Do you want to go from dreading emergencies to feeling confident and ready to jump into action to rescue your patient? Well, this show will let you see emergencies unfold through the eyes of a Rapid Response Nurse. With real life stories from the frontlines of nursing, host Sarah Lorenzini MSN, RN, CCRN, CEN, a Rapid Response Nurse and educator, shares her experiences at rapid response events and breaks down the pathophysiology, pharmacology, and the important role the nurse plays during eme ...
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102: SIADH vs DI With Guest Nick McGowan RN, MSN
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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 patho…
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BONUS PodSwap: RSI Drugs with Nurse Mo From Straight A Nursing Podcast
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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 r…
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101: So You Wanna Go Back to School Part 1: Nurse Practitioner With Guest Dr. Sandra Pagenta DNP
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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 ref…
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100: How to Still Love Being a Nurse After 20 Years in the Profession
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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 R…
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99: Hyponatremia: How Did It Happen and Why Is It So Challenging To Treat?
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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 S…
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98: "Broken Heart Syndrome" aka Takotsubo Cardiomyopathy
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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 ex…
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97: Status Asthmaticus Part 2: Strategies to Manage the Crashing Asthmatic
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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 t…
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96: Nightmare Case: The Young Crashing Asthmatic Patient With Guest Brooklyn RN
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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,…
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95: "That's a Weird Blood Pressure!": Recognizing and Interpreting Wide and Narrow Pulse Pressures
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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.…
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94: How Valuable is the Shock Index?
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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 ex…
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93: What the Heck is BRASH Syndrome?
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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 ar…
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92: How to Rock Your Next Stroke Alert With Guest Dr. Eric Wilson RN, AGNP-C, DNP, NREMT-P
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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…
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91: Vasopressors and Inotropes 101
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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 breaki…
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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 rhabdomyol…
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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…
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88: Autonomic Dysreflexia: The Who, What, Why, and How to Treat This Perplexing Diagnosis
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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 crucia…
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87: Navigating Goals of Care Discussions With Guest, Hospice Nurse AJ
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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 sensiti…
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86: Making the Transition to the ICU With Guest Sarah Vance
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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 de…
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85: Just a Spoonful of Sugar Helps Your Patient's Prolapsed Rectum Go Down
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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 att…
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84: Urology Tips, Tricks, and Hacks... and When it's Time to Call the Urologist With Guest Dr. Shailen Sehgal
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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…
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83: How to Manage Snake Bites as a Nurse and as a Patient With Guest Sealy RN
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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 …
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82: Sympathetic Crashing Acute Pulmonary Edema: That Time My Patient Went From Stable A-Fib RVR to Intubated in 30 Minutes!
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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'…
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81: Mechanical Circulatory Support for Cardiogenic Shock With Guest Christian Guzman, APRN
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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,…
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80: Medical Management of Cardiogenic Shock With Guest Christian Guzman APRN
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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.…
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79: Heart Failure 101 with Guest Christian Guzman APRN
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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…
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78: Healthy vs Hostile: Recognizing the Nursing Red Flags and Green Flags of a Work Environment
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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 healt…
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77: THE TRAUMA DIAMOND OF DEATH: 4 Treatment Priorities in Trauma Care With Guest Sarah Vance
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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 ge…
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76: Trauma Breakdown: Beyond the Blood and Guts... A Complicated Case Study with Guest Sarah Vance RN
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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 …
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75: Rigors and Other Super Scary Chemotherapy Reactions With Guest Montana, Rapid Response RN
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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 an…
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74: Pediatric Basilar Skull Fracture With Guest Casey BSN, RN, CCRN-CMC, CFRN, CTRN, CEN, TCRN, CPEN, CNRN, NRP
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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 a…
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73: Resuscitate Before You Intubate: How to NOT KILL YOUR PATIENT When You Intubate
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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 p…
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72: How Do You Know When it's Time to Intubate?
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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 know…
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71: Recognition and Treatment of Septic Shock With Guest Yesha APRN
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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 impor…
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70: Stop Guessing When Fluid Resuscitating With Guest Corinne RN From FloPatch
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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 t…
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69: Diuretic Induced Metabolic Alkalosis with Guest Annie RN
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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 assessme…
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68: MYSTERY EPISODE With Guest Annie Fulton RN
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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 brilli…
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67: Battling Nursing Burnout: Interview with Nurse Burnout Coach Janna Holterman Part 2
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“If you look for the bad, you’ll always find it. If you look for the good, you’ll always find it.” - Sarah’s grandmother In 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 bu…
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66: Who is Advocating For You? Interview with Nurse Burnout Coach Janna Holterman Part 1
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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 …
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65: Benzodiazepine Withdrawal: Severe Symptoms That Make Coming Off Benzos So Difficult
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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…
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64: Benzodiazepine Overdose: Recognition and Treatment When It's an Emergency
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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 he…
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63: The Science and Heart of Organ Donation: An Exclusive Interview With Sean, an Organ Procurement Nurse
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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…
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62: Resuscitation Leadership: Beyond the ABCs of CODE BLUE
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“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 communi…
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61: Infective Endocarditis Part 2: Understanding Valvular Damage, Embolic Sequelae, and Clinical Manifestations
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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…
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60: Infective Endocarditis: From Invasion to Destruction
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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 assess…
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59: Re-Release"Air Don't Go There!" Air Embolism to the Brain With Guest Marissa, Rapid Response RN
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58: Narcotic Overdose: The Nurse's Vital Role In Initial Stabilization and Management
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57: What to Expect When Your Patient is Dying with Hospice Nurse Hadley
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56: Recap, Top Pearls, and Reflections from the NTI 2023 Conference
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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 shar…
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55: Q&A "Can You Please Make ABGs Make Sense?"
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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 yo…
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54: ARDS Part 2... Meds, Proning, and ECMO With Guest Christian Guzman APRN
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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 rationa…
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