Advanced emergency nursing journal
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The ingestion of toxic alcohols, specifically ethylene glycol (EG) and methanol, provides unique therapeutic challenges for emergency personnel. If untreated, these agents can result in significant morbidity and mortality. ⋯ Fortunately, several options exist for the treatment of these ingestions, which, if implemented in the appropriate time period, can significantly decrease associated morbidity and mortality. The intent of this review is to discuss relevant management issues associated with EG and methanol intoxication in the emergency department.
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Review
Selecting antibiotics for community-acquired respiratory infections in the emergency department.
Annually, millions of patients are treated in emergency departments across the country for upper and lower respiratory infections. The purpose of this article was to articulate optimal antibiotic therapy for community-acquired respiratory infections. A table format has been selected to serve as a direct reference for nurse practitioners and physician assistants. In addition, background, common pathogens, and follow-up are discussed for each disease state.
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The use of noninvasive ventilation (including bilevel positive airway pressure and continuous positive airway pressure modalities) has become increasingly more widespread in emergency care, offering an alternative to traditional ventilation using an endotracheal tube. This article provides an overview of the types and potential uses of noninvasive ventilation, the risks and benefits of its use, and current evidence to support its use in specific patient populations. ⋯ Management considerations, assessment techniques, troubleshooting, and transportation of patients receiving noninvasive ventilation are also discussed. Advanced practice nurses in the emergency department can provide leadership and advocacy for its use in appropriate patients, and this article provides the foundational knowledge to do so.