other cognitive difficulties may arise, such as aphasia (speech problems), apraxia (motor memory problems), agnosia (sensory recognition problems), and diminished executive functioning (complex behavior sequencing problems). There is no change in alertness but if asked, the patient might not respond appropriately and does not have the ability to think abstractly, behavior changes are also seen. There is also rapid shift of emotions from anger to laughter to tears. Judgment and impulse control are impaired. Patients with dementia may be unaware of his decline and rarely complain of pain or illness. Nursing Care Since dementia is irreversible, nursing interventions are focused on preserving the patient's functional capacity and independence and maintaining the highest quality of life. > Providing a structured environment reduces confusion. Creating means of remembering like, lists of activities, reminding notes, labels on items, pictures, diagrams etc. will assist the patient to remember. Make sure he wears his eyeglasses and hearing aid. Making activities routine and keeping tasks within the patients capability will optimize functional capacity. > Providing a safe environment is also very important to avoid accidents. This can be done by removing rugs, extension cords and other things that hast the potential to trip the patient. Ensure that furniture are out of the way and provide adequate lighting especially at night for trips to the bathroom. >Since caring for a patient with dementia can be straining to family members, they should be educated and increase their understanding that dementia can make a person increasingly dependent. Referral to support groups can also be helpful. no 34:02
Assessment and Nursing Care of Delirium and Episode 94 http://nursingshow.com/blog/2009/08/29/assessment-and-nursing-care-of-delirium-and-episode-94/ Welcome to Episode 94

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News--

Nursing Program Help Runaway Girls

American Heart Association Warns Against High Sugar Content in Foods

ANA President Among Top 100 Most Powerful Persons in Healthcare

-----------------------------------

Tip of the Week-- Assessment and Nursing Care of Delirium

Delirium from MedlinePlus medical Encyclopedia

Dementia And Delirium

Sorting out Delirium, Dementia, and Depression

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Laura Clapp - Leaving Nashvegas - Just Let Go

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Fri, 28 Aug 2009 22:29:31 -0400 assessment-and-nursing-care-of-delirium-and-episod Jamie Davis, the Podmedic Assessment and Nursing Care of Delirium and Episode 94 of the Nursing Show podcast for nurses, students and educaors. Tip of the Week-- Assessment and Nursing Care of Delirium Delirium is characterized as a progressive decline in memory and rapid changes in brain function that occur with physical or mental illness. Its symptoms arise from various underlying causes such as heart or renal failure, or withdrawal from medication. Most common causes and risk factors for delirium can best be remembered through the following mnemonic. D- Dementia E- Electrolyte disorders L- Lung,liver,heart,kidney, brain I- infection R- Rx drugs I- Injury, pain, stress U- Unfamiliar environment M- Metabolic Since symptoms of delirium may often overlap with symptoms of dementia, especially in the elderly, nurses should be familiar with the clinical manifestations of both to be able to differentiate them. Symptoms of delirium involves a quick change in mental state and appear suddenly in a short time, usually hours or days. It includes alteration in mental status, inability to concentrate, alternating periods of agitation or restlessness and lethargy. Patients suffering from delirium also exhibits altered perceptions like visual illusions or hallucinations. Preventing delirium can be done through treatment of the underlying cause that triggers the event. Reducing stimulation like avoiding psychoactive drugs, providing a calm and quiet environment especially at night can be done to reduce the occurrence of delirium. Other preventive measures include providing daytime activity, use of visual and hearing assistive devices, orientation devices and avoidance of the use of restraints. Treatment of delirium is aimed at resolving the medical or mental disorder that causes it. Medications given are used to control aggressive or agitated behaviors and start at low doses which gradually increases depending on the need. Medications include: * Dopamine blockers (haloperidol, olanzapine, risperidone, clozapine) * Mood stabilizers (fluoxetine, imipramine, citalopram) * Sedating medications (clonazepam or diazepam) * Serotonin-affecting drugs (trazodone, buspirone) * Thiamine Other treatments like behavior modification to control unacceptable or dangerous behavior and reality orientation to reduce disorientation may also be helpful. no 31:48
Patient Restraints and Episode 93 http://nursingshow.com/blog/2009/08/21/patient-restraints-and-episode-93 Welcome to Episode 93

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News--

Lesser Cost of Health Care for Chronically Ill Elderly

Antivirals Not Needed for Healthy Adults

Hotlines to be set up for Flu Season

-----------------------------------

Tip of the Week-- Patient Restraints

Join Commission Provision of Care, Treatment and Services

Safe Patient Handling

JCAHO Patient Safety Index

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This week- Whitney Steele - Your Turn To Cry

Whitney Steele - Any Thoughts On That? - Your Turn to Cry

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Fri, 21 Aug 2009 20:16:20 -0400 patient-restraints-and-episode-93 Jamie Davis, the Podmedic Patient Restraints and Episode 93 of the Nursing Show for RN, LPN, and Nursing Students Tip of the Week-- Patient Restraints There has always been a dilemma on the use of patient restraints. Its main purpose is to promote patient safety by reducing the risk to injure themselves or others. The Joint Commission released different standards for restraint and seclusion depending on the situation that restraints are used to address. Restraints may be indicated for patients with behavioral issues who pose a risk for injury to oneself or to others. In these cases the Behavioral Health Care Restraint and Seclusion Standards apply. Patients who do not have behavioral problems but have a condition that requires the need for restraints like confusion and agitation, the Acute Medical and Surgical (nonpsychiatric) Care Restraint standards would be followed. Since restraints render the patient immobile, complications may rise from it so it is important that the use of restraint would do more good than harm. Also, a patient under restraint should be continuously assessed for the following: * signs of injury associated with the application of restraint * nutrition and hydration status * circulation and range of motion of extremities * vital signs * hygiene and elimination * physical and psychological status and comfort * readiness for discontinuation The standard set also requires that an individual who has been under restraints should be evaluated face to face by a licensed independent practitioner (LIP) within 1 hour. In crisis situations where an LIP is unavailable, a trained registered nurse or a physician assistant could perform the 1-hour rule assessment. However, an LIP or the physician caring for the patient should be consulted on the evaluation the soonest time possible. no 30:20
Patient Mobility and Episode 92 http://nursingshow.com/blog/2009/08/14/mobility-and-patient-care-for-nurses-and-episode-92/ Welcome to Episode 92

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News--

ANA Re-launches Nurse's Career Center

Shortage of School Nurses May Be a Problem on Flu Season

Stress Relief Makes Consumers Less Unpleasant in Negative Services

-----------------------------------

Tip of the Week-- Mobility and Patient Care

Gait and Balance Assessment

Article on Keeping Elderly Patients Mobile

Staging Pressure Ulcers Episode of the Nursing Show

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Codie Prevost - Spin 6 Pak, Vol. 1 - EP - Breathtaking

