Rapid Response RN

Sarah Lorenzini

Do you want to go from dreading emergencies to feeling confident and ready to jump into action to rescue your patient? Well, this show will let you see emergencies unfold through the eyes of a Rapid Response Nurse. With real life stories from the frontlines of nursing, host Sarah Lorenzini MSN, RN, CCRN, CEN, a Rapid Response Nurse and educator, shares her experiences at rapid response events and breaks down the pathophysiology, pharmacology, and the important role the nurse plays during emergencies. If you want to sharpen your assessment skills and learn how to think like a Rapid Response Nurse, then Sarah is here to share stories, tips, tricks, and mindsets that will prepare you to approach any emergency. Every episode is packed full of exactly what you need to know to handle whatever crisis that could arise on your shift. It’s one thing to get the right answer on the test, but knowing how to detect when YOUR patient is declining and what to do when YOUR patient is crashing is what will make or break your day… and might just save your patient’s life. read less
Health & FitnessHealth & Fitness

Episodes

101: So You Wanna Go Back to School Part 1: Nurse Practitioner With Guest Dr. Sandra Pagenta DNP
Yesterday
101: So You Wanna Go Back to School Part 1: Nurse Practitioner With Guest Dr. Sandra Pagenta DNP
Are you considering a career as a nurse practitioner? Do you want to go back to school to transition into an advanced practice nursing role? Join host Sarah Lorenzini and guest Dr. Sandra Pagenta, DNP, as they discuss opportunities available in nursing and how to decide if the nurse practitioner path is the right one for you.Dr. Sandra Pagenta reflects on the evolution of her nursing career, from her early days as an RN to her current role as a nurse practitioner. She dives into the challenges and rewards of advancing your education and career, finding your niche, and achieving work-life balance.In this episode, Dr. Sandra Pagenta also gives advice on how nurses can figure out their next career move and create the life they want. Tune in now!Topics discussed in this episode:Transitioning from RN to NPPros and cons of working as a nurse practitionerFinding passion and alignment in your careerExploring a career as an NP The flexibility of a nursing careerListen to Sandra's Podcast:https://podcasts.apple.com/us/podcast/the-success-nps-podcast/id1566107516Check out Sandra's Website:https://successnps.com/Follow Success NP's on Social Media:YouTube: ⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UCYQYlS9d6m7HyMK7Z1BI5DAInstagram: ⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thesuccessnpsMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
100: How to Still Love Being a Nurse After 20 Years in the Profession
Apr 12 2024
100: How to Still Love Being a Nurse After 20 Years in the Profession
Every day that you complete a shift is a day to celebrate because nursing is undoubtedly one of the hardest professions in the world, especially in the last few years. Burnout rates are extremely high, and for good reason, but there are ways to keep your passion for nursing even after decades in the field.In this milestone 100th episode of Rapid Response RN, host Sarah Lorenzini celebrates 20 years of being a nurse and *still* loving it. It hasn’t been easy, but two decades of continuous learning and navigating the challenges of the job has taught her invaluable lessons on resilience, self-care, and humanity.Sarah reflects back on her early mistakes and the hard-earned wisdom that’s kept her love for nursing alive, including connecting with patients, growth through education and mentorship, prioritizing physical and mental health, and MORE.Tune in now to hear Sarah’s "not so secret sauce" for loving nursing after 20 years!Topics discussed in this episode:The importance of self-advocacy and self-careCelebrating your nursing winsPreventing burnout through learningMentorship and driving changeListen to episode 38, Q&A: How to Effectively and Professionally Advocate For Your Patient… Even When the Provider is Intimidating, on Apple Podcasts!Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
99: Hyponatremia: How Did It Happen and Why Is It So Challenging To Treat?
Apr 5 2024
99: Hyponatremia: How Did It Happen and Why Is It So Challenging To Treat?
