Rapid Response RN

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: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

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

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

Are you ready for some diagnosing fun?! In this episode, host Sarah Lorenzini will challenge your diagnostic skills with the mystery case of Joey, a 14-year-old patient who went from playing football at summer camp to being intubated in the ER.Joey presented with an altered mental status, and was tachycardic, tachypneic and febrile. Once in the ER, he went into ventricular tachycardia, his blood pressure dropped significantly, and he required intubation. As Sarah shares more details on his presentation, labs results and medical history, you’ll get all the critical clues needed to solve this intriguing case.So, think you can uncover what’s wrong with the patient? Check back next week when Sarah concludes Joey’s story and reveals his mystery diagnosis!Mentioned 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

As host Sarah Lorenzini insightfully explains, “think of autonomic dysreflexia symptoms as the body's way of telling you something is wrong.” Autonomic dysreflexia is a medical emergency that occurs in patients with a spinal cord injury, but it can be hard to recognize because of the body’s confusing responses to stimulation. That’s why it’s crucial for nurses to understand this syndrome and prevent patients from developing any life-threatening complications.In this episode, host Sarah Lorenzini gives listeners an inside look at a case of autonomic dysreflexia in a quadriplegic patient. She breaks down the patient’s symptoms, medical history and presentation, then shares what helped her recognize the signs of autonomic dysreflexia. As she dives into the pathophysiology of autonomic dysreflexia, you’ll gain a better understanding of this syndrome, including how to manage the symptoms and treat patients.At first perplexed by this case, it was Sarah’s knowledge and critical thinking that led her to suspect autonomic dysreflexia. Tune in now and take notes so you can diagnose autonomic dysreflexia and deliver timely intervention the next time you encounter it!Topics discussed in this episode:The patient’s symptoms and initial assessmentIdentifying the problem and starting treatmentUnderstanding autonomic dysreflexiaCauses and management of autonomic dysreflexiaMentioned 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

Goals of care discussions are among the most difficult to navigate as a nurse, BUT there are ways to provide both comfort and clarity to patients and their families in these emotionally charged situations.In this episode, host Sarah Lorenzini and Hospice Nurse AJ share tips and insights on how to approach these challenging discussions with sensitivity and respect, all while keeping patient’s wishes at the forefront of treatment. From how to start the conversation to addressing concerns, they cover strategies for approaching family members in person or on the phone.This episode explores not just the words and phrases nurses should employ, but also the compassion that patients and their families need as they step into the grieving process. AJ and Sarah also discuss how to handle various scenarios, including ones where the family is in disagreement or is struggling to make a decision on care.After listening, you’ll have skills necessary to navigate the nuances of communicating effectively about goals of care and balancing clinical objectives with empathy. Tune in to learn how to have clear, compassionate goals of care discussions!Topics discussed in this episode:How to start the conversation on goals of careThings to say to the family and things to avoidWhat DNR means for end of life careDealing with conflicting family opinionsCommunicating with family by telephonePreparing the family to see critically ill loved onesA nurse’s role in facilitating the family’s grieving processMentioned 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

Orienting as a new Nurse in the ICU is much like climbing your first big mountain — both require basic knowledge, passion, and the ability to learn quickly and adapt in a demanding environment. But without these attributes, you have an arduous, possibly insurmountable journey ahead of you.In this episode, host Sarah Lorenzini and Sarah Vance RN delve into the controversial topic of new grads going straight into the ICU after graduation, exploring the challenges and opportunities it presents for new nurses. They discuss the essential skills and mindset needed to thrive in such an intense setting, emphasizing the crucial role of self-care and support for success in the ICU.This episode answers common questions from Rapid Response RN listeners, including “what types of people do well in the ICU, and what types of people struggle? What can I do to prepare for a job in the ICU? What are the most common struggles of nurses in the ICU, and how can they mitigate those challenges?”As a critical care nurse and educator, Sarah’s insights will help you assess your readiness for joining the exciting but challenging world of the ICU. Tune in now!Topics discussed in this episode:The debate around new grads joining the ICUWhat type of people who do well in the ICUChallenges new grads face in the ICUHow to prepare for a job in the ICUNavigating the common struggles of ICU nursesThe importance of learning from your mistakesWatch this episode on The Rapid Response RN YouTube Channel! https://www.youtube.com/@therapidresponsern/videosConnect with Sarah Vance!Instagram: https://www.instagram.com/iseeu_nurse/TikTok: https://www.tiktok.com/@iseeu_nurseWebsite: https://iseeunurse.com/Mentioned 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

What’s your craziest, most shocking nursing story? In this episode, you’ll hear one of host Sarah Lorenzini’s most memorable stories as a rapid response nurse!Sarah recounts her experience treating a severe case of a prolapsed rectum, describing the unconventional yet effective approach that not only resolved the medical dilemma but caught the attention of Rapid Response RN listeners, becoming the most shared episode of the podcast!As Sarah delves into this case of rectal prolapse, she explains the science behind using sugar as treatment and important lessons learned from her experience with these rectal prolapse emergencies. Tune in now!Topics discussed in this episode:How Sarah responded to a patient’s severe case of prolapsed rectumPathophysiology of rectal prolapseUsing sugar to reduce prolapseKey takeaways from Sarah’s experienceMentioned 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 RRA mid december ad 2023If you want to learn more about the Rapid Response Academy: The Heart and Science of Caring for the Sick... you can click here https://www.rapidresponseandrescue.com/community to find out more and sign up.

Foreign objects in the bladder, urinary retention, priapism. These are just a few of the urological emergencies host Sarah Lorenzini is discussing with Dr. Shailen Sehgal!Nurses are the first line of defense in treating emergencies and play an important role in managing their care. In this episode, Dr. Shailen Sehgal explores these emergencies and shares great tips and tricks to treat conditions like testicular torsion, assess for hematuria, and troubleshoot catheter insertions, bladder spasms, and more.Sarah’s conversation with Dr. Shailen Sehgal highlights the pivotal role of nurses in treating urological emergencies that require quick intervention. After listening, you’ll have a deeper understanding of common urological challenges and better be able to decide when it’s time to stop troubleshooting and call the urologist.Tune in now to learn from Dr. Shailen Sehgal’s expertise and insights!Topics discussed in this episode:Dr. Shailen Sehgal’s interesting urological casesThe role of nurses in urological emergenciesHow to diagnose and manage testicular torsionTroubleshooting Foley catheters and Coude cathetersTips for female catheter insertionDealing with catheter leakageContinuous bladder irrigation (CBI)Advice on caring for urology patientsDr. Shailen Sehgal attended medical school at Cornell University and did his urology residency at the University of Pennsylvania. His fellowship in robotic/minimally invasive surgery was also completed at the University of Pennsylvania.  His clinical research fellowship was done at the National Institutes of Health.  He is board certified by the American Board of Urology. He practices urology and urologic surgery in Western Pennsylvania and West Virginia.Dr. Shailen Sehgal, MD is one of the founders of UroCoach, a comprehensive library of urology education videos, free to the public. In these videos, urology topics are explained by practicing urologists in easy-to-understand language for patients, nurses, trainees, and anyone interested in urology!https://youtube.com/@UroCoachhttps://www.instagram.com/urocoaches/https://www.tiktok.com/@urocoachhttps://www.facebook.com/profile.php?id=100090540351025Mentioned in this episode:RRA mid december ad 2023If you want to learn more about the Rapid Response Academy: The Heart and Science of Caring for the Sick... you can click here https://www.rapidresponseandrescue.com/community to find out more and sign up.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...

Snake bite care: where the cost and long-term complications can sting harder than the bite.Managing snake bites requires quick intervention, making it crucial for nurses to understand how to navigate this type of emergency. So in this episode, host Sarah Lorenzini welcomes Sealy RN to share her firsthand experience of being bitten. As a nurse who has also treated snake bites, she has great insights on the challenges of snake bite care.Sarah and Sealy discuss the use of antivenom, specifically the short and long-term risks of CroFab, what can happen if a snake bite is left untreated, and the role of nurses in snake bite management.Sealy's story highlights the importance of prompt and informed treatment, taking charge of your own care and advocating for patients. Plus, you’ll find out what steps you should (and shouldn’t) take if you get bitten by a snake.Tune in to learn everything you need to know from a nursing and patient perspective!Topics discussed in this episode:Sealy’s snakebite storySnake bite treatment and the recovery processSnake bite symptoms and possible complicationsWhat to do when you’ve been bittenTakeaways from Sealy’s experienceDownload the SnakeBite 911 app:https://crofab.com/crofab-resources/snakebite911Mentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚Check out my course: https://www.rapidresponseandrescue.com/ 🧑‍💻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