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Fri, 14 Aug 2009 18:17:17 -0400 patient-mobility-and-episode-92 Jamie Davis, the Podmedic Mobility and Patient Care for Nurses and Episode 92 of the Nursing Show for RN, LPN, and Student Nurses Tip of the Week-- Mobility and Patient Care Impaired mobility (limitation in independent, purposeful physical movement of the body or of one or more extremities) and complications from impaired mobility like pneumonia, pressure ulcers, and falls are common problems in the elderly and patients in long-term care. These problems lead to prolonged hospital stays, occurrence of infections and even increased risk of mortality. Since such problems are highly preventable, nurses must focus on measures to promote patient mobility. In establishing a plan of care, an accurate assessment of a patient's functional status should first be obtained. The nurse could start on asking the patient or someone closely involved in caring for the patient about prior activities that they can do on their own safely on a daily basis. Suggested Code for Functional Level Classification 0 Completely independent 1 Requires use of equipment or device 2 Requires help from another person for assistance, supervision, or teaching 3 Requires help from another person and equipment or device 4 Is dependent, does not participate in activity Other points to assess include gait and balance, knowledge of immobility and its implications, skin integrity and nutritional status, elimination patterns (decreased mobility promotes constipation), emotional response to disability or limitation, and safety of immediate environment. Therapeutic interventions for promotion of mobility and preventive measures from complications comprise of the following. * Encourage and facilitate early ambulation and other ADLs when possible. Begin from dangling extremities at the side of the bed, to sitting in chair, to ambulation. Assist patient in every step allowing periods of activity and rest. * Encourage use of assistive devices as appropriate such as canes, walkers, and braces.Teach patient on how to properly use devices. * Provide positive reinforcement during activity. Patients may be reluctant to move or initiate new activity due to a fear of falling. * Allow patient to perform tasks at their own rate. Encourage independent activity as able and safe. Hospital workers and caregivers in a hurry often do more for the patient than they should. This slows the patient's recovery and reduces their self esteem. * Promote a safe environment. This includes proper use of side rails, keeping bed in a low position, keeping walkways free of obstruction, ensuring adequate lighting, and promoting use of footwear with non-slip soles. * Perform passive or active assistive ROM exercises to all extremities to promote increased venous return, prevent stiffness, and maintain muscle strength and endurance. * Perform measures to prevent pressure ulcers like turning every 2 hours or as needed, use of prophylactic antipressure devices and keeping skin clean, dry and moisturized. To gain the patient's and the caregiver's cooperation, a better understanding on the hazards of immobility and importance of measures to promote mobility should be provided. Also, knowing the reason for progressive activity helps patient or caregivers establish reasonable and obtainable goals. Principles of progressive exercise should be reinforced giving emphasis on the point that joints are to be exercised to the point of pain and not beyond. If necessary, referral to a multidisciplinary health team like physical therapists, who can provide specialized services, can be done. no 29:13
Fluid Volume Excess Review for Nurses and Episode 91 http://nursingshow.com/blog/2009/08/09/fluid-volume-excess-review-for-nurses-and-episode-91/ Welcome to Episode 91

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News--

Wealthy Countries Corner Limited H1N1 Vaccine Supplies

ANA Reacts to Negative Nursing Portrayals

Health Professional Shortage Could Damage Health Reform
-----------------------------------
Tip of the Week-- Fluid Volume Excess Assessment and Recognition

Disorders of Fluid Volume from Merck Manuals

Edema by MedicineNet.com

Fluid Volume Excess by RNcentral

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Matthew Ebel

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Sun, 09 Aug 2009 01:35:25 -0400 fluid-volume-excess-review-for-nurses-and-episode Jamie Davis, the Podmedic Fluid Volume Excess Review for Nurses and Episode 91 of the Nursing Show podcast for RN, LPN, Student and Educator nurses. Tip of the Week-- Fluid Volume Excess Assessment and Recognition Fluid volume excess (FVE), or hypervolemia, occurs from an increase in total body sodium content and an increase in total body water. This fluid excess usually results from compromised regulatory mechanisms for sodium and water as seen in congestive heart failure (CHF), kidney failure, and liver failure. FVE may also be caused by excessive intake of sodium from foods, low protein intake, hormonal disturbances, overload from intravenous (IV) solutions, medications (antidiuretics, steroids), pregnancy, and inflammatory processes. Defining characteristics are edema and weight gain together with symptoms of the underlying cause of fluid volume excess. Edema is observable swelling which is the result of the accumulation of excess fluid under the skin in the spaces within the tissues. It is most commonly seen in the feet and legs (peripheral edema). Other kinds of edema can occur depending on where the excess fluid is stored. If it occurs in the alveoli in the lungs, it is called pulmonary edema and if it is in the peritoneal cavity in the abdomen, it is called ascites. A more severe case, anasarca or generalized edema, is the widespread accumulation of fluid in all tissues and interstitial spaces of the body at the same time. Edema is further classified into two types - pitting and non-pitting edema. Pitting edema is assessed by pressing a finger onto the swollen area, an indentation occurs and persists even after relieving pressure. Non-pitting edema does not cause a persistent indentation upon the application of pressure. Other clinical manifestations of hypervolemia include: * Bounding pulses * Shortness of breath; orthopnea * Abnormal breath sounds: crackles (rales) * Change in respiratory pattern * Increased blood pressure * Jugular vein distension * Specific gravity changes Assessment of patient outcomes comprise of taking daily weight, monitoring intake and output, measurement of edematous extremities and abdominal girth, and assessment of severity and location of edema. Though specific treatments are aimed at resolving the cause of fluid volume excess, the following nursing interventions can be done to relieve symptoms of edema. * instruct patient regarding fluid restrictions * restrict sodium intake as prescribed * instruct to avoid medications that cause fluid retention (OTC NSAIDs, steroids) * administration of prescribed diuretics * elevation of edematous extremities * reduce constriction of blood vessels (appropriate garments, avoid crossing legs) * instruct use of anti-embolic stockings or bandages as ordered no 27:23
Hypovolemia or Fluid Volume Deficit for Nurses and Episode 90 http://nursingshow.com/blog/2009/07/31/hypovolemia-or-fluid-volume-deficit-for-nurses-and-episode-90/ Welcome to Episode 90

