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Latest updates on sepsis, zika, and other topics disrupting the healthcare industry
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
Special Techniques in Neurologic Assessment As you complete your neurologic assessment, there are three special techniques that you should perform if you suspect your patient might have meningeal inflammation: nuchal rigidity, Brudzinski sign, and Kernig sign (Bickley et al., 2021). Let...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
How to Assess Discriminative Sensations A thorough neurologic assessment involves an evaluation of the sensory system. This begins with primary methods such as light touch, pain and temperature, vibration, and joint position.  These tests check if the afferent sensory pathways are...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
What is Pronator Drift? A thorough neurologic assessment involves an evaluation of the motor system, including body position, involuntary movements, and coordination, as well as muscle bulk, tone, and strength. One basic component is the test for pronator drift which...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
Spasticity vs. Rigidity: What’s the Difference? A key component of the neurological assessment includes evaluating the patient’s muscle tone. Normal muscle tone will maintain some residual tension with relaxation. You can assess this by noting the muscle’s resistance to passive...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
How To Assess for Clonus As you complete your neurologic assessmentand test your patient’s deep tendon reflexes, if the reflexes appear to be hyperactive, take a moment to check for clonus. Clonus is an abonormal movement marked by a rhythmic alternating muscle...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
Grading Deep Tendon Reflexes Reflexes are involuntary contractions of muscles in response to a stimulus and are classified as deep tendon, superficial, or pathologic (Hinkle, 2021). The most common reflexes tested are the deep tendon reflexes which include the biceps, triceps...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
What is Asterixis? Also known as “flapping hand tremor,” asterixis is a neurologic condition in which a person loses motor control typically in the fingers and wrists. It is a clinical sign that describes a patient’s inability to maintain a...
By: Myrna Buiser Schnur, MSN, RN Sep 22 2022
Opioid Agonists - How Do They Work? Opioids are a class of analgesic agents known primarily to treat pain. These drugs can be categorized in several ways: by chemical class, by synthetic process, and by their action on opioid receptors in the central and peripheral nervous systems...
By: Sep 21 2022
After Sepsis: Post-Sepsis Syndrome Explained Early recognition and intervention are improving short-term survival of sepsis, however there are many who suffer complications, long after resolution of the primary infection and discharge from the hospital. Post-sepsis syndrome (PSS) occurs in...
By: Myrna Buiser Schnur, MSN, RN Sep 16 2022
Pulmonary Vascular Resistance Pulmonary vascular resistance (PVR) is similar to systemic vascular resistance (SVR) except it refers to the arteries that supply blood to the lungs. If the pressure in the pulmonary vasculature is high, the right ventricle must work harder...
By: Myrna Buiser Schnur, MSN, RN Aug 26 2022
Recognizing Substance Use Disorder in Nurses Hailed as one of the most trusted professions and elevated to the status of hero during the COVID-19 pandemic, nursing remains one of the most rewarding yet challenging careers today. The demands on nurses are increasing and multifold – from...
By: Myrna B. Schnur, MSN, RN Aug 11 2022
Benzodiazepines: How Do They Work? Benzodiazepines are a class of drugs used to treat generalized anxiety disorder, tension, insomnia, seizure disorders, procedural/surgical sedation or amnesia, skeletal muscle spasm, tremor, and delirium (Comerford & Durkin, 2022). The precise...
By: Aug 9 2022
The ABCDE-EFG Method for Assessing Moles Skin cancer screening and patient education are important factors for recognizing potential skin cancers and intervening early. The American Academy of Dermatology also recommends that patients perform regular skin self-examinations. Teach...
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