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Rapid Response RN

Sarah Lorenzini

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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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A podcast for the CRNA industry. Discussing the important issues that happen both in, and beyond, the operating room. With Sharon Pearce, DNP, CRNA, FAANA, FAAN and Jeremy Stanley, EA, CFP, AIF. Innovations & opportunities for CRNAs & APRNs. Visit our website for more great information https://beyondthemaskpodcast.com/ and to learn how you can get CE Credit as a CRNA just by listening to the podcast. Don’t miss our special series on CRNA History, CRNA Personal Finance & Retirement, Political ...
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Nurse Dose Podcast

Sean BSN RN CCRN-CSC

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Join Sean CCRN-CSC on the "Nurse Dose Podcast" as he discusses hemodynamics, nursing practice, critical care medicine, and career development. Each episode offers practical tips, personal anecdotes, and expert insights for nurses and healthcare professionals of all levels. Tune in for your bi-weekly dose of nursing knowledge and inspiration! www.NurseDose.org Follow on Instagram and TikTok @nursedosepodcast
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The Critical NP Podcast

Sean P. Dent, DNP, ACNP-BC, CCRN

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Critical care medicine micro-learning. A podcast to help educate, entertain, inform, and support nurses and new nurse practitioners as they cross the divide from seasoned nurse to novice nurse practitioner. Thoughts, stories, and perspectives from an expert ICU nurse practitioner, Dr. Sean P. Dent.
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Guided by 20-year experienced ICU nurse Brooke Wallace and powered by AI — here's your study buddy from the classroom to the bedside. Think Like A Nurse is your go-to podcast for nursing students, NCLEX test-takers, and new graduate nurses who want to survive nursing school, thrive in clinicals, and step confidently into practice. Powered by AI and real-world nursing experience, each episode features conversational insights based on common questions and challenges faced by student and new gr ...
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FlightCrit Podcast

Sean Eaton, NRP, FP-C, CCP-C

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The FlightCrit Podcast. Sharing the latest education for Prehospital, Emergency, and Critical Care Trasport Professionals. We're passionate about providing the very best education for you, so please join us for the best in Clinical Practice Updates, Board Certification Exam Prep, Test Taking Tips, and much more. Have a topic you want discussed on the podcast? Let us know at www.askflightcrit.com Because What You Do Matters!
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I'm here to share motivation through interviews, conversations and other relative content, that reveal the potential for success that's in All of us. I'm a singer, radio personality and host, ready to INSPIRE, MOTIVATE, EMPOWER AND IMPACT your life. Everyone has a story that reflects Faith Over Circumstances Uncovering Success! (F-O-C-U-S) Support this podcast: https://podcasters.spotify.com/pod/show/lisa-c-phillips/support
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This Thanksgiving, Beyond the Mask celebrates gratitude, giving, and the CRNAs who make a difference every day. Joining us for this special episode is John Yauger, PhD, CRNA, FAANA, the new CEO of the AANA Foundation, to discuss how the Foundation is shaping the future of nurse anesthesia through research, scholarships, and community support. It’s …
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Ageism might not be the first ‘ism’ that comes to mind in healthcare, but it’s one that affects every provider eventually. Today’s guest, Cynthia Farina, DNP, CRNA, RN, CNE, is an educator who has devoted much of her life to advocating for wellness, inclusion, and professional longevity. She joins Kevin and Charity to break down the subtle ways age…
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Check out ThinkLikeANurse.org COMPREHENSIVE NOTES Core Difference: DKA vs HHS DKA (Type 1 diabetic, absolute insulin deficiency) No insulin → body burns fat → ketones formed → metabolic acidosis Deep, rapid Kussmaul respirations Total body potassium depleted though serum may appear high State of starvation + dehydration HHS (Type 2 diabetic, relati…