How does AFib RVR escalate into a life-threatening situation in just 30 minutes?Join host Sarah Lorenzini as she reflects on a perplexing case of sympathetic crashing acute pulmonary edema, also known as flash pulmonary edema. This patient’s rapid deterioration led to an emergency intubation that perplexed the rapid response team, but the patient's true condition became clear in hindsight.In this episode, Sarah walks us through the case, sharing the patient's presentation and medical history, how the team treated his symptoms, and why their initial interventions failed. She delves into the pathophysiology of SCAPE, the patient’s progression into sympathetic surge, and his ultimate treatment.Tune in to learn from Sarah’s look back at this patient story!Topics discussed in this episode:Sarah’s complex A-Fib RVR patient storyReflecting on the patient’s treatment and hindsight lessonsThe progression of sympathetic crashing acute pulmonary edema (SCAPE)Causes of SCAPE and stopping the spiral towards deathManaging SCAPE (what to and not to use)Case summary and key takeawaysMentioned in this episode:Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the SickClick here to learn more about the community that Sarah is building: https://www.rapidresponseandrescue.com/coming-soon-rapid-response-academy Rapid Response and Rescue Intro CourseCONNECT 📸Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚Check out my course: https://www.rapidresponseandrescue.com/ 🧑‍💻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

Host Sarah Lorenzini and Christian Guzman APRN are back to conclude this three-part heart failure series by examining the use of mechanical circulatory support for cardiogenic shock. This episode expands on the topics covered in previous parts, focusing on the application of mechanical circulatory support methods like the intra-aortic balloon pump, Impella, CentriMag, LVADs, and ECMO.Christian and Sarah review the risks and benefits of each device, when to use them, and the key factors that impact these decisions. They also address the ethical challenges of ECMO, including the clinical judgment involved when determining who’s a good candidate and when to escalate care.By the end of this episode, you’ll understand how these devices function, their critical role in managing cardiogenic shock in heart failure patients, and the value nurses bring to a multidisciplinary team.Tune in for a knowledge-packed finale of this comprehensive heart failure series!Topics discussed in this episode:The role of mechanical circulatory support devicesBenefits and risks of the intra-aortic balloon pump and Impella deviceHow to properly use Impella devicesCentriMag and Left Ventricular Assist Devices (LVADs)The evolution of permanent LVADsExtracorporeal Membrane Oxygenation (ECMO) for cardiac supportChallenges and ethical considerations of ECMOThe importance of nursing knowledge and confidenceConnect with Christian Guzman APRN on Instagram:https://www.instagram.com/thenerdynursepractitioner/Watch this episode on The Rapid Response RN YouTube Channel! https://www.youtube.com/@therapidresponsern/videosMentioned in this episode:Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the SickClick here to learn more about the community that Sarah is building: https://www.rapidresponseandrescue.com/coming-soon-rapid-response-academy Rapid Response and Rescue Intro CourseCONNECT 📸Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚Check out my course: https://www.rapidresponseandrescue.com/ 🧑‍💻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

Building on last week’s introduction to heart failure, this episode explores the nuances in the medical management of cardiogenic shock. Host Sarah Lorenzini and Christian Guzman APRN continue this three-part heart failure series by completing the case study of a patient in cardiogenic shock, and breaking down key treatment concepts and strategies.They discuss goal-directed therapy to optimize heart function, with a specific focus on the vital aspects of contractility, afterload, and preload, and their pivotal roles in patient care. As their conversation progresses, they delve into the use of medical interventions, covering the pros and cons of medications used to treat heart failure at each stage from beginning to extremis.Christian and Sarah go beyond what you’ll read from textbooks, shedding light on the challenges and clinical decision-making process of heart failure care by sharing real life examples and insights.Tune in now to learn how to assess patients for cardiogenic shock and manage their care at every stage of heart failure!Topics discussed in this episode:The treatment of last week’s patientGoal-directed therapy for heart failureMethods to increase contractilityPreload optimizationThe use of inotropes in heart failure managementAssessing patients for cardiogenic shockWhen to use beta blockers for heart failureWhen to pull the trigger for mechanical circulatory supportConnect with Christian Guzman APRN on Instagram:https://www.instagram.com/thenerdynursepractitioner/Watch this episode on The Rapid Response RN YouTube Channel! https://www.youtube.com/@therapidresponsern/videosMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚Check out my course: https://www.rapidresponseandrescue.com/ 🧑‍💻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 Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the SickClick here to learn more about the community that Sarah is building: https://www.rapidresponseandrescue.com/coming-soon-rapid-response-academy

During a normal day gardening, an active woman in her 60s was suddenly struck with chest tightness. Thinking it was just an asthma attack, she tried to let the pain pass. What she didn’t realize was that she was having a full blown myocardial infarction, and this was only the beginning of her journey.In this episode, host Sarah Lorenzini is joined by her friend, Christian Guzman APRN, to discuss this patient story and the pathophysiology of heart failure. As they go through this case study, Christian provides a comprehensive breakdown of the types of heart failure, the classifications of heart failure, and how chronic heart failure can lead into cardiogenic shock.Most importantly, you’ll learn the signs and symptoms of heart failure, including the subtle ones that are key for early detection, and find out what’s important to look at on an echocardiogram.This is just the first installment of a three-part series on heart failure, so be sure to not miss this opening episode. Tune in now!Topics discussed in this episode:Pathophysiology of heart failureCase study of Christian’s heart failure patientMyocardial infarction symptoms in womenTypes of heart failureSymptoms of right vs left heart failureThe difference between systolic vs diastolic heart failureHow chronic heart failure develops into cardiogenic shockEarly signs of heart failureSCAI classifications of cardiogenic shockConnect with Christian Guzman APRN on Instagram:https://www.instagram.com/thenerdynursepractitioner/Watch this episode on The Rapid Response RN YouTube Channel! https://www.youtube.com/@therapidresponsern/videosMentioned in this episode:Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the SickClick here to learn more about the community that Sarah is building: https://www.rapidresponseandrescue.com/coming-soon-rapid-response-academy Rapid Response and Rescue Intro CourseCONNECT 📸Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚Check out my course: https://www.rapidresponseandrescue.com/ 🧑‍💻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

Have you ever started a new and promising job, only to discover that it wasn’t the nurturing and supportive space you thought it was? In this episode, host Sarah Lorenzini, armed with nearly two decades of nursing experience in various departments and leadership roles, provides a guideline to spotting the red and green flags that can signal a healthy or hostile workplace.Sarah explores what makes a healthy work environment, beyond reputation and first impressions, as she does a deep dive into the American Association of Critical Care Nurses' (AACN) six pillars of a healthy work environment. From communication to authentic leadership, she equips both new and seasoned nurses with strategies to assess key characteristics of prospective employers and identify signs of a healthy culture.For those dedicated to their current organization but seeking a better work culture that allows them to grow in their role, Sarah also reveals how nurses can promote positive change in their current work environment.Tune in to hear the essential interview questions you should be asking to evaluate potential work environments and make an informed career decision!Topics discussed in this episode:The AACN's standards for a healthy work environmentExamples of an unhealthy work environmentHow leaders affect work cultureIdentifying red flags in potential work environmentsIdeas to improve your current work environmentCheck out the AACN’s Healthy Work Environments website: https://www.aacn.org/nursing-excellence/healthy-work-environmentsMentioned in this episode:Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the SickClick here to learn more about the community that Sarah is building: https://www.rapidresponseandrescue.com/coming-soon-rapid-response-academy Rapid Response and Rescue Intro CourseCONNECT 📸Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚Check out my course: https://www.rapidresponseandrescue.com/ 🧑‍💻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

You may already be familiar with the trauma triad… but in this episode, host Sarah Lorenzini is once again joined by her friend and critical care nurse and educator, Sarah Vance to break down a 4th component to trauma resuscitation. Last week, they discussed the treatment of a trauma patient with neuro and respiratory injuries, but today they’re getting into the “blood and guts” of trauma cases as Sarah Vance RN walks us through a multiple gunshot wound case study. Similar to last week’s patient, this case study highlights how the body’s systems all work together, and sometimes against each other, in trauma cases.Sarah’s GSW patient’s injuries resulted in massive blood loss, leading to rounds of MTP (massive transfusion protocol), but treating blood loss is more complex than just replacing blood so we’re diving into the pathophysiology of hypothermia, coagulopathy, hypocalcemia, and acidosis — all components of the trauma diamond of death.As a nursing educator, Sarah Vance RN is the best person to break down these challenging concepts and make them easy to understand. You’ll learn why they happen in trauma cases, how they impact each other, and what you can do to fix these issues and prevent death.By the end of this episode, you’ll have the knowledge you need to manage the treatment of a trauma patient with major blood loss. Tune in now!Topics discussed in this episode:Components of the trauma diamond of deathSarah’s trauma patient and his treatment MTP, or Massive Transfusion ProtocolWhat causes hypothermia in trauma patientsHow to support coagulopathy and why it’s importantHypocalcemia and the role of calcium in the bodyManaging calcium levels in trauma cases Acidosis and its place in the diamond of deathKey lessons from this patient’s caseWatch this episode on The Rapid Response RN YouTube Channel! https://www.youtube.com/@therapidresponsern/videosConnect with Sarah Vance!Instagram: https://www.instagram.com/iseeu_nurse/TikTok: https://www.tiktok.com/@iseeu_nurseWebsite: https://iseeunurse.com/Mentioned 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 course: https://www.rapidresponseandrescue.com/ 🧑‍💻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

