PERNICIOUS ANEMIA

Updated 3/24

Dear nurses,

The Clinical Setting Step by Step is no longer available.

Please use the links below for more updated information{

Bone marrow transplant

Quizmenurse

Pernicious anemia is caused by the absense of Intrinsic Factor,

a protein that is produced in the stomach.
For more helpful clinical information , simply click on the links:
Clinical Videos for Nurses and
The Clinical Setting Step by Step, chapter 13
and enjoy learning.

APLASTIC ANEMIA

Aplastic anemia may be Idiopathic or Acquired
For more helpful clinical information , simply click on the link:
The Clinical Setting Step by Step,chapter13

and enjoy learning.

GOUT

FOR MORE HELPFUL CLINICAL INFORMATION,

click on the links: Clinical Videos for Nurses and

THE CLINICAL SETTING STEP BY STEP - Chp 13.

SIADH

Updated 3/24

Dear nurses,

The Clinical Setting Step by Step is no longer available.

Please click in the link : Hormones

for more updated information.

SIADH (Syndrome of inappropriate antidiuretic hormone) is a hormonal disorder.
 FOR MORE HELPFUL INFORMATION ON THIS TOPIC SIADH,

CLICK ON THE LINK:

THE CLINICAL SETTING STEP BY STEP,

HYPONATREMIA, chapter1

DIABETES INSIPIDUS

Updated 5/24

Dear nurses,

Dearnurses.net is no longer available. For more updated information, 
please click on the link: Diabetes Insipidus and also enjoy the video:

What are electrolytes

http://dearnurses.net/the_clinical_setting_step_by_step,

(chapter 5)

WHAT IS ICP?

Dear Nurses,

Updated 8/23

ICP ( Intracranial Pressure Monitoring) may be done for
several reasons, these include:
 - Trauma to the brain
 - Meningitis
 - Hydrocephalus
or for any reason the doctor may choose to relieve
excessive fluid on the brain.

Learn more about this helpful topic by

clicking on the link: 

Meningitis and ICP Monitoring

ANGELS

Also enjoy watching Sessions 3 - The Coma Patient

STOP!

Updated 5/24

Dear nurses,

The Clinical Setting Step by Step is no longer available.

please refer to the link below for more updated information.

Quizmenurse

BLOOD TRANSFUSION PROTOCOL

Updated 3/24

Dear nurses,

Dearnurses.com and  Dear nurses.net are no longer available.

When the doctor orders blood transfusion, the nurse should be aware of the unit's

policies and procedures. Plasmapheresis is a form of blood transfusion.

Please click on these links for more updated information:

The New Nurse-Blood transfusion

Blood transfusion

Plasmapheresis

For helpful information, just click on the links below:

http://www.dearnurses.net/the_clinical_setting_step_by_step ( Chapter 1)
or view the video Sessions 34 Blood Transfusion - dearnurses.com

New nurses you will be helped by visiting this website,
specially for the new or inexperienced nurses:
Blood Transfusion 

ALTITUDE SICKNESS

Updated 10/24

Dear nurses,

Dearnurses.com is no longer available.

Altitude sickness may lead to cerebral edema.
Severe headache, lightheadedness, nausea and fatigue
are symptoms of altitude sickness.

FOR MORE UPDATED INFORMATION ON THIS TOPIC, JUST CLICK ON THE LINKS:
The Clinical Setting Step by step, chapter 6

and

http://www.dearnurses.com/clinical_nursing_videos_called_sessions

CPR

Updated 11/24

Dear nurses, 

The Clinical Setting Step by Step is no longer available.

It is important to recognize that as nurses, we may be floated 
to an unfamiliar environment. Having a good knowledge base

of such topics like CPR and knowing how to read an EKG is of
great importance.

                Organizational skills in the clinical setting do matter.

CEREBRAL ANEURYSM

Updated 8/23

Dear nurses,

Please click on the link below for updated information on this topic:

Subarachnoid hemorrhage and quiz

 _____

PNEUMOTHORAX

Updated 10/24
Dear Nurses,

A pneumothorax may very readily occur following trauma.

The clinical picture would include: shortness of breath, tracheal 

deviation and distended neck veins. PLease enjoy watching the 

video: Sessions 8 - Chest, abdominal and spinal, 

Dearnurses.com is no longer available.

The Clinical Setting Step by Step,Chapter 6

Thoracic and Abdominal Trauma
or enjoy watching the video:
http://www.dearnurses.com/clinical_nursing_videos_called_sessions

COPD AND RESPIRATORY DISTRESS

Updated 11/24

Dear nurses,

Dearnurses.net is no longer available. Below new topics
have been added.

Respiratory Distress may occur for a number of reasons.

thees include:

- pneumothorax

- congestive heart failure

-ARDS

- pneumonia

- brain injuries  that involve the respiratory center

and many more.

Chronic Obstructive Pulmonary Disease (COPD) is characterized by
damage to the lung tissue and partial airway obstruction. See image below.

BRONCHITIS AND OTHER RELATED RESPIRATORY PROBLEMS

                                                            Bronchitis

Bronchitis may be acute or chronic. This condition is characterized by
inflammation of the bronchioles. Acute bronchitis often occurs after a 
cold or infection.

Fever, shortness of breath, fatigue and mild chest pain may occur. 
Patients who have chronic bronchitis may experience this condition
for an extended period of time. Habits such as cigarette smoking may
become a contributor.

A chest xray and sputum specimen will confirm diagnosis. Antibiotics,
bronchodilators and Tylenol for fever may be ordered by the docto

Scenario:In the image above, Steve is one day post-op laminectomy.
No one has explained to him, about the danger of postoperative pneumonia.

INSULIN REACTION

Updated 11/24

What is Insulin?

Insulin is a hormone which is secreted by special 
cells in the pancreas. They are called Islets of 
Langerhans.

Types of diabetes

- Types 1 and 2

- Gestational diabetes
- Diabetes Insipidus

It is important for the nurse to be aware of the types
of diabetes and what an Insulin reaction is. Learn more,
by clicking on the link: Insulin Reaction

You may also enjoy watching the video:
Diabetes Mellitus

 

INTRAVENOUS INFILTRATION

Updated 4/23

Helpful hints:

-Never run IV fluids through an infiltrated site. Coolness swelling and pain are signs of infiltration.

Remember the damage done to the soft tissue close to the IV site may be permanent.

- follow your institution's
policy for IV infiltration.

Also enjoy watching the video:

Sessions 20

Also click on the link for IV assessment questions: IV assessment and quiz

POSTOPERATIVE CARE

Updated 8/23

Dear nurses,

Please click on the link below for more updated information:

Helpful information

PULMONARY EMBOLUS

Updated 9/23

A pulmonary embolus may start in a vein in the calf. When a blood clot forms in a vein in the calf and travels to the lung, pulmonary embolism results. The consequences can be grave. To learn more about this topic, click on the link: Pulmonary embolus

PULMONARY EMBOLISM/ DEEP VEIN THROMBOSIS (DVT)

Updated 12/24

In the above image, a patient who has been confined to bed 

suddenly develops pain in the calf. The nurse seems to be 

unaware how to assess the situation correctly. 

         Helpful hints:
- :Suspect DVT if the patient who has been confined to bed develops
   calf pain
- Assess the involved calf and document findings
-  It is also advisable to check breath sounds and assess breathing
- notify MD

        

A patient who is confined to bed for a prolonged period of time,
is at risk for DVT. Lack of leg movement will help contribute to 

this problem. The plan of care should reflect this. A blood clot
may form in the veins of the calf and travel to the lungs.

TED hose and leg exercises help to instead this happening.