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Rapid Response RN

Author: Sarah Lorenzini

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Do you want to go from dreading emergencies to feeling confident and ready to jump into action to rescue your patient?
Well, this show will let you see emergencies unfold through the eyes of a Rapid Response Nurse. With real life stories from the frontlines of nursing, host Sarah Lorenzini MSN, RN, CCRN, CEN, a Rapid Response Nurse and educator, shares her experiences at rapid response events and breaks down the pathophysiology, pharmacology, and the important role the nurse plays during emergencies.

If you want to sharpen your assessment skills and learn how to think like a Rapid Response Nurse, then Sarah is here to share stories, tips, tricks, and mindsets that will prepare you to approach any emergency.

Every episode is packed full of exactly what you need to know to handle whatever crisis that could arise on your shift. It’s one thing to get the right answer on the test, but knowing how to detect when YOUR patient is declining and what to do when YOUR patient is crashing is what will make or break your day… and might just save your patient’s life.
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Here is the link to the youtube video if you prefer to watch the interview: https://www.youtube.com/watch?v=k1qSfXjx_Zg&t=141s check out more from Cup of Nurses here:Cup of Nurses: https://fanlink.to/CONsite Frontline Warriors: https://fanlink.to/FWsite Apple https://fanlink.to/Applepodcast Spotify https://fanlink.to/Spotifypodcast
Just a quick introduction to who the host of the Rapid Response RN Podcast is and why she wanted to do a podcast for nurses.
Nursing care plans are the bane of many a nursing student’s academic experience. They are seen as an unnecessary burden to their already heavy workload. But they play an important role in the nursing process, and nurses put these plans into clinical practice every day — whether they realize it or not.In this episode, Nurse Gwenny, an ER and flight nurse turned EMS educator, speaks with host Sarah Lorenzini about the relevancy and value of nursing care plans. She shares real-life examples of the impact these plans have on critical care thinking and decision-making, especially in high-pressure environments. Nurse Gwenny also discusses her passion for teaching, and how she leverages her experience and insights in her role as an educator.Sarah and Nurse Gwenny also explore the “green flags” of nursing practice, diving into notable traits like a positive attitude, desire to learn from mistakes, and more.Tune in to learn how to embrace care plans, improve patient care and your nursing skills!Topics discussed in this episode:The value of nursing care plansBridging theory and practice in critical care educationUtilizing care plans in during critical care scenariosPracticing critical care thinking and decision makingIdentifying key traits of exemplary nursesThe importance of continuous learn and growth in nursingConnect with Nurse Gwenny:https://www.instagram.com/nursegwennyrn/https://www.tiktok.com/@nurse.gwenny/Check out Gwenny's book, BUT WHY?: Going Beyond the What So You Can Understand the Why of Critical Care Transport: https://a.co/d/28tLpjPMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
Nursing educators may not hold the most glamorous position, but they are undoubtedly the backbone of the profession. Nurse Educator Patrick McMurray exemplifies this by bringing creativity and inclusivity into nursing education, supporting nurses at every stage of their career.In this episode, host Sarah Lorenzini talks to Patrick about his approach to teaching complex concepts and preparing students to succeed beyond the classroom. Using interactive learning strategies and holistic methods, Patrick helps nurses deepen their understanding of nursing practices and effectively apply their knowledge in clinical settings.Patrick also offers a glimpse into a day in the life of a nursing educator, and discusses the profound impact nursing educators have on the future of nursing. His insights will help you determine if a transition to nursing education is the right next step in your career.Join us for part two of the “So You Want to Go Back to School” series with Patrick McMurray!Topics discussed in this episode:The appeal of nursing education as a careerWhat it means to be a good educatorRewards and challenges of being a nursing educatorRedefining nursing educationA day in the life of a nursing educatorNursing education as an act of justiceThe future of nursing educationLearn more about Patrick and find free educational resources on his website!https://www.patmacrn.com/Connect with Patrick McMurray:https://www.instagram.com/patmacrn/https://twitter.com/nursepatmacrnhttps://www.tiktok.com/@patmacrnMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!
