Managing diabetes and hypertension in chronic kidney disease Mead, Daniel; Dinh, Nhan; Wentworth, Danielle; More Mead, Daniel; Dinh, Nhan; Wentworth, Danielle; Thomas, Sofia; Suthar, Meera Less The Nurse Practitioner. 46(11):50-55, November 2021. Show More Show Less Since 2020, several guidelines have been published to help health practitioners better manage hypertension and diabetes in patients with chronic kidney disease. Scrutiny on the inclusion of race in determining the estimated glomerular filtration rate (eGFR) as well as breakthrough research regarding the drug dapagliflozin for the treatment of patients with chronic kidney disease are discussed. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: Since 2020, several guidelines have been published to help health practitioners better manage hypertension and diabetes in patients with chronic kidney disease. Scrutiny on the inclusion of race in determining the estimated glomerular filtration rate (eGFR) as well as breakthrough research regarding the drug dapagliflozin for the treatment of patients with chronic kidney disease are discussed. Buy
Approach to a patient with hypertensive urgency in the primary care setting Benenson, Irina; Bradshaw, Molly J. Benenson, Irina; Bradshaw, Molly J. Less The Nurse Practitioner. 46(10):50-55, October 2021. Show More Show Less Patients who present to an outpatient office with hypertensive urgency—or severely elevated BP without evidence of acute target organ damage—can be safely treated in the ambulatory setting by initiating or reestablishing long-acting oral antihypertensive medications, addressing medication nonadherence, and reviewing precipitating factors. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: Patients who present to an outpatient office with hypertensive urgency—or severely elevated BP without evidence of acute target organ damage—can be safely treated in the ambulatory setting by initiating or reestablishing long-acting oral antihypertensive medications, addressing medication nonadherence, and reviewing precipitating factors. Go to Full Text of this Article Free
Antihypertensive therapy in patients with moderate to severe aortic stenosis El Hussein, Mohamed Toufic; Harvey, Giuliana; Bueckert, Alexi El Hussein, Mohamed Toufic; Harvey, Giuliana; Bueckert, Alexi Less The Nurse Practitioner. 46(9):14-22, September 2021. Show More Show Less Patients with aortic stenosis are at risk for developing hypertension. This article provides an overview of antihypertensives used in patients with aortic stenosis, focusing on renin-angiotensin system inhibitors, beta-blockers, diuretics, and vasodilators. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: Patients with aortic stenosis are at risk for developing hypertension. This article provides an overview of antihypertensives used in patients with aortic stenosis, focusing on renin-angiotensin system inhibitors, beta-blockers, diuretics, and vasodilators. Go to Full Text of this Article Free CE Test
SGLT2 inhibitors: What role do they play in heart failure with reduced ejection fraction? Lenahan, Christy McDonald; Harrington, Deedra; Stueben, Frances Lenahan, Christy McDonald; Harrington, Deedra; Stueben, Frances Less The Nurse Practitioner. 46(7):30-37, July 2021. Show More Show Less Sodium-glucose cotransporter-2 (SGLT2) inhibitors can decrease risk for heart failure in patients with type 2 diabetes and can decrease risk of major cardiovascular events in patients with heart failure (HF) and diabetes. Specific SGLT2 inhibitors can also decrease major cardiovascular events in patients with HF only. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: Sodium-glucose cotransporter-2 (SGLT2) inhibitors can decrease risk for heart failure in patients with type 2 diabetes and can decrease risk of major cardiovascular events in patients with heart failure (HF) and diabetes. Specific SGLT2 inhibitors can also decrease major cardiovascular events in patients with HF only. Go to Full Text of this Article Free CE Test
Consequences of AV blockade omission in flecainide therapy Ferrante, Jennifer A.; Rizvi, Muzammel; Sakaan, Sami; More Ferrante, Jennifer A.; Rizvi, Muzammel; Sakaan, Sami; Eick, John; Cutshall, B. Tate Less The Nurse Practitioner. 46(7):10-13, July 2021. Favorites PDF Get Content & Permissions Buy
