Rapid Response RN Sarah Lorenzini

September is Sepsis Awareness Month, so host Sarah Lorenzini is throwing it back to one of the earliest Rapid Response RN podcast episodes with guest Yesha APRN. This episode tells the story of a patient with sepsis, and it’s one of Sarah’s favorite episodes because it exemplifies all of the classic signs and symptoms of sepsis as well as the important role the nurse plays in caring for septic patients.
Last week, you learned about fluid resuscitation and the potential harm of fluid overload in the treatment of sepsis. In this episode, you’ll hear how Sarah and Yesha’s patient responded to fluid boluses and what made them advocate for a different treatment approach.

Sarah then goes deeper into the pathophysiology of sepsis, indicators of sepsis using SIRS criteria and the qSOFA score, and more indicators any nurse can test without a tool. You’ll also find out how to treat a patient with sepsis, which diagnostics to run, and what you can do to promote a return to homeostasis in your patient.

Tune in to learn the signs and symptoms of sepsis and septic shock, and how to facilitate early detection. Plus, hear Yesha’s takeaways from this patient story that will benefit all nurses in their treatment of sepsis!


Topics discussed in this episode:

Yesha’s nursing journey and updates on her careerHow Yesha’s patient presented and his response to fluid administrationWhat made her decide to call a rapid response nurse, SarahSarah’s assessment of the patient and how they treated himThe pathophysiology of sepsisSIRS criteria and qSOFA score for prediction of sepsisWhat happens in the “septic inflammatory cascade of awfulness”How to detect sepsis earlyTreatment and management of a sepsis patient


Read the article, “Fluid selection & pH-guided fluid resuscitation” by Dr. Josh Farkas, here:
https://emcrit.org/ibcc/fluid/

Mentioned 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 Course
If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com

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!

Often when a patient’s blood pressure has dropped, we administer fluids without truly knowing the exact reason for the change. Does the patient have low volume, were they vasodilating, or is their heart not squeezing effectively? Fluid resuscitation is not always the answer, but there’s no clear guideline to assess patients without advanced tools that take time and specialists. Enter the FloPatch from Flosonics, an innovative device that quickly measures blood flow in real time.
Fluids can cause damage when given in excess, so it’s crucial for nurses to understand why blood pressure isn’t an adequate indicator of fluid responsiveness, and how a patient can show signs of fluid responsiveness but cardiac output is not increasing. That’s why host Sarah Lorenzini is speaking with Corinne RN to find out more about how Flosonics is helping nurses guide their fluid resuscitation using the portable FloPatch device.
In this episode, Corinne shares patient stories to exhibit how FloPatch can improve patient outcomes, especially in those with sepsis. Corinne and Sarah also discuss the concept of Frank-Starling’s law, the components of stroke volume, and MORE.
FloPatch can help you assess patients and provide precise care. Tune in to find out how it works, the benefits of the product, and why you want to use it at your hospital!

Topics discussed in this episode:

How Corrine RN became so passionate about fluid resuscitationWhy blood pressure isn’t the best tool for determining cardiac outputFactors that influence blood pressureThe relationship between preload, afterload, and contractilityThe consequences of fluid overloadExamples of how FloPatch can improve patient care


FloPatch is a game-changing advancement in precision fluid management for critical care, particularly in the management of sepsis. As the world's first wireless, wearable Doppler ultrasound technology, it provides real-time, non-invasive assessments of arterial and venous blood flow. FloPatch empowers clinicians at the bedside to make rapid, data-driven decisions on fluid resuscitation, mitigating risks of complications such as pulmonary edema and acute kidney injury. FloPatch holds the potential to transform the way clinicians approach and manage hemodynamic assessments, paving the way for increased clinical confidence for more efficient, effective, and patient-centered care.

Visit their website to learn more and request a demo: https://flosonicsmedical.com/

Share this podcast episode with your colleagues to spread the word about FloPatch.

Follow FloPatch on Instagram, Twitter and LinkedIn for the latest updates and clinical insight:

Instagram: https://www.instagram.com/flopatch_/

Twitter: https://twitter.com/Flosonics/

LinkedIn: https://www.linkedin.com/company/flosonics-medical

Have questions for Corinn? Email her at czehner@flosonicsmedical.com

Join the Sepsis Alliance Summit 2023 during Sepsis Awareness Month! This virtual event is hosted on September 27th to 28th. Learn more here: https://learn.sepsis.org/virtual-conference
Mentioned in this episode:
Rapid Response and Rescue Intro Course
If you would...

We often are looking for an acidosis when patients present with lethargy but what about when it’s an alkalosis!? In last week’s episode with Annie Fulton RN of the “Up My Nursing Game” podcast, she and host Sarah Lorenzini presented a patient story but left the diagnosis a mystery.  You heard why Annie’s patient was admitted and her initial assessment, what caused her to think something more was going on, and why she ruled out sepsis as a diagnosis. Now, find out what her diagnosis was and how she was treated! Hint: today, we’re talking all about diuretic induced metabolic alkalosis.
To start off this episode, Annie recaps her patient’s story, walks us through the patient’s VBG results, and how they arrived at a diagnosis of metabolic alkalosis. Sarah then breaks down the pathophysiology of diuretic induced metabolic alkalosis, including what causes it at the cellular level and how to treat the condition. They specifically talk about contraction alkalosis, and how it’s possible for a patient to be both intravascularly dry but extravascularly still fluid volume overloaded.
Sarah and Annie also discuss the patient’s mild leukocytosis, the clinician’s decision to NOT prescribe antibiotics after a positive urinalysis, and their thoughts on antibiotic stewardship and critical thinking in diagnostics.

