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Charting Tips for New Emergency Nurses

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Emergency Chaos

Today we are going over Documentation Tips for New Emergency Nurses including why it is important, what to focus on, the essentials and overall tips. Thank you for joining!
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❗ATTENTION❗: The information provided in this video lecture is purely educational, please follow your hospitals or organizations guidelines and policies. The information provided is also not meant to substitute the guidance and care provided by your primary care provider.

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✅Answer to Question of the Day✅
One key concern is related to the hemodynamic effects of nitroglycerin.

Nitroglycerin is a vasodilator commonly used to relieve angina and improve blood flow to the heart. However, in the context of rightsided MIs, its use can exacerbate hypotension. This is because nitroglycerin primarily dilates veins and decreases preload, which can further reduce right ventricular preload and cardiac output.

In rightsided MIs, the right ventricle is often affected, and its function may already be compromised due to the infarction. Right ventricular infarction can lead to decreased preload, impairing the ability of the heart to maintain an adequate cardiac output. Administering nitroglycerin, which further reduces preload, can worsen this situation and potentially lead to profound hypotension and cardiogenic shock.

posted by spalklasos