Treating hyponatremia, a condition characterized by low sodium levels in the blood, can be both complicated and quite risky.. Disruptions to the delicate balance of sodium in the body can lead to a spectrum of outcomes, from an asymptomatic presentation to life-threatening seizures, coma, and death.Through the patient story of Mrs. Saltman, host Sarah Lorenzini explains the role of sodium in the body, breaking down the science of osmosis and electrolytes so nurses can better understand the causes of hyponatremia. She goes over the three levels of hyponatremia that are categorized by blood tonicity and volume status, and how each level impacts the diagnosis and management of hyponatremia. Sarah also dives into the nuances of treating hyponatremia, including the risks of rapid sodium correction, the importance of knowing a patient’s baseline, the underlying cause of their condition, and more.This episode will provide nurses with the knowledge needed to recognize the signs of hyponatremia and navigate the risks of treatment. Tune in now!Topics discussed in this episode:Introduction to Mrs. Saltman’s caseThe pathophysiology of hyponatremiaCauses of hyponatremiaTypes of hyponatremia: hypertonic, hypotonic, and isotonicHyponatremia treatment strategies and their risksMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
98: "Broken Heart Syndrome" aka Takotsubo Cardiomyopathy
Mar 29 2024
98: "Broken Heart Syndrome" aka Takotsubo Cardiomyopathy
Takotsubo cardiomyopathy, also known as “broken heart syndrome,” is hard to diagnose because its symptoms mimic more common conditions like acute coronary syndrome. This stress-induced cardiomyopathy presents a mysterious challenge to nurses, as you’ll hear in today’s patient story.Host Sarah Lorenzini shares the case of a patient who went from experiencing shortness of breath and nausea to a serious cardiac emergency. She breaks down the patient’s initial presentation, their quick decline featuring hypoxia and flash pulmonary edema, and ultimate diagnosis of takotsubo cardiomyopathy.In this episode, Sarah dives into the pathophysiology of takotsubo cardiomyopathy, covering how emotional or physical stress leads to the condition. She goes over its symptoms and treatment, as well as the role of nurses in managing the condition.Tune in now to find out how you should be handling similar cardiac emergencies!Topics discussed in this episode:Takotsubo cardiomyopathy: a patient case studyThe pathophysiology of takotsubo cardiomyopathyDiagnosing takotsubo cardiomyopathyHow to effectively treat takotsubo cardiomyopathyFinal takeaways for nursesListen to Episode 82: Sympathetic Crashing Acute Pulmonary Edema: That Time My Patient Went From Stable A-Fib RVR to Intubated in 30 Minutes! https://podcasts.apple.com/ca/podcast/82-sympathetic-crashing-acute-pulmonary-edema-that/id1535997752?i=1000637926574Mentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
97: Status Asthmaticus Part 2: Strategies to Manage the Crashing Asthmatic
Mar 22 2024
97: Status Asthmaticus Part 2: Strategies to Manage the Crashing Asthmatic
Part two of our crashing asthmatic series continues with a comprehensive look into what exactly happened in last week’s nightmare patient case. Host Sarah Lorenzini dives into the pathophysiology of status asthmaticus, explaining the physiological changes in the airways during severe asthma attacks and what makes these cases resistant to standard treatment. She also breaks down treat options for patients approaching the asthma spiral of death, from pharmacological interventions to last-resort interventions like ECMO.This episode highlights the key role of nurses in the care of status asthmaticus, including the importance of recognizing the red flags like “silent chest” and managing patient anxiety.Tune in to learn everything you need to know about caring for a crashing asthmatic!Topics discussed in this episode:The pathophysiology of asthmaSigns of asthma exacerbationTreating a progression of asthma symptomsThe danger of silent chestAdvanced interventions for status asthmaticus Tips for sedation and intubationUnderstanding your role as a nurseRead this article that supports the use of magnesium for asthma:https://pubmed.ncbi.nlm.nih.gov/24865567/Read this article that shows magnesium does not help in asthma cases:https://pubmed.ncbi.nlm.nih.gov/1536485/....and there are so many more conflicting studies like these ☝️Listen to Episode 73: Resuscitate Before You Intubate: How to NOT KILL YOUR PATIENT When You Intubate https://podcasts.apple.com/us/podcast/73-resuscitate-before-you-intubate-how-to-not-kill/id1535997752?i=1000630431016Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
