Rapid Response RN

Supraventricular tachycardia can present very stable, but this patient rapidly declined.  In this episode we explain what exactly is happening with SVT, and go through all the different treatment modalities from vagal maneuvers, to medications, to synchronized cardioversion.

Surprising case that initially sounded like septic shock, but upon further investigation, the patient had a huge abdominal aortic aneurysm that was dissecting.  Learn about the clinical presentation, emergent interventions, and the nurse's role in saving this patient's life. 

Pulmonary Embolisms can pop up out of nowhere.  This episode breaks down the pathophysiology of PE and what interventions are needed to stop the PE spiral of death.

Air embolism to the brain is one of those rare complications of having vascular access. But just like your professor warned you, if you don't pull out the central line properly, you could cause an air embolus!!! Joining me for this episode is Rapid Response Nurse Marissa sharing her experience responding to a patient with altered mental status who had a large cerebral embolus.

Young healthy momma gets COVID and becomes critically ill 3 days after her baby is born. But after weeks on the ventilator, she recovers and is re-united with her baby. This podcast breaks down the disease progression of COVID and oxygen delivery modalities at each level. It draws back the curtain to see a glimpse of what COVID nurses have been facing for almost 2 years, and reminds all healthcare workers of the reason we keep fighting for these patients... to see them recover!

Great story of a classic presentation of Tachy Brady Syndrome that highlights the important role the bedside nurse plays in monitoring and intervening on the patient's behalf.

My first encounter with a true emergency as a nursing student taught me so much about increased intracranial pressure and the valuable role the nurse plays in detecting changes in the patient. In this episode we discuss the signs and symptoms of increased intracranial pressure, including Cushing's triad.

What would you do if you found yourself on the catching end of a birth?  In this episode we will discuss what to do if you must deliver a baby with minimal resources outside of the birthing room.  Interview with Ronnie Jo, Certified Nurse Midwife to share her passion and expertise in birthing babies.

In this episode, we talk about the number one diagnosis that leads to mortality in hospitalized patients. Signs and symptoms of sepsis and how to treat it is something that every nurse needs to know about. Guest Yesha RN shares about a patient that she just "had a bad feeling about" who ended up going into septic shock and required transfer to the ICU.

Check out Dr. Josh Farkas' post about fluid selection and pH balanced fluid resuscitation for  a more in depth understanding of why normal saline isn't always your patient's best option for fluid resuscitation.

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

To learn more about the haldane effect check out this great resource:

https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%201142/haldane-effect

and for more details on VQ mismatch check out this site:

https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%200732/effects-ventilation-perfusion-mismatch-gas-exchange