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Alter Update Podcast

Archbishop Alter High School

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Archbishop Alter High School is a Catholic, comprehensive, co-educational high school that is owned and operated by the Archdiocese of Cincinnati. We are a community that is: founded in faith, preserved with pride and sustained by spirit. Stay up-to-date with the latest at Alter with our podcast!
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Up My Nursing Game is an educational nursing podcast for curious and driven acute, emergency, and critical care nurses who seek a deeper understanding of clinical subjects and want to broaden their understanding of patient care in the hospital setting. No boring lectures here! Join Annie, RN, as she delivers high-value content, including interviews with members across the healthcare team that address common clinical questions, share unique perspectives, and covers what was missed in nursing ...
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Somewhere in between the radical arguments of today's world topics of sports, faith, politics, the economy, and the massive spread of drug and alcohol addiction lies a lonely place with evasive conclusions called the truth. "Somewhere In Between" with Coach Mulls and The Coop has a mission of getting to the TRUTH, that place where revelation lies and wisdom prevails. Coach Ryan Mullaney, a former football coach and pro player with an unsuccessful NFL Career being cut 5 times by 4 NFL teams, ...
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Set Yourself Free

Justin the addiction guy

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How do people fall into addictive traps? How do people break free from addictive dungeons? Exploring and philosophizing about problems and solutions to the drug overdose problem, the world of substance use disorder counseling, addiction recovery, prevention and treatment. Nothing is better than being free. A dialogue as service to build stronger, healthier communities through education for prevention of the next tragic overdose death and stolen potential. We can be come wiser and more strate ...
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show series
 
Altered mental status (AMS) can be an early warning sign of serious conditions, yet it's often overlooked or dismissed as simple confusion. In this episode, critical care nurse practitioner Christian Guzman breaks down the complexities of AMS and its many causes. Christian walks us through a systematic approach to assessing and managing patients wi…
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While the concept of hypovolemic shock may seem straightforward compared to the other types of shock, it's various causes and vastly different treatment approaches may catch you off guard. In this episode, flight nurse Nyssa from The Q Word Podcast vividly illustrates the key differences between fluid volume depletion and blood volume loss. You'll …
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In this in-depth episode, cardiac nursing expert Sean from the Nurse Dose Podcast vividly illustrates how acute coronary syndromes, valve dysfunction, arrhythmias, and mechanical complications can all culminate in cardiogenic shock. You'll learn to spot the ominous signs like falling cardiac output, rising filling pressures, and poor end-organ perf…
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Imagine being a nurse faced with a patient who has taken a fistful of someone else's medications, leading to a life-threatening allergic reaction. This was the reality Dave Dovell, a registered nurse and author, confronted in a fascinating case study he shares during this podcast episode. He takes listeners on a deep dive into the clinical presenta…
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The emergency severity index, or ESI, is meant to swiftly triage patients based on urgency and resource needs. In this episode emergency nurse, Kevin MacFarlane, shares his techniques for determining ESI scores, from identifying true level one resuscitation cases to non-urgent level five medication refills. You'll gain a comprehensive understanding…
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Sedation and delirium can derail even the strongest patient's recovery in the ICU - but spontaneous awakening trials (SATs) can empower nurses to get ahead of this vicious cycle. In this candid episode, I pick the brain of Kali Dayton, an ICU nurse practitioner fervent about early mobility, pulls back the curtain on SATs, a tragically misunderstood…
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Proper sedation management is critical for improving outcomes, yet studies show a widespread problem of inaccurate Richmond Agitation-Sedation Score (RASS) assessments by nurses. In this revealing episode, Kali Dayton DNP, shares her technique to accurately and objectively measure the RASS and why this matter for our patient's outcomes. Check out N…
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Ever wonder what goes on behind the operating room doors? In this episode, we pull back the curtain on the fascinating world of anesthesia and surgery. Certified Registered Nurse Anesthetists Tanner and Cole from the Core Anesthesia podcast provide an insider's look at the perioperative process, from pre-op preparation to the orchestrated induction…