Obstructive shock may be the least common type of shock, but it’s no less critical. As part of Nurse PodCrawl 2024, Bryan Boling and Brandon Oto from the Critical Care Scenarios podcast join host Sarah Lorenzini in this episode to talk about the critical care management of obstructive shock. Together, they walk nurses through a patient scenario, detailing the diagnostic process of obstructive shock due to pulmonary embolism.Sarah, Bryan and Brandon review the three main causes of obstructive shock: pulmonary embolism, tension pneumothorax, and cardiac tamponade. They also discuss the importance of clinical assessments and diagnostic tools like ultrasound to distinguish between each cause, as well as considerations for treatment.This episode is the perfect resource for nurses who want to deepen their understanding of obstructive shock. Tune in now to hear insights from three experienced pros!Topics discussed in this episode:Patient assessment and key diagnostic toolsDiagnosing obstructive shock due to pulmonary embolismTreating obstructive shock due to pulmonary embolismTreatment implications for major causes of obstructive shockDiagnosis and treatment of tension pneumothoraxTreatment strategies for cardiac tamponadeKey takeaways on obstructive shock managementCheck out the rest of Nurse PodCrawl 2024 episodes around cardiogenic, hypovolemic, and distributive shock!Critical Care Scenarios: https://podcasts.apple.com/us/podcast/critical-care-scenarios/id1491559787How Not to Kill Your Patient: https://podcasts.apple.com/us/podcast/how-not-to-kill-your-patient/id1612099061Nurse Dose Podcast: https://podcasts.apple.com/us/podcast/nurse-dose-podcast/id1486427611The Q Word Podcast: https://podcasts.apple.com/us/podcast/the-q-word-podcast/id1407523803Straight A Nursing: https://podcasts.apple.com/us/podcast/straight-a-nursing-study-for-nursing-school-exams-nclex/id1210975738Up My Nursing Game: https://podcasts.apple.com/us/podcast/up-my-nursing-game/id1527032817Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify:...
Which side of the debate do you fall on?  Should families be present during resuscitation or escorted to a quiet area to wait? Among those advocating for family presence are nursing researchers, Margo Halm, APRN-BC, PhD, FAHA, NEA-BC and Jessica Sexton, MSN, RN, CPEN. During their conversation with host Sarah Lorenzini, they explain why family presence is so important in patient-centered care and how nurses can facilitate a shift towards embracing this practice in their hospital.Despite being backed by research, the concept of family presence during resuscitation is still debated by many healthcare professionals. Margo and Jessica address the common misconceptions that surround this controversial topic, provide insights on navigating institutional resistance, and share best practices of a family presence facilitator (FPF).This episode also features powerful stories on the impact of family presence, tips on how to have important conversations with families and patients, and more. Tune in now!Topics discussed in this episode:Benefits of family presence for nurses, patients, and familiesMisconceptions of family presence during resuscitationThe role of a family presence facilitatorBest practices and avoiding common mistakes as a FPFAdvocating for family presence in your hospitalStories that demonstrate the impact of family presenceHow to overcome resistance to family presenceRead more in the AACN Practice Alert, Facilitating Family Presence During Resuscitation and Invasive Procedures Throughout the Lifespan:https://aacnjournals.org/ccnonline/article/44/2/e1/32253/Facilitating-Family-Presence-During-ResuscitationLearn more about Margo and Jessica’s session at the 2024 NTI Conference:https://www.aacn.org/conferences-and-events/events-calendar/national-events/event-sessions/national-teaching-institute---2024/c60m296/family-presence-during-resuscitation-and-invasive-procedures-updates-to-the-aacn-practContact Margo Halm at margohalm@gmail.com!Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