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Check out thinklikeanurse.org Comprehensive Notes Core Concept Both conditions revolve around one hormone: ADH, the body’s water-saving signal. SIADH: Too much ADH → body holds water (soaked inside) DI: Not enough ADH or kidneys ignore ADH → body loses water (dry inside) The blood and urine move in opposite directions in each disorder. SIADH — “Soa…
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This episode breaks down three of the most dangerous respiratory emergencies nurses face: ARDS, cardiogenic pulmonary edema, and tension pneumothorax. Using clear bedside cues and rapid-action frameworks, you learn how to spot these crises early, understand the physiology driving them, and take the immediate steps that prevent collapse. From pink f…
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Check out thinklikeanurse.org for more #Comprehensive Notes ##I. Overview Focus: 6 electrolytes + 4 acid–base disorders Goal: Know one classic sign + one lifesaving intervention for each NCLEX weight: High (8–16 questions across categories) Foundational rule: Always assess volume status first — dry vs overloaded guides almost every intervention II.…
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Visit thinklikeanurse.org Comprehensive Episode Notes 1. What Shock Really Is Core definition: inadequate tissue perfusion, leading to anaerobic metabolism, rising acid, cellular hypoxia, and eventual organ failure. All shock types follow the same three-stage progression: Stage 1: Compensated – tachycardia, tachypnea, cool pale skin, anxiety, decre…
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Check out www.thinklikeanurse.org 1. Opioids – Respiratory Depression Red Flag: Respiratory rate below 8–10 Action: Stop the infusion immediately, administer naloxone, monitor closely for re-sedation. 2. Heparin – HIT (Heparin-Induced Thrombocytopenia) Red Flag: Platelets below 100,000 Action: Stop heparin immediately, notify provider, avoid antipl…
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Visit thinklikeanurse.org EPISODE NOTES 1. Why Pharmacology Is the Gatekeeper Largest and most feared NCLEX subsection. Students may face 20–50+ pharm questions in a row. Scoring under 58% on pharm practice drops first-time pass chance to ~30%. NCLEX repeatedly tests the same 15–20 high-danger scenarios, not broad memorization. 2. The Strategy Shif…
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Your pneumonia patient is hypotensive, tachycardic, and not responding to fluids… what did you miss? It could be sepsis-induced cardiomyopathy, a common under-recognized shock state you could see at the bedside. In this episode, Dr. Mahmoud Ibrahim MD and host Sarah Lorenzini use a case study to highlight how nurses, intensivists and the ICU team c…
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Check out thinklikeanurse.org Comprehensive Episode Notes I. The “Critical Triangle” for NCLEX Fluids, electrolytes, and acid–base interpretation form the foundation of the NCLEX physiological adaptation category. Accounts for ~11–17% of exam questions. Mastery requires recognizing patterns, sequences, and priorities. II. Fluid Volume: Absolute Los…
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Check out thinklikeanurse.org Notes: Proactive Risk Management: The focus is on spotting early warning signs of patient deterioration and making life-saving decisions before a crisis escalates. Nurses must be vigilant and act quickly to prevent further harm. ABCs (Airway, Breathing, Circulation): The foundation of every clinical decision. Airway is…
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Notes: Check out thinklikeanurse.org to get more out on this! The Ten Rights of Medication Administration: Includes the original five (patient, drug, dose, route, time), expanded to emphasize the critical thinking required by right documentation, right education, and patient’s right to refuse. Independent double checks for high-alert drugs (insulin…
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Private equity is reshaping healthcare—but at what cost? In this eye-opening episode of Beyond the Mask, Sharon and Jeremy welcome back Daniel King, DNP, MNA, CRNA, CPPS, CNE and Jennifer Banek, MSN, MHA, CRNA for a candid conversation about how private equity ownership affects anesthesia and beyond. They explain how investor-driven models prioriti…
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I. Assistive Devices & Mobility Canes Handle height: aligns with greater trochanter. Elbow slightly flexed (15–30 degrees). Too high → shrugging; too low → stooping → fall risk. Walkers Height at wrist crease with arms relaxed. Promotes upright posture and stability. Crutches (major safety trap) Two to three finger widths between axilla and crutch …