Management strategies for STE-ACS Less The Nurse Practitioner. 46(6):26-27, June 2021. Favorites PDF Get Content & Permissions Buy
Hemodynamic monitoring with the CardioMEMS HF System Falls, Candice Falls, Candice Less The Nurse Practitioner. 46(3):46-50, March 2021. Show More Show Less Heart failure readmission rates continue to rise and cause economic burden in the US. Advancements in hemodynamic monitoring offer the ability to monitor intracardiac pressures at home and provide data that are used to optimize outpatient management of heart failure, resulting in reduced hospitalization and mortality associated with heart failure. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: Heart failure readmission rates continue to rise and cause economic burden in the US. Advancements in hemodynamic monitoring offer the ability to monitor intracardiac pressures at home and provide data that are used to optimize outpatient management of heart failure, resulting in reduced hospitalization and mortality associated with heart failure. Buy
Mnemonic to assist in the treatment of NSTE-ACS Hussein, Mohamed El; Hakkola, Jonah Hussein, Mohamed El; Hakkola, Jonah Less The Nurse Practitioner. 45(11):48-55, November 2020. Show More Show Less Acute care NPs are in an ideal position to diagnose and manage non-ST-segment elevation (NSTE)-acute coronary syndrome (ACS) by implementing guideline-driven medical interventions. Utilizing mnemonics improves efficiency of clinicians in practice. This article introduces a mnemonic to assist NPs in their response to patients with NSTE-ACS. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: Acute care NPs are in an ideal position to diagnose and manage non-ST-segment elevation (NSTE)-acute coronary syndrome (ACS) by implementing guideline-driven medical interventions. Utilizing mnemonics improves efficiency of clinicians in practice. This article introduces a mnemonic to assist NPs in their response to patients with NSTE-ACS. Buy
Low voltage on the 12-lead ECG: A warning sign Dzikowicz, Dillon J. Dzikowicz, Dillon J. Less The Nurse Practitioner. 45(9):33-40, September 2020. Show More Show Less A 12-lead ECG showing low voltage should be a red flag to providers and can be caused by several serious conditions. A case reported is included that describes how an NP correctly treated a patient with low voltage on an ECG by discerning and managing the underlying causes. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: A 12-lead ECG showing low voltage should be a red flag to providers and can be caused by several serious conditions. A case reported is included that describes how an NP correctly treated a patient with low voltage on an ECG by discerning and managing the underlying causes. Go to Full Text of this Article Free
Uncommon diagnosis in a patient with near syncope and abnormal ECG Persaud, Harrynauth; Brugna, Robert A. Persaud, Harrynauth; Brugna, Robert A. Less The Nurse Practitioner. 45(9):10-13, September 2020. Favorites PDF Get Content & Permissions Buy
Understanding the most commonly billed diagnoses in primary care: Hyperlipidemia Rogers, Julia; Baker, Manisa Rogers, Julia; Baker, Manisa Less The Nurse Practitioner. 45(8):42-48, August 2020. Show More Show Less This installment in the series on the most commonly billed diagnoses in primary care focuses on hyperlipidemia. This article discusses the pathophysiologic processes of hyperlipidemia as well as how the clinical manifestations and treatments are linked to the pathogenesis of disease. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: This installment in the series on the most commonly billed diagnoses in primary care focuses on hyperlipidemia. This article discusses the pathophysiologic processes of hyperlipidemia as well as how the clinical manifestations and treatments are linked to the pathogenesis of disease. Buy
The ABCs of atrial fibrillation El Hussein, Mohamed Toufic; Kilfoil, Lauren El Hussein, Mohamed Toufic; Kilfoil, Lauren Less The Nurse Practitioner. 45(8):28-33, August 2020. Show More Show Less This article provides an outline of the diagnosis and pathogenesis of atrial fibrillation. A mnemonic is introduced for atrial fibrillation treatment guidelines based on recent evidence. Mnemonics use has been associated with improved learning and task organization. Articles using mnemonics to inform clinical practice have been well-received and implemented. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: This article provides an outline of the diagnosis and pathogenesis of atrial fibrillation. A mnemonic is introduced for atrial fibrillation treatment guidelines based on recent evidence. Mnemonics use has been associated with improved learning and task organization. Articles using mnemonics to inform clinical practice have been well-received and implemented. Go to Full Text of this Article Free CE Test