96: Nightmare Case: The Young Crashing Asthmatic Patient With Guest Brooklyn RN
Mar 15 2024
96: Nightmare Case: The Young Crashing Asthmatic Patient With Guest Brooklyn RN
Severe asthma leads to cardiac arrest in today’s gripping patient story. Brooklyn, an ER Nurse joins host Sarah Lorenzini to discuss a nightmare case of a young asthmatic patient and her team’s desperate fight to stabilize him.Despite various interventions, from albuterol, magnesium, BiPap, ketamine, and more, the patient's condition deteriorated, requiring intubation and ultimately transfer to an ECMO center to save the patient’s life. This episode highlights the challenges faced by smaller hospitals with fewer resources and the heroic care this patient received despite so many challenges.Check out part one of our series on caring for the crashing asthmatic!Topics discussed in this episode:Initial treatment of Brooklyn’s asthma patientThe patient’s escalating condition and challenges in careUnpacking every tool in the asthma treatment toolboxManaging complications from autopeep to pneumothorax to cardiac arrestKey takeaways from this patient caseMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
95: "That's a Weird Blood Pressure!": Recognizing and Interpreting Wide and Narrow Pulse Pressures
Mar 8 2024
95: "That's a Weird Blood Pressure!": Recognizing and Interpreting Wide and Narrow Pulse Pressures
Do you know how to recognize a wide or narrow pulse pressure and what each finding tells you about your patient? Following last week's discussion on the shock index, host Sarah Lorenzini introduces pulse pressure as another essential tool in the nurse's assessment arsenal.In this episode, Sarah outlines how to measure and interpret pulse pressure. She shares two patient stories to illustrate how variations in pulse pressure can indicate different underlying conditions: The case study of Mrs. D highlights the implications of narrow pulse pressure, and the case study of Mr. S explores wide pulse pressure.Through these examples, Sarah emphasizes how pulse pressure can be a key indicator in patient assessments while also clarifying its limitations. Listen in now!Topics discussed in this episode:The case study of Mrs. DMeasuring and interpreting pulse pressureCauses of narrow pulse pressureCauses of wide pulse pressureThe case study of Mr. SLimitations to pulse pressureUsing pulse pressure as a diagnostic toolMentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
94: How Valuable is the Shock Index?
Mar 1 2024
94: How Valuable is the Shock Index?
Looking at HR or Blood Pressure alone as determinants of how stable the patient is can lead us astray.  The Shock Index allows us to detect when patients are declining… while they are still compensating. Shock Index = HR/SBP… but how can we use this tool? A patient’s vital signs can appear normal, meanwhile they’re on the brink of shock. This was exactly the case of Mr. Fields, a patient admitted to the ER after falling off his tractor. Initially, his vitals didn't raise alarms but there were signs pointing to a more serious situation — including a shock index of greater than one.In this episode, host Sarah Lorenzini dives into the critical role shock index plays in determining how sick patients are and improving their outcomes, especially in emergency settings. She breaks down the calculation of shock index, its limitations in screening for all types of shock, and practical applications in patient care.Tune in now to explore how you can apply this vital tool in the assessment and treatment of patients!Topics discussed in this episode:The case study of Mr. FieldsUnderstanding shock indexHow to calculate shock index… the easy wayClinical applications of shock indexLimitations of shock indexLearn more about shock index: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698590/#:~:text=Shock%20index%20(SI)%20is%20defined,sepsis%2C%20and%20ruptured%20ectopic%20pregnancyMentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
93: What the Heck is BRASH Syndrome?
Feb 23 2024
93: What the Heck is BRASH Syndrome?