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Psychosocial Integrity for NCLEX: Abuse, Suicide Risk, and Therapeutic Communication 00:00 – Welcome to Think Like a Nurse Host intro: Brooke Wallace – ICU nurse, organ transplant coordinator, clinical instructor, published author Mission: Make complex nursing topics easier to understand, absorb, and apply Why psychosocial integrity matters: only ~…
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In this episode of Airway Exchange, the team explores the transition from clinician to educator and the role mentorship plays in the process. Becky Motykiewicz, DNAP, CRNA joins Nickie Damico, Erin Martin, and Greg Collins to discuss what drew her to teaching, how mentorship shaped her journey, and the emotional realities that come with stepping in…
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1. Safety Culture: From Blame to Learning Non-punitive reporting → encourages learning from near-misses. Focus on system improvement, not punishment. Incident reports: Internal risk-management tools—never document “incident report filed” in the chart. Chart only objective facts and nursing actions. 2. Fall Prevention: Mnemonic FALLS F – Floors clea…
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Episode Notes: Prioritizing Critical Nursing Care & Assessment 1. Normal Aging: What Is Expected Less subcutaneous fat Presbycusis (age-related high-frequency hearing loss) Reduced vital capacity → gets breathless more easily Slower gait, unsteady movement Slower cognitive processing Mild recent-memory decline Key nursing actions: Monitor intake an…
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Health Promotion & Maintenance (HPM) Overview Covers lifespan: preconception → newborn → pediatrics → adults → geriatrics. Nurse’s role: proactive teaching, risk reduction, assessing needs, prevention, and early recognition of red-flag assessment findings. Four Levels of Prevention Primordial Prevention Prevents risk factors from ever emerging. Exa…
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This episode, created by Brooke Wallace, dives deep into one of the most tested and essential areas for nursing students—Safety and Infection Control (10–16% of the NCLEX). Listeners learn how to apply a “safety culture” mindset, document correctly, prevent injury, respond to emergencies, and follow infection control principles that protect both pa…
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What does it take to deliver anesthesia in a hospital with no ventilator, scarce medication, and power that cuts out mid-surgery? Today we’re joined by Dr. Mark Newton, pediatric anesthesiologist and longtime medical missionary, Mary Mungai, one of Kenya’s first licensed nurse anesthetists and a leader in anesthesia education across East Africa; an…
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The 5 Biggest Traps That Can Cost a Nurse Their License 1. Ignoring a DNR or Invalid Advance Directive The Trap: Starting CPR or aggressive care despite a valid DNR — or honoring an unsigned “living will.” Why It’s Dangerous: Violating patient autonomy can legally count as battery. Avoid It: Verify validity (signatures, dates, physician order). If …
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✅ The 10 NCLEX Traps Covered in the Episode Assuming the spouse is the automatic decision maker → Trap: Ignoring the legal requirement for a designated healthcare proxy. Mixing up advance directives vs. medical orders → Trap: Treating a living will or POLST as interchangeable with a DNR. Misunderstanding informed consent roles → Trap: Thinking the …
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This week we’re shining a light on the critical role that CRNAs play in rural healthcare, especially in honor of National Rural Health Month (November). Hosts Kevin and Olivia are joined by two dedicated CRNAs, Pete Hext and Hayden Hayes, who share their personal experiences and the unique challenges they face while providing anesthesia care in rur…
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Episode Notes Key Concepts & Takeaways Hypertensive Crisis Types Urgent: BP >180/120 without organ damage. Oral meds (Clonidine, Captopril). Gradual BP reduction over 24–48 hrs. Watch for rebound hypertension (Clonidine) and angioedema (Captopril). Emergent: BP >180/120 with organ damage. IV meds (Labetalol, Nicardipine, Nitroprusside). ICU monitor…
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Systematic Approach (6 Steps): Rate – Regular: 300 Rule (300 ÷ # large boxes between R waves). Irregular: 6-Second Strip Method (R waves in 6 seconds × 10). Rhythm – Regular or irregular? P Wave – Present before every QRS? PR Interval – Normal: 0.12–0.20 sec (3–5 small boxes). If the R is far from P → first-degree block. QRS Complex – Narrow (<0.12…
