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By: Myrna Buiser Schnur, MSN, RN Mar 21 2022
What Does Glomerular Filtration Rate (GFR) Tell Us About the Kidneys? Patients with kidney disease may present with a variety of symptoms or no symptoms at all. Some have renal signs such as gross hematuria or flank pain; others present with edema, hypertension, or uremia; and for many, lab tests will show an...
By: Myrna Buiser Schnur, MSN, RN Mar 11 2022
Calcium Channel Blockers - How Do They Work? Calcium channel blockers (antagonists) are commonly prescribed to treat a variety of cardiovascular disorders. All calcium channel blockers inhibit the L-type calcium channel within cells and are divided into two major categories, either...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Mar 7 2022
Celebrating International Women’s Day Each year, on March 8th, we celebrate International Women’s Day (IWD). Why is this important? About IWD March 8th is a day to celebrate women, increase our visibility, and forge ahead on achieving gender parity. This is a day when...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Mar 3 2022
Summing Up the Research: Transforming Practice through Evidence Awareness of current research is a big component of staying up to date in nursing and healthcare and providing evidence-based care. Here’s a look at a selection of the latest studies and practice-changing recommendations.COVID-19Survival...
By: Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, AGACNP-BC, FAAN Mar 1 2022
Competency-Informed Staffing: A Potential Catalyst for Quality Outcomes and Safer Work Environments I recently responded to a rapid response team (RRT) call for a patient in acute respiratory distress. Despite interventions, the patient was transferred to the critical care unit, intubated, and placed on a ventilator. The nurses on the floor had...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Feb 25 2022
This Month in Nursing: March 2022 Here’s a glance at what’s happening this month, along with some resources for your learning and professional development. Nursing Recognition DatesCertified Nurses DayMarch 19, 20225 Reasons to Get CertifiedGuide to CertificationGI...
By: Jennifer H. Collins , MSN, AGACNP-BC Feb 21 2022
The 4 Components of Source Control in Sepsis Sepsis and septic shock impact millions of patients worldwide (Evans et al., 2021). Sepsis is defined as life threatening end-organ dysfunction caused by a dysregulated host response to infection. Sepsis is the leading cause of death in critically...
By: Myrna Buiser Schnur, MSN, RN Feb 15 2022
Beta Adrenergic Blockers - How Do They Work? Beta adrenergic blockers (ß-blockers) affect the beta receptors of the sympathetic nervous system and are used to treat a multitude of acute and chronic diseases. There are three types of beta receptors: beta-1 (B1) are located in the heart and...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Feb 7 2022
What Does Jugular Venous Pressure Tell Us About Volume Status? Estimating jugular venous pressure (JVP) is a noninvasive method for assessing a patient’s volume status. It is used to estimate whether right atrial pressure (RAP) is high or normal and to assess trends in RAP, including response to...
By: Elizabeth Wirth-Tomaszewski, DNP, RN, CRNP, CCRN, ACNP-BC, ACNPC Feb 7 2022
Bruits And Thrills: What Was That? When performing a cardiovascular assessment, auscultation and palpation are used to examine the character of the vasculature. Bruits may be felt over arteries and sometimes thrills are palpated. Why are these significant? Bruits The presence of...
By: Elizabeth Wirth-Tomaszewski, DNP, RN, CRNP, CCRN, ACNP-BC, ACNPC Feb 7 2022
Extra Heart Sounds: Do You Hear What I Hear? When performing a cardiovascular assessment, auscultation of heart tones is an important component of the examination. Each sound has different characteristics, including timing and intensity. Read on to find out more! The Cardiac Cycle The...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Feb 7 2022
Heart Murmurs – When, Where, What? During your cardiac assessment, you may appreciate extra heart sounds or heart murmurs when auscultating the chest. In general, murmurs can be differentiated from additional sounds, such as an S3 or S4, because of their longer duration, however...
By: Elizabeth Wirth-Tomaszewski, DNP, RN, CRNP, CCRN, ACNP-BC, ACNPC Feb 7 2022
Pulsus Alternans: Here and Gone When performing a cardiovascular assessment, the rhythm and character of peripheral pulses are observed. While palpating the radial or femoral pulses, one may note that although the rhythm is regular, the strength of the pulse may alternate...
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