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American Family Physician January 15, 2003 Udobi et al.	Acute Respiratory Distress Syndrome Family physicians can play an essential role in the early recognition of ARDS and contribute to the multispecialty team required to manage this life-threatening condition. This article reviews the current understanding of the pathophysiology, management, and prognosis of ARDS.
American Family Physician May 1, 2002 Michael P. Mortelliti	Acute Respiratory Distress Syndrome Acute respiratory distress syndrome is the clinical manifestation of severe, acute lung injury. It is characterized by the acute onset of diffuse, bilateral pulmonary infiltrates secondary to noncardiogenic pulmonary edema, refractory hypoxia, and decreased lung compliance...
Nursing June 2009 Chris Kallus	Building a Solid Understanding of Mechanical Ventilation With more ventilated patients on general units, you need to be able to stay in tune with the day-to-day aspects of ventilator care. Here's what you need to know about mechanical ventilation.
Nursing August 2008 Bill Pruitt	Loosening the Bonds of Restrictive Lung Disease Find out about restrictive lung disease and how to help your patient.
Nursing March 2011 Ali & Gray-Vickrey	Limiting the Damage From Acute Kidney Injury This article will discuss your role in early detection and management of AKI with an emphasis on care for older adults.
Nursing April 2010 Powers & Burchell	Sepsis alert: Avoiding the shock Early recognition of sepsis and early goal-directed therapy can sometimes halt the progression of sepsis to severe sepsis and septic shock. Rapid response and aggressive care can improve patient outcomes in a critical situation.
Nursing January 2010 Susan Simmons	Guillain-Barre syndrome: A nursing nightmare that usually ends well GBS is the leading cause of acute flaccid paralysis; its most common presentation is characterized by ascending, symmetric paralysis that usually affects the cranial nerves and the autonomic nervous system.
Nursing March 2009 Mary G. McKinley	Recognizing and Responding to Acute Liver Failure By quickly recognizing the signs and symptoms of acute liver failure, you can help your patient improve his odds of surviving this often-deadly condition.
Nursing October 2010 Jeff Strickler	Traumatic hypovolemic shock: Halt the downward spiral This article discusses the causes, treatments, and nursing care for patients with traumatic hypovolemic shock.
Nursing April 2009 Pruitt & Lawson	What You Need to Know About Venous Thromboembolism Do you know how to recognize and respond to this potentially life-threatening emergency?
American Journal of Nursing November 2011 Christine L. Cutugno	The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population.
American Journal of Nursing March 2012 Corbridge et al.	An Evidence-Based Approach to COPD: Part 1 This article, the first in a two-part series on COPD, outlines current guidelines and other evidence-based recommendations on diagnosing and managing stable COPD in the outpatient setting.
Nursing July 2010 Bill Pruitt	Interpreting ABGs: An inside look at your patient's status This article describes a step-by-step approach to interpreting ABG results and discusses how these results affect nursing interventions and medical treatments. As a refresher, let's review each of the values measured by ABG analysis.
American Family Physician November 1, 2003 Zoorob & Campbell	Acute Dyspnea in the Office Shortness of breath, or dyspnea, is a common problem in the outpatient primary care setting. Establishing a diagnosis can be challenging because dyspnea appears in multiple diagnostic categories. Underlying disorders range from the relatively simple to the more serious.
Nursing December 2009 Vincent M. Vacca	On the Alert for Pulmonary Arterial Hypertension Progressive and ultimately fatal, pulmonary arterial hypertension is a disease of the pulmonary arterial vasculature with no known cause.
Nursing April 2011 Smith & Tasota	Smoking Out the Dangers of COPD An overview of the guidelines for preventing, diagnosing, and treating COPD.
Nursing November 2011 Lawson & Pruitt	Issues in Obesity, Part 2: Obesity Weighs Heavily on Lung Function A look at the impact of obesity on asthma, chronic obstructive pulmonary disease (COPD), and sleep apnea.