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Episode Notes (High-Yield for NCLEX) Three major cardiac buckets: Acute coronary syndromes (ACS) – blocked arteries and myocardial infarction Pump failure – heart failure and cardiogenic shock Infection and inflammation – pericarditis and infective endocarditis Constant NCLEX theme: Assessment before action Time is muscle in ACS Fluid status is kin…
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etting Up for a High-Quality Cardiac Assessment Quiet, warm, well-lit environment is non-negotiable so you don’t miss subtle sounds. Standard position: supine with head of bed at about 30–45 degrees for blood pressure and jugular vein assessment. Use left lateral decubitus to bring the apex closer to the chest wall for a faint apical pulse or mitra…
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Why ABG interpretation feels like decoding secret language — and how to simplify it. 02:30 – Foundations of Acid-Base Balance CO₂ = acid (lungs control it) Bicarb = base (kidneys control it) The body maintains balance (homeostasis) through both systems. 06:00 – Respiratory Acidosis Cause: CO₂ retention (slow, shallow breathing) Examples: Opioid ove…
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What You’ll Learn Assessment Mastery: Spot accessory-muscle use—the tell-tale elevated shoulders signal fatigue. Surfactant Secrets: The “dish-soap” analogy that keeps alveoli open. Pleural Effusion Clue: Why absent breath sounds—not crackles—confirm compression. Asthma Red Flag: A silent chest means airway closure and impending failure. Post-Op Pr…
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Every five years, resuscitation guidelines get a refresh. This year, a few have changed, many have stayed the same, and some are creating major controversy. In this episode, Dr. Ashish Panchal, Chair of the AHA Emergency Cardiovascular Care Committee, helps us unpack what’s new, what might surprise you, and the science behind each decision. You'll …
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Episode Notes What You’ll Learn The 5 ABG parts you must know cold Three proven interpretation methods (4-step, ROME, Tic-Tac-Toe) How to spot respiratory vs. metabolic problems fast Compensation (uncompensated, partial, full) and what it tells you about timing Nursing priorities for each imbalance (what to do now vs. what to fix next) Key ABG Comp…
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EPISODE NOTES Episode Title: Respiratory System Made Simple: What Every Nurse Must Know Created by: Brooke Wallace – ICU Nurse, Organ Transplant Coordinator, Clinical Instructor, and Author Website: ThinkLikeANurse.org 🔹 What You’ll Learn Core respiratory anatomy nurses need to know cold Why the right main bronchus is the “danger zone” The 4 key st…
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Episode Notes: What You’ll Learn: High Fowler’s vs. supine: Why positioning saves oxygenation in COPD The “below 60 rule” for Digoxin (and why bradycardia = danger) Normal newborn vitals that trick NCLEX students The hallmark sign of peritonitis after surgery Early compensation in hypovolemic shock: why tachycardia appears first Insulin teaching mi…
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What happens when a CRNA’s professional expertise meets a parent’s fight for their child’s life? In this heartfelt and inspiring episode, Sharon and her daughter Danielle—who was diagnosed with type 1 diabetes at age five—sit down with Devin Holt, CRNA, advocate, and father to a young daughter living with type 1 diabetes. Here’s some of what you’ll…
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Episode Notes Memory map: AIS-BPMA A — Albuterol (SABA, rescue): Give for acute wheeze/bronchospasm. Hold if HR ≥ 120. Assess lungs, O₂ sat, and heart rate. Can increase blood glucose; caution with digoxin. I — Ipratropium (anticholinergic): COPD maintenance med. Watch for dry mouth, constipation, urinary retention. Avoid with glaucoma or enlarged …
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📝 EPISODE NOTES 1. Furosemide (Lasix) Strategy: “Check the potassium and the weight!” Key Points: Focus on potassium (low levels = priority) and weight (for fluid status). Risk: Hypokalemia, dehydration, hypotension. Action: Monitor potassium levels, assess weight, check for signs of dehydration. 2. Carvedilol (Coreg) Strategy: “Pulse before pill!”…
