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By: Lisa Bonsall, MSN, RN, CRNP, CCRN Feb 7 2022
What Does Jugular Venous Pressure Tell Us About Volume Status? Estimating jugular venous pressure (JVP) is a noninvasive method for assessing a patient’s volume status. It is used to estimate whether right atrial pressure (RAP) is high or normal and to assess trends in RAP, including response to...
By: Elizabeth Wirth-Tomaszewski, DNP, RN, CRNP, CCRN, ACNP-BC, ACNPC Feb 7 2022
Bruits And Thrills: What Was That? When performing a cardiovascular assessment, auscultation and palpation are used to examine the character of the vasculature. Bruits may be felt over arteries and sometimes thrills are palpated. Why are these significant? Bruits The presence of...
By: Elizabeth Wirth-Tomaszewski, DNP, RN, CRNP, CCRN, ACNP-BC, ACNPC Feb 7 2022
Extra Heart Sounds: Do You Hear What I Hear? When performing a cardiovascular assessment, auscultation of heart tones is an important component of the examination. Each sound has different characteristics, including timing and intensity. Read on to find out more! The Cardiac Cycle The...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Feb 7 2022
Heart Murmurs – When, Where, What? During your cardiac assessment, you may appreciate extra heart sounds or heart murmurs when auscultating the chest. In general, murmurs can be differentiated from additional sounds, such as an S3 or S4, because of their longer duration, however...
By: Elizabeth Wirth-Tomaszewski, DNP, RN, CRNP, CCRN, ACNP-BC, ACNPC Feb 7 2022
Pulsus Alternans: Here and Gone When performing a cardiovascular assessment, the rhythm and character of peripheral pulses are observed. While palpating the radial or femoral pulses, one may note that although the rhythm is regular, the strength of the pulse may alternate...
By: Myrna Buiser Schnur, MSN, RN Jan 21 2022
N95 Masks - Know the Basics The Centers for Disease Control and Prevention (CDC, 2022) recently clarified their guidance on the use of masks and respirators stating, “while any mask is better than wearing no mask at all, a well-fitted National Institute for...
By: Myrna Buiser Schnur, MSN, RN Jan 13 2022
Alpha Adrenergic Blockers - How Do They Work? Alpha adrenergic blockers, or alpha adrenergic antagonists, affect the alpha receptors of the sympathetic nervous system. There are two types of alpha-adrenergic receptors: alpha-1 and alpha-2. Alpha-1 adrenergic receptors are found in the...
By: Lippincott® NursingCenter®, Wolters Kluwer Jan 7 2022
Crunch and Rub - Am I Hearing that Right? Certain non-pulmonary sounds may be heard during auscultation of the chest. It is important to be familiar with non-pulmonary sounds, such as mediastinal crunch and pleural friction rubs. Mediastinal crunch is caused by pneumomediastinum. This...
By: Lippincott® NursingCenter®, Wolters Kluwer Jan 7 2022
Egophony, Bronchophony, and Whispered Pectoriloquy - Say What? Voice generated sounds can provide important clues about respiratory abnormalities. Normal lungs are filled with air, and air does not transmit sound readily. Normally, transmitted voice sounds are difficult to hear – spoken words are...
By: Lippincott® NursingCenter®, Wolters Kluwer Jan 7 2022
All About Abnormal Breath Sounds Abnormal sounds are also called adventitious breath sounds. Here’s a list of common adventitious breath sounds with explanations and causes. Become familiar with the sounds and how to correctly document them. When possible, seek out learning...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Dec 21 2021
Use, Misuse, and Abuse - What's the Difference? Words matter. And when it comes to speaking about – or documenting – sensitive information, they matter even more. As patient advocates and providers of unbiased care, it’s important that we use the correct terminology related to...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Nov 30 2021
This Month in Nursing: December 2021 In this final month of 2021, there are just two healthcare observances to share with you here.World AIDS DayDecember 1#WorldAIDSDay, #RockTheRibbonJournal of the Association of Nurses in AIDS CareNCPDHIV/AIDS  National Influenza Vaccination...
By: Myrna Buiser Schnur, MSN, RN Nov 19 2021
Revised Recommendation for an Old Medication: Aspirin Originating from the bark of the willow tree, aspirin has been used as an analgesic and anti-inflammatory drug dating back to ancient Greek civilizations. Extracted and purified into salicylic acid, it was first officially introduced in the early...
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