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An elderly womans bruising and gastrointestinal bleeding turned out to be caused by taking more than triple the dose of her warfarin medication for several days, reports Jeannette Witzel, RN, CEN, an ED nurse at Ukiah (CA) Valley Medical Center.
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Obtaining an EKG in a timely manner is critical, says Brian W. Selig, MHA, BSN, RN, CEN, NE-BC, nurse manager of the ED at the University of Kansas Hospital in Kansas City, MO, especially with the recent emphasis on time-critical diagnosis by the Joint Commission and [the Centers for Medicare & Medicaid Services.]
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Family history of cancer changes significantly between the ages of 30 and 50 years. Therefore, it is recommended that family history should be updated at least every 5 to 10 years to appropriately inform recommendations for cancer screening.
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Vitamin D deficiency was found to be present in almost all patients entering with acute myocardial infarctions in a 20-hospital multicenter study.
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The first orally administered factor XA inhibitor has been approved by the FDA for the prevention of deep vein thrombosis (DVT). Rivaroxaban was developed by Bayer and is marketed in this country by Janssen Pharmaceuticals as Xarelto.
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Interpret the rhythm strip shown above. Does it represent 2nd degree AV block, Mobitz Type II? Can you be sure?
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A systematic review covering 48 years gives pregabalin (Lyrica) Level A evidence for the treatment of diabetic neuropathy. Gabapentin, sodium valproate, amitriptyline, venlafaxine, and duloxetine may be as effective but only receive a Level B recommendation based on the quality of the studies.
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It comes as no surprise that when patients do not take their blood pressure (BP) medication, a lapse in BP control is anticipated. On the other hand, when a patient presents with an elevated BP and acknowledges omitted doses, it is difficult to be sure whether the observed elevation in BP is solely due to recent omissions, an underlying worsening of BP (requiring an augmentation rather than just simple restoration of treatment), rebound BP elevation, or some combination of these elements.
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