August 1, 2021

Nursing Tip of the Day! - Infectious Diseases

Category: Infectious Diseases 
Hepatitis B surface antigen (HBsAg) is the first serum marker to appear and is detectable prior to the onset of clinical symptoms. It peaks approximately 12 weeks after exposure and should become undetectable within 24 weeks (6 months).

July 31, 2021

Nursing Tip of the Day! - Infectious Diseases

Category: Infectious Diseases 
In chronic hepatitis B infections, treatment options and the decision to treat are dependent on individual patient factors, such as viral load, presence of cirrhosis or hepatocellular cancer, HBeAg/HBeAb status, patient age and biochemical markers.

July 30, 2021

Nursing Tip of the Day! - Infectious Diseases

Category: Infectious Diseases 
Acute and chronic hepatitis B are diagnosed by specific serum markers and HBV viral load testing using PCR. Chronic hepatitis B is defined as the presence of HBsAg detectable in serum for 6 months or longer after symptom onset.

July 29, 2021

Nursing Tip of the Day! - Infectious Diseases

Category: Infectious Diseases 
Chronic hepatitis B is often asymptomatic but patients can have symptomatic flairs. If untreated, the disease can be spread to others, cause cirrhosis and predispose patients to hepatocellular carcinoma.

July 28, 2021

Nursing Tip of the Day! - Infectious Diseases

Category: Infectious Diseases 
Hepatitis B is a double-stranded DNA virus that causes acute and chronic hepatitis. The disease can be transmitted vertically at birth or through contact with infected bodily fluids, such as blood, semen and vaginal secretions.

July 27, 2021

Nursing Tip of the Day! - Infectious Diseases

Category: Infectious Diseases 
Symptomatic patients with Hepatitis A experience nausea, vomiting, malaise, abdominal pain and fever followed by scleral icterus and jaundice several days later. Symptoms often last for less than 2 months.

July 26, 2021

Nursing Tip of the Day! - Infectious Diseases

Category: Infectious Diseases 
Hepatitis A risk factors include travel to endemic regions, ingestion of contaminated food or water (raw shellfish), work in daycare centers (exposure to feces/diaper changing) and close contact with infected patients.

July 25, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Hepatitis A is a vaccine-preventable fecal-orally transmitted RNA virus that causes acute hepatitis. Hepatitis A is never chronic, is often asymptomatic in younger patients and causes fulminant hepatic failure in < 1 of cases.

July 24, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Heat illnesses are a spectrum of illnesses resulting from failure of the body’s normal thermoregulatory mechanisms after exposure to excessive heat. The milder forms include heat edema, heat syncope (or presyncope) or heat cramps.

July 23, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Dystonia is idiosyncratic and not a drug overdose. The extrapyramidal motor system depends on excitatory cholinergic and inhibitory dopaminergic neurotransmitters. Anticholinergic medications restore the excitatory–inhibitory balance.

July 22, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Dystonic reactions (can resemble seizures, psychosis,  spasms or electrolyte imbalances) have been reported in 10% to 60% of patients treated with neuroleptic medications, most commonly when patients start or increase the dose of the drug.

July 21, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Any person who comes to an ED requesting care for a medical condition must be provided with a medical screening examination (MSE). The purpose of the MSE is to determine whether the patient has an emergency medical condition.

July 20, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
EMTALA originally was enacted to prevent private hospitals from refusing to treat indigent patients with medical emergencies or transferring (“dumping”) them in an unstable condition to public hospitals.

July 19, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Triage provides a method to distribute health care resources when patient needs exceed available resources. Triage operates along a continuum of decreasing resources, social order and the resource-to-patient ratio.

July 18, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
In the aftermath of a massive natural or man-made disaster, triage officers face difficult decisions about who will receive scarce life-saving treatment and who will be left to die without treatment.