Are you familiar with BRASH syndrome? The complex interplay of Bradycardia, Renal Failure, Atrioventricular Block, Shock, and Hyperkalemia forms a collection of clinical signs known as BRASH syndrome. One condition leads to another which leads to another, heightening the severity of symptoms. Fortunately, it’s easy to manage if you know what you are treating.In this episode, Sarah Lorenzini breaks down the pathophysiology of BRASH syndrome as she examines a patient case study. Starting with its hallmark features and expanding into the synergistic effects of AV nodal blockers, hyperkalemia and renal failure, she provides insights on recognizing the signs of BRASH syndrome early and the importance of understanding the interplay among its components.Sarah outlines the treatment priorities for BRASH syndrome and highlights the importance of identifying the root cause of symptoms to prevent a cascade of complications leading to shock.Tune in to strengthen your knowledge of BRASH syndrome!Topics discussed in this episode:Case study analysis of a BRASH patientComponents of BRASH SyndromeHow BRASH developed in Sarah’s patientTreatment and management of BRASH SyndromeThe role of calcium in treatment of BRASHYou can learn more about BRASH Syndrome at the Internet Book of Critical Care Website:https://emcrit.org/ibcc/brash/Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
92: How to Rock Your Next Stroke Alert With Guest Dr. Eric Wilson RN, AGNP-C, DNP, NREMT-P
Feb 16 2024
92: How to Rock Your Next Stroke Alert With Guest Dr. Eric Wilson RN, AGNP-C, DNP, NREMT-P
Timing is everything when it comes to strokes because every second without treatment impacts patient outcomes. If you’ve ever wasted time debating whether or not to call a stroke alert, you don’t want to miss this episode with Dr. Eric Wilson RN, AGNP-C, DNP, NREMT-P!During his conversation with host Sarah Lorenzini, Eric emphasizes the urgency of recognizing stroke symptoms early, highlighting unilateral deficits and speech issues as red flags for immediate action. He guides listeners through the assessment of patients using the NIH Stroke Scale, and dives into treatment options and diagnostic procedures.Eric and Sarah also discuss the role of nurses during a stroke alert, including when one should be called and what nurses can expect. Tune in now to learn how you can rock your next stroke alert!Topics discussed in this episode:Identifying stroke symptoms and calling a stroke alertAssessing the patient and preparing for a stroke alertThe NIH Stroke ScaleCriteria for thrombolytic treatmentWho makes a good candidate for thrombectomyTreating patients who don’t qualify for a thrombolyticMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!
91: Vasopressors and Inotropes 101
Feb 9 2024
91: Vasopressors and Inotropes 101
Cardiac output equals heart rate times stroke volume… but what does that really mean and how does it apply to the bedside? This formula (CO = HR x SV) is crucial for nurses to understand in the application of vasopressors and inotropes, so why is it so difficult to memorize their role in improving cardiac output?This episode is dedicated to breaking down these life-saving medications so you can not only memorize their expected effect on vital signs, but more importantly, understand how they work in the body. Host Sarah Lorenzini provides a comprehensive lesson in these three classes of medications: vasopressors, inopressors and inodilators. She covers how each affects heart rate and stroke volume, diving into the alpha and beta adrenergic receptors that impact cardiac output.Sarah also shares memory aids to help you remember these concepts and apply them to your clinical decision making.Tune in now to learn the basics of vasopressors and inotropes!Topics discussed in this episode:The role of sympathomimetics to improve cardiac outputAdrenergic and vasopressin receptorsVasopressor types and medicationsMentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
90: Rhabdomyolysis
Feb 2 2024
90: Rhabdomyolysis
Did you listen to Joey’s story in last week’s mystery episode? If you did and guessed rhabdomyolysis as his diagnosis, congratulations! Joey’s muscle injury from playing a little too hard at football camp resulted in a release of muscle proteins that ultimately caused his kidneys to shut down, which led to his diagnosis and treatment for rhabdomyolysis.In this episode, host Sarah Lorenzini examines the complexities of the condition, from its pathophysiology to causes and treatment options. You’ll learn the hallmark signs of rhabdomyolysis, the not so obvious signs and symptoms to be aware of, and what to consider when caring for patients.Tune in for a detailed exploration of rhabdomyolysis!Mentioned in this episode:Rapid Response Academy LinkWanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/communityRapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
89: MYSTERY EPISODE... What's Wrong With Joey?
