Rapid Response RN

Patients get intubated in every department of the hospital… not just the ICU.  So it’s important that every nurse know the signs and symptoms of when it’s time to intubate.

Our host Sarah Lorenzini, has been asked the same type of questions about intubation multiple times this week, so we felt it was necessary to address them. Sarah’s extensive knowledge and experience in critical care and rapid response situations has prepared her to be able to provide expertise and insights on this topic, which she wants to share with all of you today!

In this episode, Sarah addresses some common questions related to intubation: how to know when it's time to intubate a patient and what it means when a patient is not protecting their airway.

She shares a story from her own experience to illustrate the importance of recognizing the signs that indicate the need for intubation and walks through some of the obvious, and not so obvious signs that it’s time to intubate.

This episode is packed with experiential knowledge that you don’t want to miss. So tune in for this and more!

Topics discussed in this episode:

• Signs to look for to determine when to intubate
• How to recognize when a patient is not protecting their airway
• What to do when patients are working too hard or not hard enough to improve their oxygen saturation
• Recognizing patients who cannot oxygenate or ventilate on their own
• Looking beyond the vital signs and focusing on the clinical presentation to determine if a definitive airway is needed

This episode was produced by Podcast Boutique https://www.podcastboutique.com

Mentioned in this episode:

Rapid Response and Rescue Intro Course

CONNECT

Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the Sick

Click here to learn more about the community that Sarah is building:

Patients get intubated in every department of the hospital… not just the ICU.  So it’s important that every nurse know the signs and symptoms of when it’s time to intubate.

Our host Sarah Lorenzini, has been asked the same type of questions about intubation multiple times this week, so we felt it was necessary to address them. Sarah’s extensive knowledge and experience in critical care and rapid response situations has prepared her to be able to provide expertise and insights on this topic, which she wants to share with all of you today!

In this episode, Sarah addresses some common questions related to intubation: how to know when it's time to intubate a patient and what it means when a patient is not protecting their airway.

She shares a story from her own experience to illustrate the importance of recognizing the signs that indicate the need for intubation and walks through some of the obvious, and not so obvious signs that it’s time to intubate.

This episode is packed with experiential knowledge that you don’t want to miss. So tune in for this and more!

Topics discussed in this episode:

• Signs to look for to determine when to intubate
• How to recognize when a patient is not protecting their airway
• What to do when patients are working too hard or not hard enough to improve their oxygen saturation
• Recognizing patients who cannot oxygenate or ventilate on their own
• Looking beyond the vital signs and focusing on the clinical presentation to determine if a definitive airway is needed

This episode was produced by Podcast Boutique https://www.podcastboutique.com

Mentioned in this episode:

Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the Sick

Click here to learn more about the community that Sarah is building:

September is Sepsis Awareness Month, so host Sarah Lorenzini is throwing it back to one of the earliest Rapid Response RN podcast episodes with guest Yesha APRN. This episode tells the story of a patient with sepsis, and it’s one of Sarah’s favorite episodes because it exemplifies all of the classic signs and symptoms of sepsis as well as the important role the nurse plays in caring for septic patients.

Last week, you learned about fluid resuscitation and the potential harm of fluid overload in the treatment of sepsis. In this episode, you’ll hear how Sarah and Yesha’s patient responded to fluid boluses and what made them advocate for a different treatment approach.

Sarah then goes deeper into the pathophysiology of sepsis, indicators of sepsis using SIRS criteria and the qSOFA score, and more indicators any nurse can test without a tool. You’ll also find out how to treat a patient with sepsis, which diagnostics to run, and what you can do to promote a return to homeostasis in your patient.

Tune in to learn the signs and symptoms of sepsis and septic shock, and how to facilitate early detection. Plus, hear Yesha’s takeaways from this patient story that will benefit all nurses in their treatment of sepsis!

Topics discussed in this episode:

• Yesha’s nursing journey and updates on her career
• How Yesha’s patient presented and his response to fluid administration
• What made her decide to call a rapid response nurse, Sarah
• Sarah’s assessment of the patient and how they treated him
• The pathophysiology of sepsis
• SIRS criteria and qSOFA score for prediction of sepsis
• What happens in the “septic inflammatory cascade of awfulness”
• How to detect sepsis early
• Treatment and management of a sepsis patient

Read the article, “Fluid selection & pH-guided fluid resuscitation” by Dr. Josh Farkas, here:

https://emcrit.org/ibcc/fluid/

Mentioned in this episode:

Rapid Response and Rescue Intro Course

CONNECT

Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the Sick

Click here to learn more about the community that Sarah is building:

September is Sepsis Awareness Month, so host Sarah Lorenzini is throwing it back to one of the earliest Rapid Response RN podcast episodes with guest Yesha APRN. This episode tells the story of a patient with sepsis, and it’s one of Sarah’s favorite episodes because it exemplifies all of the classic signs and symptoms of sepsis as well as the important role the nurse plays in caring for septic patients.

