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PODCAST

Rapid Response RN

Sarah Lorenzini

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

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All Episodes

14:35

91: Vasopressors and Inotropes 101

Rapid Response RN ·

2024/02/09

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 breaking down these life-saving medications so you can not only memorize their expected effect on vital signs, but more importantly, understand how they work in

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16:21

90: Rhabdomyolysis

Rapid Response RN ·

2024/02/02

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 rhabdomyolysis.In this episode, host Sarah Lorenzini examines the complexities of the condition, from its pathophysiology to causes and treatment options. You’ll

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07:09

89: MYSTERY EPISODE... What's Wrong With Joey?

Rapid Response RN ·

2024/01/26

Are you ready for some diagnosing fun?! In this episode, host Sarah Lorenzini will challenge your diagnostic skills with the mystery case of Joey, a 14-year-old patient who went from playing football at summer camp to being intubated in the ER.Joey presented with an altered mental status, and was tachycardic, tachypneic and febrile. Once in the ER, he went into ventricular tachycardia, his blood pressure dropped significantly, and he required intubation. As Sarah shares more details on his

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15:26

88: Autonomic Dysreflexia: The Who, What, Why, and...

Rapid Response RN ·

2024/01/19

As host Sarah Lorenzini insightfully explains, “think of autonomic dysreflexia symptoms as the body's way of telling you something is wrong.” Autonomic dysreflexia is a medical emergency that occurs in patients with a spinal cord injury, but it can be hard to recognize because of the body’s confusing responses to stimulation. That’s why it’s crucial for nurses to understand this syndrome and prevent patients from developing any life-threatening complications.In this episode, host Sarah Lorenzini

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32:49

87: Navigating Goals of Care Discussions With Guest,...

Rapid Response RN ·

2024/01/12

Goals of care discussions are among the most difficult to navigate as a nurse, BUT there are ways to provide both comfort and clarity to patients and their families in these emotionally charged situations.In this episode, host Sarah Lorenzini and Hospice Nurse AJ share tips and insights on how to approach these challenging discussions with sensitivity and respect, all while keeping patient’s wishes at the forefront of treatment. From how to start the conversation to addressing concerns, they cover

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25:21

86: Making the Transition to the ICU With Guest Sarah...

Rapid Response RN ·

2024/01/05

Orienting as a new Nurse in the ICU is much like climbing your first big mountain — both require basic knowledge, passion, and the ability to learn quickly and adapt in a demanding environment. But without these attributes, you have an arduous, possibly insurmountable journey ahead of you.In this episode, host Sarah Lorenzini and Sarah Vance RN delve into the controversial topic of new grads going straight into the ICU after graduation, exploring the challenges and opportunities it presents for new

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23:40

85: Just a Spoonful of Sugar Helps Your Patient's...

Rapid Response RN ·

2023/12/29

What’s your craziest, most shocking nursing story? In this episode, you’ll hear one of host Sarah Lorenzini’s most memorable stories as a rapid response nurse!Sarah recounts her experience treating a severe case of a prolapsed rectum, describing the unconventional yet effective approach that not only resolved the medical dilemma but caught the attention of Rapid Response RN listeners, becoming the most shared episode of the podcast!As Sarah delves into this case of rectal prolapse, she explains the

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31:04

84: Urology Tips, Tricks, and Hacks... and When it's...

Rapid Response RN ·

2023/12/22

Foreign objects in the bladder, urinary retention, priapism. These are just a few of the urological emergencies host Sarah Lorenzini is discussing with Dr. Shailen Sehgal!Nurses are the first line of defense in treating emergencies and play an important role in managing their care. In this episode, Dr. Shailen Sehgal explores these emergencies and shares great tips and tricks to treat conditions like testicular torsion, assess for hematuria, and troubleshoot catheter insertions, bladder spasms, and

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23:07

83: How to Manage Snake Bites as a Nurse and as a...

Rapid Response RN ·

2023/12/15

Snake bite care: where the cost and long-term complications can sting harder than the bite.Managing snake bites requires quick intervention, making it crucial for nurses to understand how to navigate this type of emergency. So in this episode, host Sarah Lorenzini welcomes Sealy RN to share her firsthand experience of being bitten. As a nurse who has also treated snake bites, she has great insights on the challenges of snake bite care.Sarah and Sealy discuss the use of antivenom, specifically the

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19:00

82: Sympathetic Crashing Acute Pulmonary Edema: That...

Rapid Response RN ·

2023/12/08

How does AFib RVR escalate into a life-threatening situation in just 30 minutes?Join host Sarah Lorenzini as she reflects on a perplexing case of sympathetic crashing acute pulmonary edema, also known as flash pulmonary edema. This patient’s rapid deterioration led to an emergency intubation that perplexed the rapid response team, but the patient's true condition became clear in hindsight.In this episode, Sarah walks us through the case, sharing the patient's presentation and medical history, how

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39:44

81: Mechanical Circulatory Support for Cardiogenic...