Jan 26 2024
89: MYSTERY EPISODE... What's Wrong With Joey?
Are you ready for some diagnosing fun?! In this episode, host Sarah Lorenzini will challenge your diagnostic skills with the mystery case of Joey, a 14-year-old patient who went from playing football at summer camp to being intubated in the ER.Joey presented with an altered mental status, and was tachycardic, tachypneic and febrile. Once in the ER, he went into ventricular tachycardia, his blood pressure dropped significantly, and he required intubation. As Sarah shares more details on his presentation, labs results and medical history, you’ll get all the critical clues needed to solve this intriguing case.So, think you can uncover what’s wrong with the patient? Check back next week when Sarah concludes Joey’s story and reveals his mystery diagnosis!Mentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
88: Autonomic Dysreflexia: The Who, What, Why, and How to Treat This Perplexing Diagnosis
Jan 19 2024
88: Autonomic Dysreflexia: The Who, What, Why, and How to Treat This Perplexing Diagnosis
As host Sarah Lorenzini insightfully explains, “think of autonomic dysreflexia symptoms as the body's way of telling you something is wrong.” Autonomic dysreflexia is a medical emergency that occurs in patients with a spinal cord injury, but it can be hard to recognize because of the body’s confusing responses to stimulation. That’s why it’s crucial for nurses to understand this syndrome and prevent patients from developing any life-threatening complications.In this episode, host Sarah Lorenzini gives listeners an inside look at a case of autonomic dysreflexia in a quadriplegic patient. She breaks down the patient’s symptoms, medical history and presentation, then shares what helped her recognize the signs of autonomic dysreflexia. As she dives into the pathophysiology of autonomic dysreflexia, you’ll gain a better understanding of this syndrome, including how to manage the symptoms and treat patients.At first perplexed by this case, it was Sarah’s knowledge and critical thinking that led her to suspect autonomic dysreflexia. Tune in now and take notes so you can diagnose autonomic dysreflexia and deliver timely intervention the next time you encounter it!Topics discussed in this episode:The patient’s symptoms and initial assessmentIdentifying the problem and starting treatmentUnderstanding autonomic dysreflexiaCauses and management of autonomic dysreflexiaMentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
87: Navigating Goals of Care Discussions With Guest, Hospice Nurse AJ
Jan 12 2024
87: Navigating Goals of Care Discussions With Guest, Hospice Nurse AJ
Goals of care discussions are among the most difficult to navigate as a nurse, BUT there are ways to provide both comfort and clarity to patients and their families in these emotionally charged situations.In this episode, host Sarah Lorenzini and Hospice Nurse AJ share tips and insights on how to approach these challenging discussions with sensitivity and respect, all while keeping patient’s wishes at the forefront of treatment. From how to start the conversation to addressing concerns, they cover strategies for approaching family members in person or on the phone.This episode explores not just the words and phrases nurses should employ, but also the compassion that patients and their families need as they step into the grieving process. AJ and Sarah also discuss how to handle various scenarios, including ones where the family is in disagreement or is struggling to make a decision on care.After listening, you’ll have skills necessary to navigate the nuances of communicating effectively about goals of care and balancing clinical objectives with empathy. Tune in to learn how to have clear, compassionate goals of care discussions!Topics discussed in this episode:How to start the conversation on goals of careThings to say to the family and things to avoidWhat DNR means for end of life careDealing with conflicting family opinionsCommunicating with family by telephonePreparing the family to see critically ill loved onesA nurse’s role in facilitating the family’s grieving processMentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
86: Making the Transition to the ICU With Guest Sarah Vance
Jan 5 2024
86: Making the Transition to the ICU With Guest Sarah Vance