We’ve talked about hyponatremia, but what do you know about Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH) and Diabetes Insipidus (DI)? In this episode, host Sarah Lorenzini and Nick McGowan RN, MSN dive into these diseases that develop from complex hormonal responses that manage the body’s water and sodium.They explore the pathophysiology of both conditions, contrasting the excessive water retention in SIADH with the excessive water loss in DI and how this impacts diagnostic and treatment approaches. Nick identifies which labs and assessments are crucial to accurately diagnose and treat patients, highlighting the importance of neurologic assessments and best practices for correcting sodium.Sarah and Nick also touch on the debate around cerebral salt wasting, and share interesting facts about the history of these conditions. Tune in to hear key lessons on recognizing and  treating these conditions from an experienced ICU nurse!Topics discussed in this episode:Symptoms and signs of SIADH and DIThe pathophysiology of SIADH and DIDiagnostic approaches and key lab valuesTreatment and management of SIADHTreatment and management of DILessons from SIADH and DI patient storiesCheck out Nick's course over at Critical Care Academy!🔗 https://www.ccrnacademy.com?ref=sarahlorenziniConnect with Nick McGowan:https://www.instagram.com/critical_care_academy/https://www.youtube.com/@criticalcareacademy8312https://www.facebook.com/CCRNacademyhttps://www.tiktok.com/@criticalcareacademyMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
On this special PodSwap Episode, you will be hearing from Nurse Mo from the Straight A Nursing Podcast! She does an amazing job breaking down all the pharmacology of medications we use for Rapid Sequence Intubation or RSI.Rapid sequence intubation, a procedure performed to emergently intubate a patient with an intact gag reflex in cases of acute respiratory failure and/or cardiovascular collapse. As a nurse working in the emergency department or ICU, you will be obtaining and may be administering the medications used to perform a rapid sequence intubation. Please be aware of your scope of practice and facility protocol regarding the administration of these medications. In some cases, the medications can only be administered by a physician.Which combination of medications the physician chooses will vary depending on a variety of factors including the patient’s condition and physician preference. A common combination is a sedative with a short-acting paralytic, though analgesics may also be utilized. This episode provides an overview of the medications commonly utilized for RSI:PropofolSuccinylcholineRocuroniumVecuroniumEtomidateKetamineFentanylMidazolam___________________You can check out the following from Nurse Mo:Full Transcript – Read the article and view referencesFREE CLASS – If all you’ve heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES…you can thrive in nursing school without it taking over your life!Study Sesh – Change the way you study with this private podcast that includes dynamic audio formats that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh!Fast Pharmacology – Learn pharmacology concepts in 5 minutes or less in this audio based program. Perfect for on-the-go review!Pharmacology Success Pack – Want to get a head start on pharmacology? Download the FREE Pharmacology Success Pack
Are you considering a career as a nurse practitioner? Do you want to go back to school to transition into an advanced practice nursing role? Join host Sarah Lorenzini and guest Dr. Sandra Pagenta, DNP, as they discuss opportunities available in nursing and how to decide if the nurse practitioner path is the right one for you.Dr. Sandra Pagenta reflects on the evolution of her nursing career, from her early days as an RN to her current role as a nurse practitioner. She dives into the challenges and rewards of advancing your education and career, finding your niche, and achieving work-life balance.In this episode, Dr. Sandra Pagenta also gives advice on how nurses can figure out their next career move and create the life they want. Tune in now!Topics discussed in this episode:Transitioning from RN to NPPros and cons of working as a nurse practitionerFinding passion and alignment in your careerExploring a career as an NP The flexibility of a nursing careerListen to Sandra's Podcast:https://podcasts.apple.com/us/podcast/the-success-nps-podcast/id1566107516Check out Sandra's Website:https://successnps.com/Follow Success NP's on Social Media:YouTube: ⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UCYQYlS9d6m7HyMK7Z1BI5DAInstagram: ⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thesuccessnpsMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
