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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 eme ...
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The Success NPs Podcast

Jackie King and Sandra Pagenta

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A podcast platform for Nurse Practitioners by Nurse Practitioners. Your NP hosts, Jackie and Sandra, are fellow NPs and best friends since nursing school almost 20 years ago. Their desire to empower Nurse Practitioners new and experienced, led them to create Success NPs. Join them each week as they explore a variety of Nurse Practitioners' fields, immerse yourself in compelling stories, and learn actionable tips for crafting a rewarding and passionate Nurse Practitioner career you love. Succ ...
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Managing liver failure often means walking a tightrope with kidney function. This episode explores what happens when the kidneys begin to fail due to liver disease, a condition known as hepatorenal syndrome. Host Sarah Lorenzini sheds light on this common but severe complication of cirrhosis, sharing a critical case that exemplifies the challenges …
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Welcome to the Success NPs Podcast. We are your hosts, Sandra, and Jackie, two board-certified NPs, moms of littles and we want to empower your NP journey from school to practice. This week Sandra and Jackie talk about the importance of the Physical Exam in Nurse Practitioners clinical practice. Thanks for hanging out with us! Enjoy the episode. Su…
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A cirrhosis patient has stable vitals, but then starts vomiting blood. What do you do next? This episode delves into a case study that highlights the urgent management of esophageal varices in liver failure patients. Host Sarah Lorenzini reveals how a rapid response call quickly spiraled into a life-threatening emergency, and the critical steps tak…
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We explore the profession of respiratory therapy in the US, including their role and training and how to optimize our clinical relationships, with Keith Lamb (@kdlamb1), RRT, RRT-ACCS, FAARC, FCCM. Keith is an RT at the University of Virginia in Charlottesville, working clinically in neuro/surgical/trauma critical care, who has been active in resea…
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No matter your specialty, every nurse cares for patients with liver failure. Host Sarah Lorenzini starts off this four-part series on liver failure by sharing the story of a rapid response call that featured classic complications of cirrhosis: ascites, jaundice, and hypotension. Exacerbating the patient’s terminal condition was a suspected diagnosi…
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Welcome to the Success NPs Podcast. We are your hosts, Sandra, and Jackie, two board-certified NPs, moms of littles and we want to empower your NP journey from school to practice. This week Sandra and Jackie to Sophia Khawly, FNP-BC, who is a Traveling NP, ever thought of doing Locum Tenens as an NP Provider? We talk about all the details and how t…
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NTI 2024 brought together critical care nurses from across the country, and this episode highlights over 10 of their most heartwarming and unforgettable stories. Host Sarah Lorenzini speaks to ICU nurses and nurse educators who share tales of human connection, critical thinking, and compassionate care. From navigating crazy shifts to creating new p…
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We discuss the principles and application of automatic tube compensation (ATC) on modern ventilators, with its creator Ben Fabry. Dr. Fabry is a professor and chair of biophysics at University of Erlangen-Nuremberg, originally trained as an electrical engineer, who originally developed ATC as part of his PhD program. Find us on Patreon here! Buy yo…
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Nursing care plans are the bane of many a nursing student’s academic experience. They are seen as an unnecessary burden to their already heavy workload. But they play an important role in the nursing process, and nurses put these plans into clinical practice every day — whether they realize it or not. In this episode, Nurse Gwenny, an ER and flight…
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Welcome to the Success NPs Podcast. We are your hosts, Sandra, and Jackie, two board-certified NPs, moms of littles and we want to empower your NP journey from school to practice. This week Sandra and Jackie talk about how NPs won the best healthcare job in the USA according to US News and World Reports. Click the article here! Thanks for hanging o…
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Nursing educators may not hold the most glamorous position, but they are undoubtedly the backbone of the profession. Nurse Educator Patrick McMurray exemplifies this by bringing creativity and inclusivity into nursing education, supporting nurses at every stage of their career. In this episode, host Sarah Lorenzini talks to Patrick about his approa…
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Our collaboration with Sarah Lorenzini of the Rapid Response RN podcast, discussing a case and general principles for diagnosing and managing obstructive shock. Check out the other episodes on shock in the Nurses’ Podcrawl 2024! Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Obstructive shock may be the least common type of shock, but it’s no less critical. As part of Nurse PodCrawl 2024, Bryan Boling and Brandon Oto from the Critical Care Scenarios podcast join host Sarah Lorenzini in this episode to talk about the critical care management of obstructive shock. Together, they walk nurses through a patient scenario, de…
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We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni (@pulmtoilet), a first-year attending at the MedStar Baltimore Hospital system. He completed PCCM fellowship at MedStar Washington Hospital Center where he also served as chief fellow. Find us on Patreon here! Buy your merch here!…
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Welcome to the Success NPs Podcast. We are your hosts, Sandra, and Jackie, two board-certified NPs, moms of littles and we want to empower your NP journey from school to practice. This week Sandra and Jackie talk about picking an NP program and all the things to consider when you choose your NP education. Enjoy!! Thanks for hanging out with us. Suc…
