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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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Home > 2 Minute EBP Challenge

2 Minute EBP Challenge

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Every Friday you get a new question designed to stimulate crtical thinking and the chance to win a valuable prize, followed by the correct aswer and rationale on Monday. The 2 Minute EBP Challenge is brought to you by David W. Woodruff, MSN, RN-BC, CNS, CEN, President of Ed4Nurses, Inc.
 
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Restoring HemoglobinMonday, March 08, 2010
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.
Renal DysfunctionSunday, February 28, 2010
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:
Which action first?Friday, February 12, 2010
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?
Post-op Care for Pituitary TumorMonday, February 08, 2010
Your patient Mr. Lett has had a transsphenoidal resection of a pituitary tumor.  As his nurse, an important nursing assessment to make is:
You are a leaderMonday, February 01, 2010
As a staff nurse, you are a leader; you lead your peers, you lead your patients, you lead your institution, and you lead society. So, the question isn't whether or not you are going to be a leader, it is simply whether you are going to be a good one!
Heparin-induced ThrombocytopeniaMonday, January 25, 2010
Thrombocytopenias are a collection of conditions that cause the platelet count to decrease.  There are many ways that platelets can become activated and depleted in the clotting process.  The most common reasons for drops in platelet counts are depletion from pre-existing conditions such as sepsis, trauma, or surgery.  Approximately 5% of patients that receive heparin will develop an immune response that activates platelets causing life-threatening clotting and occasional bleeding.  This condition is called heparin-induced thrombocytopenia.
Heart SoundsMonday, January 18, 2010
An S3 heart sound occurs because the patient is volume overloaded and blood is "sloshing into" the heart.  Specifically, blood oscillates between the walls of the ventricle from blood rushing into the ventricle from the atria.  An S3 is best heard with the bell of the stethoscope at the apex of the heart.
Brand YouTuesday, January 12, 2010
In order to provide truly extraordinary care to your patients, and to be able to get the best jobs that lead to the most satisfaction, you need to develop a positive brand for yourself.
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