Orienting as a new Nurse in the ICU is much like climbing your first big mountain — both require basic knowledge, passion, and the ability to learn quickly and adapt in a demanding environment. But without these attributes, you have an arduous, possibly insurmountable journey ahead of you.In this episode, host Sarah Lorenzini and Sarah Vance RN delve into the controversial topic of new grads going straight into the ICU after graduation, exploring the challenges and opportunities it presents for new nurses. They discuss the essential skills and mindset needed to thrive in such an intense setting, emphasizing the crucial role of self-care and support for success in the ICU.This episode answers common questions from Rapid Response RN listeners, including “what types of people do well in the ICU, and what types of people struggle? What can I do to prepare for a job in the ICU? What are the most common struggles of nurses in the ICU, and how can they mitigate those challenges?”As a critical care nurse and educator, Sarah’s insights will help you assess your readiness for joining the exciting but challenging world of the ICU. Tune in now!Topics discussed in this episode:The debate around new grads joining the ICUWhat type of people who do well in the ICUChallenges new grads face in the ICUHow to prepare for a job in the ICUNavigating the common struggles of ICU nursesThe importance of learning from your mistakesWatch this episode on The Rapid Response RN YouTube Channel! https://www.youtube.com/@therapidresponsern/videosConnect with Sarah Vance!Instagram: https://www.instagram.com/iseeu_nurse/TikTok: https://www.tiktok.com/@iseeu_nurseWebsite: https://iseeunurse.com/Mentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
85: Just a Spoonful of Sugar Helps Your Patient's Prolapsed Rectum Go Down
Dec 29 2023
85: Just a Spoonful of Sugar Helps Your Patient's Prolapsed Rectum Go Down
What’s your craziest, most shocking nursing story? In this episode, you’ll hear one of host Sarah Lorenzini’s most memorable stories as a rapid response nurse!Sarah recounts her experience treating a severe case of a prolapsed rectum, describing the unconventional yet effective approach that not only resolved the medical dilemma but caught the attention of Rapid Response RN listeners, becoming the most shared episode of the podcast!As Sarah delves into this case of rectal prolapse, she explains the science behind using sugar as treatment and important lessons learned from her experience with these rectal prolapse emergencies. Tune in now!Topics discussed in this episode:How Sarah responded to a patient’s severe case of prolapsed rectumPathophysiology of rectal prolapseUsing sugar to reduce prolapseKey takeaways from Sarah’s experienceMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com RRA mid december ad 2023If you want to learn more about the Rapid Response Academy: The Heart and Science of Caring for the Sick... you can click here https://www.rapidresponseandrescue.com/community to find out more and sign up.
84: Urology Tips, Tricks, and Hacks... and When it's Time to Call the Urologist With Guest Dr. Shailen Sehgal
Dec 22 2023
84: Urology Tips, Tricks, and Hacks... and When it's Time to Call the Urologist With Guest Dr. Shailen Sehgal
Foreign objects in the bladder, urinary retention, priapism. These are just a few of the urological emergencies host Sarah Lorenzini is discussing with Dr. Shailen Sehgal!Nurses are the first line of defense in treating emergencies and play an important role in managing their care. In this episode, Dr. Shailen Sehgal explores these emergencies and shares great tips and tricks to treat conditions like testicular torsion, assess for hematuria, and troubleshoot catheter insertions, bladder spasms, and more.Sarah’s conversation with Dr. Shailen Sehgal highlights the pivotal role of nurses in treating urological emergencies that require quick intervention. After listening, you’ll have a deeper understanding of common urological challenges and better be able to decide when it’s time to stop troubleshooting and call the urologist.Tune in now to learn from Dr. Shailen Sehgal’s expertise and insights!Topics discussed in this episode:Dr. Shailen Sehgal’s interesting urological casesThe role of nurses in urological emergenciesHow to diagnose and manage testicular torsionTroubleshooting Foley catheters and Coude cathetersTips for female catheter insertionDealing with catheter leakageContinuous bladder irrigation (CBI)Advice on caring for urology patientsDr. Shailen Sehgal attended medical school at Cornell University and did his urology residency at the University of Pennsylvania. His fellowship in robotic/minimally invasive surgery was also completed at the University of Pennsylvania.  His clinical research fellowship was done at the National Institutes of Health.  He is board certified by the American Board of Urology. He practices urology and urologic surgery in Western Pennsylvania and West Virginia.Dr. Shailen Sehgal, MD is one of the founders of UroCoach, a comprehensive library of urology education videos, free to the public. In these videos, urology topics are explained by practicing urologists in easy-to-understand language for patients, nurses, trainees, and anyone interested in urology!https://youtube.com/@UroCoachhttps://www.instagram.com/urocoaches/https://www.tiktok.com/@urocoachhttps://www.facebook.com/profile.php?id=100090540351025Mentioned in this episode:RRA mid december ad 2023If you want to learn more about the Rapid Response Academy: The Heart and Science of Caring for the Sick... you can click here https://www.rapidresponseandrescue.com/community to find out more and sign up.Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word...
