journal
https://read.qxmd.com/read/36877653/modifying-type-of-insulin-to-manage-steroid-induced-hyperglycemia-a-case-report
#1
JOURNAL ARTICLE
Faith M Pollock
Steroid-induced hyperglycemia was diagnosed in an older hospitalized patient after he was treated with the intermediate-acting glucocorticoid methylprednisolone. Before hospital admission, the patient did not have a diagnosis of diabetes. His elevated admission glucose level of 167 mg/dL along with his significant hyperglycemia after glucocorticoid initiation prompted the medical team to obtain a hemoglobin A1c result, 8.4%, which confirmed the diagnosis of type 2 diabetes. The capillary blood glucose level was elevated into the 200 to 399 mg/dL range for most of the patient's hospital stay while he was receiving subcutaneous insulin therapy of glargine and aspart correction and prandial bolus dosing...
March 15, 2023: AACN Advanced Critical Care
https://read.qxmd.com/read/36877652/improving-skin-care-protocol-use-in-the-intensive-care-unit-to-reduce-hospital-acquired-pressure-injuries
#2
JOURNAL ARTICLE
Amanda B Fischbein
BACKGROUND: Patients in the intensive care unit have the highest rate of hospital-acquired pressure injuries (HAPIs). In the United States, treatment of HAPIs costs an estimated $9.1 to $11.6 billion annually, with each occurrence adding an average of $10 708 to a patient's total hospital cost. In addition to their financial impact, pressure injuries negatively affect patients physically, socially, and psychologically and are associated with increased morbidity and mortality. OBJECTIVE: An intensive care unit had 42 HAPIs during a single fiscal year, with 45% of them related to lack of adherence to the institution's established evidence-based skin care protocol...
March 15, 2023: AACN Advanced Critical Care
https://read.qxmd.com/read/36877651/diabetic-ketoacidosis-related-to-hypertriglyceridemia-induced-pancreatitis-a-case-report
#3
JOURNAL ARTICLE
Leigh B Bak
Both diabetic ketoacidosis and acute pancreatitis can result in critical illness. Although not the most common cause of acute pancreatitis, hypertriglyceridemia can account for up to 10% of cases. One source of hypertriglyceridemia is unrecognized diabetes and resultant hyperglycemia. Identifying the underlying cause of acute pancreatitis can guide the most appropriate therapy to resolve this critical illness. This case report addresses the use of insulin infusions to treat hypertriglyceridemia-induced pancreatitis in the setting of concomitant diabetic ketoacidosis...
March 15, 2023: AACN Advanced Critical Care
https://read.qxmd.com/read/36877650/update-of-antiepileptic-drug-dosing-and-administration
#4
JOURNAL ARTICLE
Gabriela Saavedra, Robert M Woods, Kyle A Hultz
No abstract text is available yet for this article.
March 15, 2023: AACN Advanced Critical Care
https://read.qxmd.com/read/36877649/euglycemic-diabetic-ketoacidosis-associated-with-sglt2-inhibitor-therapy-a-case-report
#5
JOURNAL ARTICLE
Gwen Klinkner, Maggie Steingraber-Pharr
Sodium-glucose cotransporter-2 inhibitors are now considered second-line treatment agents for type 2 diabetes and offer a unique treatment approach with added cardiorenal benefits. Drugs in this class increase the risk of euglycemic diabetic ketoacidosis, which may be difficult to diagnose if clinicians are not aware of the risk factors and subtle symptoms. This article describes a case of euglycemic diabetic ketoacidosis in a patient with coronary artery disease who was taking a sodium-glucose cotransporter-2 inhibitor and experienced acute mental status changes immediately after heart catheterization...
March 15, 2023: AACN Advanced Critical Care
https://read.qxmd.com/read/36877648/diabetes-related-gastroparesis-in-the-acute-care-setting-a-case-report
#6
JOURNAL ARTICLE
Kristine Batty, Patricia Pugh, Alyson Schwartzbauer, Tricia Carvalho, Andrew P Demidowich
Diabetes-related gastroparesis is a challenging complication of diabetes that often results in flares of intractable vomiting and recurrent hospitalizations. Currently, there is no standard of care or guidelines for the management of diabetes-related gastroparesis in the acute care setting, leading to inconsistent and suboptimal care for these patients. Consequently, patients with diabetes-related gastroparesis may have prolonged inpatient lengths of stay and frequent readmissions affecting their overall health and well-being...
March 15, 2023: AACN Advanced Critical Care
https://read.qxmd.com/read/36877647/role-of-mentorship-in-the-transition-from-registered-nurse-to-acute-care-nurse-practitioner-in-the-cardiothoracic-intensive-care-unit
#7
JOURNAL ARTICLE
Lidia Hernandez, Mary Sullivan, Jesus Casida
No abstract text is available yet for this article.
March 15, 2023: AACN Advanced Critical Care
https://read.qxmd.com/read/36877646/authentic-leadership-pearls-of-wisdom
#8
JOURNAL ARTICLE
Danielle Gabele, Tina Cartwright, Faye Christen, Erica Martinez, Lindsay McKenzie, Rachael Murray, Staci Peavler, Nancy Blake
No abstract text is available yet for this article.
March 15, 2023: AACN Advanced Critical Care
https://read.qxmd.com/read/36877645/overcoming-stigma-asking-for-and-receiving-mental-health-support
#9
JOURNAL ARTICLE
Alanna Bergman, Cynda Hylton Rushton
No abstract text is available yet for this article.
