People often present to an emergency room, or urgent care setting with a foreign body lodged in an orifice. When the patient presents they will have a sense of urgency, and feel that it needs to “come out now”. This may or may not be the case. In order of most to least common, non-traumatic foreign bodies can become lodged in the throat, ears, nose, vagina, rectum and urethra. Patients may be adult or pediatric. Kids will often stick beads or buttons in their ears or nose, and will swallow just about anything. Adults may have an insect in their ear, esophageal food impaction, or engage in foreign body insertions during sexual practices. In this blog we will talk about HEENT/Esophageal foreign bodies.
Ventilator Management
Melissa Cody, APRN
The Police, an 80’s English rock band, had it right in there song ‘Every Breath You Take’ when they said:
- Every breath you take
- Every move you make
- Every bond you break
- Every step you take
- I’ll be watching you
Fluid Administration
Bunnany Pekar, PhD, CRNA, AGACNP
Utilizing the 4 D’s to exercise fluid stewardship
“Poison is in everything, and no thing is without poison. The dosage makes it either a poison or a remedy.” -Paracelsus, date unknown
For patients in septic shock or those that are dehydrated, administration of fluid is top priority to restore adequate intravascular volume, increasing cardiac output, augment oxygen delivery, and improving tissue oxygenation.
Primary Care: Should we throw away the clonidine?
Rachel Beatty, ARNP
Typical Scenario
Let’s discuss a common scenario. You have a 50 year old male who has not been seen by a PCP in two years. His past medical history includes arthritis and hypertension. He does not smoke and has an occasional beer on the weekend. He has been off his medications for his hypertension for over a year. His BP in office is 182/110, HR 70, Temp 97.6, Respirations 16, 02 saturation 98%. His physical exam is unremarkable and he is asymptomatic. Your medical assistant asks you if you would like her to give him clonidine and do an EKG. She then asks if we will be sending him to the emergency room. The patient is now anxious and is wondering if he is going to have a stroke. What would you do?
Monocular Painless Vision Loss
Eye complaints, particularly vision complaints, can seem daunting to a provider in an urgent care or emergency department setting. The eye is a complex structure. The anatomy and the neurology behind vision is intricate. Often, you may be practicing in an environment without the ability to consult an ophthalmologist. An understanding of urgent and emergent eye and visual problems is crucial. This post will deal with painless vision loss.
Night Shift Survival Guide
Melissa Cody, APRN
Healthcare workers know that their job never ends. Patients don’t stop coming to the hospital because it is a weekend, holiday or late at night. Therefore, we provide 24-hour coverage and support in order to take care of our patients – because that is what we do! We are super-humans who save lives! But at what cost? At some point in your career you have likely had to take on night shift and that means that you have to fight your own circadian rhythm in order to stay awake! How messed up is that?!? This is my personal survival guide (with help from my nurses) for surviving the vampire shifts! I will start this list of with more serious topics to take note of. Then, in true night shift fashion, we will take a 90 degree turn and jump off the deep end with some fun suggestions from those who have made a few life mistakes previously!