If you hear “trauma” and immediately think of blood and guts, this episode with host Sarah Lorenzini’s friend, critical care nurse and educator Sarah Vance, will show you that there’s so much more to trauma cases. Because even localized injuries can affect the whole body, and issues can pile up and require conflicting treatments. That’s why trauma cases require an advanced level of assessment and critical thinking skills.During this episode, Sarah Vance RN tells the story of a patient who was admitted with a brain bleed, orthopedic, and cervical injuries after a motorcycle accident. Like many trauma cases, the patient’s condition got a lot more complicated as his injuries progressed and he sustained secondary injuries within the respiratory system. The patient had a long list of issues, including traumatic head injury, ARDS, fistulas, necrotizing pneumonia, and MORE.Sarah Vance also goes into more detail on his pathophysiological injuries, as well as how the ICU team assessed and treated his competing issues to lead the patient to a miracle recovery. Tune in to learn about the management of complex multisystem trauma cases!Topics discussed in this episode:Sarah’s career journey and why she took a break from nursingThe trauma patient’s injuries and the initial interventionsThe ICU team’s concerns and how his care evolved as more damage set inWhat prompted them to place an external ventricular drainHow the patient developed ARDSHow the ICU team treated the patient’s opposing issuesThe patient’s long journey to recoveryConnect with Sarah Vance!Instagram: https://www.instagram.com/iseeu_nurse/TikTok: https://www.tiktok.com/@iseeu_nurseWebsite: https://iseeunurse.com/Mentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚Check out my course: https://www.rapidresponseandrescue.com/ 🧑‍💻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 nurse knows the havoc chemotherapy wreaks on the body, but most nurses aren’t as knowledgeable on how to treat chemo reactions as, say, chemo or oncology nurses. Even host Sarah Lorenzini is slightly intimidated by unpredictable reactions from chemotherapy! That’s why this episode is centered around those super scary chemotherapy reactions and how to treat them. To help us dive further into this topic, Sarah is speaking with another rapid response nurse, Montana RN. He has a dramatic patient story to share about rigors, a chemotherapy reaction that occurs as the body is trying to mount a febrile response to the medication. Not only was his patient visibly struggling, but he was hypoxic and there was no doctor available to prescribe medication to treat the reaction. As Montana and Sarah study this patient’s case, you’ll find out what type of reaction the patient was having and walk away with the knowledge of how to treat chemotherapy reactions and their symptoms, the use of desensitization procedures for reactions to chemo agents, and why it’s important to know your hospital’s chemo reaction protocol. There’s so much to learn about chemotherapy reactions and the nurse’s role in caring for this patient population during a really scary experience. Topics discussed in this episode: What led Montana to become a rapid response nurse How the patient presented and his initial assessment What rigors looks like and the pathophysiology behind this scary looking symptom Treatment options for rigors Why Montana had to bring the patient to the ER How to treat a reaction and its symptoms The patient’s treatment and outcome Montana’s takeaways from this experience Mentioned in this episode: Rapid Response and Rescue Intro Course CONNECT 📸Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚Check out my course: https://www.rapidresponseandrescue.com/ 🧑‍💻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 nurse knows the havoc chemotherapy wreaks on the body, but most nurses aren’t as knowledgeable on how to treat chemo reactions as, say, chemo or oncology nurses. Even host Sarah Lorenzini is slightly intimidated by unpredictable reactions from chemotherapy! That’s why this episode is centered around those super scary chemotherapy reactions and how to treat them.To help us dive further into this topic, Sarah is speaking with another rapid response nurse, Montana RN. He has a dramatic patient story to share about rigors, a chemotherapy reaction that occurs as the body is trying to mount a febrile response to the medication. Not only was his patient visibly struggling, but he was hypoxic and there was no doctor available to prescribe medication to treat the reaction.As Montana and Sarah study this patient’s case, you’ll find out what type of reaction the patient was having and walk away with the knowledge of how to treat chemotherapy reactions and their symptoms, the use of desensitization procedures for reactions to chemo agents, and why it’s important to know your hospital’s chemo reaction protocol.There’s so much to learn about chemotherapy reactions and the nurse’s role in caring for this patient population during a really scary experience.Topics discussed in this episode:What led Montana to become a rapid response nurseHow the patient presented and his initial assessmentWhat rigors looks like and the pathophysiology behind this scary looking symptomTreatment options for rigorsWhy Montana had to bring the patient to the ERHow to treat a reaction and its symptomsThe patient’s treatment and outcomeMontana’s takeaways from this experienceMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT📸Connect on Instagram: https://www.instagram.com/therapidresponsern/📚Check out my course: https://www.rapidresponseandrescue.com/🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/📬Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login🎁Affiliation and discounts: https://hoo.be/therapidresponsernSAY 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/55LQqeDg6XFeixvZLEp4xETo 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.comMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸Connect on Instagram 📚Check out my course 🧑‍💻Check out my website 📬Subscribe to my newsletter 🎁Affiliation and discounts SAY THANKS 💜Leave a review on Apple Podcasts 💚Leave a rating on Spotify 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

In this episode of Rapid Response RN, host Sarah Lorenzini is joined by Casey BSN, RN, CCRN-CMC, CFRN, CTRN, CEN, TCRN, CPEN, CNRN, NRP. And yes, you read her title right — Casey has a whopping eight certifications and is one of the few nurses with ALL five BCEN certifications. And she’s using her knowledge and skills to advocate for her patients and teach others.Today, Casey tells the story of a patient who came into the ER after a fall and was later diagnosed with a basilar skull fracture. Complicating the case even more is that the patient was a child under the age of 2, so it was more difficult to assess the signs of his injury. Casey’s hospital provider dismissed the fall as normal childhood injury, but she did what any good nurse would do and followed her hunch that something more was going on.Casey shares how the patient presented, how they arrived at the diagnosis and treated him. You’ll also learn the telltale signs and symptoms of basilar skull fracture, and how to check for signs of abuse if you see a pediatric head injury.Tune in for a lesson in pediatric basilar skull fractures, and advocating for your intuition as a new nurse!Topics discussed in this episode:Casey’s nursing journey to earn so many certificationsWhy Casey’s patient came into the ER and how he presentedWhat made her think something more was going onResults of the patient’s CT and their diagnosisClassic signs and symptoms of basilar skull fracturesHow to assess mental status in childrenDetermining if injury is a sign of child abuseHow they treated the patient for a basilar skull fractureWhat nurses need to prioritize when treating a basilar skull fractureConnect with Casey:https://www.instagram.com/criticalcarecasey/Mentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚Check out my course: https://www.rapidresponseandrescue.com/ 🧑‍💻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

Intubation is a life-saving intervention, but it can also kill your patient! That’s why this follow-up episode to last week’s patient story is covering the process of intubation, what can go wrong and how nurses can mitigate risk factors to avoid bad outcomes like cardiac arrest.In part two of this intubation series, host Sarah Lorenzini details proper intubation preparation and the role of nurses during intubation. She walks through the entire process from assembling a team to what supplies and medications you need, and how to use them so that you reduce harm to the patient. You’ll hear about key factors to consider when giving patients sedative or paralytic agents, as well as how to prepare for a blood pressure drop after intubation.This episode is full of useful information that will help you during your next intubation, such as pre-oxygenation strategies, RSI (rapid sequence intubation) vs when to opt for DSI (delayed sequence intubation), and how to mitigate some of the negative side effects that go along with these drugs.Plus, find out how Sarah’s patient story from last week’s episode ends. Tune in for all this and more!Topics discussed in this episode:The dangers of intubation, such as peri-intubation cardiac arrestWhat it means to intubate and how to prepare for intubationWhy and how to preoxygenate your patientSupplies and equipment needed for intubationThe medications we use for intubation and what to expect once you push themThe pathophysiology of why BP drops after intubationHow to prepare for a drop in blood pressure post-intubationWhen to opt for delayed sequence intubationThe intubation story of last week’s patientMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸Connect on Instagram 📚Check out my course 🧑‍💻Check out my website 📬Subscribe to my newsletter 🎁Affiliation and discounts SAY THANKS 💜Leave a review on Apple Podcasts 💚Leave a rating on Spotify 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!

Patients get intubated in every department of the hospital… not just the ICU.  So it’s important that every nurse know the signs and symptoms of when it’s time to intubate.Our host Sarah Lorenzini, has been asked the same type of questions about intubation multiple times this week, so we felt it was necessary to address them. Sarah’s extensive knowledge and experience in critical care and rapid response situations has prepared her to be able to provide expertise and insights on this topic, which she wants to share with all of you today!In this episode, Sarah addresses some common questions related to intubation: how to know when it's time to intubate a patient and what it means when a patient is not protecting their airway.She shares a story from her own experience to illustrate the importance of recognizing the signs that indicate the need for intubation and walks through some of the obvious, and not so obvious signs that it’s time to intubate.This episode is packed with experiential knowledge that you don’t want to miss. So tune in for this and more!Topics discussed in this episode:Signs to look for to determine when to intubateHow to recognize when a patient is not protecting their airwayWhat to do when patients are working too hard or not hard enough to improve their oxygen saturationRecognizing patients who cannot oxygenate or ventilate on their ownLooking beyond the vital signs and focusing on the clinical presentation to determine if a definitive airway is neededThis episode was produced by Podcast Boutique https://www.podcastboutique.comMentioned in this episode:Rapid Response and Rescue Intro CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!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!

