Journal of Nursing : Treatment
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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. -
Case Study: A Systematic Approach to Early Recognition and Treatment of Sepsis
Madeleine Augier RN BSN
The term sepsis is often misunderstood. The public and often healthcare workers are unaware of the severity and high mortality rates this infection process has upon the world. Sepsis has vague symptoms that make diagnosis difficult. Often, sepsis is diagnosed in the later stages, when more obvious yet severe symptoms occur. This case study discusses a female who presents to the emergency department with sepsis secondary to pneumonia. Over the course of three days, the patient’s health quickly deteriorates, demonstrating the rapid progression of sepsis. Clinical findings, such as vitals signs, lab abnormalities, and symptoms of sepsis are discussed. The term bundle of care is presented to educate the reader on the golden standard of care for treatment of sepsis. This case study intends to increase community awareness and education to health care providers as well as providing an evidenced-based treatment guideline. More education and raised awareness will help prevent a deadly yet treatable infectious process. -
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 -
New Innovation for Chronic Kidney Disease
John Cope, RN Simmons College
This body of work looks at new and innovative treatments that are being researched and developed for the treatment of chronic kidney disease. -
Self Examination of Body : An Effective Measure for Early Detection and Treatment Properly of Cancers among Girls/Women in Rural Area and Slum Area of India
Harasankar Adhikari
Cancer is the one of the scariest and second largest non-communicable disease. It contributes a sizable in the total numbers of deaths. The World cancer Report, 2003 indicates that cancer rates are set to increase at an alarming rate globally and it would be increased by 50% new cases for the year 2020. In case of India the number is expected to rise seven million by 2015. Ignorance among the public, delayed diagnosis and lack of adequate medical facilities has given it the dubious distribution of being a ‘killer disease’. Only early diagnosis and properly treatment strategies can be prevented the one third of common cancers. It is the prime matter of concern that the female population at their reproductive age and beyond is badly infected by the disease. The incidence of breast cancer, cervix and ovarian cancer are raising steadily. There are several factors like life style and diets specially among urban women associated with this increasing rate of victimization. But among females of rural and urban slums it speaks another scenario because these female populations has a little scope of self examination of their body which is an effective strategy rather than education, awareness and screening test. -
Memories from a Haitian Cholera Treatment Center
by Kevin Mollenhauer BS RN CNOR ONC
In January and February of this year I worked in Haiti with United States NDMS DMAT and ImSurt teams providing medical and surgical care to the victims of the January 12th earthquake. What I experienced during those weeks only partially prepared me for what I would experience upon my return to Haiti -
The Healing Impact of Palliative Care Gerontology
The Healing Impact of Palliative Care Gerontology by Sallie Guthrie, RN
Palliative care is a philosophy and treatment to give an improved quality of life to those near the end of life and those with life-limiting conditions.