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News--

Medford Nursing Impersonators Fined by State Nursing Board

Reasearch Reveals Inactive Children Take More Time Falling Asleep

How Camera Phones Can Help in Diagnostics

-----------------------------------

Tip of the Week--Hypovolemia/ Fluid Volume Deficit

Disorders of Fluid Volume

Fluid Volume Deficit by RNcentral

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Brakelazy

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Fri, 31 Jul 2009 17:29:00 -0400 hypovolemia-or-fluid-volume-deficit-for-nurses-and Jamie Davis, the Podmedic Hypovolemia or Fluid Volume Deficit for Nurses and Episode 90 of the Nursing Show Tip of the Week--Hypovolemia/ Fluid Volume Deficit Hypovolemia is defined as a state of decreased blood volume, more specifically plasma. It differs from dehydration, which is defined as excessive loss of body water. Hypovolemia or Fluid Volume Deficit (FVD) defines water deficiency only in terms of volume rather than specifically water. Common causes of hypovolemia include bleeding, GI problems such as vomiting and diarrhea, burns, excessive urinary output or inadequate fluid intake, and medications like diuretics. Symptoms that may be present in mild fluid depletion (less than 5% of ECF) include diminished skin turgor which is best assessed at the upper torso, dry mucous membranes, and oliguria. Special considerations should be given in elderly patients since skin turgor may be low regardless of volume status. Mucous membrane assessment is also suspect because they may also be dry from mouth-breathing. If 5-10% of ECF is depleted, orthostatic tachycardia, hypotension, or both are usually, but not always, present. When fluid loss exceeds 10% of ECF volume, signs of shock can occur (eg, tachypnea, tachycardia, hypotension, confusion, poor capillary refill). Other symptoms include concentrated urine, thirst, nausea, anorexia, and poor capillary refill. Treatment modalities depend on the severity of fluid volume deficit. In minor hypovolemia, increase in oral intake of sodium and water can be done for conscious patients to replace depleted sodium ions. For more severe cases of hypovolemia, patient treatment includes IV 0.9% saline is given or fresh plasma replacement. Nursing interventions aimed at improving fluid volume status include encouraging fluid intake and providing necessary patient teaching. Evaluation of outcomes include periodic assessment of skin turgor and mucous membranes, monitoring I&O, and obtaining daily weights. no 28:30
CPAP Therapy Review and Episode 89 http://nursingshow.com/blog/2009/07/24/cpap-therapy-review-and-episode-89/ Welcome to Episode 89

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News--

UKs 31st Swine Flu Death Confirmed by NHS

ANA Support Health Reform

Study Shows Pen and Paper Reinforce Electronic Records

-----------------------------------

Tip of the Week-- CPAP Therapy Review for Nurses

Mechanics of Breathing and PEEP

CPAP Masks

CPAP Review.pdf

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Fri, 24 Jul 2009 19:06:22 -0400 cpap-therapy-review-and-episode-89 Jamie Davis, the Podmedic CPAP Therapy Review and Episode 89 Tip of the Week-- CPAP Therapy Review for Nurses Continuous Positive Airway Pressure (CPAP) is a non-invasive procedure used to improve oxygenation, reduce work of breathing, mechanically reduce afterload and preload in heart failure. It has also been shown as an alternative to intubation in some patients. CPAP Therapy is indicated for the following conditions: * Alveolar collapse (atelectasis, ARDS) * Fluid-filled alveoli (pulmonary edema, pneumonia, pulmonary contusion) * Airway closure (post surgical hypoventilation) * CHF, Asthma, COPD * Sleep apnea * Acute respiratory failure * Near drowning In providing CPAP, therapy must be started at lowest setting (0-2 cmH2O) and titrate upwards (maximum of 10 cmH2O). It should be used with caution in patients with history of pulmonary fibrosis, claustrophobia (keep patient calm), complaints of nausea and vomiting, excessive secretions and facial deformities that may inhibit use of CPAP. Nurses should watch out for complication such as decrease in blood pressure, pneumothorax, gastric distention, vomiting and corneal drying. Physiologic contrandications include, unconsciousness, inability to sit up, respiratory arrest, persistent nausea and vomiting, hypotension, and inability to obtain a good mask seal. Pathologic contraindications are suspected pneumothorax, shock, penetrating chest trauma, trauma/burns, closed head injury, and active upper GI bleeding. Therapy should be given continuously to obtain maximum results. In the event that CPAP therapy should be discontinued, intermittent positive pressure ventilation or intubation should be considered. no 28:00
Insulin Review and Episode 88 http://nursingshow.com/blog/2009/07/17/insulin-review-for-nurses-and-episode-88/ Welcome to Episode 88

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Tip of the Week-- Types of Insulin

Diabetes Learning Center

National Diabetes Information Clearinghouse

Types of Insulin for Diabetes Treatment by WebMD

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Fri, 17 Jul 2009 21:39:30 -0400 insulin-review-and-episode-88 Jamie Davis, the Podmedic Insulin Review for Nurses and Nursing Students, RNs, LPNs and others Tip of the Week-- Types of Insulin Diabetes is one of the fastest growing lifestyle-related diseases. In the year 2007, the prevalence of diagnosed and undiagnosed cases of diabetes reached a total 23.6 million or 7.8% of the population in the United States. Other than diabetes itself, complications like kidney failure and diabetic ketoacidosis are serious problems diabetics should look out for. Since patient teaching is a major role of nurses, it is important for them to be knowledgeable on the different types of insulin to be able to impart what they know to their patients. Better understanding of the drug and the disease will foster adherence to the medication and voluntary lifestyle modifications, thus, preventing serious or even life-threatening complications later on. Insulin, the drug of choice for type I diabetes, comes in different variants depending on how fast they start to work and how long their effects last. Types of insulin: * Rapid acting- covers insulin needs for meals eaten at the same time as the injection and used with longer-acting insulin. o Humalog (lispro), Novolog (aspart), Apidra (glulisine) * Short acting- covers insulin needs for meals eaten within 30-60 minutes. o Regular humulin (novolin), Velosulin (for insulin pump) * Intermediate acting- covers insulin needs for about half the day or overnight and is often combined with rapid- or short-acting insulin. o NPH, Lente * Long acting- covers insulin needs for about 1 full day and is often combined, when needed, with rapid- or short-acting insulin. o Ultralente, Lantus, Levemir (detemir) * Pre-mixed- a combination of specific proportions of intermediate-acting and short-acting insulin in one bottle or insulin pen (the numbers following the brand name indicate the percentage of each type of insulin). Generally taken twice a day before mealtime. o Humulin 70/30, Novolin 70/30, Novolog 70/30, Humulin 50/50, Humalog mix 75/25 Deciding on the kind of insulin that will best suit an individual depends on many factors including the body's individual response to insulin, lifestyle choices, number of preferred injections in a day, frequency of checking blood sugar level, age, and blood sugar management goals. no 42:06
Salmonellosis (Food Poisoning) and Episode 87 http://nursingshow.com/blog/2009/07/10/salmonellosis-food-poisoning-and-episode-87/ Welcome to Episode 87

