Hypertension: How Low to Go When Treating Older Adults

Recent changes to guidelines for diagnosing and managing hypertension (HTN) in adults provide an opportunity for nurse practitioners to reexamine how they treat older adults with elevated blood pressure. This article reviews the revised definition of hypertension based on 2017 treatment guidelines, what age is considered older for adults with hypertension, what the treatment goal is for this population, and recommendations for getting blood pressure to the desired goals. (Retrieved from https://www.npjournal.org/article/S1555-4155(18)30951-6/fulltext).

 

GUMBO Educational Services is a Non-Profit Organization that believes in:

 

MISSION STATEMENT

Sharing knowledge and educating those in the community for a healthier stronger safer community.

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We'll teach your Grandma, Uncles, Mama, Brothers, and Others (GUMBO)

The book is complete.  It was written to help raise money for the Non-profit.

 

"Casey and the Crawfish" will be sold on Amazon starting in January 2019.

Everyone can purchase from Amazon.com

 

Thanks again for your support.

LINK TO AMAZON!!

https://www.amazon.com/Casey-Crawfish-Samantha-Junius-Arcemont/dp/069213574X (https://www.amazon.com/Casey-Crawfish-Samantha-Junius-Arcemont/dp/069213574X)

Updates in the Management of Diabetic Ketoacidosis

by:

Kathryn Evans Kreider, DNP, FNP-BC

 

GUMBO Educational Services is a Non-Profit Organization that believes in:

MISSION STATEMENT

Sharing knowledge and educating those in the community for a healthier stronger safer community.

MOTTO: GUMBO

We'll teach your Grandma, Uncles, Mama, Brothers, and Others

The book is complete.  It was written to help raise money for the Non-profit.

"Casey and the Crawfish" will be sold on Amazon in January 2019.  Purchases can be made now at http://gumboeducation.com/casey-and-the-crawfish

Use the link for hand delivery only if you know me personally so that I can give it to you with no travel and save the shipping and handling.  Others please use the link to have it mailed.  Everyone can purchase from Amazon.com

Thanks again for your support.

LINK TO AMAZON!!

https://www.amazon.com/dp/069213574X?ref=myi_title_dp (https://www.amazon.com/dp/069213574X?ref=myi_title_dp)

Mnemonic to Assist in Management of Liver Cirrhosis

by:

Mohamed Toufic El Hussein, PhD, NP, James A. Rankin, PhD, ACNP, and Karen Lynn Then, PhD, NP

 

LINK TO AMAZON!!

https://www.amazon.com/dp/069213574X?ref=myi_title_dp ( https://www.amazon.com/dp/069213574X?ref=myi_title_dp)

GUMBO Educational Services is a Non-Profit Organization that believes in:

MISSION STATEMENT

Sharing knowledge and educating those in the community for a healthier stronger safer community.

MOTTO: GUMBO

We'll teach your Grandma, Uncles, Mama, Brothers and Others

The Advanced Practice Registered Nurse (APRN) may have prescriptive authority in the state in which he/she practices. This is an added responsibility that allows the APRN to function at a high level of practice. Patients can decide to see the Mental Health APRN for treatment of mild depression. Once the provider determines that the patient may benefit from some form of pharmacotherapy, it is incumbent on the APRN to do his/her due diligence and educate the patient on drug-drug interactions and side effects as necessary. Patients can file for damages in court if an APRN is found neglectful of these duties. Brent (2016) tells of one such case occurred in Missouri.

Brent, N.J. (2016). NPs must know legal obligations when prescribing medications. Nurse.com. Retrieved from https://www.nurse.com/blog/2016/06/01/nps-must-know-legal-obligations-when-prescribing-medications/

Junius-Arcemont, S.M. (2018). PTSD and the Treatment with Selective Serotonin Reuptake Inhibitors, pp. 12-13. Southeastern University Louisiana. Hammond.

 

LINK TO AMAZON!!

https://www.amazon.com/dp/069213574X?ref=myi_title_dp ( https://www.amazon.com/dp/069213574X?ref=myi_title_dp)

GUMBO Educational Services is a Non-Profit Organization that believes in:

MISSION STATEMENT

Sharing knowledge and educating those in the community for a healthier stronger safer community.

