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February 2019 - Volume 44 - Issue 2
pp: 9-56

Editor's Memo

Advocacy in Practice

Mental Health Matters

Coding & Billing Practices

Medication Update


Early diagnosis and treatment of familial hypercholesterolemia

Elkins, J. Casey; Fruh, Sharon

The Nurse Practitioner. 44(2):18-24, February 2019.

If undiagnosed and untreated, familial hypercholesterolemia can lead to serious cardiac complications, such as premature atherosclerotic cardiovascular disease. NPs should be familiar with the clinical presentation of this inherited metabolic disease to diagnose patients as early as possible and promptly begin treatment that may include lifestyle changes, statin therapy, and/or nonstatin therapy.

SEPSIS: CE Connection

Evidence-based updates to the 2016 Surviving Sepsis Guidelines and clinical implications

Lehman, Karen D.

The Nurse Practitioner. 44(2):26-33, February 2019.

Despite numerous advances in understanding the pathophysiology of sepsis and its treatment, sepsis morbidity and mortality remain high. The 2016 Surviving Sepsis Campaign guidelines incorporated the latest research to formulate new sepsis diagnoses and updated treatment recommendations. This article reviews how to manage patients with sepsis and provides insight into the 2016 guidelines, updates, and suggestions.


Recommended screenings for chlamydia and gonorrhea: A Canadian guidelines review

O'Byrne, Patrick

The Nurse Practitioner. 44(2):35-41, February 2019.

Chlamydia and gonorrhea are the most commonly diagnosed bacterial sexually transmitted infections (STIs), and both are increasing in incidence. Because these STIs are often asymptomatic and found at extragenital sites, such as the pharynx and rectum, it is important that clinicians know when and how to screen for them.


Antimicrobial prescribing in older adults

Brandburg, Gloria L.

The Nurse Practitioner. 44(2):42-48, February 2019.

Determining the appropriate use and selection of antimicrobials in older adults can be challenging. Age-related physiologic changes, multiple comorbidities, and polypharmacy can make prescribing antimicrobials complicated and the effectiveness of therapy unpredictable.


Combating insulin resistance with the paleo diet

Olivieri, Chrystyne

The Nurse Practitioner. 44(2):49-55, February 2019.

As primary care providers, NPs can help inform patients, particularly those with prediabetes and T2DM, about healthy lifestyle choices and provide them with resources to achieve weight loss success. This article explores the potential benefits of replacing low-calorie diets with the paleo diet.