Every day that you complete a shift is a day to celebrate because nursing is undoubtedly one of the hardest professions in the world, especially in the last few years. Burnout rates are extremely high, and for good reason, but there are ways to keep your passion for nursing even after decades in the field.In this milestone 100th episode of Rapid Response RN, host Sarah Lorenzini celebrates 20 years of being a nurse and *still* loving it. It hasn’t been easy, but two decades of continuous learning and navigating the challenges of the job has taught her invaluable lessons on resilience, self-care, and humanity.Sarah reflects back on her early mistakes and the hard-earned wisdom that’s kept her love for nursing alive, including connecting with patients, growth through education and mentorship, prioritizing physical and mental health, and MORE.Tune in now to hear Sarah’s "not so secret sauce" for loving nursing after 20 years!Topics discussed in this episode:The importance of self-advocacy and self-careCelebrating your nursing winsPreventing burnout through learningMentorship and driving changeListen to episode 38, Q&A: How to Effectively and Professionally Advocate For Your Patient… Even When the Provider is Intimidating, on Apple Podcasts!Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
Treating hyponatremia, a condition characterized by low sodium levels in the blood, can be both complicated and quite risky.. Disruptions to the delicate balance of sodium in the body can lead to a spectrum of outcomes, from an asymptomatic presentation to life-threatening seizures, coma, and death.Through the patient story of Mrs. Saltman, host Sarah Lorenzini explains the role of sodium in the body, breaking down the science of osmosis and electrolytes so nurses can better understand the causes of hyponatremia. She goes over the three levels of hyponatremia that are categorized by blood tonicity and volume status, and how each level impacts the diagnosis and management of hyponatremia. Sarah also dives into the nuances of treating hyponatremia, including the risks of rapid sodium correction, the importance of knowing a patient’s baseline, the underlying cause of their condition, and more.This episode will provide nurses with the knowledge needed to recognize the signs of hyponatremia and navigate the risks of treatment. Tune in now!Topics discussed in this episode:Introduction to Mrs. Saltman’s caseThe pathophysiology of hyponatremiaCauses of hyponatremiaTypes of hyponatremia: hypertonic, hypotonic, and isotonicHyponatremia treatment strategies and their risksMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
Takotsubo cardiomyopathy, also known as “broken heart syndrome,” is hard to diagnose because its symptoms mimic more common conditions like acute coronary syndrome. This stress-induced cardiomyopathy presents a mysterious challenge to nurses, as you’ll hear in today’s patient story.Host Sarah Lorenzini shares the case of a patient who went from experiencing shortness of breath and nausea to a serious cardiac emergency. She breaks down the patient’s initial presentation, their quick decline featuring hypoxia and flash pulmonary edema, and ultimate diagnosis of takotsubo cardiomyopathy.In this episode, Sarah dives into the pathophysiology of takotsubo cardiomyopathy, covering how emotional or physical stress leads to the condition. She goes over its symptoms and treatment, as well as the role of nurses in managing the condition.Tune in now to find out how you should be handling similar cardiac emergencies!Topics discussed in this episode:Takotsubo cardiomyopathy: a patient case studyThe pathophysiology of takotsubo cardiomyopathyDiagnosing takotsubo cardiomyopathyHow to effectively treat takotsubo cardiomyopathyFinal takeaways for nursesListen to Episode 82: Sympathetic Crashing Acute Pulmonary Edema: That Time My Patient Went From Stable A-Fib RVR to Intubated in 30 Minutes! https://podcasts.apple.com/ca/podcast/82-sympathetic-crashing-acute-pulmonary-edema-that/id1535997752?i=1000637926574Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