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News--

Electronic System Improved Diabetes Care

7 Out of 10 Nurses Report Insufficient Staffing

New Rules on Egg Safety
-----------------------------------

Tip of the Week-- Salmonellosis (Food Poisoning )

MedlinePlus Medical Encyclopedia: Salmonella Infections

eMedicine Article on Salmonella Infections

CDC Page on Salmonellosis

MedlinePlus Medical Encyclopedia: Food Poisoning

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Brian Fitzpatrick And The - Worse for Wear - Hey Mary

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]]> Fri, 10 Jul 2009 17:16:39 -0400 salmonellosis-food-poisoning-and-episode-87 Jamie Davis, the Podmedic Salmonellosis (Food Poisoning) and Episode 87 of the Nursing Show for RNs, student nurses, and educators. A review of Salmonellosis for nurses and student nurses: Salmonellosis is a type of food poisoning caused by Salmonella bacteria and is the most common cause of foodborne illness in the United States. It is more common in the summer than in winter. Children (especially those below 5 years old) are most likely to to get Salmonellosis. Nurses should be prepared to recognize Salmonellosis food poisoning and educate their patients about safe food handling and hand washing. The bacteria lives in the intestinal tract of humans and animals. If food or water contaminated by fecal material gets ingested, the result is salmonella infection. Foods usually contaminated includes raw poultry, egg, beef, milk, and sometimes unwashed raw vegetables. The infection can also be transferred through handling reptiles like snakes, lizards, and turtles. Symptoms usually lasts 4-7 days and usually appears 8 to 48 hours after exposure. Most persons recover without treatment, however, in some people hospitalization may be required and on rare occasions a life threatening blood infection may develop requiring antibiotic therapy. Special nursing care and assessment must be focused on patient at particular risk. Infants, elderly and those with chronic diseases are more likely to develop a severe illness from an exposure to Salmonella. Signs and symptoms of the disease include diarrhea, abdominal cramps, fever and headache. Preventive measures include cooking food thoroughly especially poultry, beef and eggs; frequent hand washing and cleaning kitchen surfaces and utensils immediately after being in contact with raw meat; Avoiding contact with reptiles, and proper food handling. Management of salmonellosis comprises of antibiotics and measures to prevent dehydration in the event of diarrhea. no 31:57 Antidepressant Overdoses and Episode 86 http://nursingshow.com/blog/2009/07/03/antidepressant-overdose-and-episode-86/ Welcome to Episode 86

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News--

Australian Chief Nurse Proclaimed ICN President

Community Nursing Restructured in Scotland

FDA votes to Eliminate Combination Drugs

-----------------------------------

Tip of the Week-- Antidepressant Overdose with Lisa Booze of the Maryland Poison Center

Emergency Medicine Journal Review on Tricyclic Antidepressant Overdose

Understanding Antidepressant Medications

Article on Antidepressant Toxicity

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This week- ''No More Summertime Blues'' by Geoff Smith

Geoff Smith

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Fri, 03 Jul 2009 22:12:03 -0400 antidepressant-overdoses-and-episode-86 Jamie Davis, the Podmedic no 27:16
Anatomy of Abdominal Pain and Episode 85 http://nursingshow.com/blog/2009/06/26/anatomy-of-abdominal-pain-and-episode-85 Welcome to Episode 85

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Profession Takes Emotional Toll on Nurses

Quality of Life and Environment Required from Nursing Homes

Congress Address Health Workforce Shortage
-----------------------------------

Tip of the Week-- Anatomy of Abdominal Pain

Abdominal Pain in Adults by eMedicineHealth

Abdominal Pain in Children by eMedicineHealth

MedlinePlus Medical Encyclopedia

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This week- Winter Circle with, “Streetlight Flicker

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Fri, 26 Jun 2009 22:29:13 -0400 anatomy-of-abdominal-pain-and-episode-85 Jamie Davis, the Podmedic Abdominal pain review for nurses and nursing students with the focus in this episode on the anatomy associated with abdominal pain. Abdominal pain is pain that you feel anywhere between your chest and groin. This is often referred to as the stomach region or belly. range in intensity from a mild stomach ache to severe acute pain. The pain is often nonspecific and can be caused by a variety of conditions. In the U.S. Government Census Data on ER visits by diagnosis for the most recent year tracked (2005), Abdominal pain figures are high on the list for adults Many organs are found within the abdominal cavity. Sometimes the pain is directly related to a specific organ such as the bladder or ovary. Usually, the pain originates in the digestive system. For example, the pain can be caused by appendicitis, diarrheal cramping, or food poisoning. The type and location of pain may help the physician find the cause. The intensity and duration of pain must also be considered when making a diagnosis. A few general characteristics of abdominal pain are as follows: * Abdominal pain can be sharp, dull, stabbing, cramp-like, knifelike, twisting, or piercing. Many other types of pain are possible. * Abdominal pain can be brief, lasting for a few minutes, or it may persist for several hours and longer. Sometimes abdominal pain comes on strongly for a while and then lessens in intensity for a while. * Sometimes abdominal pain can hurt so much that the patient may throw up, with no respite in the pain. Other times, vomiting eases the pain. * Abdominal pain can make the patient want to stay in one place and not move a muscle. Or the pain can make them so restless they want to pace around trying to find "just the right position." no 32:50
Staging Pressure Ulcers and Episode 84 of the Nursing Show http://nursingshow.com/blog/2009/06/19/staging-pressure-ulcers-and-episode-84/ Welcome to Episode 84

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New Studies on Essence of Nursing Workforce in Success of Health Reform

Nursing Voted as Most 'Ethical and Honest' Profession

MIHS Develop Protocol to Significantly Reduce Pressure Ulcers
-----------------------------------

Tip of the Week-- Staging Pressure Ulcers For Nurses

National Pressure Ulcer Advisory Panel

Risk Assessment and Prevention of Pressure Ulcers

CPEGC Prevention of Pressure Ulcers

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Song this week:

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“Wasting My Time” by Matthew Ebel

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Matthew Ebel - Beer & Coffee - Wasting My Time