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We all know that staying in bed increases the risk of pressure injuries and DVTs. But the adverse effects of immobilization go far beyond those basics. In this eye-opening episode, Margaret Arnold, PT pulls back the curtain on the rapid and surprising physiological changes that occur when your patients are inactive. You’ll learn about the hidden da…
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In this episode, Tim Madeira, cardiothoracic DNP, provides an overview of the primary heart valve diseases. He expertly guides us through the complex physiological processes underlying conditions like stenosis and valve regurgitation arising from congenital abnormalities, calcifications, infective endocarditis, and trauma. In addition, Tim outlines…
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Listen in as I chat with Philip Gonzalez, a critical care occupational therapist. He will help us de-mystify the philosophy of occupational therapy, discuss how nurses cane help their patients make the most of their therapy sessions, and introduce us to verticalization therapy. Discussed in episode Verticalization therapy is a therapeutic approach …
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Understanding Diltiazem is an important part of your cardiac skillset. It's indications range from blood pressure management, long term stable angina, to it's mainstay in the hospital setting: acute rate control of arrhythmias with rapid ventricular rates. This episode will cover Diltiazem's mechanism of action, its multiple indications for both ac…
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My Differential Diagnosis professor from graduate school at Hazelden Betty Ford Graduate School of Addiction Studies joins us for an exploration of addictive behaviors from sexual related to meth, and how mental disorders can change or fade in the long term as we age out of the energy it takes to maintain them. Caffeine addiction, and your host's p…
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In this episode, I'll give you the inside scoop on amiodarone so you can truly grasp why it is *the* most prescribed antiarrhythmic medication. We'll unpack its unique mechanism of action that makes it so effective, share a real-world case that shows amiodarone in action, as well as have a candid talk about its adverse effects. Join me to find out …
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Judy Squires worked as an addictions counselor at Minnesota Corrections - Fairbault prison and Shakopee women's prison. She brought a passionate energy to her career for nearly 2 decades in her mission to set offenders free of the prison of their minds behind bars. Her experience as a mother who struggled with alcohol use which spiraled into losing…
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Do you want to enhance your understanding and effectively use atropine in the treatment of bradycardia? Starting with atropine's mechanism of action, we will explore its proper use for symptomatic bradycardia, including it's important contraindications. We'll also cover some of atropine's other fascinating roles beyond the heart. You'll walk away w…
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Episode 2 - James Longhenry - Marketing exec with Beauterre Recovery Institute and Meridian Behavioral Health James paints a picture of every small town in America. The unfulfilled American Dream. A sinking feeling that the underlying disappointment with our lives is a toxic shame is rooted in the force-fed delusion of the American Dream. Are we se…
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Part one of our cardiac medication mini-series spotlights Milrinone. We'll unpack milrinone's mechanism of action, indications, and potential pitfalls. This high-value overview distills need-to-know details about milrinone for seasoned critical care nurses and students alike. Check out Nicole Kupchik's exam reviews and practice questions at nicolek…
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When I found myself struggling to communicate a patient's HIV status during a rapid response, it was a wake-up call that I needed to expand my knowledge. This podcast episodes delves deeper into HIV/AIDS than nursing school did, covering common hospital presentations, labs, medications, and opportunistic infections. By enhancing my own understandin…
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We often draw blood gasses looking for an ACIDosis, but what about when you discover an ALKAlosis? In this episode, I share a story of a patient with a history of CHF, admitted for diuresis. She was initially improving but becames lethargic and difficult to arouse. We were surprised when her VBG showed alkalosis instead acidosis. Guest Sarah Lorenz…
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In nursing, we're taught certain conventions in school. But what happens when those practices don't match up with real-life situations? Join me as we delve into the controversial topics of administering medication one-by-one through feeding tubes, the presence of air bubbles in IV lines, and the appropriate size of IV catheters for blood transfusio…
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Dive into the world of trauma nursing from the FAST exam, to the operating room and subsequent inpatient care. Michelle Dedeo, trauma and neuro clinical nurse specialist, explains key trauma concepts such as the trauma assessment, the triad of death, and massive transfusion protocols. Guest: Michelle Dedeo Michelle Dedeo is a clinical nurse special…