September is Sepsis Awareness Month, so host Sarah Lorenzini is throwing it back to one of the earliest Rapid Response RN podcast episodes with guest Yesha APRN. This episode tells the story of a patient with sepsis, and it’s one of Sarah’s favorite episodes because it exemplifies all of the classic signs and symptoms of sepsis as well as the important role the nurse plays in caring for septic patients.Last week, you learned about fluid resuscitation and the potential harm of fluid overload in the treatment of sepsis. In this episode, you’ll hear how Sarah and Yesha’s patient responded to fluid boluses and what made them advocate for a different treatment approach.Sarah then goes deeper into the pathophysiology of sepsis, indicators of sepsis using SIRS criteria and the qSOFA score, and more indicators any nurse can test without a tool. You’ll also find out how to treat a patient with sepsis, which diagnostics to run, and what you can do to promote a return to homeostasis in your patient.Tune in to learn the signs and symptoms of sepsis and septic shock, and how to facilitate early detection. Plus, hear Yesha’s takeaways from this patient story that will benefit all nurses in their treatment of sepsis!Topics discussed in this episode:Yesha’s nursing journey and updates on her careerHow Yesha’s patient presented and his response to fluid administrationWhat made her decide to call a rapid response nurse, SarahSarah’s assessment of the patient and how they treated himThe pathophysiology of sepsisSIRS criteria and qSOFA score for prediction of sepsisWhat happens in the “septic inflammatory cascade of awfulness”How to detect sepsis earlyTreatment and management of a sepsis patientRead the article, “Fluid selection & pH-guided fluid resuscitation” by Dr. Josh Farkas, here:https://emcrit.org/ibcc/fluid/Mentioned 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 CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

Often when a patient’s blood pressure has dropped, we administer fluids without truly knowing the exact reason for the change. Does the patient have low volume, were they vasodilating, or is their heart not squeezing effectively? Fluid resuscitation is not always the answer, but there’s no clear guideline to assess patients without advanced tools that take time and specialists. Enter the FloPatch from Flosonics, an innovative device that quickly measures blood flow in real time.Fluids can cause damage when given in excess, so it’s crucial for nurses to understand why blood pressure isn’t an adequate indicator of fluid responsiveness, and how a patient can show signs of fluid responsiveness but cardiac output is not increasing. That’s why host Sarah Lorenzini is speaking with Corinne RN to find out more about how Flosonics is helping nurses guide their fluid resuscitation using the portable FloPatch device.In this episode, Corinne shares patient stories to exhibit how FloPatch can improve patient outcomes, especially in those with sepsis. Corinne and Sarah also discuss the concept of Frank-Starling’s law, the components of stroke volume, and MORE.FloPatch can help you assess patients and provide precise care. Tune in to find out how it works, the benefits of the product, and why you want to use it at your hospital!Topics discussed in this episode:How Corrine RN became so passionate about fluid resuscitationWhy blood pressure isn’t the best tool for determining cardiac outputFactors that influence blood pressureThe relationship between preload, afterload, and contractilityThe consequences of fluid overloadExamples of how FloPatch can improve patient careFloPatch is a game-changing advancement in precision fluid management for critical care, particularly in the management of sepsis. As the world's first wireless, wearable Doppler ultrasound technology, it provides real-time, non-invasive assessments of arterial and venous blood flow. FloPatch empowers clinicians at the bedside to make rapid, data-driven decisions on fluid resuscitation, mitigating risks of complications such as pulmonary edema and acute kidney injury. FloPatch holds the potential to transform the way clinicians approach and manage hemodynamic assessments, paving the way for increased clinical confidence for more efficient, effective, and patient-centered care.Visit their website to learn more and request a demo: https://flosonicsmedical.com/Share this podcast episode with your colleagues to spread the word about FloPatch.Follow FloPatch on Instagram, Twitter and LinkedIn for the latest updates and clinical insight:Instagram: https://www.instagram.com/flopatch_/Twitter: https://twitter.com/Flosonics/LinkedIn: https://www.linkedin.com/company/flosonics-medicalHave questions for Corinn? Email her at [email protected] the Sepsis Alliance Summit 2023 during Sepsis Awareness Month! This virtual event is hosted on September 27th to 28th. Learn more here: https://learn.sepsis.org/virtual-conferenceMentioned in this episode:Rapid Response and Rescue Intro CourseIf you would...

We often are looking for an acidosis when patients present with lethargy but what about when it’s an alkalosis!? In last week’s episode with Annie Fulton RN of the “Up My Nursing Game” podcast, she and host Sarah Lorenzini presented a patient story but left the diagnosis a mystery.  You heard why Annie’s patient was admitted and her initial assessment, what caused her to think something more was going on, and why she ruled out sepsis as a diagnosis. Now, find out what her diagnosis was and how she was treated! Hint: today, we’re talking all about diuretic induced metabolic alkalosis.To start off this episode, Annie recaps her patient’s story, walks us through the patient’s VBG results, and how they arrived at a diagnosis of metabolic alkalosis. Sarah then breaks down the pathophysiology of diuretic induced metabolic alkalosis, including what causes it at the cellular level and how to treat the condition. They specifically talk about contraction alkalosis, and how it’s possible for a patient to be both intravascularly dry but extravascularly still fluid volume overloaded.Sarah and Annie also discuss the patient’s mild leukocytosis, the clinician’s decision to NOT prescribe antibiotics after a positive urinalysis, and their thoughts on antibiotic stewardship and critical thinking in diagnostics.Listen to part two of this mystery series to find out how to treat metabolic alkalosis from diuretics, and find out if there’s anything you can do to look out for its symptoms! Topics discussed in this episode:How Annie’s patient presented and her initial treatmentThe results of the patient's VBGWhat can cause metabolic alkalosis and its symptomsIntravascular vs extravascular fluid volume statusContraction alkalosis and how to treat itHow Annie’s patient was treatedThe right time to stop and start diuresis on a patientWhy the patient’s clinician declined to give antibioticsThe debate on sepsis mimicsListen to Annie Fulton’s Up My Nursing Game Podcast: http://www.upmynursinggame.com/Connect with Annie Fulton on Instagram: https://www.instagram.com/upmynursinggame/Mentioned 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 CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

Can you guess what was causing this patient’s unexpected symptoms?This episode is a little different from the rest, thanks to you, our listeners, for submitting your suggestions and ideas for how these episodes should go, because we are all ears!One of our listeners suggested we do a mystery episode (thanks Shannon!), and we thought it was brilliant! So, on today’s episode, our host Sarah Lorenzini invites back, podcast host of Up My Nursing Game, registered nurse, friend, and former Rapid Response RN Podcast guest, Annie Fulton, to unravel a patient case study of one of Annie’s patients, but we won’t be revealing the diagnosis just yet.Sarah and Annie discuss why the patient was admitted to the hospital, Annie’s initial analysis of the patient, medications that were administered, the patient’s vital signs, and physical assessment findings, as well as when and why Annie became concerned for the patient and why she had ruled out sepsis from the diagnosis.In this mystery episode, we won’t be giving away the actual diagnosis.  Instead, for this week we will be leaving you all to try and guess what you think the diagnosis is, and we will reveal the answer in next week’s episode!Tune in to hear about Annie’s patient, and be sure to check out next week’s episode for the diagnosis reveal! Topics discussed in this episode:A little bit about Annie and how her and Sarah metWhat Annie’s patient was admitted forAnnie’s initial assessment of her patientWhat caused Annie to realize something was wrong with her patientThe patient’s vital signs and how she was flagged for SIRSWhy Annie didn’t think the patient had sepsisListen to Annie Fulton’s Up My Nursing Game Podcast: http://www.upmynursinggame.com/Connect with Annie Fulton on Instagram: https://www.instagram.com/upmynursinggame/Mentioned in this episode:Rapid Response and Rescue Intro CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

“If you look for the bad, you’ll always find it. If you look for the good, you’ll always find it.” - Sarah’s grandmotherIn the second part of our two part series on nursing burnout, our host Sarah Lorenzini continues her conversation with Nurse Burnout Coach Janna Holterman, where they discuss how to reframe your mindset as a nurse to deal with burnout.We go to nursing school because we want to help people who are suffering and provide care on a heart centered level, not just by fulfilling tasks and making sure patients are getting their medication on time. It’s easy to lose sight of that if you’ve been at it for a while, so reminding yourself to look for those special moments to create beauty in your job as a nurse, is crucial to avoiding burnout and staying fulfilled.This is what Sarah and Janna discuss in today’s episode to hopefully provide some insight for those who are experiencing burnout or are almost there. Being aware of burnout and how to deal with it is important, not only for you as a nurse to provide the best care possible, but for your own health, longevity, and overall quality of life.So tune in for a discussion on how to find the beauty in nursing again so you can be the much needed light in a dark room.Topics discussed in this episode:How to balance being passive vs. taking a stancePracticing feeling neutralThe need for nurses to see their patient get betterImportance of looking for the beauty in nursingThe difference between a life coach, therapist, counselor, and fitness trainerWhat Janna has to say to nurses who are burnt outLearn more about Nurse Janna and her burnout coaching services on her website! www.jannaholterman.comConnect with Nurse Janna on Instagram: https://www.instagram.com/jannaholtermancoaching/Mentioned in this episode:Rapid Response and Rescue Intro CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

