May 20, 2019

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Acute, generalized muscle weakness can be seen with a number of severe electrolyte abnormalities of any cause: hypokalemia, hyperkalemia, hypocalcemia, hypercalcemia, hypomagnesemia and hypophosphatemia.

May 19, 2019

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Infantile botulism results from the ingestion of spores that are able to germinate and produce toxin in the high pH of the gastrointestinal tract of infants. Botulism spores can survive in honey, so it is recommended that honey not be fed to infants.

May 18, 2019

The Nurse Nacole Podcast: Toxic Work Environment Advice

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Because the botulinum toxin decreases cholinergic output, anticholinergic signs may be present: constipation, urinary retention, dry skin and eyes, increased temperature and dilated, non-reactive pupils.

May 17, 2019

Reviewing Medication Errors: What Went Wrong?

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The classic feature of botulism is a descending, symmetrical, flaccid paralysis. Cranial nerves and bulbar muscles are affected first, causing diplopia, dysarthria, and dysphagia, followed later by generalized weakness.

May 16, 2019

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The botulinum toxin blocks both voluntary motor and autonomic functions. There is no pain or sensory deficit. The onset of symptoms is 6 to 48 hours after the ingestion of tainted food. Symptoms of gastroenteritis may or may not be present.

May 15, 2019

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The botulinum toxin works by binding irreversibly to the presynaptic membrane of peripheral and cranial nerves, inhibiting the release of ACh at the peripheral nerve synapse. As new receptors are generated, the patient improves.

May 14, 2019

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Botulism is a toxin-mediated illness that can cause weakness leading to respiratory insufficiency. In 2011, there was an outbreak among eight prisoners in Utah who drank “pruno,” a prison-made wine. 

May 13, 2019

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Myasthenic crisis is defined as respiratory failure leading to mechanical ventilation. It occurs in 15% to 20% of patients with myasthenia gravis, usually within the first 2 years of disease onset.

May 12, 2019

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Fatigability and muscle weakness are the hallmarks of myasthenia gravis. The clinical progression of myasthenia gravis is slow, with the most important aspect of emergency care being early recognition and proper referral.

May 11, 2019

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
In most patients with myasthenia gravis, weakness and fatigue result from circulating autoantibodies against the ACh receptor on the junctional folds on the post synaptic membrane.

May 10, 2019

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Myelopathies involve the spinal cord; radiculopathies involve the nerve roots as they leave the spinal cord; neuropathies involve the peripheral nerves; and myopathies involve the muscle.

May 9, 2019

New Nurse Bootcamp | How To Improve Critical Thinking Skills

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Most radial neuropathies are due to so-called Saturday night palsies. The euphemism is derived from the association of radial neuropathy with improper positioning of the arm during deep, commonly inebriated sleep.