Listen to part two of this mystery series to find out how to treat metabolic alkalosis from diuretics, and find out if there’s anything you can do to look out for its symptoms! 


Topics discussed in this episode:

How Annie’s patient presented and her initial treatmentThe results of the patient's VBGWhat can cause metabolic alkalosis and its symptomsIntravascular vs extravascular fluid volume statusContraction alkalosis and how to treat itHow Annie’s patient was treatedThe right time to stop and start diuresis on a patientWhy the patient’s clinician declined to give antibioticsThe debate on sepsis mimics


Listen to Annie Fulton’s Up My Nursing Game Podcast: http://www.upmynursinggame.com/

Connect with Annie Fulton on Instagram: https://www.instagram.com/upmynursinggame/
Mentioned in this episode:
Rapid Response and Rescue Intro Course
If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com

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!
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!

Can you guess what was causing this patient’s unexpected symptoms?
This episode is a little different from the rest, thanks to you, our listeners, for submitting your suggestions and ideas for how these episodes should go, because we are all ears!
One of our listeners suggested we do a mystery episode (thanks Shannon!), and we thought it was brilliant! So, on today’s episode, our host Sarah Lorenzini invites back, podcast host of Up My Nursing Game, registered nurse, friend, and former Rapid Response RN Podcast guest, Annie Fulton, to unravel a patient case study of one of Annie’s patients, but we won’t be revealing the diagnosis just yet.
Sarah and Annie discuss why the patient was admitted to the hospital, Annie’s initial analysis of the patient, medications that were administered, the patient’s vital signs, and physical assessment findings, as well as when and why Annie became concerned for the patient and why she had ruled out sepsis from the diagnosis.

In this mystery episode, we won’t be giving away the actual diagnosis.  Instead, for this week we will be leaving you all to try and guess what you think the diagnosis is, and we will reveal the answer in next week’s episode!

Tune in to hear about Annie’s patient, and be sure to check out next week’s episode for the diagnosis reveal! 


Topics discussed in this episode:

A little bit about Annie and how her and Sarah metWhat Annie’s patient was admitted forAnnie’s initial assessment of her patientWhat caused Annie to realize something was wrong with her patientThe patient’s vital signs and how she was flagged for SIRSWhy Annie didn’t think the patient had sepsis


Listen to Annie Fulton’s Up My Nursing Game Podcast: http://www.upmynursinggame.com/

Connect with Annie Fulton on Instagram: https://www.instagram.com/upmynursinggame/
Mentioned in this episode:
Rapid Response and Rescue Intro Course
If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com

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!

“If you look for the bad, you’ll always find it. If you look for the good, you’ll always find it.” - Sarah’s grandmother
In the second part of our two part series on nursing burnout, our host Sarah Lorenzini continues her conversation with Nurse Burnout Coach Janna Holterman, where they discuss how to reframe your mindset as a nurse to deal with burnout.
We go to nursing school because we want to help people who are suffering and provide care on a heart centered level, not just by fulfilling tasks and making sure patients are getting their medication on time. It’s easy to lose sight of that if you’ve been at it for a while, so reminding yourself to look for those special moments to create beauty in your job as a nurse, is crucial to avoiding burnout and staying fulfilled.

This is what Sarah and Janna discuss in today’s episode to hopefully provide some insight for those who are experiencing burnout or are almost there. Being aware of burnout and how to deal with it is important, not only for you as a nurse to provide the best care possible, but for your own health, longevity, and overall quality of life.

So tune in for a discussion on how to find the beauty in nursing again so you can be the much needed light in a dark room.


Topics discussed in this episode:

How to balance being passive vs. taking a stancePracticing feeling neutralThe need for nurses to see their patient get betterImportance of looking for the beauty in nursingThe difference between a life coach, therapist, counselor, and fitness trainerWhat Janna has to say to nurses who are burnt out


Learn more about Nurse Janna and her burnout coaching services on her website! www.jannaholterman.com

Connect with Nurse Janna on Instagram: https://www.instagram.com/jannaholtermancoaching/
Mentioned in this episode:
Rapid Response and Rescue Intro Course
If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com

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!

Nurses are trained to put their patients first, and that oftentimes results in forgoing their own needs. Skipping out on fundamental needs like sleeping and eating healthy meals lead nurses to feel emotionally and physically exhausted, eventually leading to burnout and loss of love for the job.
Nurses spend so much time advocating for patients but forget that it’s equally as important to advocate for themselves. As today’s guest will remind you, “what you resist persists.” Even if you have the ability to push your own needs to the side, they will always catch up with you, whether it’s in the form of an emotional breakdown or apathy towards other parts of your life.
Host Sarah Lorenzini is speaking with Nurse Burnout Coach Janna Holterman in a special two-part series! In this first episode, Janna shares her personal experience with burnout, the symptoms of burnout, and how she helps clients address them.
Janna and Sarah go over tools for overcoming burnout, and how to recognize you’re experiencing burnout and not just normal stress.

If you’re in search of the “perfect” nursing job, stop looking now because there isn’t one. However, YOU have the power to love nursing again and leave work with enough energy to live a happy, healthy life.

Tune in now to learn how to get started!

Topics discussed in this episode:

Janna’s nursing career and experiences with burnoutHow she dealt with her own burnout and became a coachStress versus burnoutSigns of burnoutHow to decide when it’s time to leave a jobThe first step to fighting burnout4 tools for burnout recovery and healing

Learn more about Nurse Janna and her burnout coaching services on her website! www.jannaholterman.com

Connect with Nurse Janna on Instagram: https://www.instagram.com/jannaholtermancoaching/
Mentioned in this episode:
Rapid Response and Rescue Intro Course
If you would like to check out Sarah’s 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com

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!
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!