Nurses are trained to put their patients first, and that oftentimes results in forgoing their own needs. Skipping out on fundamental needs like sleeping and eating healthy meals lead nurses to feel emotionally and physically exhausted, eventually leading to burnout and loss of love for the job.Nurses spend so much time advocating for patients but forget that it’s equally as important to advocate for themselves. As today’s guest will remind you, “what you resist persists.” Even if you have the ability to push your own needs to the side, they will always catch up with you, whether it’s in the form of an emotional breakdown or apathy towards other parts of your life.Host Sarah Lorenzini is speaking with Nurse Burnout Coach Janna Holterman in a special two-part series! In this first episode, Janna shares her personal experience with burnout, the symptoms of burnout, and how she helps clients address them.Janna and Sarah go over tools for overcoming burnout, and how to recognize you’re experiencing burnout and not just normal stress.If you’re in search of the “perfect” nursing job, stop looking now because there isn’t one. However, YOU have the power to love nursing again and leave work with enough energy to live a happy, healthy life.Tune in now to learn how to get started!Topics discussed in this episode:Janna’s nursing career and experiences with burnoutHow she dealt with her own burnout and became a coachStress versus burnoutSigns of burnoutHow to decide when it’s time to leave a jobThe first step to fighting burnout4 tools for burnout recovery and healingLearn more about Nurse Janna and her burnout coaching services on her website! www.jannaholterman.comConnect with Nurse Janna on Instagram: https://www.instagram.com/jannaholtermancoaching/

Welcome to part two of our series on benzodiazepines where we will be discussing the other side of benzodiazepines: the challenges of withdrawal.As healthcare providers, you are taught that benzodiazepines are in fact safe, but our host Sarah Lorenzini wants to offer a different perspective. Do we really need to be administering benzodiazepines as freely as we are taught in school? Of course for life or death situations it is a no brainer, but what about those moments when your patient is just anxious and can’t calm down?  Are there other ways to calm your patient down without giving them medication?These are the questions Sarah wants to explore in the second part of this series, as well as how severe benzodiazepine withdrawal can be. Sarah presents an example of a patient who was going through benzodiazepine withdrawal and how the symptoms were so severe it almost looked like the patient was experiencing a heart attack.Learn more about benzodiazepines and how you can play an important role in preventing benzodiazepine dependance.Tune in for this and more!Topics discussed in this episode:The signs and symptoms Sarah’s patient was experiencingHow Sarah concluded the patient was in benzo withdrawalMild, moderate, and severe benzodiazepine withdrawal symptomsSarah’s change of perspective on benzodiazepinesHow someone is weaned off of benzodiazepinesWhat to do if your patient is prescribed benzodiazepinesAlternative interventions to treat an anxious patient

In part one of the two part series on benzodiazepines, our host Sarah Lorenzini presents us with a case study about how she treated a benzodiazepine overdose during her time working as an ER Nurse. She walks us through the state her patient was in when she arrived at the hospital and the steps she took when assessing the patient and how to treat her, as well as her thought process along the way.Benzodiazepine overdoses are a little tricky. All the pieces of the puzzle matter, so having good detective skills and asking the right questions to get a full picture is crucial to treating the patient effectively, which is what Sarah wants to share in today’s episode.In this episode, you will hear which questions Sarah asked in order to understand the patient’s situation and medical history, as well as the critical thinking required at each step to give you a better idea of how the pieces of the puzzle are found and how they’re put together. You will also hear what type of treatment works for benzodiazepine overdose and what doesn’t, and much more!You don’t want to miss this one!Topics discussed in this episode:The state the patient arrived to the ER and Sarah’s initial assessmentQuestions Sarah asked the patient’s roommateHow working in medicine requires being an investigator and counselorHow Flumazenil works and why it was not administeredA list of the signs and symptoms of a benzodiazepine overdoseTips on how to treat a benzodiazepine overdoseMentioned in this episode:Rapid Response and Rescue Intro CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

One facet of nursing that we don’t learn much about in nursing school is organ donation. It’s such a rewarding experience to help give a person back their life, as you’ll hear from our host and today’s guest.In this episode, Sarah is speaking with Nurse Sean, organ procurement nurse and host of the “Nurse Dose Podcast.” He goes over the process of organ donation from start to finish, including procuring organs from a patient who is brain dead and also from donors after cardiac death (DCD).  Together they discuss the procedures that optimize organs for procurement and transplant, and how they’re allocated.Nurse Sean has a ton of knowledge about this not so well known aspect of Nursing.  By the end of this interview you’ll know how long organs can be preserved after procurement, the best way to approach a family about organ donation, and MORE. Plus, he’s debunking myths about what makes a good candidate for organ donation, and what misconceptions families may need to be educated on.Tune in to find out what the role of an organ procurement nurse really is, and hear Nurse Sean’s top tips for patient advocacy and approaching families!Topics discussed in this episode:What led Nurse Sean into nursing and the transplant ICUThe process of getting a person ready for organ donationHow organs are allocated and teams coordinatedWhat causes the “dry run”Procurement of organs in brain dead patients vs DCD patientsThe important role of nurses in organ donationMemorable experiences with organ donation from Sean and SaraWhat nurses should know about organ donationEducating families on the organ donation experienceHow to (not) bring up organ donation to your patient/their familyWhat honor walks mean to patients, families and staffHow to be a patient advocate for organ donationConnect with Nurse Sean at www.nursedose.org!Listen to Sean’s podcast, "Nurse Dose Podcast", on Spotify: https://open.spotify.com/show/4M47ev6YzUfXrpuPvSzZQn?si=77327f23e05d4ff9Check out his Etsy for device cheat sheets and ICU resources: www.etsy.com/shop/nursedosepodcastMentioned in this episode:Rapid Response and Rescue Intro CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

“Leadership is not a title. Leadership is influence.”Our host Sarah Lorenzini wants to highlight a question that nurses are regularly asking her to answer on the Rapid Response Podcast: how can we be better leaders during resuscitation where a fast coordinated effort is necessary?Knowing your place as a leader, knowing how to delegate and communicate, as well as having the ability to channel your inevitable fight or flight response into peak performance, may feel daunting to a lot of nurses, especially those just starting out. However, you don’t necessarily need years of experience under your belt to be a great leader in a code situation, which is what Sarah wants to share with you all today!In this episode, you will hear a detailed example of what a good leader in a resuscitation situation embodies, what their role is, what tasks are needed, the level of importance of each task, and how to delegate tasks, as well as how to debrief your team.This information is invaluable to anyone who is in healthcare, even if you are still in nursing school or just starting your nursing career and you don’t necessarily think of yourself as a leader, this episode is still for you! Tune in for this and more!Topics discussed in this episode:The last thing you should be doing as a leaderRescuer one, two, three methodLess crucial, yet important tasks that need to be assignedClosed loop communication and why it is importantWhy you should think out loud as a leaderThe importance of giving kudos even in an emergency situationDebriefing as a priority and how to do itHow to lead a moment of silence (or honor) after an unsuccessful codeUsing your sympathetic nervous system to your advantageMentioned 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 CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

Last week, Sarah shared the story of a patient who was finally diagnosed with infective endocarditis after presenting with several symptoms, including fever, tachypnea, chest pain, hypotension and more. In this episode, she’ll further explain how the patient was diagnosed and the pathophysiology of this type of infection.Sarah goes over how septic emboli form, and the clinical manifestations that result when they travel in the body as well as the risks and signs of valvular damage to look out for when you’ve diagnosed infective endocarditis.You’ll also learn the areas of the body that can be affected by endocarditis, the diagnostic criteria, and what conditions can predispose a patient to infective endocarditis. Sarah covers the critical role that nurses can play in treating these at-risk patients and how education and compassion can make the biggest difference in the patient’s long term outcome.Make sure you’re prepared to recognize the signs and symptoms of infective endocarditis and tune into this episode now!Topics discussed in this episode:What predisposes a patient to infective endocarditisWhy and how bacteria starts to formWhat happens after bacteria has invaded the bodyHow endocarditis can lead to dysrhythmiasThe formation of mobile septic emboli and their dangerHow infective endocarditis presents in a patientCommon symptoms of infective endocarditisHow the diagnosis of infective endocarditis is madeThe two treatment options for infective endocarditisThe Nurse’s role in caring for this patient populationMentioned 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 CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

In part one of this two part series, our host Sarah Lorenzini shares a story about a patient she was called to see who was under the care of nurse Clayton, a trusted colleague and previous Rapid Response Podcast guest, after he saw a drop in the patient’s blood pressure and had a gut feeling something wasn’t right. Sarah walks us through her assessment and how the team came to the conclusion that this patient had infective endocarditis.In part two of this series, Sarah will elaborate on this case by explaining how bacteria or fungus grows inside the cardiac muscle, how infective endocarditis presents itself in patients, and the different diagnostic criteria for endocarditis.Topics discussed in this episode:Clayton’s concern over a patient’s drop in blood pressureSteps Sarah took to assess the patientWhat they found after calling for an expedited echo for the patientWhat is infective endocarditis?Introduction into infective endocarditisMentioned 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 CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

