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By: Jennifer Collins, MSN, AGACNP-BC Jan 13 2023
Monro-Kellie Doctrine: A Brief Review The Monro-Kellie doctrine was first described over two-hundred years ago by Dr. Alexander Monro and Dr. George Kellie. It describes the direct relationship between the contents of the cranium and intracranial pressure (Mokri, 2001). According to...
By: Myrna Buiser Schnur, MSN, RN Dec 14 2022
Cholinergic Drugs: How Do They Work? Cholinergic drugs have a wide variety of clinical indications. They are used to treat myasthenia gravis, dementia, open-angle glaucoma, and postoperative urinary retention, to name just a few. How exactly do these drugs work? Let’s take a...
By: Nov 28 2022
This Month in Nursing: December 2022 Here’s a glance at what’s happening this month, along with some resources for your learning and professional development. Healthcare Observances Here are some of the healthcare observances being recognized in December.World AIDS Day...
By: Myrna Buiser Schnur, MSN, RN Nov 16 2022
Adrenergic Agents - How Do They Work? In two previous blogs we discussed alpha adrenergic and beta adrenergicblockers, medications that inhibit various actions of the sympathetic nervous system. In this blog, we’ll take a look at adrenergic agonists known as sympathomimetic...
By: Nov 10 2022
Respiratory Syncytial Virus (RSV): Pediatric Cases Surging in the U.S.     While many eyes are on current levels of influenza and COVID-19 activity across the U.S., another virus is on the rise, impacting both adults and children. Pediatric cases of respiratory syncytial virus, or RSV, are causing an influx of...
By: Myrna Buiser Schnur, MSN, RN Nov 10 2022
ABCDs of the Nutritional Assessment When obtaining a patient’s health history, it is important to assess and document the nutritional status. Nutrition is critical in maintaining a healthy weight and to preventing conditions such as cardiovascular disease and diabetes. In...
By: Myrna Buiser Schnur, MSN, RN Nov 7 2022
Chief Complaint Mnemonics In the primary care setting, a thorough history of present illness (HPI) is key to understanding the reason or issues that prompted the patient’s visit. The first and most important component of the HPI is the chief complaint (CC). As you...
By: Myrna Buiser Schnur, MSN, RN Nov 3 2022
Tests for Higher Cognitive Function The mental health assessment is critical to evaluating brain function, specifically cognition. While neuroimaging tests can examine structure, blood flow, metabolic function, and abnormal protein deposits in the brain, there’s still no way...
By: Myrna Buiser Schnur, MSN, RN Oct 27 2022
Disorders of Thought Process and Thought Content Two critical elements of the mental status assessment are thought process and thought content. You can weave an evaluation of an individual’s thoughts throughout the general patient interview.   Thought Process (Bickley et al., 2021) ...
By: Myrna Buiser Schnur, MSN, RN Oct 27 2022
Understanding Aphasia We often take language and our ability to communicate for granted. For patients with aphasia, it is an extremely challenging and frustrating impairment. Aphasia is the loss of the ability to speak or comprehend written or spoken language.   ...
By: Myrna Buiser Schnur, MSN, RN Oct 25 2022
Assessing Level of Consciousness As a nurse, the first thing we often do when we walk into a patient’s room is assess the patient’s mental status and level of consciousness. We immediately observe whether the patient is awake and alert. If awake, we’ll ask them...
By: Myrna Buiser Schnur, MSN, RN Oct 19 2022
Insulin - How Does It Work? If you’re a nurse who’s worked in direct patient care, it’s likely you’ve administered insulin at some point in your career. Have you ever wondered how insulin works? Insulin Basic Review Before we dive into the mechanics...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
How To Assess Doll's Eyes Reflex It can be challenging to complete a full neurologic assessment of the comatose patient. However, you can evaluate brainstem function and specific cranial nerves (III, IV, VI, VIII) by testing for the oculocephalic reflex, also known as doll&rsquo...
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