Last week, you learned about fluid resuscitation and the potential harm of fluid overload in the treatment of sepsis. In this episode, you’ll hear how Sarah and Yesha’s patient responded to fluid boluses and what made them advocate for a different treatment approach.

Sarah then goes deeper into the pathophysiology of sepsis, indicators of sepsis using SIRS criteria and the qSOFA score, and more indicators any nurse can test without a tool. You’ll also find out how to treat a patient with sepsis, which diagnostics to run, and what you can do to promote a return to homeostasis in your patient.

Tune in to learn the signs and symptoms of sepsis and septic shock, and how to facilitate early detection. Plus, hear Yesha’s takeaways from this patient story that will benefit all nurses in their treatment of sepsis!

Topics discussed in this episode:

• Yesha’s nursing journey and updates on her career
• How Yesha’s patient presented and his response to fluid administration
• What made her decide to call a rapid response nurse, Sarah
• Sarah’s assessment of the patient and how they treated him
• The pathophysiology of sepsis
• SIRS criteria and qSOFA score for prediction of sepsis
• What happens in the “septic inflammatory cascade of awfulness”
• How to detect sepsis early
• Treatment and management of a sepsis patient

Read the article, “Fluid selection & pH-guided fluid resuscitation” by Dr. Josh Farkas, here:

https://emcrit.org/ibcc/fluid/

Mentioned in this episode:

Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the Sick

Click here to learn more about the community that Sarah is building:

Often when a patient’s blood pressure has dropped, we administer fluids without truly knowing the exact reason for the change. Does the patient have low volume, were they vasodilating, or is their heart not squeezing effectively? Fluid resuscitation is not always the answer, but there’s no clear guideline to assess patients without advanced tools that take time and specialists. Enter the FloPatch from Flosonics, an innovative device that quickly measures blood flow in real time.

Fluids can cause damage when given in excess, so it’s crucial for nurses to understand why blood pressure isn’t an adequate indicator of fluid responsiveness, and how a patient can show signs of fluid responsiveness but cardiac output is not increasing. That’s why host Sarah Lorenzini is speaking with Corinne RN to find out more about how Flosonics is helping nurses guide their fluid resuscitation using the portable FloPatch device.

In this episode, Corinne shares patient stories to exhibit how FloPatch can improve patient outcomes, especially in those with sepsis. Corinne and Sarah also discuss the concept of Frank-Starling’s law, the components of stroke volume, and MORE.

FloPatch can help you assess patients and provide precise care. Tune in to find out how it works, the benefits of the product, and why you want to use it at your hospital!

Topics discussed in this episode:

• How Corrine RN became so passionate about fluid resuscitation
• Why blood pressure isn’t the best tool for determining cardiac output
• Factors that influence blood pressure
• The relationship between preload, afterload, and contractility
• The consequences of fluid overload
• Examples of how FloPatch can improve patient care

FloPatch is a game-changing advancement in precision fluid management for critical care, particularly in the management of sepsis. As the world's first wireless, wearable Doppler ultrasound technology, it provides real-time, non-invasive assessments of arterial and venous blood flow. FloPatch empowers clinicians at the bedside to make rapid, data-driven decisions on fluid resuscitation, mitigating risks of complications such as pulmonary edema and acute kidney injury. FloPatch holds the potential to transform the way clinicians approach and manage hemodynamic assessments, paving the way for increased clinical confidence for more efficient, effective, and patient-centered care.

Visit their website to learn more and request a demo: https://flosonicsmedical.com/

Share this podcast episode with your colleagues to spread the word about FloPatch.

Follow FloPatch on Instagram, Twitter and LinkedIn for the latest updates and clinical insight:

Instagram: https://www.instagram.com/flopatch_/

Twitter: https://twitter.com/Flosonics/

LinkedIn: https://www.linkedin.com/company/flosonics-medical

Have questions for Corinn? Email her at [email protected]

Join the Sepsis Alliance Summit 2023 during Sepsis Awareness Month! This virtual event is hosted on September 27th to 28th. Learn more here: https://learn.sepsis.org/virtual-conference

Mentioned in this episode:

Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the...

Often when a patient’s blood pressure has dropped, we administer fluids without truly knowing the exact reason for the change. Does the patient have low volume, were they vasodilating, or is their heart not squeezing effectively? Fluid resuscitation is not always the answer, but there’s no clear guideline to assess patients without advanced tools that take time and specialists. Enter the FloPatch from Flosonics, an innovative device that quickly measures blood flow in real time.