Our nursing professors cautioned us about the risk of not using proper technique when removing central lines, their warnings sometimes seeming dramatic and unlikely. That’s why this previously released interview with Nurse Marissa is such an important story, because sometimes those rare cases DO happen!In this episode, Marissa tells the story of a patient that was admitted for her mental status, lethargy and hyperkalemia. She seemed to improve but then became unresponsive, and the rapid response team was called. What followed was the surprising discovery of air in her brain, and a probe into how it happened.At the end of Marissa’s story, host Sarah Lorenzini shares her research on air embolisms, including how air gets into the bloodstream, what happens when it travels to each part of the body, and the level of risk associated with each scenario.By the end of this episode, you’ll know the steps you can take if your patient pulls their central line just like Marissa’s patient, what signs to look for, and how to treat a cerebral embolus if it occurs. Tune in now!Topics discussed in this episode:Marissa’s journey from Med-Surg nurse to Cardiac ICU to Rapid ResponseHer patient’s presentation and patient historyWhat the patient’s CT showedHow they treated the patient for air in the brainHow air gets into the bloodstreamThe risk associated with air embolismsWhat to do if your patient pulls their own central lineThings to remember about air embolismsLearn more about the pathophysiology of air embolism in the brain in this article by the American Heart Association, called Accidental Air Embolism: https://www.ahajournals.org/doi/full/10.1161/STROKEAHA.119.025340Mentioned in this episode:Rapid Response and Rescue Intro CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!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!

When we speak about narcotic overdoses, the first thing we think about is the administration of Narcan or Naloxone. However, our host Sarah Lorenzini shares how that shouldn’t always be the first thing we reach for.Sarah wants to share why Narcan is her absolute last resort, and why she tries to avoid administering it at all cost. Narcan, or Naloxone, is used to counteract the effects of opioids in the system and while it may help the patient breathe faster, it also blocks the effects of the narcotic that was managing their pain.  In some cases, it is totally necessary to use Narcan, but not every time a patient is lethargic or minimally responsive does Narcan need to be administered.In today’s episode, you will hear a story of a patient Sarah dealt with where she made the decision to administer Narcan, the very first course of action when dealing with an overdose patient, what to look for in an overdose patient, and some pro tips on how to administer Narcan when/if necessary.This episode is crucial to understanding and changing perspectives on overdose patients that could make a big difference in a life or death situation.Tune in for this and more!Topics discussed in this episode:Why Sarah was alarmed after the quick assessment of the patientHow Sarah delegated to her team of nursesThe list of medications the patient was givenThe risk of high CO2 in the systemHow to measure a patient’s CO2 levelWhat symptoms to look for in an overdose patientWhat to do first when you discover respiratory depressionWhy Sarah tries to avoid Narcan at all costsPro Tips on how to administer Narcan (if necessary)Mentioned in this episode:Rapid Response and Rescue Intro CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

Nurses are trained to treat and save lives, but hospice nurses focus on a different set of skills. As host Sarah says in this episode as she speaks with Hadley Vlahos, RN, “fixing isn’t the only great thing we can do as nurses.”In this episode and her new book, The In-Between, Hadley shares what it’s like to care for patients that are dying and what she’s learned from their end of life wisdom. She offers insight into what to expect as a patient is passing, what type of vernacular to use with grieving families, and lots more.Hadley and Sarah also discuss hard-to-describe things like the energy shift that happens after a patient passes, and an often unexplainable final burst of energy many patients have when they are close to dying. Plus, Sarah shares her life-changing first experience with a dying hospice patient in the ER.Whether you plan to work in hospice or not, tune in to hear tips on how you can be a better nurse to dying patients and their families!Topics discussed in this episode:Misconceptions about hospice nursingWhat you can expect when a patient is dyingSigns that a patient is passingHow nurses can make patients more comfortable in their final daysThat final burst of energy before deathHadley’s most life-changing patientWhat you feel after a patient passesHow you can be compassionate towards patient’s loved onesTips for speaking to family members about death and dyingUsing the words “death” and “dying”Lessons Hadley has learned from her patientsTo purchase Hadley's Book "The In-Between":https://www.amazon.com/dp/059349993XFollow Nurse Hadley on Social Media:https://www.instagram.com/nurse.hadley/Mentioned 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 CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

The American Association of Critical Care Nurses hosts an annual conference called NTI.  Sarah and her team were able to attend NTI 2023 and they’re all recapping their experiences at the 4-day event in the episode!Sarah is joined by her team, Walker, Elisabeth, and Ashley, as well as special guest, ICU Nurse Sarah. They recorded each night to share the key takeaways from each day of the conference, from the wonderful people they met and inspirational speakers to the educational lessons in their sessions.You’ll hear highlights from NTI 2023, including how artificial intelligence is being used in the medical field, life-changing products and technology, the importance of mentorship, and LOTS MORE.Tune in as Sarah and her fellow nurses discuss what’s new in the world of nursing, and how NTI’s upcoming virtual sessions can help you become a better nurse!Topics discussed in this episode:Everyone’s experiences in the pre-conference cadaver labThe valuable role that mentorship plays in shifting the culture of NursingWhat everyone learned during the first day’s super session and classesExciting events from day 2… including the “Critical Care Challenge”Walker’s discoveries talking to sepsis researchersThe effect of COVID-19 on nursingRebuilding after COVID and our path forward as NursesGet more information on AACN's National Conference NTI and the upcoming virtual event on June 12-14th!https://www.aacn.org/conferences-and-events/nti?tab=NTI%20VirtualConnect with our guest, ICU Nurse Sarah's, Instagram:https://www.instagram.com/iseeu_nurse/Mentioned 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 CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!

Arterial Blood Gas interpretation is tricky if you aren’t regularly looking at them, and a lot of the information out there makes it really confusing. In today’s episode, you will hear a palatable explanation on what you need to know when looking at ABGs, how the kidneys and lungs work together to maintain pH balance, and examples that will help you wrap your head around all of it.If you have been looking for a simple explanation of ABGs, this is definitely the episode for you. So be sure to tune in!Topics discussed in this episode:How Sarah learned about ABG interpretationValues to memorize when looking at an ABGDetermining whether the ABG is acidotic or alkaloticInterpreting the First, Middle, and Last name of the ABGExamples of metabolic and respiratory derangements Do you always need an ABG?This episode was produced by Podcast Boutique http://www.podcastboutique.comMentioned in this episode:Rapid Response and Rescue Intro CourseIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com 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!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!

Concluding this two-part series on acute respiratory distress syndrome, Sarah and Christian Guzman APRN focus on the treatment options of ARDS and how you can make a difference in the outcome of ARDS patients.They cover the pros and cons of deep sedation, early paralysis, inhaled vasodilators, steroids and more.  You’ll also learn about the rationale for prone position therapy and ECMO.Topics discussed in this episode:Pharmacological interventions for ARDSPros and Cons to sedation and paralytics for patients with ARDSThe controversial use of steroids and more medicationsBenefits of prone position therapyThe role of fluid managementHow Christian treated his ARDS patientDetermining when to cannulate for ECMO and when take a patient off ECMOChristian’s tips on recognizing and treating ARDSIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.comTo 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 http://www.podcastboutique.comMentioned 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!

Sarah is welcoming back Christian Guzman APRN on the show for a two-part series on acute respiratory distress syndrome, otherwise known as ARDS. Don’t know how to properly diagnose ARDS, or treat it without further damaging the lungs? This episode will answer your questions!Christian shares the case of a patient who presented with abnormal symptoms for his age, and how they reached an ARDS diagnosis. ARDS is a secondary diagnosis, so you’ll also hear how to differentiate between ARDS and other conditions like pneumonia, aspiration, congestive heart failure, viral infections, etc.In this episode, Christian gives a history of ARDS, how our treatment methods have changed, and why lung protective ventilation is essential for care. He also details the 3 types of trauma that can occur with ventilation, including atelectotrauma, barotrauma and volutrauma, plus one newer trauma that’s showing up in the literature.For a breakdown of the history, pathology, and treatment for ARDS, listen to this conversation!Topics discussed in this episode:Christian’s career in critical careHis patient’s unusual presentation in the ERWhat the patient’s tests showed and what was concerningThe cause of the patient’s pleural effusionDiagnostic criteria for ARDSThe progression of ARDSHow we treat ARDSTypes of ventilation traumaHow to prevent harm and promote resting of the lungsIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.comTo 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 http://www.podcastboutique.comMentioned 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!