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In this episode of Airway Exchange, we explore the state of the nurse anesthesia educator workforce with a special focus on faculty stabilization. We’re spending time with Terrica Durbin, DNP, PhD, CRNA, FAANA, who is the Director of the School of Nursing at Western Carolina University and ​a ​Fellow ​in ​the ​AANA. A passionate advocate for rural …
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🧠 EPISODE NOTES 1. Furosemide (Lasix) – “The Diuretic Dynamo” Mnemonic: “Furosemide flushes fluid fast but watch for falling potassium.” Mechanism: Loop diuretic; blocks sodium & chloride reabsorption in the Loop of Henle. Watch for: Hypokalemia (↓ potassium → arrhythmia risk) Hypotension, dehydration, ototoxicity (with rapid IV push) Nursing actio…
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Notes: Hemodynamics Overview: Hemodynamics refers to the real-time measure of blood flow to tissues and organs. It is critical for assessing how well the heart and circulatory system are functioning. The primary factors influencing hemodynamics are preload, afterload, and contractility. Cardiac Output (CO) & Cardiac Index (CI): Cardiac Output is th…
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Episode Notes: What is Hemodynamics? Hemodynamics refers to how blood flows through the body, with the heart acting as a pump, blood vessels as pipes, and blood as the carrier of oxygen to the body’s organs. The nurse's role: monitor blood flow and intervene to prevent complications. The Three Big Pieces of the Heart Pump Stroke Volume (SV): Amount…
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Notes Hemodynamics is the key to understanding tissue perfusion and oxygen delivery. Cardiac output (CO) = Stroke volume (SV) × Heart rate (HR). Normal range: 4-8 L/min. Cardiac index (CI) normal range: 2.5-3.5 L/min/m². CI adjusts CO for body surface area (BSA). Stroke volume (SV) normal range: 60-100 mL/beat, influenced by preload, afterload, and…
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Episode Notes Topic: Medication Administration and Safety for nursing students Why It Matters: The pharmacological and parenteral therapies category makes up 12–18% of the NCLEX-RN, and safety principles appear throughout the exam. Safe med administration is the foundation of every pharmacology question — mastering it means mastering NCLEX logic. C…
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Episode Notes: Why pharmacology is the foundation of safe nursing practice The power of mnemonics for nursing students and new grads Breaking down ADME: absorption, distribution, metabolism, excretion Using TRAMP for medication safety: time, route, amount, medication, patient Understanding HRD for antibiotic reactions Remembering SHAKE for amphoter…
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Episode Notes Platelets are the bricks; fibrin (clotting factors) is the mortar — together, they form a clot. Antiplatelets like Aspirin and Plavix stop platelets from sticking together (affect the bricks). Anticoagulants like Heparin and Warfarin slow or block clotting factors (affect the mortar). Heparin: rapid IV/SQ action, monitor aPTT (45–80 s…
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Episode Notes: Drug: Lisinopril Class: ACE inhibitor (angiotensin-converting enzyme inhibitor) Mechanism: Blocks conversion of angiotensin one → angiotensin two, leading to vasodilation, reduced afterload, and decreased aldosterone secretion. Therapeutic Uses: Hypertension, heart failure, post-MI, diabetic nephropathy (renal protection). Contraindi…
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Key Points to Know for NCLEX Mechanism: Irreversible COX-1 and COX-2 inhibition → decreases prostaglandin and thromboxane A2 production Dose Dependence: Low dose (81 mg) = cardioprotection Moderate (325–650 mg) = pain and fever High (3–6 g/day) = anti-inflammatory Irreversible platelet inhibition: lasts 7–10 days (platelet lifespan) Absolute contra…
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Episode Notes Mechanism of Action: Cardioselective beta-1 blocker that slows HR, reduces contractility, and lowers myocardial oxygen demand. Formulations: Tartrate (Lopressor) — Immediate release, given BID or IV for acute use. Succinate (Toprol XL) — Extended release, given once daily for chronic use, especially in heart failure. IV Administration…
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Key Takeaways for Nursing Students Two Forms, Two Purposes Metoprolol tartrate (immediate-release): short-acting, used for acute control (e.g., post-MI, hypertension crisis). Metoprolol succinate (extended-release): long-acting, used for chronic control (heart failure, hypertension, stable angina). Never crush succinate — it destroys the time-relea…
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