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Fri, 19 Jun 2009 20:21:40 -0400 staging-pressure-ulcers-and-episode-84-of-the-nurs Jamie Davis, the Podmedic Assessment and Staging of Pressure Ulcers for Nurses and associated staff members Nurses RN and LPN Tip of the Week-- Staging Pressure Ulcers For Nurses Bedsores, more properly known as pressure ulcers or decubitus ulcers, are lesions caused by many factors such as: unrelieved pressure; friction; humidity; shearing forces; temperature; age; continence and medication; to any part of the body, especially portions over bony or cartilaginous areas such as sacrum, elbows, knees, ankles etc. Stages Stage I is the most superficial, indicated by non-blanchable redness that does not subside after pressure is relieved. This stage is visually similar to reactive hyperemia seen in skin after prolonged application of pressure. Stage II is damage to the epidermis extending into, but no deeper than, the dermis. In this stage, the ulcer may be referred to as a blister or abrasion. Stage III involves the full thickness of the skin and may extend into the subcutaneous tissue layer. This layer has a relatively poor blood supply and can be difficult to heal. Stage IV is the deepest, extending into the muscle, tendon or even bone. Unstageable pressure ulcers are covered with dead cells, or eschar and wound exudate, so the depth cannot be determined. Suspected Deep tissue injury: Purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue. Interventions Specific interventions depend on the stage of the pressure ulcer. Management includes wound care, debridement, and infection control. Preventive measures comprise of turning or changing positions, skin care, early detection through proper risk assessment and more. no 35:30
Antipsychotic Meds Review and Episode 83 of the Nursing Show http://nursingshow.com/blog/2009/06/12/antipsychotic-meds-review-and-episode-83/ Welcome to Episode 83ProMedNetwork.com

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News--

ANA Complains About Nurse Jackie TV Show

Nurse Jackie Page at Showtime

Cardiac Patients at Greater Risk in Crowded ER's

FDA Approves Some Newer Antipsychotic Meds for Kids
-----------------------------------

Tip of the Week-- Antipsychotic Medication Review

National Institute of Mental Health (NIMH) on Antipsychotic Meds

Article on Understanding Behavioral Issues Caused by Antipsychotics

Adherence Behaviour for Antipsychotic Medications

Info about Antipsychotic Medications for Nurses and Patients

(from the NIMH web site)

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Podsafe music from the PMNJim’s Big Ego with — “Stress” at iTunes

Jim's Big Ego - noplace Like Nowhere - Stress

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Fri, 12 Jun 2009 12:17:36 -0400 antipsychotic-meds-review-and-episode-83-of-the-nu Jamie Davis, the Podmedic Information, News, Commentary, and Tips for Nurses, Nursing Students, Educators and more with this week's show featuring a review of some information on Antipsychotic Meds. Info about Antipsychotic Medications for Nurses and Patients (from the NIMH web site) Antipsychotic medications are used to treat schizophrenia and schizophrenia-related disorders. Some of these medications have been available since the mid-1950's. They are also called conventional "typical" antipsychotics. Some of the more commonly used medications include: * Chlorpromazine (Thorazine) * Haloperidol (Haldol) * Perphenazine (generic only) * Fluphenazine (generic only) In the 1990's, new antipsychotic medications were developed. These new medications are called second generation, or "atypical" antipsychotics. One of these medications was clozapine (Clozaril). It is a very effective medication that treats psychotic symptoms, hallucinations, and breaks with reality, such as when a person believes he or she is the president. But clozapine can sometimes cause a serious problem called agranulocytosis, which is a loss of the white blood cells that help a person fight infection. Therefore, people who take clozapine must get their white blood cell counts checked every week or two. This problem and the cost of blood tests make treatment with clozapine difficult for many people. Still, clozapine is potentially helpful for people who do not respond to other antipsychotic medications. Other atypical antipsychotics were developed. All of them are effective, and none cause agranulocytosis. These include: * Risperidone (Risperdal) * Olanzapine (Zyprexa) * Quetiapine (Seroquel) * Ziprasidone (Geodon) * Aripiprazole (Abilify) * Paliperidone (Invega) Side effects of many antipsychotics include: * Drowsiness * Dizziness when changing positions * Blurred vision * Rapid heartbeat * Sensitivity to the sun * Skin rashes * Menstrual problems for women. Atypical antipsychotic medications can cause major weight gain and changes in a person's metabolism. This may increase a person's risk of getting diabetes and high cholesterol.1 A person's weight, glucose levels, and lipid levels should be monitored regularly by a doctor while taking an atypical antipsychotic medication. Typical antipsychotic medications can cause side effects related to physical movement, such as: * Rigidity * Persistent muscle spasms * Tremors * Restlessness. Long-term use of typical antipsychotic medications may lead to a condition called tardive dyskinesia (TD). TD causes muscle movements a person can't control. The movements commonly happen around the mouth. TD can range from mild to severe, and in some people the problem cannot be cured. Sometimes people with TD recover partially or fully after they stop taking the medication. no 29:46
Fish Poisoning and Episode 82 http://nursingshow.com/blog/2009/05/29/fish-poisoning-and-episode-82/ Welcome to Episode 82ProMedNetwork.com

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News--

Costs of Uninsured Health Care

FDA to Look At Acetaminophen Products

Infusion Nursing Article

-----------------------------------

Tip of the Week-- Ciguatera Fish Poisoning

A ToxTidbits Segment with Lisa Booze from the Maryland Poison Center

About Ciguatera

Ciguatera fish poisoning (or ciguatera) is an illness caused by eating fish that contain toxins produced by a marine microalgae called Gambierdiscus toxicus. People who have ciguatera may experience nausea, vomiting, and neurologic symptoms such as tingling fingers or toes.

They also may find that cold things feel hot and hot things feel cold. Ciguatera has no cure. Symptoms usually go away in days or weeks but can last for years. People who have ciguatera can be treated for their symptoms.

Fish like barracuda, black grouper, blackfin snapper, cubera snapper, dog snapper, greater amberjack, hogfish, horse-eye jack, king mackerel, and yellowfin grouper have been known to carry ciguatoxins.

