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June 16, 2017 - Volume 42 - Issue 6
pp: 6-7
Table of Contents Outline
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Guest Editorial

Clinical Case Report

Legal File

Medication Update

DIABETES MELLITUS: CE Connection

Recognizing type 1 diabetes mellitus in children & adolescents

Glassford, Melissa A.

The Nurse Practitioner. 42(6):16-22, June 16, 2017.

The common chief complaint of abdominal pain, nausea, and vomiting should prompt a broad differential diagnosis list. When a 17-year-old previously healthy male presented to a primary care clinic with these symptoms, it provoked a detailed workup and found a startling diagnosis of type 1 diabetes mellitus (T1DM). This article provides an overview of recognizing T1DM in children and adolescents with a thorough diagnostic evaluation.

VIRAL DISEASES: CE Connection

Managing herpes zoster in older adults: Prescribing considerations

Beuscher, Linda; Reeves, Geri; Harrell, Debbie

The Nurse Practitioner. 42(6):24-29, June 16, 2017.

NPs must be aware of special prescribing considerations for medication safety when managing the care of older adults with herpes zoster. Age-related physiologic changes of the body impact the pharmacokinetics and pharmacodynamics of antiviral and pain medications and can lead to potential adverse events.

ORAL DIABETES AGENTS

The use of dipeptidyl peptidase-4 inhibitors in patients with type 2 diabetes & chronic kidney disease

Bittle, Polly A.

The Nurse Practitioner. 42(6):31-38, June 16, 2017.

There is a need for treatment options in patients with type 2 diabetes mellitus and kidney disease to achieve glucose targets without risk of hypoglycemia. This article describes management options for these patients using glucose lowering therapies, in particular dipeptidyl peptidase-4 inhibitors.

MENTAL FUNCTIONING

Identifying delirium in older adults with pre-existing mental illness

Bennett, Courtney

The Nurse Practitioner. 42(6):39-44, June 16, 2017.

Acute delirium can be easily overlooked in older adults with preexisting mental illness. Evidence-based measures have demonstrated that early diagnosis, identification, and correction of modifiable factors can lead to improved care and less morbidity.

DRUG ABUSE

Screening tools to assess risk of opioid abuse in the Canadian primary healthcare setting

Muir, Hollie; Seymour, Fran

The Nurse Practitioner. 42(6):45-50, June 16, 2017.

Opioid therapy for patients with chronic pain is increasing in frequency along with rates of opioid abuse. NPs should use screening tools that are cross-validated for use in chronic pain patients in the Canadian primary healthcare setting.

LUNG LESIONS

Bronchopulmonary sequestration: Improving practice by evaluating for a missed diagnosis

Estes, Mary Ellen Zator

The Nurse Practitioner. 42(6):51-55, June 16, 2017.

Bronchopulmonary sequestration (BPS) is a lung mass that does not communicate with the tracheobronchial tree or the pulmonary arterial vasculature. This article discusses the etiology of BPS, as well as its pathophysiology, signs and symptoms, imaging studies used to diagnose, and treatment options.

Clinical Case Report