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Have you ever wondered what float pool nursing is like? These nurses fill staffing gaps throughout various units in the hospital, meaning no two days are the same. Listen in as I discuss what float pool nursing is, it's pros and cons, and who would make an ideal float pool nurse. Whether you’re an experienced nurse looking for a change of pace or a…
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Background cover painting by Robyn Anderson Watercolors Background Music by CarlyThomas.com Photography by Jennifer Mao Jones Noah Latzer works as a recovery support specialist at the Minnesota Recovery Connection, working individually with clients, helping run groups with Virtual Addiction Care at Allina Health and running inclusive, weekly ALL re…
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As nurses, we are trained to be on high alert for sepsis, but don't be fooled! This episode covers sepsis imposters: the sneaky diagnoses that present similarly to sepsis but could prove deadly if misdiagnosed. Follow along as Dawn Carpenter, DNP shares real-life case studies that will help you identify the subtle clues that could make the right di…
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Have you noticed that your patients are being prescribed SGLT-2 inhibitors, even if they don't have diabetes? If your patient asked, would you be able to explain why they are taking an SGLT-2 inhibitor? Listen in to learn about how this new and fascinating class of medication that was designed for diabetes is now being prescribed for heart failure,…
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When fluid resuscitating hypotensive patients, how do you know when to continue with IV fluids and when to initiate vasopressors? In this episode, critical care teaching legend Nicole Kupchik, RN MSN CNS, shares evidence-based practices for determining the best course of action. Explore the significance of noninvasive measurements in assessing flui…
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For nurses who are looking to transition out of the bedside, the options may be confusing. From academia, to advanced practice and management, it’s crucial to find the right path before embarking on a long journey. In this episode, Sarah Wells, MSN RN from New Thing Nurse, lays out the multitude of options, their pros and cons, and their licensure …
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In this episode, Nurse Mo from the Straight A Nursing will delve into pancreatitis - its definition, causes, pathophysiology, and its impact on various systems of the body despite being categorized as a gastrointestinal condition. Additionally, we will discuss significant assessment findings, diagnostic procedures, and treatment options related to …
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Tune your delirium radar and add some extra tools in your tool belt to get your delirious patient back on the rails. To help navigate us through the crazy train of delirium in the ED, Kevin and Lisa from the How Not to Kill Your Patient podcast have joined me to discuss delirium assessment, risk factors, prevention, and treatment. It is part of a w…
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When I created a podcast episode with Kali Dayton, an ICU nurse practitioner and passionate advocate for preventing delirium, I never expected it to have such a profound impact on my nursing practice. To raise awareness about this issue, a group of nurse podcasters will participate in a PodCrawl starting on Monday, April 17th. I've decided to re-re…
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On this episode, I will share with you the secret sauce of a prolific nursing career. It touches education, evidence-based practice, staying up to date, networking, and "recharging your batteries". This episode is about nursing conferences, like the American Association of Critical Care Nurses' premier conference, NTI, should be a pillar of every n…
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In this second of a two part series, Dr. Mohammed Soliman, MD, PhD, MBA speaks with us about the landscape of psychiatric medications, a discussion is geared towards hospitals nurses who work in non-psychiatric units such as medical-surgical floors, ICUs, or emergency departments. This episode will cover antipsychotic and mood stabilizing medicatio…
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In this first of a two part series, Dr. Mohammed Soliman, MD, PhD, MBA speaks with us about the landscape of psychiatric medications, a discussion is geared towards hospitals nurses who work in non-psychiatric units such as medical-surgical floors, ICUs, or emergency departments. Listen to Dr. Soliman's podcast, Thrive! Learning from the Best. Chec…
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Have you ever wondered what happens to your patients who you discharge home on hospice? What medications do they receive to promote comfort? What does the dying process actually look like? Listen in as Nurse Allie @nurseallie anwers all the questions we have about hospice care. Check out Nicole Kupchik's exam reviews and practice questions at nicol…
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Have you always wanted to go on an ambulance ride? Here is the chance to get a sneak peak at what happens to our patients who are brought in by ambulance. Listen in as Mike Linares from Simple Nursing thoughtfully (and humorously!) recounts stories from his time as an EMT. Check out Nicole Kupchik's exam reviews and practice questions at nicolekupc…