Find more info at the CDC page on Ciguatera Fish Poisoning

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Song this week:

Michael Heaton's "I Know What I Know"

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Fri, 29 May 2009 22:58:37 -0400 fish-poisoning-and-episode-82 Jamie Davis, the Podmedic Nursing Tip of the Week-- Ciguatera Fish Poisoning Tip of the Week-- Ciguatera Fish Poisoning A ToxTidbits Segment with Lisa Booze from the Maryland Poison Center About Ciguatera Ciguatera fish poisoning (or ciguatera) is an illness caused by eating fish that contain toxins produced by a marine microalgae called Gambierdiscus toxicus. People who have ciguatera may experience nausea, vomiting, and neurologic symptoms such as tingling fingers or toes. They also may find that cold things feel hot and hot things feel cold. Ciguatera has no cure. Symptoms usually go away in days or weeks but can last for years. People who have ciguatera can be treated for their symptoms. Fish like barracuda, black grouper, blackfin snapper, cubera snapper, dog snapper, greater amberjack, hogfish, horse-eye jack, king mackerel, and yellowfin grouper have been known to carry ciguatoxins. Find more info for nurses and other health care providers at the CDC page on Ciguatera Fish Poisoning no
I.V. Complications and Episode 81 http://nursingshow.com/blog/2009/05/22/iv-complications-and-episode-81/ Welcome to Episode 81ProMedNetwork.com

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News--

Recession Bad for Health Care

Float Nurse Satisfaction Story

Infusion Nursing Article

-----------------------------------

Tip of the Week-- Assessment and Care of IV Lines

Common complications with IV catheter placement include:

  • Infiltration - Leakage of the IV fluid or medication into the surrounding tissues. If the infiltration is caught early enough and a small amount of infiltrate had leaked, the problem is not usually a cause of long term issues. Discontinue the IV infusion, remove the catheter and initiate IV access elsewhere.
  • Extravasation - is related to infiltration but is a more serious complication where the fluid or medication leaking into the tissues is a vessicant or highly concentrated solution. Common medications in this category include Dopamine, Diazapam, Calcium Chloride and D-50. Even small amounts of extravasation into surrounding tissues can cause localized cellular breakdown and tissue necrosis.
  • Phlebitis - is the inflammation of the vein itself and is most often caused by irritation due to long term IV access in that location (days). Some medications of a more alkaline or acidic nature can also irritate the vein and rarely a bacterial infection may be the cause, as well.
  • Infection - Infection related to improper cleaning of the site prior to insertion of the catheter or due to migration of bacteria along the cather into the tissues during extended IV access (days).
  • Hypersensitivity to Medication - Allergic reaction to the medication administered. Can be seen in meds such as IV antibiotics but may happen with any IV fluid or medication. May be localized to the site or systemic.

-----

IV Complications Web Based Slide Show and Presentation

IV Infiltration Article

Photos of IV Complications

Complications of peripheral I.V. therapy (From Nursing Made Incredibly Easy, Jan/Feb 2008)

Nursing Show Episode 54 on Infusion Nursing Specialty

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  • The MedicCast (for EMTs, Paramedics, EMS field work)
  • --------------------------------

    Song this week:

    Matthew Ebel "Downtown"

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    ]]> Fri, 22 May 2009 13:32:58 -0400 iv-complications-and-episode-81 Jamie Davis, the Podmedic no 31:15 Nephrology Nursing and episode 80 http://nursingshow.com/blog/2009/05/15/nephrology-nursing-and-episode-80/ Welcome to Episode 80ProMedNetwork.com

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    -----------------------------------

    News--

    Nurses and Doctors Shut Out of Health Reform Talk

    Australian Nurses Prescribers

    Doctors vs. Midwives: Home Birth Adversaries?
    -----------------------------------

    Tip of the Week-- Interview with Sue Cary of American Nephrology Nurses' Association

    ANNANurse.org website

    Link to Nursing Show Article on Free ANNA CNE Resources

    Nephrology Nursing Philosophy (from ANNA website)

    ". . . the role of nephrology nursing is to assess the real or threatened impact of renal disease on the individual as well as to diagnose and treat his/her responses to this problem. Within this context, ANNA also believes in the commitment of nursing to assist each individual to achieve an optimum level of functioning, whether it be in preventing renal disease, arresting further dysfunction, or rehabilitating the individual throughout the life cycle. In order to achieve these goals, we believe that practitioners within the field of nephrology nursing should set forth high standards of patient care that are continually updated.

    We believe that through the continued education of nurses in the field of nephrology, we can assure high quality patient care. We further believe that a sound educational program is necessary to develop, maintain, and augment competence in practice. Because research is essential for the advancement of nursing science, new concepts must be developed and tested to sustain the continued growth and maturation of nephrology nursing.

    We believe in the team approach to patient care and embrace interdisciplinary communication and collaboration as being essential to the achievement of the highest attainable level of cost-effective, quality patient care. As members of the nephrology team, it is our duty to respond to issues affecting our practice in both private and public sectors.

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    Fri, 15 May 2009 22:13:16 -0400 nephrology-nursing-and-episode-80 Jamie Davis, the Podmedic no 37:16
    Rehab Nursing and Episode 79 http://nursingshow.com/blog/2009/05/08/rehab-nursing-and-episode-79/ Welcome to Episode 79

    Listen to the show!

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    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

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    ----------------------------

    Sponsors

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    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast

    -----------------------------------

    News--

    ANA Suggests Ways to Celebrate Nurses Week

    Cuts in Education Hurt Arizona's Nursing Shortage

    YouTube Video Helps Man Deliver His Baby
    -----------------------------------

    Tip of the Week-- Interview with Jason Jwoytas on Rehab Nursing

    What is Rehabilitation Nursing?

    Rehabilitation nurses help individuals affected by chronic illness or physical disability to adapt to their disabilities, achieve their greatest potential and work toward productive, independent lives. They take a holistic approach to meeting patients’ medical, vocational, educational, environmental and spiritual needs.

    Rehabilitation nurses begin to work with individuals and their families soon after the onset of a disabling injury or chronic illness. They continue to provide support in the form of patient and family education and empower these individuals when they go home or return to work or school. The rehabilitation nurse often teaches patients and their caregivers how to access systems and resources.