83: How to Manage Snake Bites as a Nurse and as a Patient With Guest Sealy RN
Dec 15 2023
83: How to Manage Snake Bites as a Nurse and as a Patient With Guest Sealy RN
Snake bite care: where the cost and long-term complications can sting harder than the bite.Managing snake bites requires quick intervention, making it crucial for nurses to understand how to navigate this type of emergency. So in this episode, host Sarah Lorenzini welcomes Sealy RN to share her firsthand experience of being bitten. As a nurse who has also treated snake bites, she has great insights on the challenges of snake bite care.Sarah and Sealy discuss the use of antivenom, specifically the short and long-term risks of CroFab, what can happen if a snake bite is left untreated, and the role of nurses in snake bite management.Sealy's story highlights the importance of prompt and informed treatment, taking charge of your own care and advocating for patients. Plus, you’ll find out what steps you should (and shouldn’t) take if you get bitten by a snake.Tune in to learn everything you need to know from a nursing and patient perspective!Topics discussed in this episode:Sealy’s snakebite storySnake bite treatment and the recovery processSnake bite symptoms and possible complicationsWhat to do when you’ve been bittenTakeaways from Sealy’s experienceDownload the SnakeBite 911 app:https://crofab.com/crofab-resources/snakebite911Mentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
82: Sympathetic Crashing Acute Pulmonary Edema: That Time My Patient Went From Stable A-Fib RVR to Intubated in 30 Minutes!
Dec 8 2023
82: Sympathetic Crashing Acute Pulmonary Edema: That Time My Patient Went From Stable A-Fib RVR to Intubated in 30 Minutes!
How does AFib RVR escalate into a life-threatening situation in just 30 minutes?Join host Sarah Lorenzini as she reflects on a perplexing case of sympathetic crashing acute pulmonary edema, also known as flash pulmonary edema. This patient’s rapid deterioration led to an emergency intubation that perplexed the rapid response team, but the patient's true condition became clear in hindsight.In this episode, Sarah walks us through the case, sharing the patient's presentation and medical history, how the team treated his symptoms, and why their initial interventions failed. She delves into the pathophysiology of SCAPE, the patient’s progression into sympathetic surge, and his ultimate treatment.Tune in to learn from Sarah’s look back at this patient story!Topics discussed in this episode:Sarah’s complex A-Fib RVR patient storyReflecting on the patient’s treatment and hindsight lessonsThe progression of sympathetic crashing acute pulmonary edema (SCAPE)Causes of SCAPE and stopping the spiral towards deathManaging SCAPE (what to and not to use)Case summary and key takeawaysMentioned in this episode:Coming Soon! Rapid Response Academy: The Heart and Science of Caring for the SickClick here to learn more about the community that Sarah is building: https://www.rapidresponseandrescue.com/community Rapid Response and Rescue Intro CourseCONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑‍💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com