Ketamine seems to be the new "it" drug. Victoria Arsenault, PharmD,  returns to the podcast to discuss how Ketamine's dissociative properties can be used as an analgesic, anesthetic, and antidepressant.

Up your nursing assessment with Eko Stethoscopes. Get noise cancelling, 40x amplification and murmur detection. Use the promo code GAME to get $50 off your order.

Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.

Use the promo code UMNG10 to get 10% off your order from Stoggles.

Up My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit (1.00).

See the show notes at upmynursinggame.com.

Emergency departments in rural areas work in austere conditions that often require critically ill patients to transfer to larger hospitals that can provide a higher level of care. Kent Herbert, emergency physician, discusses what resources are available at rural hospitals and the process for transferring patients to higher levels of care.

Up your nursing assessment with Eko Stethoscopes. Get noise cancelling, 40x amplification and murmur detection. Use the promo code GAME to get $50 off your order.

Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.

Use the promo code UMNG10 to get 10% off your order from Stoggles.

Up My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit (1.00).

See the show notes at upmynursinggame.com.

A patient's nutrition status is often an afterthought for nurses. Clinical nurse specialist, Janice Powers, PhD, RN explains how nutrition improves patient outcomes and reviews evidence based enteral feeding practices in hopes that nurses will play a more central role in facilitating adequate nutrition for our patients.

Up your nursing assessment with Eko Stethoscopes. Get noise cancelling, 40x amplification and murmur detection. Use the promo code GAME to get $50 off your order.

Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.

Use the promo code UMNG10 to get 10% off your order from Stoggles.

Up My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit (1.00).

See the show notes at upmynursinggame.com.

Healthcare has a complex and convoluted relationship with marijuana. Marijuana is a "schedule 1" substance, meaning it has a high potential for abuse and no accepted medical use, yet a synthetic version of it is FDA approved as an appetite stimulant. Dr. Thomas, hospitalist, discusses the relevant historical and political context of the drug, as well as its pharmacology, cannabinoid hyperemesis syndrome, and some communication techniques for discussing drug use with patients.

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Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.

Use the promo code UMNG10 to get 10% off your order from Stoggles.

Up My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit (1.00).

See the show notes at upmynursinggame.com.

Acute respiratory distress syndrome (ARDS) has a stubbornly high mortality rate with current estimates at about 40%. Critical care veteran Kathleen Vollman, MSN, RN, CCNS lays the foundation of ARDS starting with pathophysiology followed by the “8 Ps” of evidence-based supportive care and summary of long-term prognosis.

Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.

Use the promo code UMNG10 to get 10% off your order from Stoggles.

Check out Kathleen Vollman's consulting business Advancing Nursing.

Up My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit (1.00).

See the show notes at upmynursinggame.com.

Status epilepticus (SE) is a neurologic emergency much like an MI is a cardiac emergency and should be treated as such.⁠ From EEGs to medications, Mary Kay Bader MSN, RN talks us through both convulsive and non-convulsive SE.⁠

Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.

Use the promo code UMNG10 to get 10% off your order from Stoggles.

Up My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit (0.75).

See the show notes at upmynursinggame.com.

Signs of clinical deterioration often start appearing hours before an adverse event or arrest. As nurses, we are in the unique position to be able to identify and act on early warning signs. Nurse Alice, from the Ask Nurse Alice podcast, talks about early signs and symptoms of clinical deterioration and how the Modified Early Warning Score (MEWS) can be implemented.

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Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.

Nicole Kupchik's online course The ABCs of ABGs and Capnography is referenced in this episode.

Use the promo code UMNG10 to get 10% off your order from Stoggles.

Up My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit (0.75).

See the show notes at upmynursinggame.com.

Oxycontin, drug-seeking behavior, co-addiction. Who better to talk us through the current opioid crisis with two former law enforcement officers and emergency nurses turned nurse practitioners? Join us for this memorable discussion with Ben and Tom from Just Some Podcast for Advanced Practitioners.

Please take my listener survey to help me improve the podcast: https://forms.gle/YdufbTZZoRELxZSG8

Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.

Use the promo code UMNG10 to get 10% off your order from Stoggles.

Up My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit (1.00).

See the show notes at upmynursinggame.com.

What is it *really* like in the ED and why do emergency nurses often feel like they are at odds with the rest of the hospital? Kevin McFarlane from The Art of Emergency Nursing paints a picture of the ED while addressing important topics like frequent flyers, hand-off reports, and admit holds.

Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.

Use the promo code UMNG10 to get 10% off your order from Stoggles.

Up My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit (1.00).

See the show notes at upmynursinggame.com.

We all know BLS and even ACLS like the back of our hands so now it's time to understand *why*. Why are VF and VT under the arrest algorithms? Why epi? Why are survival rates so low, even in the hospital?

Former paramedic and current BLS and ACLS instructor, Al Gook, answers some basic yet honest questions we all have about cardiac arrest and what we can do to improve our stubbornly low survival rates.

Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.

Use the promo code UMNG10 to get 10% off your order from Stoggles.

Up My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit (1.00).

See the show notes at upmynursinggame.com.