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Dr. Eric Strong, internal medicine physician, faculty professor and YouTuber Strong Medicine, reviews the three categories of cardiomyopathy including their etiology, physiology, treatment, and what nurses need to look out for in patients with the disease. Dr. Strong will also explain why the term “cardiomyopathy” is surprisingly misleading and mis…
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Listen in as I share a case of vasovagal syncope with rapid response guru, Sarah Lorenzini from the Rapid Response RN Podcast, in which my patient had a syncopal episode while on telemetry. We discuss what the telemetry strip looked like, why atropine might not have been the best intervention for this patient and some of the treatment options for b…
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In this episode, I will share with you what I have considered to be my biggest ah-ha moments from the last 2.5 years of hosting this podcast — those that have influenced my practice on just about a daily basis. Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off…
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Kidney transplant is, by far, the most common type of transplant procedure performed and therefore the most commonly seen in clinical practice. Dr. Silas Norman, MD, transplant nephrologist, discusses pertinent topics for clinical nurses such as the pre-transplant work-up, post-transplant medications, and potential pitfalls when caring for transpla…
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Hostility, uncooperativeness and impulsivity: acute agitation can be one of the most stressful aspects of a nurses job. With forty years of nursing experience, Dee Henderson, RN, MSN, joins us to discuss how both pharmacologic and non-pharmacologic interventions can be used to de-escalate the crisis cycle. Check out Nicole Kupchik's exam reviews an…
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Here is the definitive episode about ostomies for the bedside nurse. From comparing and ileal conduit v. ileostomy v. colostomy to coaching your patient on what to expect in life with an ostomy, Sarah Baumgart MSN, APRN, CWOCN, answers many of the questions nurses have about their patients with ostomies. Up your nursing assessment with Eko Stethosc…
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Time is brain. Rapid response nurse, Sarah Lorenzini, is frequently working against the clock to get patients with stroke symptoms to CT and ultimately receiving definitive care. We will discuss what nurses can do to help facilitate fast interventions including tPA, thrombectomy, ventriculostomies, stroke center designation and post-CVA complicatio…
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Ketamine seems to be the new "it" drug. Victoria Arsenault, PharmD, returns to the podcast to discuss how Ketamine's dissociative properties can be used as an analgesic, anesthetic, and antidepressant. Up your nursing assessment with Eko Stethoscopes. Get noise cancelling, 40x amplification and murmur detection. Use the promo code GAME to get $50 o…
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Emergency departments in rural areas work in austere conditions that often require critically ill patients to transfer to larger hospitals that can provide a higher level of care. Kent Herbert, emergency physician, discusses what resources are available at rural hospitals and the process for transferring patients to higher levels of care. Up your n…
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A patient's nutrition status is often an afterthought for nurses. Clinical nurse specialist, Janice Powers, PhD, RN explains how nutrition improves patient outcomes and reviews evidence based enteral feeding practices in hopes that nurses will play a more central role in facilitating adequate nutrition for our patients. Up your nursing assessment w…
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Healthcare has a complex and convoluted relationship with marijuana. Marijuana is a "schedule 1" substance, meaning it has a high potential for abuse and no accepted medical use, yet a synthetic version of it is FDA approved as an appetite stimulant. Dr. Thomas, hospitalist, discusses the relevant historical and political context of the drug, as we…
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Acute respiratory distress syndrome (ARDS) has a stubbornly high mortality rate with current estimates at about 40%. Critical care veteran Kathleen Vollman, MSN, RN, CCNS lays the foundation of ARDS starting with pathophysiology followed by the “8 Ps” of evidence-based supportive care and summary of long-term prognosis. Check out Nicole Kupchik's e…
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Status epilepticus (SE) is a neurologic emergency much like an MI is a cardiac emergency and should be treated as such.⁠ From EEGs to medications, Mary Kay Bader MSN, RN talks us through both convulsive and non-convulsive SE.⁠ Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME2…
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Signs of clinical deterioration often start appearing hours before an adverse event or arrest. As nurses, we are in the unique position to be able to identify and act on early warning signs. Nurse Alice, from the Ask Nurse Alice podcast, talks about early signs and symptoms of clinical deterioration and how the Modified Early Warning Score (MEWS) c…
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