Fluids can cause damage when given in excess, so it’s crucial for nurses to understand why blood pressure isn’t an adequate indicator of fluid responsiveness, and how a patient can show signs of fluid responsiveness but cardiac output is not increasing. That’s why host Sarah Lorenzini is speaking with Corinne RN to find out more about how Flosonics is helping nurses guide their fluid resuscitation using the portable FloPatch device.

In this episode, Corinne shares patient stories to exhibit how FloPatch can improve patient outcomes, especially in those with sepsis. Corinne and Sarah also discuss the concept of Frank-Starling’s law, the components of stroke volume, and MORE.

FloPatch can help you assess patients and provide precise care. Tune in to find out how it works, the benefits of the product, and why you want to use it at your hospital!

Topics discussed in this episode:

• How Corrine RN became so passionate about fluid resuscitation
• Why blood pressure isn’t the best tool for determining cardiac output
• Factors that influence blood pressure
• The relationship between preload, afterload, and contractility
• The consequences of fluid overload
• Examples of how FloPatch can improve patient care

FloPatch is a game-changing advancement in precision fluid management for critical care, particularly in the management of sepsis. As the world's first wireless, wearable Doppler ultrasound technology, it provides real-time, non-invasive assessments of arterial and venous blood flow. FloPatch empowers clinicians at the bedside to make rapid, data-driven decisions on fluid resuscitation, mitigating risks of complications such as pulmonary edema and acute kidney injury. FloPatch holds the potential to transform the way clinicians approach and manage hemodynamic assessments, paving the way for increased clinical confidence for more efficient, effective, and patient-centered care.

Visit their website to learn more and request a demo: https://flosonicsmedical.com/

Share this podcast episode with your colleagues to spread the word about FloPatch.

Follow FloPatch on Instagram, Twitter and LinkedIn for the latest updates and clinical insight:

Instagram: https://www.instagram.com/flopatch_/

Twitter: https://twitter.com/Flosonics/

LinkedIn: https://www.linkedin.com/company/flosonics-medical

Have questions for Corinn? Email her at [email protected]

Join the Sepsis Alliance Summit 2023 during Sepsis Awareness Month! This virtual event is hosted on September 27th to 28th. Learn more here: https://learn.sepsis.org/virtual-conference

Mentioned in this episode:

Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the Sick

Click here to learn more about the community that Sarah is building:

We often are looking for an acidosis when patients present with lethargy but what about when it’s an alkalosis!? In last week’s episode with Annie Fulton RN of the “Up My Nursing Game” podcast, she and host Sarah Lorenzini presented a patient story but left the diagnosis a mystery.  You heard why Annie’s patient was admitted and her initial assessment, what caused her to think something more was going on, and why she ruled out sepsis as a diagnosis. Now, find out what her diagnosis was and how she was treated! Hint: today, we’re talking all about diuretic induced metabolic alkalosis.

To start off this episode, Annie recaps her patient’s story, walks us through the patient’s VBG results, and how they arrived at a diagnosis of metabolic alkalosis. Sarah then breaks down the pathophysiology of diuretic induced metabolic alkalosis, including what causes it at the cellular level and how to treat the condition. They specifically talk about contraction alkalosis, and how it’s possible for a patient to be both intravascularly dry but extravascularly still fluid volume overloaded.

Sarah and Annie also discuss the patient’s mild leukocytosis, the clinician’s decision to NOT prescribe antibiotics after a positive urinalysis, and their thoughts on antibiotic stewardship and critical thinking in diagnostics.

Listen to part two of this mystery series to find out how to treat metabolic alkalosis from diuretics, and find out if there’s anything you can do to look out for its symptoms! 

Topics discussed in this episode:

• How Annie’s patient presented and her initial treatment
• The results of the patient's VBG
• What can cause metabolic alkalosis and its symptoms
• Intravascular vs extravascular fluid volume status
• Contraction alkalosis and how to treat it
• How Annie’s patient was treated
• The right time to stop and start diuresis on a patient
• Why the patient’s clinician declined to give antibiotics
• The debate on sepsis mimics

Listen to Annie Fulton’s Up My Nursing Game Podcast: http://www.upmynursinggame.com/

Connect with Annie Fulton on Instagram: https://www.instagram.com/upmynursinggame/

Mentioned in this episode:

Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the Sick

Click here to learn more about the community that Sarah is building:

Rapid Response and Rescue Intro Course

CONNECT

We often are looking for an acidosis when patients present with lethargy but what about when it’s an alkalosis!? In last week’s episode with Annie Fulton RN of the “Up My Nursing Game” podcast, she and host Sarah Lorenzini presented a patient story but left the diagnosis a mystery.  You heard why Annie’s patient was admitted and her initial assessment, what caused her to think something more was going on, and why she ruled out sepsis as a diagnosis. Now, find out what her diagnosis was and how she was treated! Hint: today, we’re talking all about diuretic induced metabolic alkalosis.

