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Mystery Diagnosis: Recognizing Serotonin Syndrome
Wendy Blatchley
Serotonin syndrome (SS) is a rare condition that is believed to be induced by ingestion of serotonergic medications, leading to an increased serotonin level. Although many medications are thought to be responsible, some of the more common are antidepressants and opioids. There are no definitive tests to confirm SS, therefore diagnosis is based on clinical findings and can be somewhat difficult. A triad of symptoms, neuromuscular hyperactivity, altered mental status, and autonomic hyperactivity, are considered the hallmark signs, but are not present in all cases. Symptoms can vary from mild and almost undetectable to severe and life threatening. Three diagnostic systems are currently utilized to assist with diagnosis if SS is suspected: the Hunter, Sternbach, and Radomski criteria. A diagnosis of SS should prompt discontinuation of the suspected offending agent. Increased awareness of this issue is needed, including symptoms and risk factors, so that the advanced practice registered nurse (APRN) may promptly recognize and diagnosis this condition to avoid further complications. Completing a thorough history and physical, along with accurate medication reconciliation can assist the APRN in identifying high risk patients. While there is still so much about SS that remains unknown, current information and education on this issue will ensure the APRN is providing safe and high-quality care. Databases utilized were CINAHL, PubMed, and ScienceDirect. These databases provide access to numerous nursing, biomedical, and scientific journals and were useful in locating up-to-date, peer reviewed research on this subject. -
Rapid Response Team to the Rescue
Marina E. Bitanga BSN, RN, CCRN
Rapid response team purpose is to initiate immediate measures before patient deteriorates further and to educate the staff on activating the staff the Rapid response team -
Everything you need to know about Chronic Fatigue Syndrome
American Center for Biological Medicine
This article is about everything you need to know about Chronic Fatigue Syndrome. What is CFS, what are its causes, the symptoms and the remedies? -
Phlebotomy Basics For Nurses
Mary H. Nielson, DNP, APRN-BC
The processes of phlebotomy are pivotal for patient care. Nurses may have to perform phlebotomy for their patient in various health care settings. Understanding the procedures, processes and reasons behind phlebotomy is the key to ensuring patient safety and positive patient outcomes. -
Managing behavior in children with ASD
Karen Regan
Unfortunately, many of these children end up in the emergency department for these behaviors due to the lack of community mental health services. These crises visits often times result in unnecessary medications being prescribed for these problematic behaviors. -
The Far Reaching Impact of a Child
Michelle Gosselin, RN, CEN
Emergency care of pediatric patients leaves a deep impact to nurses career and lives. When these young lives are altered or end, how is the profession caring for the nurses left behind. This article explores the need for awareness and support during these trying times to return the nurse back to wellness. -
Teach Your Children CPR
Maureen Kroning RN EdD
CPR is a skill most anyone including our own children can learn. It is a skill that needs to be taught in all schools. We should not underestimate our youth being able to save someone's life by performing CPR. -
Distracted Driving and Young People
Carol Sachs RN,BSN
Distraction while driving occurs any time you take your eyes off the road, your hands off the wheel, and your mind off your primary task: driving safely. There are three main types of distractions. Manual – removing your hands from the wheel Visual – removing your eyes from the road Cognitive – taking your mind off the complex task of driving. It is this last type of distraction – known as cognitive distraction– which appears to have the biggest impact on driving behavior especially for young drivers. Young drivers, for the purpose of this paper, will be defined as those ages 16-20. According to Distraction.gov (2013), “young drivers are 4 times more likely than any other age group to be involved in a crash while distracted”. They are also 44% more likely to text. 73% of those surveyed report driving while texting. This results in 23 times more likelihood of crashing. In fact, 16% of all distracted driving crashes involve drivers under 20. Crashes are the leading cause of death worldwide among those aged 15–29 years. -
Advocacy for Those without a Voice: Helping Parents with Smoking Cessation
Karmen Dayhuff, Christa McAfee, Deb Vincent, Susan Eley
The purpose of this manuscript is to summarize current research in the area of second-hand smoke exposure in children and smoking cessation interventions for their parents. -
The Cardiac Diagnostic Interventional Symposium (CDIS), 2013
John H. Balcom; RN, BScN, BHA; staff nurse, Creator and Chair of CDIS
The symposium focused on nursing and allied healthcare professional education. -
The Management of Crohn's Disease in Adults and Young People
J. F. Mayberry, A. Lobo, A. C. Ford, A. ThomasDisclosures Aliment Pharmacol Ther. 2013;37(2):195-203. Correspondence to Prof. J. F. Mayberry, Department of Digestive Diseases, University Hospitals of Leicester NHS Trust, Leicester, LE1 5WW, UK.
The guideline offers best practice advice on the care of adults, children and young people with Crohn's disease. These are the first evidence-based clinical and cost-effectiveness guidelines for Crohn's disease in the United Kingdom. -
Where are the Children? -pediatrics in an integrated format
Nina Haines, MSN, RN, CPNP-PC Lori Beard, MSN, RN Mary C. Day, MSN, RN, CEN, ACNS-BC Margo Mengel, MSN, RN Cheryl Moody, MSN, RN, CCRN
Integrating pediatric content is a challenge to nurse educators. Limited information exists regarding the most effective method of teaching pediatrics. Nurse educators disagree on placement of pediatric content. Pediatric concepts are at risk of getting lost or deemed unimportant as other concepts are expanded. This article will examine the experience of educators in a nursing program that integrated pediatric content. The benefits and disadvantage of teaching pediatrics in an integrated format will be discussed. -
Caregiver Role Strain due to Bipolar Disorder in Children
Jenna M. Cheese Creighton University
Bipolar Disorder article about the Caregiver's role and the family dynamics associated with the disease. -
Looks Can Be Deceiving
By Heather Miller
I asked his family to step out for a moment so I could empty his JP drains. I emptied them into a basin and I noticed that they were very dark. I inspected them a little closer and I noticed it had a greenish tinge to it. Remembering what the surgeon had said about the possibility of a bowel perforation I got concerned and called the surgeon. -
Nursing Summer Camp: Recruiting the Next Generation of Nurses!
Megan Mraz RN, MSN Assistant Professor West Chester University Christine Thomas RN, PhD Associate Professor West Chester University 222 Sturzebecker Health Science Center West Chester, PA [email protected]
This manuscript looks at providing a nursing summer camp to school aged children with the hopes of sparking interest in the profession at a young age, as well as fostering the nursing spirit in children who may be considering the profession.
