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A 3-year-old boy with gastroenteritis presents with dry mucous membranes, and his mother tells you he has been sick for several days. This child is at high risk for acidosis, according to a new study.
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Severely dehydrated children are "in imminent danger" due to cardiovascular collapse, increased acidosis, and metabolic abnormalities, all of which can lead to significant morbidity and in some cases mortality, warns P. Jamil Madati, MD, director of emergency medical services at Rady Children's Hospital in San Diego.
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Nearly half of older patients use prescription and over-the-counter (OTC) medications together, says a new study, and one in 25 is at risk for a major potential drug-drug interaction. The researchers also found that 29% of these patients use at least five prescription medications.
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When 103 ED patients, 34 ED physicians, and 44 ED nurses were surveyed, they all agreed on one thing: Treating chronic pain in the ED is a "low priority."
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[Editor's note: This is the second of a two-part series on medical screening examinations (MSEs) performed by emergency nurses. This month, we cover the potential liability risks of nurse-performed MSEs and how to avoid legal problems. Last month, we reported on benefits seen by two EDs that have implemented this practice.]
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A patient is mistakenly given tenectaplase, an investigational drug, due to it being a "look-alike," with proper protocols not followed.
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If a patient comes to your ED with a fractured wrist, you'd probably triage them as low acuity based solely on their chief complaint.
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Children under 2 years old with asthma are more likely than other children to return to the ED within seven days, according to a recent analysis of 4,228 visits.1
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Point-of-care tests done by ED nurses at triage or the patient's bedside are increasing "both in terms of use and diversity," according to Darlene Matsuoka, RN, MN, CEN, CCRN, ED clinical nurse educator at Harborview Medical Center in Seattle.
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[Editor's note: This is the first of a two-part series on medical screening examinations (MSEs) performed by emergency nurses. This month, we report on two EDs that have implemented this practice. Next month, we'll cover the potential liability risks of nurse-performed MSEs and how to them.]