Understanding the most commonly billed diagnoses in primary care: Atherosclerotic cardiovascular disease Rogers, Julia; Baker, Manisa Rogers, Julia; Baker, Manisa Less The Nurse Practitioner. 45(7):35-41, July 2020. Show More Show Less Atherosclerotic cardiovascular disease (ASCVD) contributes to acute coronary syndrome, angina, stroke, transient ischemic attack, and peripheral arterial disease. This second article describes the pathophysiologic processes of ASCVD as well as how the clinical manifestations and treatments are linked to the pathogenesis of the disease. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: Atherosclerotic cardiovascular disease (ASCVD) contributes to acute coronary syndrome, angina, stroke, transient ischemic attack, and peripheral arterial disease. This second article describes the pathophysiologic processes of ASCVD as well as how the clinical manifestations and treatments are linked to the pathogenesis of the disease. Buy
Understanding the most commonly billed diagnoses in primary care: Hypertension Rogers, Julia Rogers, Julia Less The Nurse Practitioner. 45(6):50-55, June 2020. Show More Show Less This first article in a series about the most commonly billed diagnoses in primary care settings explores the pathophysiology, diagnostic evaluation, and management of hypertension. Relevant billing issues are addressed. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: This first article in a series about the most commonly billed diagnoses in primary care settings explores the pathophysiology, diagnostic evaluation, and management of hypertension. Relevant billing issues are addressed. Buy
Pediatric hypertension: A guideline update Benenson, Irina; Waldron, Frederick A.; Porter, Sallie Benenson, Irina; Waldron, Frederick A.; Porter, Sallie Less The Nurse Practitioner. 45(5):16-23, May 2020. Show More Show Less The prevalence of pediatric hypertension is growing. Hypertension during childhood remains a major risk factor for adverse cardiovascular events later in life. NPs should be aware of current guidelines on screening, diagnosis, and treatment of hypertension in children to improve care for this patient population. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: The prevalence of pediatric hypertension is growing. Hypertension during childhood remains a major risk factor for adverse cardiovascular events later in life. NPs should be aware of current guidelines on screening, diagnosis, and treatment of hypertension in children to improve care for this patient population. Go to Full Text of this Article Free CE Test
Takotsubo syndrome: The great imposter Cantey, Christina Cantey, Christina Less The Nurse Practitioner. 45(5):6-10, May 2020. Favorites PDF Get Content & Permissions Buy
SPRINT to reach BP goals: The connections among hypertension, cognition, and brain health Less The Nurse Practitioner. 45(3):9-12, March 2020. Favorites PDF Get Content & Permissions Buy
Diabetes-associated cardiac autonomic neuropathy Wooton, Angela K.; Melchior, Lynne Wooton, Angela K.; Melchior, Lynne Less The Nurse Practitioner. 45(2):24-31, February 2020. Show More Show Less Cardiac autonomic neuropathy (CAN) is an under diagnosed cardiovascular complication associated with diabetes. As the incidence of diabetes increases in an aging population, NPs can help prevent complications associated with diabetes and CAN. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: Cardiac autonomic neuropathy (CAN) is an under diagnosed cardiovascular complication associated with diabetes. As the incidence of diabetes increases in an aging population, NPs can help prevent complications associated with diabetes and CAN. Go to Full Text of this Article Free CE Test
Under pressure: Acute cardiac tamponade Chen, Leon L. Chen, Leon L. Less The Nurse Practitioner. 45(2):5-7, February 2020. Favorites PDF Get Content & Permissions Buy