March 15, 2023: AACN Advanced Critical Care
https://read.qxmd.com/read/36877644/diabetes-case-reports
#10
JOURNAL ARTICLE
Mary Fran Tracy
No abstract text is available yet for this article.
March 15, 2023: AACN Advanced Critical Care
https://read.qxmd.com/read/36877643/staying-informed-of-best-evidence-to-guide-practice
#11
JOURNAL ARTICLE
Mary Beth Flynn Makic, Ellie Svoboda
No abstract text is available yet for this article.
March 15, 2023: AACN Advanced Critical Care
https://read.qxmd.com/read/36477849/correction
#12
(no author information available yet)
No abstract text is available yet for this article.
December 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36477848/military-medical-role-in-civilian-disaster
#13
JOURNAL ARTICLE
Kathleen Flarity, Lisa D DeDecker, Tamara A Averett-Brauer, Teresa Duquette-Frame, Tami R Rougeau, Andrew Aycock, Shane Urban, Jerome T McKay, Daniel B Cox
US military medical units have responded to natural disasters (eg, hurricanes, earthquakes), relieved overwhelmed civilian health care systems (eg, during the COVID-19 pandemic), and provided support to stabilization efforts after civil unrest. The military will continue to assist civilian agencies with future medical response to similar disasters, contagious outbreaks, or even terrorist attacks. The keys to an effective disaster response are unity of effort, prior coordination, and iterative practice during military-civilian exercises to identify strengths and areas of improvement...
December 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36477847/practice-integration-as-an-effective-educational-strategy
#14
JOURNAL ARTICLE
Kathrine Anne Winnie, Kimberly Sanchez, Elizabeth Winfrey, Amber Furlow, Lani Thong, Christopher Mitchell, Jennifer Cannon
Bundles are composed of individually established practices supported by research that, when combined, structure patient care. Implementing bundles improves patient outcomes. The ABCDEF initiative is an example of a bundled approach that improves outcomes of critically ill patients that are related to the likelihood of hospital death within 7 days, delirium and coma days, physical restraint use, intensive care unit readmission, and discharge disposition, with outcomes being proportional to the number of appropriate components performed...
December 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36477846/nursing-during-a-disaster-starts-with-education
#15
JOURNAL ARTICLE
Maighdlin Anderson, Michael Beach
Future nurses, both entry level and advanced practice, are pivotal to the nation's disaster response. They are critical frontline, acute, primary, and public health workers in the United States and internationally. To respond well, they must be taught how to prepare and intervene appropriately. This preparation is multidimensional and includes not only concrete knowledge but mental, emotional, and ethical preparation for the realities of working and providing care while affected by chaos. Training should be experiential and reflective and expose students to the interprofessional nature of disaster planning and response...
December 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36477845/chimeric-antigen-receptor-t-cells-toxicity-and-management-considerations
#16
JOURNAL ARTICLE
Kent A Owusu, Molly Schiffer, Sarah Perreault
No abstract text is available yet for this article.
December 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36477844/reducing-tracheostomy-medical-device-related-pressure-injury-a-quality-improvement-project
#17
JOURNAL ARTICLE
Hazel Holder, Brittany Ray Gannon
OBJECTIVE: To reduce the incidence of medical device-related pressure injuries associated with tracheostomies performed with the percutaneous dilation technique using a standardized multidisciplinary intervention. METHODS: The intervention was developed using the Agency for Healthcare Research and Quality Preventing Pressure Injuries Toolkit. A fenestrated polyurethane foam dressing was sutured in place under the tracheostomy flange during insertion to reduce the risk of medical device-related pressure injuries...
December 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36477843/implementing-standardized-post-intensive-care-syndrome-education-by-an-advanced-practice-registered-nurse-in-the-pediatric-intensive-care-unit
#18
JOURNAL ARTICLE
Abigayle L Alger, Tonie Owens, Elizabeth A Duffy
No abstract text is available yet for this article.
December 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36477842/role-of-the-advanced-practice-registered-nurse-in-crisis-response
#19
JOURNAL ARTICLE
Kiersten Henry, Alison Wogatske
As clinical leaders, advanced practice registered nurses are often called upon to respond to crises. Although frameworks for emergency preparedness and response have been established by the National Organization of Nurse Practitioner Faculties and the International Council of Nurses, the advanced practice registered nurse community is not consistently prepared to participate in crisis response. Merging of the previously established frameworks allows identification of additional opportunities for advanced practice registered nurses to be educated and engaged in emergency preparedness and all-hazards response, including preparation activities, communication, safety and security, incident management, assessment, intervention, and recovery...
December 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36477841/use-of-topical-lavender-essential-oils-to-reduce-perceptions-of-burnout-in-critical-care
#20
JOURNAL ARTICLE
Rachel T DiGalbo, Staci S Reynolds
BACKGROUND: Intensive care unit (ICU) health care workers face increased burnout. The purpose of this project was to evaluate burnout after implementing lavender essential oils. OBJECTIVE: To assess the effectiveness of topical lavender essential oils in decreasing the instance of burnout in frontline ICU health care workers during the COVID-19 pandemic. METHODS: A predesign and postdesign evidence-based practice project was conducted to evaluate the implications of an 8-week topical lavender oil intervention on health care worker burnout...
December 15, 2022: AACN Advanced Critical Care
journal
journal
41302
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.