Recent Study: Electrolyte Disorders Common in Thiazide Diuretic Users

  • Hyponatremia and hypokalemia occur in approximately 20% of patients who take thiazide diuretics.

Thiazide diuretics are widely used in the treatment of hypertension, yet their use is associated with electrolyte disorders. Researchers investigated the prevalence of and risk factors for hyponatremia and hypokalemia in patients taking thiazide diuretics, substance-specific risks for these electrolyte disorders, and whether the use of thiazides is associated with a higher risk of syncope and falls.

The cross-sectional analysis by Ravioli and colleagues published in the American Journal of Medicine included all adults admitted to the ED in a one-year period whose sodium and potassium levels were measured on admission. The researchers conducted detailed chart reviews for all patients and screened for a history of syncope or falls.

Of the 20,421 patients for whom sodium and potassium measurements were available, 1,604 were taking thiazide diuretics regularly.

Acute kidney injury was more common in thiazide users than in nonusers (21.4% versus 7.2%). Hyponatremia and hypokalemia were also significantly more common in patients taking thiazides versus nonusers (22.1% versus 9.8% and 19% versus 11%, respectively).

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2022-01-12T11:02:34-05:00January 12th, 2022|Nursing|0 Comments

Nursing Resources: A Helpful Guide on Marijuana and Marijuana Products

As a psychiatric NP, I’m required to ask patients about the drugs they are currently taking, whether legally or illegally. This is important information to know regarding patients’ overall health, as well as for deciding which medication is safe to prescribe for them. With the recent changes in cannabis legalization, more and more patients who report using medical or recreational marijuana are being seen in health care environments.

More patients using cannabis products.

Staying knowledgeable of the effects, adverse effects, and potential interactions of marijuana is therefore critical for those of us caring for patients. Yet there isn’t much focus on marijuana education in the general training of health care professionals and cannabis is often not included in drug guidebooks. […]

2022-01-07T14:11:20-05:00January 7th, 2022|Nursing|0 Comments

Nurses Who Spread Misinformation: Motives, Ethics, and Remedies

A historically challenging problem presents ‘an urgent task for the nursing profession.’

“Every epidemic of the past has produced improbable facts, confusing rumors, and conspiracy theories,” observed Nancy Tomes, PhD, a history professor at Stony Brook University. She was presenting a lecture at an online meeting of the New York Academy of Medicine in late October. Tomes examined the way misinformation and disinformation during the current pandemic echoes that of past public health crises, from the 1665 outbreak of the bubonic plague in London to the global HIV/AIDS pandemic.

“Misinformation, epidemics, and media revolutions have historically gone hand in hand,” she pointed out, adding:

“One of the most distressing aspects of the COVID-19 pandemic has been the damage done by the easy circulation of false and misleading information.”

Social media as a vector for the spread of misinformation.

The widespread dissemination of such information during the current crisis has been facilitated by the near-omnipresence of social media. This month’s Ethical Issues column in AJN focuses on the way some nurses are engaging in misinformation about COVID on social media (and other) platforms. In “Nurses Spreading Misinformation” (free until January 15), author Pamela Grace, PhD, RN, FAAN, argues that immediate action and education are needed.

“Correcting unethical behavior on social media is an urgent […]

2022-01-05T12:00:17-05:00January 5th, 2022|Nursing|2 Comments

2021: A Year of Hope and Heartbreak

Photo of AJN editor-in-chief Shawn Kennedy

(This post is a reshare of AJN‘s January issue editorial; to browse the rest of the issue, visit our website, ajnonline.)

Last January, our cover was an artist’s rendering of the planet Earth as a SARS-CoV-2 virus molecule. In my accompanying editorial, I wrote that it was “unfathomable that over 275,000 Americans have died from COVID-19” and that the number would likely increase. Now here we are, a year later, with another COVID-19 cover. The white flags in the cover photo, installed on the National Mall in Washington, DC, by artist Suzanne Brennan Firstenberg, represent each person who has died from the virus. Sadly, according to the Centers for Disease Control and Prevention (CDC), as of November 28 this number had reached 776,070—well over double last year’s tally. The flags offer a stark visual image of the magnitude of our loss.

What’s especially startling is that the United States leads all countries in both deaths and confirmed cases. The World Health Organization reports that, as of November 29, U.S. confirmed COVID-19 cases totaled 47,837,599; India was second with 34,580,832. Globally, 5,200,267 people have died from the disease. It’s disheartening that the United States has lost so many people and could lose so many more, given that vaccines are available.

There was hope that the two vaccines that received […]

January Issue: The Year in Review, Nurses’ COVID-19 Communication Challenges, More

“Innovations and revelations that came about because of the pandemic . . . will perhaps drive badly needed system changes. There is reason to hope that 2022 will be a better year.”—editor-in-chief Shawn Kennedy in her January editorial, “2021: A Year of Hope and Heartbreak”

The January issue of AJN is now live. Here’s what’s new. Some articles may be free only to subscribers.

Original Research: Nurses’ Experiences of Caring for Patients and Families During the COVID-19 Pandemic: Communication Challenges

This qualitative descriptive study examined nurses’ perceptions and experiences of communicating with patients and families under the pandemic’s socially restrictive practices and policies.

In the News: The Year in Review: 2021

The top health care, clinical, and social justice news stories of the year, plus stories to watch in 2022. Also see our coverage of nursing and COVID-19, the pandemic’s hidden toll, and the climate crisis.

CE: Diagnosing and Managing Migraine

An overview of migraine pathophysiology, prevalence, risk factors, assessment, and acute and prophylactic treatment in the outpatient primary care setting.
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2021-12-28T11:14:28-05:00December 28th, 2021|Nursing|0 Comments
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