Nursing November 2011 Jeanne Held-Warmkessel	Taming Three High-Risk Chemotherapy Complications A review of three common chemotherapy-associated complications that can be serious enough to require hospitalization: febrile neutropenia, chemotherapy-related nephrotoxicity, and chemotherapy-related enterotoxicity.
American Journal of Nursing March 2009 Nelson et al.	Recognizing Sepsis in the Adult Patient Patients in every health care setting are at risk for systemic inflammatory response syndrome, sepsis, severe sepsis, and even septic shock.
American Family Physician March 1, 2003 James C. Higgins	The 'Crashing Asthmatic' Asthma is one of the most common chronic disorders managed by family physicians. A "crashing asthmatic" is a patient with asthma who is clinically deteriorating into respiratory failure or arrest despite initial treatment. Managing such a patient can be a major challenge.
American Family Physician October 1, 2005 Bidwell & Pachner	Hemoptysis: Diagnosis and Management Hemoptysis is the spitting of blood that originated in the lungs or bronchial tubes. The patient's history should help determine the amount of blood and differentiate between hemoptysis, pseudohemoptysis, and hematemesis.
Nursing August 2010 Bartley & Shiflett	Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible.
American Journal of Nursing January 2012 Robert Allan Davis	The Big Chill: Accidental Hypothermia A potential cause of such emergent issues as cardiac arrhythmias, hypotension, and fluid and electrolyte shifts, accidental hypothermia can be deadly, is common among trauma patients, and is often difficult to recognize.
American Journal of Nursing November 2009	Trauma in Pregnancy A description of the mechanisms of traumatic injury during pregnancy includes a discussion of the normal changes of pregnancy and their implications in the care of pregnant trauma patients, and offers strategies for assessment and treatment.
American Journal of Nursing June 2007 Baugh et al.	Wounds in Surgical Patients Who Are Obese Surgery, whether bariatric or not, puts this population at risk. Review the basics of prevention and care.
Nursing January 2010 Brenner & Krenzer	Understanding acute pancreatitis Mr. White has classic signs and symptoms of acute pancreatitis. The onset is usually abrupt, often occurring after a large meal or excessive alcohol use.
Nursing September 2011 Jacqueline Harden	Take a cool look at therapeutic hypothermia Therapeutic hypothermia may help prevent or minimize neurologic impairment in certain patients after cardiac arrest. This article takes a look at when TH is used and how to care for patients who are undergoing this intervention.
Nursing April 2010 Michelle D. Smeltzer	Making a point about open fractures This article describes fractures, explains the difference between open and closed fractures, and tells how to care for a patient who's had an open fracture.
American Family Physician May 1, 2001 Trenton D. Nauser & Steven W. Stites	Diagnosis and Treatment of Pulmonary Hypertension Regardless of the etiology, unrelieved pulmonary hypertension can lead to right-sided heart failure. Signs and symptoms of pulmonary hypertension are often subtle and nonspecific...
American Family Physician April 15, 2005 Karnani, Reisfield & Wilson	Evaluation of Chronic Dyspnea Chronic dyspnea is defined as dyspnea lasting more than one month. Information is presented on diagnosis, assessment and treatment for chronic dyspnea.
American Journal of Nursing January 2010	Life-Support Interventions at the End of Life: Unintended Consequences Nurses need to be knowledgeable life-support interventions at the end of life and able to communicate what they know about those consequences to patients, family members, and others on the health care team, leading to better decision making at this difficult time.
Nursing August 2009 Regan & Dallachiesa	How to care for a patient with a tracheostomy Patients with tracheostomies aren't limited to critical care settings and can be found in all nursing units. No matter where you work, you need a basic understanding of the nursing care required for these patients.
Nursing November 2008 Held-Warmkessel & Schiech	Caring for a Patient with Malignant Pleural Effusion Find out how to recognize and respond to a patient with malignant pleural effusion, which is common in advanced malignancies.