    Rehabilitation nursing is a philosophy of care, not a work setting or a phase of treatment. Rehabilitation nurses base their practice on rehabilitative and restorative principles by:

    • managing complex medical issues
    • collaborating with other specialists
    • providing ongoing patient/caregiver education
    • setting goals for maximal independence
    • establishing plans of care to maintain optimal wellness

    Definition provided by the Association of the Rehabilitation Nurses

    -----------------------------------

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    Sat, 09 May 2009 00:01:10 -0400 rehab-nursing-and-episode-79 Jamie Davis, the Podmedic A look at the nursing career specialty of Rehabilitation Nursing. An interview with Jason Jwoytas, a Canadian Rehab Nurse. Tip of the Week-- Interview with Jason Jwoytas on Rehab Nursing What is Rehabilitation Nursing? Rehabilitation nurses help individuals affected by chronic illness or physical disability to adapt to their disabilities, achieve their greatest potential and work toward productive, independent lives. They take a holistic approach to meeting patients’ medical, vocational, educational, environmental and spiritual needs. Rehabilitation nurses begin to work with individuals and their families soon after the onset of a disabling injury or chronic illness. They continue to provide support in the form of patient and family education and empower these individuals when they go home or return to work or school. The rehabilitation nurse often teaches patients and their caregivers how to access systems and resources. Rehabilitation nursing is a philosophy of care, not a work setting or a phase of treatment. Rehabilitation nurses base their practice on rehabilitative and restorative principles by: * managing complex medical issues * collaborating with other specialists * providing ongoing patient/caregiver education * setting goals for maximal independence * establishing plans of care to maintain optimal wellness Definition provided by the Association of the Rehabilitation Nurses no
    Med-Surg Nursing Careers and Episode 78-updated http://nursingshow.com/blog/2009/05/01/med-surg-nursing-careers-and-episode-78/ Welcome to Episode 78ProMedNetwork.com

    The Nursing Show is a proud member of the ProMed Podcast Network.

    Listen to the show!

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    Click the arrow to play the Nursing Show

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    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

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    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast
    -----------------------------------

    News--

    Teen Pregnancy Prevention Programs Face Cuts

    NLN Releases Nursing Diversity Program
    Telenurses Proposed to Assist 911 Overload
    -----------------------------------

    Tip of the Week-- Interview with Kathleen Singleton for AMSN.org

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    Fri, 01 May 2009 19:53:05 -0400 medsurg-nursing-careers-and-episode-78 Jamie Davis, the Podmedic no 37:20
    Zofran (Ondansetron) Review and Episode 77 http://nursingshow.com/blog/2009/04/24/zofran-and-episode-77/ Welcome to Episode 77ProMedNetwork.com

    The Nursing Show is a proud member of the ProMed Podcast Network.

    And, the founding site for the all new NursingTopStudent.com site, check it out now!

    Listen to the show!

    podcastdownload.jpg Right Click to download (Macs Option Click)

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    RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

    Fill out our Survey.

    ----------------------------

    Sponsors

    Lexi-Comp, the premium provider of mobile nursing software including new iPhone and iPod Touch apps for Lexi Nursing, and many other Lexi-Comp Products.

    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast
    -----------------------------------

    News--

    -----------------------------------

    Tip of the Week-- Ondansetron (Zofran) Medication Review


    Nursing Drug Guide Applications for iPhone and iPod Touch
    ----------------------------------

    Stay informed as a nurse:

    Subscribe to American Journal of Nursing via Amazon.com here

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    -----------------------------------

    Song this week:

    Variations On The Kanon By Pachelbel by George Winston

    George Winston - December: Piano Solos - Anniversary Edition
    -------------------------------------

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    Fri, 24 Apr 2009 19:17:17 -0400 zofran-ondansetron-review-and-episode-77 Jamie Davis, the Podmedic Zofran (Ondansteron) Administration and Review Tips for Nurses, Students, and others in the health care field. no 26:14
    Pain Assessment Tools and Episode 76 http://nursingshow.com/blog/2009/04/17/pain-assessment-tools-and-episode-76/ Welcome to Episode 76ProMedNetwork.com

    The Nursing Show is a proud member of the ProMed Podcast Network.

    Visit The Nursing Show Podcast Site Now!

    And, the founding site for the all new NursingTopStudent.com site, check it out now!

    Listen to the show!

    podcastdownload.jpg Right Click to download (Macs Option Click)

    itunesnew.jpg Subscribe with iTunes here (need iTunes -- it's free)

    RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

    Fill out our Survey.

    ----------------------------

    Sponsors

    Lexi-Comp, the premium provider of mobile nursing software including new iPhone and iPod Touch apps for Lexi Nursing, and many other Lexi-Comp Products.

    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast

    -----------------------------------

    News--

    Johns Hopkins HealthCare New Conflict-of-Interest Policies

    Panel Recommends Credits For Nurse Educators

    Family Members Assess Loved One's Pain In ICU

    -----------------------------------

    Tip of the Week-- Pain Assessment Tools

    Pain is often called the fifth vital sign. This places it in its proper place alongside pulse, respirations, blood pressure and temperature that a nurse needs to assess regularly on a patient. Just like the other vital signs, the proper assessment tools make tracking and treating a patient's pain much easier and more reliable.

    Because pain assessment is a subjective measure, the patient is a necessary component of the process. What causes one person to writhe in pain may barely break a sweat in another. However, when measured against the patient's own standards, it is much easier to trend the patient's pain level and to be proactive in managing that pain.

    Use the links and tools below to look at some of the common myths about pain management and also review the available assessment tools and scales you might use for different patient populations. I have also included the links to my articles on pediatric pain assessment and management.

    Maryland Board of Nursing Pain Management White Paper

    Guide to Using Pain Assessment Tools

    Links to Pain Assessment Tools

    --

    Nursing Show Article on Pediatric Pain Assessment

    Nursing Show Article on Pediatric Pain Management

    ----------------------------------

    Stay informed as a nurse:

    Subscribe to American Journal of Nursing via Amazon.com here

    -----------------------------------

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    Comment or share ideas here on the comment link below or by email:

    Comments@NursingShow.com

    Other Podcasts from Jamie Davis:

    -----------------------------------

    Song this week:

    Laura Clapp with, "I Gotta Be Me"

    -------------------------------------

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    Fri, 17 Apr 2009 22:48:20 -0400 pain-assessment-tools-and-episode-76 Jamie Davis, the Podmedic Pain management review for nurses, lpn, rn, msn, bsn Pain is often called the fifth vital sign. This places it in its proper place alongside pulse, respirations, blood pressure and temperature that a nurse needs to assess regularly on a patient. Just like the other vital signs, the proper assessment tools make tracking and treating a patient's pain much easier and more reliable. Because pain assessment is a subjective measure, the patient is a necessary component of the process. What causes one person to writhe in pain may barely break a sweat in another. However, when measured against the patient's own standards, it is much easier to trend the patient's pain level and to be proactive in managing that pain. Use the links and tools below to look at some of the common myths about pain management and also review the available assessment tools and scales you might use for different patient populations. I have also included the links to my articles on pediatric pain assessment and management. no 27:53
    Dermal Exposure Poisoning and Episode 75 http://nursingshow.com/blog/2009/04/10/dermal-exposure-poisoning-and-episode-75/ Welcome to Episode 75ProMedNetwork.com

    The Nursing Show is a proud member of the ProMed Podcast Network.

    And, the founding site for the all new NursingTopStudent.com site, check it out now!