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Which side of the debate do you fall on? Should families be present during resuscitation or escorted to a quiet area to wait? Among those advocating for family presence are nursing researchers, Margo Halm, APRN-BC, PhD, FAHA, NEA-BC and Jessica Sexton, MSN, RN, CPEN. During their conversation with host Sarah Lorenzini, they explain why family prese…
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We’ve talked about hyponatremia, but what do you know about Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH) and Diabetes Insipidus (DI)? In this episode, host Sarah Lorenzini and Nick McGowan RN, MSN dive into these diseases that develop from complex hormonal responses that manage the body’s water and sodium. They explore the patho…
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We discuss the role of point-of-care ultrasound in evaluating the patient with kidney injury and assessing volume status, with Abhilash Koratala (@nephroP), nephrologist, Director of Clinical Imaging for Nephrology at the Medical College of Wisconsin, and champion of nephrology-focused ultrasound. Find us on Patreon here! Buy your merch here! Takea…
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On this special PodSwap Episode, you will be hearing from Nurse Mo from the Straight A Nursing Podcast! She does an amazing job breaking down all the pharmacology of medications we use for Rapid Sequence Intubation or RSI. Rapid sequence intubation, a procedure performed to emergently intubate a patient with an intact gag reflex in cases of acute r…
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Welcome to new podcast, Success NPs. We are your hosts, Sandra, and Jackie, two board-certified NPs, moms of littles and we want to empower your NP journey from school to practice. This week Sandra encourages you to listen to her episode with Sarah, the Rapid Response RN Podcast Host on her platform. We get into the real truth on how becoming an NP…
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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 ref…
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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 R…
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We explore critical care transport medicine from both a clinical and career perspective, including helicopters (HEMS), fixed wing jet, and ground ambulance transports, with Jace Mullen, flight paramedic and airway educator out of Denver. Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Welcome to our new podcast, Success NPs. We are your hosts, Sandra, and Jackie, two board-certified NPs, moms of littles and we want to empower your NP journey from school to practice. Listen as Jackie and I talk about our experience with our NP preceptors and some of the good and bad preceptor qualities we noticed when we were in school. We also s…
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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 S…
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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 ex…
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Find us on Patreon here! Buy your merch here! We discuss the phenomenon of CPR-induced consciousness (i.e. patients demonstrating awakeness during resuscitation) with Jack Howard, Intensive Care Paramedic at Ambulance Victoria in the northern suburbs of Melbourne, Australia, and first author on a recent literature review and Delphi-derived expert g…
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Welcome to our new podcast, Success NPs. We are your hosts, Sandra, and Jackie, two board-certified NPs, moms of littles and we want to empower your NP journey from school to practice. Listen as we chat with this week with Sunny Khangura, she graduated from nursing in 2005 where she worked in various areas such as orthopedics and trauma and palliat…
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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 t…
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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,…
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Welcome to our new podcast, Success NPs. We are your hosts, Sandra, and Jackie, two board-certified NPs, moms of littles and we want to empower your NP journey from school to practice. Listen as we share this week how we met, and what we want to create with our podcast. Thanks for hanging out with us! Success NPs Links: Stan Store for Clinical Book…
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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.…
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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 ex…
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We discuss the medications typically used after organ transplant, their impact on critical illness, and how to manage them when these patients show up sick—with Olivia Philippart, transplant clinical pharmacist specializing in liver and kidney transplant at University of Kentucky HealthCare. Find us on Patreon here! Buy your merch here! Takeaway le…
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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 ar…
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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…
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A roundup of opinions from attendees at SCCM’s 2024 Critical Care Congress in Phoenix on strategies for rescuing the patient stuck in a loop of deep sedation and agitation. Thanks to Pat Posa, Martha Roberts, Juliana Barr, Kelly Drumright, and Ben Lassow for their input. ResourcesBy Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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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 breaki…
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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 rhabdomyol…
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We discuss assessing patients prior to intubation or other airway management, including both elective and emergent circumstances, with Dr. Jed Wolpaw, anesthesiologist and intensivist from Johns Hopkins, anesthesiology residency program director, and host of the ACCRAC podcast. Find us on Patreon here! Buy your merch here! Takeaway lessons Referenc…
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