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Perioperative Fasting Guidelines as it relates to ERAS Protocol: Exploring Existing Modalities

Sarah Mensa-Kwao Cook

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For the longest time, any procedure requiring anesthesia was accompanied with perioperative instructions mandating a fast from midnight until the surgery. However, anyone that’s lived long enough has learned to understand that just because something has been done for a long time, it doesn’t mean it should be done for the rest of time. With technological advances and improvements in research, medical practices and patient instructions should evolve. Here, we’ll explore the rationale behind the old modality as it pertains to preoperative care and instructions, what’s changed in research and technology, and finally, what new modalities should be learned, taught, and implemented. Cont'd

Retro-clival hematoma in the Pediatric Emergency Department

Richard. Pearson

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An unusual presentation of a rare injury in the pediatric population Cont'd

Electroconvulsive Therapy in Pediatrics

Stacey Kast Rn, Bsn

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The use of ECT for the pediatric population requires significant application of professional ethics in order for the process to be smooth and successful. Experts who administer ECT on psychiatric patients ought to consider the right of the patient to choose the type of treatment they want after being equipped with all the pros and cons related to the process. Cont'd

Central Line Associated Bloodstream Infections

Stephanie Hopson

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Evidence based practice for implementation of central line bundles to decrease central line associated bloodstream infections. Cont'd

Protein Consumption and Hydration in Competitive High School Students

Sabina Fidai Mackenzie Gavin Joseph D'Angelo Catherine Redler

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The objective of this article is to provide a resource for nurses, coaches and athletes on proper consumption of protein and hydration status. According to the Institute of Medicine’s Dietary Reference Intakes, the Recommended Dietary Allowance (RDA) of protein for both men and women is 0.8 grams of protein per kilogram of body weight per day. The average athlete consumes more than the recommended amount of protein with protein supplements. The combination of increased protein consumption along with inadequate hydration can lead to short and long term consequences. Consequences include, acute and chronic kidney injury, rhabdomylosis, and electrolyte imbalances. Nurses play a vital role in primary prevention and education strategies in regards to proper nutrition. Cont'd

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