ECG Archives - Off the Charts

Nurses’ Experiences as Patients: Recommended Reading from AJN’s August Issue

This painting by emergency physician Lindsey Ball is one of 40 in a series in which Ball painted on deidentified photocopies of electrocardiograms (ECGs). See our “On the Cover” column to learn more.

The August issue of AJN is now live.

“An ED visit and ensuing hospitalization are frightening experiences for anyone, and potentially more so for nurses, who have a deeper understanding of what is happening to them than a lay person might, and thus perhaps a greater level of fear about the consequences,” write Judith Kimchi-Woods and colleagues in this month’s Original Research article, “The Lived Experiences of Nurses as Patients: A Qualitative Study.” Based on their study findings, they offer recommendations for meeting the needs of hospitalized nurses.

To address premedication overuse in blood transfusions at their institution, the authors of “Decreasing Premedication for Blood Transfusions: A Quality Improvement Project” developed and implemented an evidence-based algorithm to guide clinicians in when to administer premedication and an electronic order to be integrated with a premedication plan for each patient on an adult hematology–oncology unit. Learn more—and earn CE credit—here.

Also in this issue, you’ll find the latest installment of AJN‘s Strip Savvy column, “A Case of Symptomatic Bradycardia After […]

Diane Szulecki, editor2024-07-25T11:15:47-04:00July 25th, 2024|Nursing|0 Comments

May Issue Highlights: Pain Management in Critical Care, ECG Interpretation Basics, More

“The reality of an insufficient health care workforce and underfunded health care system is all too evident. . . . Perhaps things will change after this, and we will be ready the next time. I hope so.”—editor-in-chief Shawn Kennedy in her May Editor’s Note, “Life, Interrupted“

In case you’d like a break from COVID-19 headlines and want to keep up with some other nursing and health care topics, the May issue of AJN is now live. Here are the highlights:

Original Research: Exploring the Effects of a Nurse-Initiated Diary Intervention on Post–Critical Care Posttraumatic Stress Disorder

The authors examine how collaborative diary writing—by patients, visitors, and interdisciplinary team members—can affect the development of posttraumatic stress disorder and symptom severity in critical illness survivors.

CE: Managing Pain in Critically Ill Adults: A Holistic Approach

A review of the Society of Critical Care Medicine’s PADIS guidelines—and how they go beyond the earlier PAD guidelines—in providing specific guidance related to assessment and management of pain, use of opioids in critical illness, and use of adjunctive analgesia.

New Series: Strip Savvy: A Case of Bradycardia and Extreme Fatigue

This is the first article in a new series on the basics of electrocardiography (ECG) interpretation. […]

Diane Szulecki, editor2020-04-27T09:02:16-04:00April 27th, 2020|Nursing|0 Comments

The Elusive Strict Diet

By Amy M. Collins, associate editor

Several days ago, we linked on our Facebook page to an abstract of a JAMA article that found that women hospitalized for myocardial infarction were more likely than men to present without chest pain. A few days later, my 59-year-old mother was told by her general practitioner that her ECG had shown an electric “blip” that could be due to scarring from an unnoticed heart attack. My mother—always too lax about these things (unlike her hypochondriac daughter)—calmly told me she always has random chest pains and it could have happened at any time.

A visit to the cardiologist a few days later eased our fears. She hadn’t had a heart attack, but was diagnosed with right bundle branch block and has to undergo further testing. With high C-reactive protein levels, elevated cholesterol, and a history of heart disease in the family, one can’t be too careful. A stress test and cardiac ultrasound have been ordered.

In discussing her cholesterol level, which had increased since my mother’s last wellness exam, the cardiologist suggested she start taking statins. Not keen on medication, and worried by recent reports of adverse effects from these drugs, she said she’d rather only start with that if there were no other options. His suggestion was […]