Part two of our crashing asthmatic series continues with a comprehensive look into what exactly happened in last week’s nightmare patient case. Host Sarah Lorenzini dives into the pathophysiology of status asthmaticus, explaining the physiological changes in the airways during severe asthma attacks and what makes these cases resistant to standard treatment. She also breaks down treat options for patients approaching the asthma spiral of death, from pharmacological interventions to last-resort interventions like ECMO.This episode highlights the key role of nurses in the care of status asthmaticus, including the importance of recognizing the red flags like “silent chest” and managing patient anxiety.Tune in to learn everything you need to know about caring for a crashing asthmatic!Topics discussed in this episode:The pathophysiology of asthmaSigns of asthma exacerbationTreating a progression of asthma symptomsThe danger of silent chestAdvanced interventions for status asthmaticus Tips for sedation and intubationUnderstanding your role as a nurseRead this article that supports the use of magnesium for asthma:https://pubmed.ncbi.nlm.nih.gov/24865567/Read this article that shows magnesium does not help in asthma cases:https://pubmed.ncbi.nlm.nih.gov/1536485/....and there are so many more conflicting studies like these ☝️Listen to Episode 73: Resuscitate Before You Intubate: How to NOT KILL YOUR PATIENT When You Intubate https://podcasts.apple.com/us/podcast/73-resuscitate-before-you-intubate-how-to-not-kill/id1535997752?i=1000630431016Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
Severe asthma leads to cardiac arrest in today’s gripping patient story. Brooklyn, an ER Nurse joins host Sarah Lorenzini to discuss a nightmare case of a young asthmatic patient and her team’s desperate fight to stabilize him.Despite various interventions, from albuterol, magnesium, BiPap, ketamine, and more, the patient's condition deteriorated, requiring intubation and ultimately transfer to an ECMO center to save the patient’s life. This episode highlights the challenges faced by smaller hospitals with fewer resources and the heroic care this patient received despite so many challenges.Check out part one of our series on caring for the crashing asthmatic!Topics discussed in this episode:Initial treatment of Brooklyn’s asthma patientThe patient’s escalating condition and challenges in careUnpacking every tool in the asthma treatment toolboxManaging complications from autopeep to pneumothorax to cardiac arrestKey takeaways from this patient caseMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
Do you know how to recognize a wide or narrow pulse pressure and what each finding tells you about your patient? Following last week's discussion on the shock index, host Sarah Lorenzini introduces pulse pressure as another essential tool in the nurse's assessment arsenal.In this episode, Sarah outlines how to measure and interpret pulse pressure. She shares two patient stories to illustrate how variations in pulse pressure can indicate different underlying conditions: The case study of Mrs. D highlights the implications of narrow pulse pressure, and the case study of Mr. S explores wide pulse pressure.Through these examples, Sarah emphasizes how pulse pressure can be a key indicator in patient assessments while also clarifying its limitations. Listen in now!Topics discussed in this episode:The case study of Mrs. DMeasuring and interpreting pulse pressureCauses of narrow pulse pressureCauses of wide pulse pressureThe case study of Mr. SLimitations to pulse pressureUsing pulse pressure as a diagnostic toolMentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
Looking at HR or Blood Pressure alone as determinants of how stable the patient is can lead us astray.  The Shock Index allows us to detect when patients are declining… while they are still compensating. Shock Index = HR/SBP… but how can we use this tool? A patient’s vital signs can appear normal, meanwhile they’re on the brink of shock. This was exactly the case of Mr. Fields, a patient admitted to the ER after falling off his tractor. Initially, his vitals didn't raise alarms but there were signs pointing to a more serious situation — including a shock index of greater than one.In this episode, host Sarah Lorenzini dives into the critical role shock index plays in determining how sick patients are and improving their outcomes, especially in emergency settings. She breaks down the calculation of shock index, its limitations in screening for all types of shock, and practical applications in patient care.Tune in now to explore how you can apply this vital tool in the assessment and treatment of patients!Topics discussed in this episode:The case study of Mr. FieldsUnderstanding shock indexHow to calculate shock index… the easy wayClinical applications of shock indexLimitations of shock indexLearn more about shock index: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698590/#:~:text=Shock%20index%20(SI)%20is%20defined,sepsis%2C%20and%20ruptured%20ectopic%20pregnancyMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
