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2 Minute EBP Challenge

Monday, March 08, 2010
Restoring Hemoglobin
One of the goals for a patient who has a large blood loss is the restoration of normal hemoglobin levels.  This is partially done by blood transfusions, usually to a hemoglobin level of about 10g/dL.  A hemoglobin level that low will leave the patient feeling fatigued, but should be high enough to protect the heart from anemic ischemia.

Sunday, February 28, 2010
Renal Dysfunction
Mrs. Mersa is admitted with sepsis and hypotension.  Her labs indicate:
BUN 58 mg/dl
Serum creatinine 2.1 mg/dl
Urine sodium 70 mEq/L
Urine specific gravity 1.010, with cellular casts and RBCs in the urine.
Based on these findings you would consider:

Friday, February 12, 2010
Which action first?
Which information about a patient who has just been admitted to the hospital with nausea and vomiting will require the most rapid intervention by the nurse?

 

The GI System in Detail

Did you know?

  • A research study performed by nurses found very little connection between the return of bowel sounds and GI motility after surgery.
  • That most liver failure is not due to alcoholic cirrhosis.
  • That irritable bowel disease increases the risk for colon cancer by six times.
  • Or, that chewing gum after surgery speeds bowel recovery. 

This morning your patient has diminished bowel sounds. What exactly does that mean? Normal bowel sounds can range from 5-30 sounds per minute, and immediately after eating they can be almost constant.

Confused?

That is why we have put together a program that will clear up the misunderstandings about the GI system. It is called “The GI System in Detail.”

If you have a hard time explaining to your patients about how portal hypertension causes gastric bleeding, or why pancreatitis causes decreased albumin levels, or what diminished bowel sounds mean, then you need to go back to the basics with the help of a mentor who can really make the information easy and understandable.

Most of us learned our anatomy, physiology, and pathophysiology in nursing school where we were focused primarily on passing the class. We memorized, we studied, but we quickly forgot.

You learn differently now. With years of nursing experience, your brain has learned to classify your professional information into 'file folders' based on your clinical experiences. Now, when you go back to learn these concepts, your brain will put the information into the correct 'folder' to use the next time you encounter a patient with that problem. In other words, you will retain the information now that you have a way to organize it.

Understanding the essential concepts of gastrointestinal anatomy, physiology, and pathophysiology will help you find patient complications faster and respond to them more appropriately. In addition:
- You will communicate more effectively with physicians and your peers,
- You will feel more confident,
- You will provide safer and more effective care!

That is why I have put together a special program just for you entitled The GI System in Detail. This program will make you a better nurse!

Buy Now

The GI System in Detail contains:

The GI System Revealed
Explore the ins and outs of the GI system; explained like you’ve never heard it before.

The Stomach and Digestion
GERD, ulcers, hiatal hernia and more. Learn about hos the normal stomach prevents these diseases and how pathophysiology occurs.

Common GI Disorders  
Understand how pancreatitis, liver dysfunction, and gall bladder disease affect your patient and what you can do to decrease complications.

Bowel Dysfunction
Explore irritable bowel syndrome, diverticulitis, bowel obstruction and infarction; and learn what you can do to protect your patient from harm.

Buy Now

***Please note***
The GI System in Detail program you are buying is not an ordinary book, or audio CD, or even a video.  It is all three!  The four CD program contains audio files that will play on your CD player in your home, car, or portable device; but load them into your computer and you get the video enhancements that will help you really SEE the content.  And, of course you get the workbook too; for easy note taking and review.

In The GI System in Detail, you will get:

The four video-enhanced CDs:
1. The GI System Revealed
2. The Stomach and Digestion
3. Common GI Disorders
4. Bowel Dysfunction

The FREE bonus:

The "GI System A&P that You Can Use at the Bedside" Clipboard Companion

And our 100% total satisfaction guarantee!  So there is no risk to you.  Just get the program and if it isn’t everything I say it is and more simply return it for a full refund!

Here's how to order right now:

Individual GI in Detail program:

$77 

Institutional program for use with all of your nurses at your hospital, plus free bonus:

$385 

Best wishes,

David W. Woodruff, MSN, RN-BC, CNS, CEN
President, Ed4Nurses, Inc.

PS. No worries, your purchase is fully guaranteed; so I take all the risk.

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