    Listen to the show!

    podcastdownload.jpg Right Click to download (Macs Option Click)

    itunesnew.jpg Subscribe with iTunes here (need iTunes -- it's free)

    RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

    Fill out our Survey.

    ----------------------------

    Sponsors

    Lexi-Comp, the premium provider of mobile nursing software including new iPhone and iPod Touch apps for Lexi Nursing, and many other Lexi-Comp Products.

    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast

    -----------------------------------

    News--

    Impact On Healthcare Providers Of Caring For The Terminally Ill

    Nurses face career shortages during economic downfall

    Talk Therapy Better for Cardiac Related Depression

    -----------------------------------

    Tip of the Week-- Dermal Exposures with Lisa Booze from the Maryland Poison Center

    Maryland Poison Center

    NIH Medline on Poisonings

    NIH Medline on Pesticide Poisonings

    ----------------------------------

    Stay informed as a nurse:

    Subscribe to American Journal of Nursing via Amazon.com here

    -----------------------------------

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    Comment or share ideas here on the comment link below or by email:

    Comments@NursingShow.com

    Other Podcasts from Jamie Davis:

    -----------------------------------

    Song this week:

    Music from The Podsafe Music Network

    This week - The Detonators with the song, "Bugs"

    Click here to check out other Songs from the MedicCast Network Podcasts at the iTunes Store.

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    ]]>
    Fri, 10 Apr 2009 22:19:18 -0400 dermal-exposure-poisoning-and-episode-75 Jamie Davis, the Podmedic Dermal Exposure Poisoning: a Review for RNs, Nurses, Nursing Students and others Poisoning occurs when people drink, eat, breathe, inject, or touch enough of a chemical (poison) to cause illness or death. Some poisons in very small amounts can cause illness or injury. Injury or illness may occur very quickly after exposure or may take several years with long-term exposure. The Centers for Disease Control and Prevention (CDC) defines a poisoning that occurs by accident as “unintentional poisoning” and a poisoning that results from a conscious, willful decision (such as suicide or homicide) as “intentional poisoning.” Household Chemicals and Carbon Monoxide * Always read the label before using a product that may be poisonous. * Keep chemical products in their original bottles or containers. Do not use food containers such as cups, bottles, or jars to store chemical products such as cleaning solutions or beauty products. * Never mix household products together. For example, mixing bleach and ammonia can result in toxic gases. * Wear protective clothing (gloves, long sleeves, long pants, socks, shoes) if you spray pesticides or other chemicals. * Turn on the fan and open windows when using chemical products such as household cleaners. no 26:06
    Gastritis for Nurses and Episode 74 http://nursingshow.com/blog/2009/04/03/gastritis-for-nurses-and-episode-74/ Welcome to Episode 74ProMedNetwork.com

    The Nursing Show is a proud member of the ProMed Podcast Network.

    And, the founding site for the all new NursingTopStudent.com site, check it out now!

    Listen to the show!

    podcastdownload.jpg Right Click to download (Macs Option Click)

    itunesnew.jpg Subscribe with iTunes here (need iTunes -- it's free)

    RSS Feed to subscribe (copy url to Juice, Zune Marketplace, or your favorite podcatcher)

    Click the arrow to play the Nursing Show

    [audio:http://www.podtrac.com/pts/redirect.mp3/media.blubrry.com/nursing_show/traffic.libsyn.com/nursingshow/NursingShow_20090403.mp3]

    A podcast for Nurses, Nursing Students, and others interested in what it takes to be a Nurse

    Fill out our Survey.

    ----------------------------

    Sponsors

    Lexi-Comp, the premium provider of mobile nursing software including new iPhone and iPod Touch apps for Lexi Nursing, and many other Lexi-Comp Products.

    Visit www.Lexi.com/nursingshow and sign up to win a free iPod Touch and Lexi-Comp software.

    and

    Try out Go To My PC for free for 30 days, visit www.gotomypc.com/podcast

    -----------------------------------

    News--

    Male Nurse on Stereotypes

    Study on Nurse Retention

    Obama on Health Reform

    -----------------------------------

    Tip of the Week-- Gastritis and Peptic Ulcer Disease Review

    Gastritis is not a single disease, but several different conditions that all have inflammation of the stomach lining. Gastritis can be caused by drinking too much alcohol, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen, or infection with bacteria such as Helicobacter pylori (H. pylori). Sometimes gastritis develops after major surgery, traumatic injury, burns, or severe infections. Certain diseases, such as pernicious anemia, autoimmune disorders, and chronic bile reflux, can cause gastritis as well.

    The most common symptoms are abdominal upset or pain. Other symptoms are belching, abdominal bloating, nausea, and vomiting or a feeling of fullness or of burning in the upper abdomen. Blood or "coffee grounds" emesis or black, tarry stools may be a sign of bleeding in the stomach, which may indicate a serious problem requiring immediate medical attention.

    Gastritis is diagnosed through one or more medical tests:

    • Upper gastrointestinal endoscopy. this procedure looks at the stomach lining, checking for inflammation and may remove a tiny sample of tissue for tests.
    • Blood test. Check red blood cell count to see whether the patient has anemia, caused by chronic blood loss from a bleeding ulcer.
    • Stool test. This test checks for the presence of blood in the patient's stool, a sign of GI bleeding. Stool test may also be used to detect the presence of H. pylori in the digestive tract.

    Treatment usually involves taking drugs to reduce stomach acid and thereby help relieve symptoms and promote healing. (Stomach acid irritates the inflamed tissue in the stomach.) Avoidance of certain foods, beverages, or medicines may also be recommended.

    If gastritis is caused by an infection, that problem may be treated as well. For example, the doctor might prescribe antibiotics to clear up H. pylori infection. Once the underlying problem disappears, the gastritis usually does too

    (from The National Digestive Diseases Information Clearinghouse)

    ----

    Gastritis and Peptic Ulcer Disease at eMedicine

    NIH on Gastritis

    NIH on Peptic Ulcer Disease

    ----------------------------------

    Stay informed as a nurse:

    Subscribe to American Journal of Nursing via Amazon.com here

    -----------------------------------

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    Comment or share ideas here on the comment link below or by email:

    Comments@NursingShow.com

    Other Podcasts from Jamie Davis:

    -----------------------------------

    Song this week:

    The Podsafe Music Network

    This week –
    “Sunday Jen” by Slackstring If you like the track, click below to go to iTunes and purchase it there:
    slackstring - slackstring - Wednesday Morning

    Click here to check out other Songs from the MedicCast Network Podcasts at the iTunes Store.

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