Are you familiar with BRASH syndrome? The complex interplay of Bradycardia, Renal Failure, Atrioventricular Block, Shock, and Hyperkalemia forms a collection of clinical signs known as BRASH syndrome. One condition leads to another which leads to another, heightening the severity of symptoms. Fortunately, it’s easy to manage if you know what you are treating.In this episode, Sarah Lorenzini breaks down the pathophysiology of BRASH syndrome as she examines a patient case study. Starting with its hallmark features and expanding into the synergistic effects of AV nodal blockers, hyperkalemia and renal failure, she provides insights on recognizing the signs of BRASH syndrome early and the importance of understanding the interplay among its components.Sarah outlines the treatment priorities for BRASH syndrome and highlights the importance of identifying the root cause of symptoms to prevent a cascade of complications leading to shock.Tune in to strengthen your knowledge of BRASH syndrome!Topics discussed in this episode:Case study analysis of a BRASH patientComponents of BRASH SyndromeHow BRASH developed in Sarah’s patientTreatment and management of BRASH SyndromeThe role of calcium in treatment of BRASHYou can learn more about BRASH Syndrome at the Internet Book of Critical Care Website:https://emcrit.org/ibcc/brash/Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
Timing is everything when it comes to strokes because every second without treatment impacts patient outcomes. If you’ve ever wasted time debating whether or not to call a stroke alert, you don’t want to miss this episode with Dr. Eric Wilson RN, AGNP-C, DNP, NREMT-P!During his conversation with host Sarah Lorenzini, Eric emphasizes the urgency of recognizing stroke symptoms early, highlighting unilateral deficits and speech issues as red flags for immediate action. He guides listeners through the assessment of patients using the NIH Stroke Scale, and dives into treatment options and diagnostic procedures.Eric and Sarah also discuss the role of nurses during a stroke alert, including when one should be called and what nurses can expect. Tune in now to learn how you can rock your next stroke alert!Topics discussed in this episode:Identifying stroke symptoms and calling a stroke alertAssessing the patient and preparing for a stroke alertThe NIH Stroke ScaleCriteria for thrombolytic treatmentWho makes a good candidate for thrombectomyTreating patients who don’t qualify for a thrombolyticMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!
Cardiac output equals heart rate times stroke volume… but what does that really mean and how does it apply to the bedside? This formula (CO = HR x SV) is crucial for nurses to understand in the application of vasopressors and inotropes, so why is it so difficult to memorize their role in improving cardiac output?This episode is dedicated to breaking down these life-saving medications so you can not only memorize their expected effect on vital signs, but more importantly, understand how they work in the body. Host Sarah Lorenzini provides a comprehensive lesson in these three classes of medications: vasopressors, inopressors and inodilators. She covers how each affects heart rate and stroke volume, diving into the alpha and beta adrenergic receptors that impact cardiac output.Sarah also shares memory aids to help you remember these concepts and apply them to your clinical decision making.Tune in now to learn the basics of vasopressors and inotropes!Topics discussed in this episode:The role of sympathomimetics to improve cardiac outputAdrenergic and vasopressin receptorsVasopressor types and medicationsMentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
90: Rhabdomyolysis

90: Rhabdomyolysis

2024-02-0216:211

Did you listen to Joey’s story in last week’s mystery episode? If you did and guessed rhabdomyolysis as his diagnosis, congratulations! Joey’s muscle injury from playing a little too hard at football camp resulted in a release of muscle proteins that ultimately caused his kidneys to shut down, which led to his diagnosis and treatment for rhabdomyolysis.In this episode, host Sarah Lorenzini examines the complexities of the condition, from its pathophysiology to causes and treatment options. You’ll learn the hallmark signs of rhabdomyolysis, the not so obvious signs and symptoms to be aware of, and what to consider when caring for patients.Tune in for a detailed exploration of rhabdomyolysis!Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
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