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2 Minute EBP Challenge

Monday, March 08, 2010
Restoring Hemoglobin
One of the goals for a patient who has a large blood loss is the restoration of normal hemoglobin levels.  This is partially done by blood transfusions, usually to a hemoglobin level of about 10g/dL.  A hemoglobin level that low will leave the patient feeling fatigued, but should be high enough to protect the heart from anemic ischemia.

Sunday, February 28, 2010
Renal Dysfunction
Mrs. Mersa is admitted with sepsis and hypotension.  Her labs indicate:
BUN 58 mg/dl
Serum creatinine 2.1 mg/dl
Urine sodium 70 mEq/L
Urine specific gravity 1.010, with cellular casts and RBCs in the urine.
Based on these findings you would consider:

Friday, February 12, 2010
Which action first?
Which information about a patient who has just been admitted to the hospital with nausea and vomiting will require the most rapid intervention by the nurse?

 
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Articles

 
The Problem of ARDS
Acute respiratory distress syndrome (ARDS) is one of the major causes of respiratory failure and hospital morbidity that nurses face today. It is significant that improvements in mortality and morbidity have not been achieved until recently. This is primarily due to an increased understanding in the pathophysiology of ARDS and the effects of our medical interventions.
The Ventilation Perfusion Train
Shock is often defined clinically by a low blood pressure. However, it is not the measure of the blood pressure that is the problem; it is what that low measurement does to tissue perfusion. Therefore, shock is decreased tissue perfusion.
Weaning Protocal: Example

This weaning protocol is intended for educational purposes only. An actual protocol should be developed by the institution it is designed for, so as to efficiently use its resources.
ABG Case Studies
Learn more about arterial blood gases using these case study examples. 
ABG Case Study Answers

Answers to the ABG Practice Examples.  Read the case studies here first before getting the answers.
Breath Sounds Tutor
Do you know what you are hearing and what it means?  Find out more about breath sounds with the breath sounds tutor.
Heart Sounds Tutor
Having trouble differentiating an S3 from an S4; or knowing what they mean and the appropriate interventions for them?  Then read on...
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