To start off this episode, Annie recaps her patient’s story, walks us through the patient’s VBG results, and how they arrived at a diagnosis of metabolic alkalosis. Sarah then breaks down the pathophysiology of diuretic induced metabolic alkalosis, including what causes it at the cellular level and how to treat the condition. They specifically talk about contraction alkalosis, and how it’s possible for a patient to be both intravascularly dry but extravascularly still fluid volume overloaded.

Sarah and Annie also discuss the patient’s mild leukocytosis, the clinician’s decision to NOT prescribe antibiotics after a positive urinalysis, and their thoughts on antibiotic stewardship and critical thinking in diagnostics.

Listen to part two of this mystery series to find out how to treat metabolic alkalosis from diuretics, and find out if there’s anything you can do to look out for its symptoms! 

Topics discussed in this episode:

• How Annie’s patient presented and her initial treatment
• The results of the patient's VBG
• What can cause metabolic alkalosis and its symptoms
• Intravascular vs extravascular fluid volume status
• Contraction alkalosis and how to treat it
• How Annie’s patient was treated
• The right time to stop and start diuresis on a patient
• Why the patient’s clinician declined to give antibiotics
• The debate on sepsis mimics

Listen to Annie Fulton’s Up My Nursing Game Podcast: http://www.upmynursinggame.com/

Connect with Annie Fulton on Instagram: https://www.instagram.com/upmynursinggame/

Mentioned in this episode:

Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the Sick

Click here to learn more about the community that Sarah is building:

Can you guess what was causing this patient’s unexpected symptoms?

This episode is a little different from the rest, thanks to you, our listeners, for submitting your suggestions and ideas for how these episodes should go, because we are all ears!

One of our listeners suggested we do a mystery episode (thanks Shannon!), and we thought it was brilliant! So, on today’s episode, our host Sarah Lorenzini invites back, podcast host of Up My Nursing Game, registered nurse, friend, and former Rapid Response RN Podcast guest, Annie Fulton, to unravel a patient case study of one of Annie’s patients, but we won’t be revealing the diagnosis just yet.

Sarah and Annie discuss why the patient was admitted to the hospital, Annie’s initial analysis of the patient, medications that were administered, the patient’s vital signs, and physical assessment findings, as well as when and why Annie became concerned for the patient and why she had ruled out sepsis from the diagnosis.

In this mystery episode, we won’t be giving away the actual diagnosis.  Instead, for this week we will be leaving you all to try and guess what you think the diagnosis is, and we will reveal the answer in next week’s episode!

Tune in to hear about Annie’s patient, and be sure to check out next week’s episode for the diagnosis reveal! 

Topics discussed in this episode:

• A little bit about Annie and how her and Sarah met
• What Annie’s patient was admitted for
• Annie’s initial assessment of her patient
• What caused Annie to realize something was wrong with her patient
• The patient’s vital signs and how she was flagged for SIRS
• Why Annie didn’t think the patient had sepsis

Listen to Annie Fulton’s Up My Nursing Game Podcast: http://www.upmynursinggame.com/

Connect with Annie Fulton on Instagram: https://www.instagram.com/upmynursinggame/

Can you guess what was causing this patient’s unexpected symptoms?

This episode is a little different from the rest, thanks to you, our listeners, for submitting your suggestions and ideas for how these episodes should go, because we are all ears!

One of our listeners suggested we do a mystery episode (thanks Shannon!), and we thought it was brilliant! So, on today’s episode, our host Sarah Lorenzini invites back, podcast host of Up My Nursing Game, registered nurse, friend, and former Rapid Response RN Podcast guest, Annie Fulton, to unravel a patient case study of one of Annie’s patients, but we won’t be revealing the diagnosis just yet.

Sarah and Annie discuss why the patient was admitted to the hospital, Annie’s initial analysis of the patient, medications that were administered, the patient’s vital signs, and physical assessment findings, as well as when and why Annie became concerned for the patient and why she had ruled out sepsis from the diagnosis.

In this mystery episode, we won’t be giving away the actual diagnosis.  Instead, for this week we will be leaving you all to try and guess what you think the diagnosis is, and we will reveal the answer in next week’s episode!

Tune in to hear about Annie’s patient, and be sure to check out next week’s episode for the diagnosis reveal! 

Topics discussed in this episode:

• A little bit about Annie and how her and Sarah met
• What Annie’s patient was admitted for
• Annie’s initial assessment of her patient
• What caused Annie to realize something was wrong with her patient
• The patient’s vital signs and how she was flagged for SIRS
• Why Annie didn’t think the patient had sepsis

Listen to Annie Fulton’s Up My Nursing Game Podcast: http://www.upmynursinggame.com/

Connect with Annie Fulton on Instagram: https://www.instagram.com/upmynursinggame/