March 01, 2015 Archives - Clinical Advisor

A patient is diagnosed with REM sleep disorder

Consultations

Patient with a history of erratic nighttime episodes

By

Sherril Sego, FNP-C, DNP

March 26, 2015

After consulting a neurologist, the nurse practitioner determined a diagnosis of REM sleep behavior disorder.

Six ways to lower heart attack risk in women

Advisor Forum

What PCPs need to know about heart disease in men and women

By

Suzanne Steinbaum, DO

March 17, 2015

What do NPs and PAs working in primary care need to know about the different path that heart disease takes in men and women?

Consultations

Menopausal hormone replacement therapy recommendations

By

Abimbola Farinde, PharmD; Lorraine Perkins, MSN, FNP-C

March 6, 2015

The risks of HRT have received so much attention that its benefits have been largely overlooked.

Percutaneous closure of left atrial appendage may decrease mortality risk

Evidence-Based Medicine

Percutaneous closure of left atrial appendage may decrease mortality, hemorrhagic stroke risk

By

Alan Ehrlich, MD

March 4, 2015

Antithrombotic therapy is consistently recommended for most patients with atrial fibrillation and until recently warfarin, a vitamin K antagonist, has been the antithrombotic of choice.

Drug Update

GLP-1 receptor agonist for  type 2 diabetes

March 4, 2015

Not recommended as first-line treatment for patients inadequately controlled on diet and exercise.

Evidence-Based Medicine

Extending duration of dual antiplatelet therapy in patients with drug-eluting stents yields mixed results

By

Alan Ehrlich, MD

March 3, 2015

Extending the duration of DAPT may decrease the risk of stent thrombosis, but evidence on the efficacy of DAPT for greater than one year has been inconsistent.

The CDC met to update recommendations on several vaccines.

Clinical Pearls

Easing pain during vaccination 

March 3, 2015

To reduce the discomfort or pain of vaccinations, apply firm, but comfortable, pressure on the intended site for 30 seconds.

Evidence-Based Medicine

Nonsterile glove use may reduce blood stream infections in premature infants

By

Alan Ehrlich, MD

March 2, 2015

Hand hygiene and glove use are simple measures that have been shown to reduce infections in cohort studies of preterm neonates and other pediatric populations.