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March 2019 - Volume 44 - Issue 3
pp: 9-56
Table of Contents Outline
View Contributor Index

Editor's Memo

Advocacy in Practice

Dermatology Dilemmas

Medication Update

TYPE 2 DIABETES MELLITUS: CE Connection

Use of GLP-1 receptor agonists in patients with T2DM and chronic kidney disease

Aldrich, Sarah; Ashjian, Emily

The Nurse Practitioner. 44(3):20-28, March 2019.

Diabetes mellitus is the leading cause of chronic kidney disease (CKD) in the US. An increasing number of glucagon-like peptide-1 receptor agonists are available for diabetes management. Differences between medications in this class, as well as limited data on patients with CKD, underscore the importance of a patient-centered approach to care.

ENDOCRINE DISORDERS: CE Connection

Polycystic ovary syndrome: Diagnosis and management

Pfieffer, Mary Lauren

The Nurse Practitioner. 44(3):30-35, March 2019.

Polycystic ovary syndrome (PCOS) is a common endocrine disorder. Patients may present with a combination of hyperandrogenism symptoms, menstrual irregularities, metabolic syndrome, infertility, acne, and obesity. PCOS diagnosis is based on three diagnostic guidelines. Treatment options include oral contraceptive pills, antiandrogens, and metformin. NPs can improve diagnosed patients' quality of life through education about this disorder.

MATERNAL HEALTH

The NP's role in promoting and supporting breastfeeding

Coffman, Lindsay

The Nurse Practitioner. 44(3):38-42, March 2019.

This article reinforces the many health benefits associated with breastfeeding and exposes lactation barriers for mothers and healthcare practitioners. NPs can use various strategies outlined in this article to help patients overcome these barriers.

PEDIATRIC DISORDERS

Treating pediatric acute-onset neuropsychiatric syndrome

Heavey, Elizabeth; Peterson, Kathleen

The Nurse Practitioner. 44(3):44-49, March 2019.

Pediatric acute-onset neuropsychiatric syndrome (PANS) can be caused by infectious and noninfectious triggers. NPs can help children with PANS recover from their symptoms and prevent future recurrences by appropriately screening, recognizing, and diagnosing the clinical presentation of PANS. PANS treatment includes pharmacologic therapies as well as cognitive behavioral therapy.

INFECTION CONTROL

Infection prevention and control core practices: A roadmap for nursing practice

Carrico, Ruth M.; Garrett, Hudson; Balcom, Dawn; More

The Nurse Practitioner. 44(3):50-55, March 2019.

The CDC continues to stress the urgent issue of increasing microbial resistance. The organization recently joined forces with the American Nurses Association to bring awareness to this issue through an approach that prevents inappropriate antibiotic use and stresses infection prevention.