MOTTO: GUMBO

We'll teach your Grandma, Uncles, Mama, Brothers and Others

Managing the Diabetic Kidney Patient

Rebecca Maxson, PharmD, BCPS, and Katelin M. Lisenby, PharmD, BCPS

Diabetes mellitus (DM) is the leading cause of kidney failure in the United States, and controlling DM slows kidney failure. Thus, treatment of DM with antihyperglycemic medications is vital for patients with kidney disease. However, as kidney function and medication elimination decrease, patients are at increased risk for adverse drug reactions when medication doses are not adjusted appropriately. Dosing of antihyperglycemic medications for patients with kidney disease is an important issue for nurse practitioners and other health care providers.

Retrieved from https://www.npjournal.org/article/S1555-4155(18)30167-3/fulltext

LINK TO AMAZON!!

https://www.amazon.com/dp/069213574X?ref=myi_title_dp ( https://www.amazon.com/dp/069213574X?ref=myi_title_dp)

GUMBO Educational Services is a Non-Profit Organization that believes in:

MISSION STATEMENT

Sharing knowledge and educating those in the community for a healthier stronger safer community.

MOTTO: GUMBO

We'll teach your Grandma, Uncles, Mama, Brothers and Others

Out going music with permission from New Orleans local artist: Ken Blvd

https://itunes.apple.com/us/artist/ken-blvd/1187077411

https://www.facebook.com/kenxblvd/?fb_dtsg_ag=AdxTcSVOMsc6hDR1ImHkU6Byq-HhMZLdlB4UsFT7UevE1A%3AAdyDMmEuuvf8ZZX0ACV09bHt4R7mnNkdifuZI6yL5QOMyA

Public speaking or performing is the greatest fear. But we know that FEAR is False Evidence Appear Real.  Some may need help with conquering fear or stage fright, but the performers interviewed for this Podcast are born performers who ov...

Human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) with

emtricitabine/tenofovir (TDF/FTC) can reduce HIV infection risk by 92% in people

at high risk for HIV. TDF/FTC was approved for HIV PrEP by the Food and Drug

Administration in 2012. Primary care nurse practitioners (NPs) have not embraced this

tool for the prevention of new HIV infection. A number of barriers exist that may

prevent primary care NPs from prescribing HIV PrEP for patients in need. This article

clarifies current recommendations for HIV PrEP and provides practical guidance for

primary care NPs to incorporate this tool into their routine practice

 

Retrieved from: https://www.npjournal.org/article/S1555-4155(17)30992-3/fulltext

 

GUMBO Educational Services is a Non-Profit Organization that believes in:

MISSION STATEMENT

Sharing knowledge and educating those in the community for a healthier stronger safer community.

MOTTO: GUMBO

We'll teach your Grandma, Uncles, Mama, Brothers and Others

LINK TO AMAZON!!

https://www.amazon.com/dp/069213574X?ref=myi_title_dp ( https://www.amazon.com/dp/069213574X?ref=myi_title_dp)

Here is an interview with a new NP with no experience to another with 15 years of experience and some in between.  GUMBO just wants new Nurse Practitioners to know about some of the challenges and experiences that may come their way.  Hopefully this will give some insight.

LINK TO AMAZON!!

https://www.amazon.com/dp/069213574X?ref=myi_title_dp

GUMBO Educational Services is a Non-Profit Organization that believes in:

MISSION STATEMENT

Sharing knowledge and educating those in the community for a healthier stronger safer community.

MOTTO: GUMBO

We'll teach your Grandma, Uncles, Mama, Brothers and Others

Here is an interview with a new NP with no experience to another with 15 years of experience and some in between.  GUMBO just wants new Nurse Practitioners know about some of the challenges and experiences that my come their way.  Hopefully this will give some insight.

 

GUMBO Educational Services is a Non-Profit Organization that believes in:

MISSION STATEMENT

Sharing knowledge and educating those in the community for a healthier stronger safer community.

MOTTO: GUMBO

We'll teach your Grandma, Uncles, Mama, Brothers and Others

The information in the article discusses many of the professional requirements that the new NP must obtain to begin working as a fully licensed professional. Some of the processes will take time, so starting early is the key.  This article also discusses employment contracting, reimbursement, and coding, as well as insurance and hospital credentialing. We have created a special web page to help with the many items referenced in the article.  Visit

gumboeducation.com/newNP for those links.  Enjoy the Lagniappe!!

GUMBO Educational Services is a Non-Profit Organization that believes in:

MISSION STATEMENT

Sharing knowledge and educating those in the community for a healthier stronger safer community.

MOTTO: GUMBO

We'll teach your Grandma, Uncles, Mama, Brothers and Others