It’s a huge shift in mindset and level of responsibility to go from introducing yourself as “Hi! I’m the nursing student” to “Hi! I will be your Nurse today”.  This episode is not just for Nurses who are making that transition from student to “The Nurse” but also for anyone who will be precepting and mentoring new Nurses.  Sarah welcomes Stephanee Beggs to the show for an important discussion on how to successfully make this transition.Stephanee Beggs, BSN, RN, has made the Forbes 30 Under 30 List since leveraging her business background with a new nursing career as CEO of RNExplained. Her company provides fellow nurses and students with educational resources, and her social media content has attracted a large following. After graduating from an accelerated nursing program, Stephanee thought the hardest part of transitioning from student to nurse would be applying the skills taught in simulation labs. In reality, the toughest aspect of the job proved to be very different.Stephanee shares how she balanced gaining new knowledge and developing her skills in the busy environment of the ER as a new nurse. We also go over the flaws in nursing education, how nursing schools can improve, and the most effective way to train new grads.If you want to prepare for the transition from nursing student to nurse, including how to deal with tough personalities and what you have to learn on the job, tune in now!Topics discussed in this episode:Stephanee’s career journey and nursing educationHer fears and the hardest parts of becoming a nurseHow to get the most out of your new Nurse orientationNavigating nursing culture and Stephanee’s approach to dealing with “bullies”How nursing school education could be improvedWhat hospitals can do to better help nurses transition into their careerStephanee’s advice to preceptors training the new wave of gradsOur best advice to new nursesConnect with Stephanee Beggs:https://www.instagram.com/stephaneebeggs/https://www.tiktok.com/@stephbegghttps://www.youtube.com/@rnexplainedhttps://www.etsy.com/shop/RNExplainedIf you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.comTo 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 http://www.podcastboutique.com

Aspiration Pneumonia can come from a variety of sources and sometimes it is difficult to put your finger on when you didn't see your patient aspirate. As the lungs begin to react to the foreign substance, the symptoms start accumulating and it becomes undeniable that aspiration has occurred.Rapid Response RN always emphasizes the importance of advocating for our patients because patient advocacy is a crucial responsibility that can make the difference in a patient’s health and recovery.In this episode, Nurse Mo of the Straight A Nursing Podcast shares how she advocated for a patient with aspiration pneumonia. She details what clues led her to believe the patient had a serious issue, why aspiration pneumonia is such a serious condition and how to diagnose it.We also talk about nursing pet peeves, how to advocate for your patient when there’s opposition, the ins and out of bronchoscopy procedures, and more.Tune in to learn how you can prevent aspiration, what signs and symptoms to look for, and the best way to advocate for your patient!Topics discussed in this episode:Who is Nurse Mo?Nurse Mo’s initial assessment findings on her patientHow she documented her findings in her notesWhat tests the doctor ordered and how they led to the diagnosis of ARDSBenefits of using a noninvasive cardiac output monitoring deviceSurprising findings during the patient’s endoscopyHow they treated the patientWhy aspiration pneumonia is a big issueWhat a bronchoscopy is and a nurse’s role during the procedureHow nurses can prevent patients from aspiratingConnect with Nurse Mo and listen to her show, Straight A Nursing Podcast!https://straightanursingstudent.com/https://www.instagram.com/straightanurse/If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.comTo 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 http://www.podcastboutique.com

Delirium is acute brain failure.  It’s not just an unavoidable consequence of being hospitalized, it is a condition that can be prevented and treated! That’s why Rapid Response RN has teamed up with some of our favorite nursing podcasts for a pod crawl devoted to delirium.In this episode, Kati Kleber, MSN RN and host of the FreshRN® Podcast, joins our discussion on treating patients with delirium and avoiding its long-term effects. We go over the ABCDEF bundle, common mistakes new nurses make in regards to delirium, and the importance of family engagement in its treatment.You’ll also hear an inspiring story of how host Sarah Lorenzini used creative solutions, combined with a nurse’s secret weapon (their intuition!), to get a patient with delirium out of the ICU and away from the harmful effects of sedation.Listen to this stop on the pod crawl for a lesson in delirium treatment, interdisciplinary collaboration, and patient advocacy!Topics discussed in this episode:Difficulties with Sarah’s delirium patientHow she overcame tough circumstances and helped the patientThe ABCDEF bundle to prevent deliriumBenefits of family engagementWhy you shouldn’t undervalue physical therapyHow nurses can work together as a team to help patientsWhether or not we should keep intubated patients sedatedChanging procedures with new researchImportant advice Sarah has for new nursesNursing culture on social mediaTo hear the rest of the episodes in this podcrawl go to upmynursinggame.com/podcrawlKati Kleber, MSN RN is a nurse educator, author, national speaker, host of the FreshRN® Podcast, and owner of FreshRN® – an online platform created to educate, encourage, and motivate newly licensed nurses in innovative ways.You can find her at https://www.instagram.com/kati_kleber/If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.comTo 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 http://www.podcastboutique.comMentioned 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!

Breakdown of all of the types of blood transfusion reactions and what to do about them.

Would you be able to spot the signs and symptoms of hemorrhagic stroke like Nurse Alice did? In this episode guest Alice Benjamin from the Ask Nurse Alice Podcast shares about a patient she cared for who was sicker than his vital signs seemed initially.

Ever given the life saving hyperkalemia cocktail? What order should it be administered and what is the safest way to get all those drugs in?

What causes hyperkalemia, what are the signs and symptoms, and why is it such a big deal?

Thinking about switching specialties and trying something new? In this episode, Sarah breaks down what she has learned about some of the different Nursing specialties and what the best path is towards becoming a Rapid Response Nurse.

When your patient says they have chest pain, what is your role as a Nurse?

On this episode, Nick shares about a patient with the highest pulmonary artery pressure he and Sarah have ever seen. Learn about Eisenmenger Syndrome, what assessment findings to anticipate, the pathophysiology behind this diagnosis, and how to treat it.

AKI is a common diagnosis for hospitalized patients. In this episode Sarah shares about a patient who developed and AKI from sepsis and breaks down the differences in pre-renal, intra-renal, and post-renal acute kidney injury and how to treat it.

Why is priapism a medical emergency? Learn all about the pathophysiology of this diagnosis and how to treat it through these two case studies that Sarah and Walker share on this episode.

Get to know Sarah a little better as she is interviewed by the Nurse Keith Podcast.

At what point does peripheral artery disease become critical limb ischemia (also known as "acute limb ischemia")? What symptoms and assessment findings should you be concerned about? What are the treatment options for patients who lose blood flow to their extremities?

It's a topic that they don't really cover in Nursing school... but the ability to effectively advocate for your patient could save your patient's life! In this episode, Sarah discusses some strategies, techniques, and mindsets that she has used to help her be a strong patient advocate.

The severity of symptoms of hypercalcemia depend greatly on so many factors. Some patients are asymptomatic, while others have gone into cardiac arrest. On this episode we breakdown causes of hypercalcemia, the range of symptoms, and expected treatment as well as unpacking a crazy story of a patient who came in asymptomatic that ended up going into cardiac arrest.

Would you be prepared to respond to a cardiac emergency outside of the hospital? On today’s episode, rapid response nurse and our host, Sarah Lorenzini, has invited guest Dr. Jeremy Alland, the official physician for the Chicago Bulls basketball team, to help us unravel what happened to Damar Hamlin on the football field, and how we can better prepare ourselves for cardiac events as medical professionals in non-medical settings.

The most concerning type of syncope! When a patient suddenly passes out from either an arrhythmia or a structural abnormality of the heart... this needs to be investigated and treated... next time they might not wake up from it! If you love learning from other people's mistakes, you will love this episode of when I didn't realize my patient was in V-tach and walked him back to his room! We discuss all of the reasons the heart might cause you to pass out and a little about the challenges of being an ER Triage Nurse in this final episode of the year and the last episode in a 4 part series on syncope. So make sure you also check out episode #32, #33, and #34 to learn seizure vs syncope, reflex syncope, and orthostatic syncope.

This episode covers the two types of orthostatic syncope:Neurally mediated orthostatic syncope (from conditions with autonomic dysfunction)and"non-neurally mediated" orthostatic syncope which is from medications or hypovolemia.We discuss the diagnostic value and dangers of orthostatic vital signs and how to determine what type of orthostatic syncope your patient has had.This is part 3 of a 4 part series on syncope so make sure you check out episode #32 and #33. If you would like to check out the 1hr, 1 CE course, go to:www.rapidresponseandrescue.comyou can use coupon code: PODCAST22To get $22 off the cost of the course now until the end of 2022

Part 2 of a 4 part series on  syncope.Syncope is one of the top reasons why a rapid response is called... but the question is, what precipitated the syncope?In this episode we discuss a classic case of vasovagal syncope, in which Annie's patient had a six second pause on his ECG in response to some overwhelming news.  We break down why atropine might not be the best intervention for this patient and some of the treatment options for bradycardia. 

This episode is Part 1 in a 4 part series on syncope.Syncope and seizure can both present with unresponsiveness.  It can be difficult to differentiate between the two very different causes for an unresponsive episode.  Fortunately, there are some things to look for to help rule out seizure or confirm that it is the culprit... and they probably aren't the ones you thought you knew.

If you are a cardiac nurse, this is your nightmare case!  Cardiac Tamponade is a surgical emergency that requires you know more than ACLS to save this patient.  The signs and symptoms are subtle and takes an astute clinician to figure it out.In this episode we discuss all the classic textbook assessment findings from Beck's Triad to pulsus paradoxus as well as some of the more subtle clues of declining cardiac output. We talk through when you need a pericardiocentesis and when it's time to crack the chest and perform an open arrest.And who better to discuss this case than the person who taught me about cardiac tamponade, my boss and former Cardiac ICU Nurse; Brian McCain.If you want to be prepared for the absolute worst case scenario for your post cardiac surgery patient, than you're gonna want to take notes on this one.

