Hospital Medicine Features Archives

Avoiding hypoglycemia in a hospitalized patient with diabetes and increased physical activity

Avoiding hypoglycemia in a hospitalized patient with diabetes and increased physical activity

While undergoing physical therapy after a stroke, a patient with type 1 diabetes has a hypoglycemia-related stroke.

A perioperative approach
 for pediatric asthma

A perioperative approach
 for pediatric asthma


Pediatrics patients with asthma who have to undergo surgery are at risk for complications.

When type 1 diabetes complicates surgery

When type 1 diabetes complicates surgery

The patient, aged 69 years, had a 43-year history of type 1 diabetes and was scheduled to undergo a chest wall resection.

Renal failure in a patient with maturity onset diabetes of the young

Renal failure in a patient with maturity onset diabetes of the young

A patient presented to the office with a 45-year history of maturity onset diabetes of the young after renal failure.

Why your patients seek primary care from the emergency department

Why your patients seek primary care from the emergency department

Primary-care practitioners should change to accommodate patients seeking primary care from emergency departments.

Minimizing radiation risk from diagnostic imaging

Minimizing radiation risk from diagnostic imaging

In addition to increasing radiation exposure, CT scanning often uncovers incidental findings that may lead to emotional stress for the patient.

Administering medication to an NPO patient

Administering medication to an NPO patient

Advice for administering baclofen for a spinal cord injury to a patient with a nasogastric tube.

Get a grip on dislocated fingers

Get a grip on dislocated fingers

A tip for performing a closed reduction on a dislocated finger.

Reducing intracranial pressure after head injury

Reducing intracranial pressure after head injury

Does the concentration of hypertonic saline affect intracranial pressure reduction in patients with traumatic brain injury?

"Do not 
resuscitate" stops CPR

"Do not 
resuscitate" stops CPR

An elderly man opted for "no heroics" if things went wrong in surgery, but his family felt differently.

Evaluation and treatment of acute cerebral ischemia

Evaluation and treatment of acute cerebral ischemia

To ensure that therapeutic interventions begin in time, providers must be able to recognize the clinical presentation of an acute ischemic stroke.

Polishing off a sticky situation

Polishing off a sticky situation

Patients often complain they have a difficult time completely removing the adhesive from ECG pads. Pass on this simple tip for painless removal.

Telemedicine facilitates collaboration, greater access to healthcare

Telemedicine facilitates collaboration, greater access to healthcare

Combining NP, PA and telemedicine services will help bridge the gaps created by hospitalist and primary care physician shortages.

Rectal foreign body removal

A Foley catheter can help remove foreign objects from the rectum.

Navigating a negligence lawsuit

Navigating a negligence lawsuit

A nurse's careless mishandling of medical 
evidence jeopardizes a criminal rape case and causes undue emotional harm.

Size up, not down, when choosing a catheter for a man

Larger catheters are stiffer, thus better able to pass through the prostatic urethra.

Chest CT before ED discharge to prevent pulmonary embolism

Since 50% of patients admitted to the ED with deep vein thrombosis, should it be common practice to do a chest CT prior to discharge?

Respiratory distress and pronounced muscular weakness signal trouble

Respiratory distress and pronounced muscular weakness signal trouble

A father is rushed to the emergency department after ingestion of a foreign, powderlike substance.

Updated information 
on MRSA infections

Updated information 
on MRSA infections

The number of hospital-acquired MRSA infections is down; however, 
community-acquired MRSA infections continue to rise.

Efficacy of cephalexin after raising dosage

Is there any evidence that changing a patient's cephalexin dose from 500 q.i.d. to 1,000 b.i.d. has decreased efficacy in terms of infection control?

Stat Consult: Breastfeeding

Stat Consult: Breastfeeding

A quick review of breastfeeding recommendations, including timelines for infant weaning, guidelines for appropriate supplementation and contraindications.

Dialysis access when both arms have shunts

If a patient has a nonfunctional arteriovenous (AV) shunt in one arm and a functional shunt used for dialysis in the other, does the avoidance of an IV access in the arm with the nonfunctional shunt still apply?

What causes delirium?

Is it possible to have a geriatric patient in serious delirium while all labs and urinalysis are within normal limits?

Are iodine preparations safe for treating pressure sore eschar formations?

The use of povidine-iodine in wound care is controversial. Several experimental studies have demonstrated concerns regarding its safety and effect on wound healing.

Treating and preventing summer injuries

Treating and preventing summer injuries

Communicating simple safety tips with parents and caregivers can reduce the risk for summer injuries from bicycle, motor vehicle, firework and swimming accidents.

When to treat or refer a burn-injured patient

When to treat or refer a burn-injured patient

Guidelines from the American Burn Association provide a reliable road map for the assessment and treatment of these challenging injuries

Combine medicine and justice with a forensic nursing career

Forensic nurses are typically the first point of contact for crime victims who are admitted to emergency rooms, providing opportunities to gather evidence and assess the patient's psychological state.

Gain exposure to many specialties as a physician assistant internist

Following patients through the care continuum is essential to maintaining consistent, quality health care.

Patient induces mediastinal shift

Puzzled nursing student has trouble finding heartbeat.

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