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Nursing Tip of the Day! – Critical Care Nursing

Category: Critical Care Nursing  Chest pain resulting from pulmonary embolism is often pleuritic and associated with dyspnea, hemoptysis, cough or syncope. Physical examination findings are generally nonspecific in pulmonary embolism. 

Nursing Tip of the Day! – Critical Care Nursing

Category: Critical Care Nursing  All patients suspected of having acute coronary syndrome should be treated with aspirin, if not contraindicated (e.g., aortic dissection also suspected), or alternatively prasugrel or ticagrelor if there is aspirin allergy. 

Nursing Tip of the Day! – Critical Care Nursing

Category: Critical Care Nursing  There are no specific physical examination findings of acute coronary syndrome, but if it is severe enough to induce left ventricular dysfunction, signs such as hypotension and an S3 or S4 heart sound can be present. 

Nursing Tip of the Day! – Critical Care Nursing

Category: Critical Care Nursing  In the absence of an obvious cause of chest pain (e.g., shingles), a chest x-ray and ECG should be obtained. A chest CT can help diagnose a number of causes including pulmonary embolism, aortic dissection, pneumothorax and pneumonia. 

The Relentless School Nurse: When the Work Outgrows the System

Over the last 25 years, I have seen how the needs inside our school health offices have multiplied. What once was manageable is now layered, constant, and inseparable from the complexities students bring with them. Students arrive carrying more health concerns, more anxiety, more instability, and, too often, fewer supports. So do the adults… The… 

The Relentless School Nurse: The Weight Schools Were Never Meant to Carry

Author’s Note: This piece is written from a child health and public health perspective. It is not an argument about immigration policy. It is an examination of what happens to children and communities when immigration enforcement actions intersect with schools—and why that harm must be named. Earlier this week in Minneapolis, an Immigration and Customs… 

The Relentless School Nurse: Cutting the Childhood Vaccination Schedule Is “Health Policy Malpractice.”

Earlier today, the Department of Health and Human Services announced a major cut to the childhood vaccination schedule, significantly reducing the number of routine immunizations recommended for children. Framed as an expansion of “flexibility” and “individual decision-making,” the announcement offered little public explanation of the evidence supporting the cuts, or of the risks created by…