This patient was so backed up, his abdomen looked like he was 9 months pregnant!  It was so bad that he was tachycardic and hypotensive.  In this episode we talk about common post-surgical complications from constipation, to an ileus, to a small bowel obstruction.  We break down diagnostics, pharmacological interventions, and surgical options.Ever given neostigmine?  Then you are gonna want to hear this episode.Ever heard of Ogilvie's syndrome... if you care for post-surgical patients this is another one you want to be familiar with.Do you want to listen to an entire episode about poop... than you will love this episode!It's amazing how inability to poop can cause such severe and even life threatening complications!

Nursing pre-shift anxiety is a thing!  Many of us stress ourselves out so much leading up to our shift that we don't sleep or eat well or we feel overwhelmed by the thought of another 12 hour shift and we haven't even stepped foot in the hospital yet.  But there is hope...This episode does not have any hacks for erasing pre-shift anxiety... but rather how to face it.Sarah discusses the 3 things that she has done to work through the  anxiety associated with being a Nurse.So, if you find yourself dreading your shifts, losing sleep over worry about work, or overly consumed with what could happen, you might want to give this episode a listen.

Do you want to grasp ABGs more?  Arterial Blood Gases are tricky! It's one thing to memorize the normal ranges for each value, but an astute clinician is able to see the combination of abnormal values and determine what led to this derangement and what to do about it.In this episode, guest Christian Guzman, Critical Care APRN shares an interesting case of...SPOILER ALERT: Necrotizing FasciitisThe patient's presentation was concerning but not very clear what was going on initially.  But the Nurse's intuition which led to an ABG helped guide the team towards a diagnosis, prompted Christian to upgrade the patient to the ICU, and ultimately led to the patient making a full recovery.If you love nerding out with a deep dive into pathophysiology, then you will love this episode.

This episode is jam packed with everything you need to know for your next stroke alert!I was interviewed by Annie Fulton from the Up My Nursing Game Podcast and we got to talk about all things stroke from differentiating between ischemic and hemorrhagic stroke to the life saving interventions of tPA, thrombectomy, ventriculostomies, and the pharmacological interventions for stroke.  We discuss the role of the Rapid Response Nurse and the bedside Nurse during a stroke alert. What to assess for first, what information the stroke team is going to need, what are the priorities, and why all the hustle to get to CT?! If you want to be prepared, not only to recognize the signs and symptoms of stroke, but also anticipate what is next in this patient's course of care from diagnostics to interventions and recovery, this episode is for you! You can listen to more of Annie's podcasts at https://www.upmynursinggame.com/ and on Apple Podcasts at https://podcasts.apple.com/us/podcast/up-my-nursing-game/id1527032817You can also find Annie on Instagram @UpMyNursingGame If you would like to check out my course, you can find it at:www.RapidResponseandRescue.com

Is work life balance even possible as a nurse?I would say yes... absolutely!  But it takes some effort and intentionality.  As a full time nurse, wife, mother of 5, and podcast host, I get to do a lot of juggling.In this episode, I share 2 nuggets of wisdom that have helped me achieve work/life balance.  Find me on Instagram @TheRapidResponseRNFacebook: Rapid Response RN PodcastOnline Course:  www.RapidResponseandRescue.com    

What about when the patient refuses care that they consented to just yesterday?What about when the family disagrees about the patient's wishes?What all am I supposed to document when something goes wrong?What is my role as a Nurse in discussing end of life goals of care with the family? These are questions that I get all the time in my inbox and so I invited someone who has to daily navigate these difficult legal and ethical challenges in healthcare.

I was interviewed on the Cup of Nurses Podcast and wanted to share the episode with my listeners as well. We talk about a ton of topics from what it takes to be a Response Nurse, what do Rapid Response Nurses do all day, some tips and tricks for your next rapid response, and how to mitigate that stress response in yourself when emergencies arise at the bedside. 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 content from the Cup of Nurses in the show notes

Ever heard of "broken heart syndrome"?... it's a real thing. It's also called Takotsubo Cardiomyopathy or stress induced cardiomyopathy. In this episode we discuss a case of a patient who developed this unexpectedly, came very close to death, but made a full recovery. We break down the cause, presentation, and pathophysiology of Takotsubo Cardiomyopathy as well as treatment and prognosis.

How do you know where you would enjoy working and where you would thrive as a nurse? Well, having worked both ED and ICU and having spent a fair amount of time on the Med-Surg units, I have a lot of observations and perspectives to share. In this episode we talk about what makes each specialty great, what makes it challenging, and what types of nurses do well in each environment. If you are just starting out or been at it a while and are considering making a change, this episode is for you!

Lets talk through the pathophysiology of Atrial Fibrillation, why it's a problem, and how to treat it. Guest Dr. G the NP, a Cardiology Nurse Practitioner helps drop some knowledge about this very common arrhythmia

Ever wondered what you can do in a code? You are not alone! The most common question I receive regarding emergencies is, "What can I do to be helpful in a code blue situation? I don't want to get in the way". Well, there are a lot of important roles you can take on. In this episode we break down all the roles available and what is expected from each one.

A conversation with COVID ICU, PCU, and Med/Surg Nurses about their experiences during the pandemic. We discuss some of our memories from this challenging season, the lessons we have learned, and how it has changed us as nurses.

Two very different presentations of anaphylaxis help provide an introduction to how to make the diagnosis of anaphylaxis, what to expect from the clinical presentation and evolution towards shock, the pathophysiology of anaphylaxis, and how to treat it.

DKA is so complicated... especially when the patient presents with a normal blood glucose! This case really sets the stage for explaining all of the dangerous aspects of DKA and the multifactorial approach to treating it. Christian and Sarah discuss the pathophysiology... down to the cellular level... of what's happening when patients go into DKA, some of the tests used to diagnose DKA like ABGs, and the delicate balance of fluid status and electrolytes that must be maintained when correcting this metabolic acidosis.

What started as pancreatitis, turned into massive transfusion protocol and a visit to interventional radiology. In this episode, Sarah, Katleen, and Marissa discuss a case that took an unexpected turn for the worse. They break down the pathophysiology of pancreatitis, it's treatment, and the nurse's role in the patient's recovery.

Supraventricular tachycardia can present very stable, but this patient rapidly declined. In this episode we explain what exactly is happening with SVT, and go through all the different treatment modalities from vagal maneuvers, to medications, to synchronized cardioversion.

Surprising case that initially sounded like septic shock, but upon further investigation, the patient had a huge abdominal aortic aneurysm that was dissecting. Learn about the clinical presentation, emergent interventions, and the nurse's role in saving this patient's life.

Pulmonary Embolisms can pop up out of nowhere. This episode breaks down the pathophysiology of PE and what interventions are needed to stop the PE spiral of death.

Air embolism to the brain is one of those rare complications of having vascular access. But just like your professor warned you, if you don't pull out the central line properly, you could cause an air embolus!!! Joining me for this episode is Rapid Response Nurse Marissa sharing her experience responding to a patient with altered mental status who had a large cerebral embolus.

Young healthy momma gets COVID and becomes critically ill 3 days after her baby is born. But after weeks on the ventilator, she recovers and is re-united with her baby. This podcast breaks down the disease progression of COVID and oxygen delivery modalities at each level. It draws back the curtain to see a glimpse of what COVID nurses have been facing for almost 2 years, and reminds all healthcare workers of the reason we keep fighting for these patients... to see them recover!

Great story of a classic presentation of Tachy Brady Syndrome that highlights the important role the bedside nurse plays in monitoring and intervening on the patient's behalf.

My first encounter with a true emergency as a nursing student taught me so much about increased intracranial pressure and the valuable role the nurse plays in detecting changes in the patient. In this episode we discuss the signs and symptoms of increased intracranial pressure, including Cushing's triad.

What would you do if you found yourself on the catching end of a birth? In this episode we will discuss what to do if you must deliver a baby with minimal resources outside of the birthing room. Interview with Ronnie Jo, Certified Nurse Midwife to share her passion and expertise in birthing babies.

Interview with Yesha about a patient we cared for together and how she recognized that fluid boluses were not going to be enough to turn her septic patient around. Then we break down the pathophysiology of sepsis, ways to identify the signs and symptoms of septic shock, and the treatment of sepsis.

In part 2 we breakdown the pathophysiology of COPD, the different oxygen delivery methods, and the nurse's role in caring for patients with COPD exacerbations.

Part 1 of a two part episode about how I simultaneously embarrassed myself and effectively advocated for the patient.

A career first... pouring sugar on my patient's rectum... all in a day's work!

A brief summary of this episode

This patient had the trifecta of factors that can cause hypercapnia and the nurse recognized his somnolence as more than him just being due for a nap.

On this episode, the patient was having a huge myocardial infarction but downplayed her symptoms as "just anxiety." But the primary RN followed her intuition, advocated for her patient, and saved her life!

My very first rapid response call ever as a rapid response nurse. This patient developed the classic signs and symptoms of peritonitis and turned the corner rather quickly toward septic shock.

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.