Nursing August 2010 Tracy E. Green	Pediatric burns: Initial response, lasting effects Pediatric burns are the third leading cause of injury-related deaths of children age 9 and younger.
Nurse Practitioner May 2011 Chris Garvey	Best Practices in Chronic Obstructive Pulmonary Disease Chronic obstructive pulmonary disease is a common, preventable, treatable, and often progressive disorder characterized by airflow limitation that is not fully reversible.
Nursing May 2008 Dawn M. Christensen	Extreme Heart Makeover: Understanding Mechanical Circulatory Support Learn about ventricular assist devices and total artificial hearts and how they affect patient care.
American Family Physician July 15, 2000 Mitchell S. King	Preoperative Evaluation The purpose of a preoperative evaluation is not to "clear" patients for elective surgery, but rather to evaluate and, if necessary, implement measures to prepare higher risk patients for surgery...
American Family Physician February 15, 2006 Dewar & Curry	Chronic Obstructive Pulmonary Disease: Diagnostic Considerations Chronic obstructive pulmonary disease is characterized by the gradual progression of irreversible airflow obstruction and increased inflammation in the airways and lung parenchyma that is generally distinguishable from the inflammation caused by asthma.
Nursing May 2008 Yantis & Velander	How to Recognize and Respond to Refeeding Syndrome If your patient is malnourished, you need to assess her carefully before she restarts nutrition by any route to avoid potentially lethal consequences.
American Journal of Nursing June 2009 Prahlow et al.	Case Study: Asphyxia Caused by Inspissated Oral and Nasopharyngeal Secretions This case serves to remind clinicians that a failure to provide good oral care and adequate hydration is not only poor practice but can result in death.
American Family Physician July 15, 2000 Mark A. Van Kooy	Postobstructive Pulmonary Edema Pulmonary edema is a potentially life-threatening complication of acute airway obstruction. It develops rapidly, without warning, in persons who are otherwise well. Two forms of postobstructive pulmonary edema (POPE) have been identified...
Nursing September 2008 Denise L. Lyons et al.	Double Trouble: When Delirium Complicates Dementia Learn to protect a patient with dementia from the disabling effects of delirium.
Nursing July 2009 Rachel L. Palmieri	Unlocking the secrets of locked-in syndrome Locked-in syndrome is characterized by complete paralysis of the voluntary muscles in all parts of the body except those that control blinking and vertical eye movements.
Nursing June 2010 Linda Laskowski-Jones	Summer emergencies: Can you take the heat? This article will review the most common summertime hazards, describe frontline emergency care interventions, and advise commonsense prevention strategies.
Nursing March 2011 Mink & Miller	Stroke, Part 2: Respond aggressively to hemorrhagic stroke Patients may arrive at the hospital any time from minutes to days after a hemorrhagic stroke, and nurses need to be prepared for the unique challenges associated with their care.
Nursing September 2010 Donna Nayduch	Back to basics: Identifying and managing acute spinal cord injury Spinal cord injuries involve damage to the neurons of the spinal cord. They're often devastating because they're associated with life-threatening complications and loss of functional independence.
Nursing April 2008 Edmondson & Schiech	Esophageal cancer--a tough pill to swallow Find out how to help your patient confront the many challenges he faces from this disease and its treatments.
Nursing March 2010 Peg Gray-Vickrey	Gathering pearls of knowledge for assessing older adults If you attended nursing school more than 10 years ago, you may have received limited education about gerontological nursing. But as baby boomers age, this is becoming an increasingly important area of nursing practice.
Nursing August 2009 Pullen et al.	Putting a face on systemic lupus erythematosus In this article, we'll tell you how to assess a patient for SLE and what to teach her about managing this chronic disorder.
American Family Physician March 1, 2004 Barreiro & Perillo	An Approach to Interpreting Spirometry Spirometry is a powerful tool that can be used to detect, follow, and manage patients with lung disorders. Technology advancements have made spirometry much more reliable and relatively simple to incorporate into a routine office visit.