Rapid Response RN ·

2023/12/01

Host Sarah Lorenzini and Christian Guzman APRN are back to conclude this three-part heart failure series by examining the use of mechanical circulatory support for cardiogenic shock. This episode expands on the topics covered in previous parts, focusing on the application of mechanical circulatory support methods like the intra-aortic balloon pump, Impella, CentriMag, LVADs, and ECMO.Christian and Sarah review the risks and benefits of each device, when to use them, and the key factors that impact

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34:39

80: Medical Management of Cardiogenic Shock With...

Rapid Response RN ·

2023/11/24

Building on last week’s introduction to heart failure, this episode explores the nuances in the medical management of cardiogenic shock. Host Sarah Lorenzini and Christian Guzman APRN continue this three-part heart failure series by completing the case study of a patient in cardiogenic shock, and breaking down key treatment concepts and strategies.They discuss goal-directed therapy to optimize heart function, with a specific focus on the vital aspects of contractility, afterload, and preload, and

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44:27

79: Heart Failure 101 with Guest Christian Guzman APRN

Rapid Response RN ·

2023/11/17

During a normal day gardening, an active woman in her 60s was suddenly struck with chest tightness. Thinking it was just an asthma attack, she tried to let the pain pass. What she didn’t realize was that she was having a full blown myocardial infarction, and this was only the beginning of her journey.In this episode, host Sarah Lorenzini is joined by her friend, Christian Guzman APRN, to discuss this patient story and the pathophysiology of heart failure. As they go through this case study,

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20:58

78: Healthy vs Hostile: Recognizing the Nursing Red...

Rapid Response RN ·

2023/11/10

Have you ever started a new and promising job, only to discover that it wasn’t the nurturing and supportive space you thought it was? In this episode, host Sarah Lorenzini, armed with nearly two decades of nursing experience in various departments and leadership roles, provides a guideline to spotting the red and green flags that can signal a healthy or hostile workplace.Sarah explores what makes a healthy work environment, beyond reputation and first impressions, as she does a deep dive into the

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23:35

77: THE TRAUMA DIAMOND OF DEATH: 4 Treatment...

Rapid Response RN ·

2023/11/03

You may already be familiar with the trauma triad… but in this episode, host Sarah Lorenzini is once again joined by her friend and critical care nurse and educator, Sarah Vance to break down a 4th component to trauma resuscitation. Last week, they discussed the treatment of a trauma patient with neuro and respiratory injuries, but today they’re getting into the “blood and guts” of trauma cases as Sarah Vance RN walks us through a multiple gunshot wound case study. Similar to last week’s patient,

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36:15

76: Trauma Breakdown: Beyond the Blood and Guts... A...

Rapid Response RN ·

2023/10/27

If you hear “trauma” and immediately think of blood and guts, this episode with host Sarah Lorenzini’s friend, critical care nurse and educator Sarah Vance, will show you that there’s so much more to trauma cases. Because even localized injuries can affect the whole body, and issues can pile up and require conflicting treatments. That’s why trauma cases require an advanced level of assessment and critical thinking skills.During this episode, Sarah Vance RN tells the story of a patient who was

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29:50

75: Rigors and Other Super Scary Chemotherapy...

Rapid Response RN ·

2023/10/20

Every nurse knows the havoc chemotherapy wreaks on the body, but most nurses aren’t as knowledgeable on how to treat chemo reactions as, say, chemo or oncology nurses. Even host Sarah Lorenzini is slightly intimidated by unpredictable reactions from chemotherapy! That’s why this episode is centered around those super scary chemotherapy reactions and how to treat them.To help us dive further into this topic, Sarah is speaking with another rapid response nurse, Montana RN. He has a dramatic patient

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34:13

74: Pediatric Basilar Skull Fracture With Guest Casey...

Rapid Response RN ·

2023/10/13

In this episode of Rapid Response RN, host Sarah Lorenzini is joined by Casey BSN, RN, CCRN-CMC, CFRN, CTRN, CEN, TCRN, CPEN, CNRN, NRP. And yes, you read her title right — Casey has a whopping eight certifications and is one of the few nurses with ALL five BCEN certifications. And she’s using her knowledge and skills to advocate for her patients and teach others.Today, Casey tells the story of a patient who came into the ER after a fall and was later diagnosed with a basilar skull fracture

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34:27

73: Resuscitate Before You Intubate: How to NOT KILL...

Rapid Response RN ·

2023/10/06

Intubation is a life-saving intervention, but it can also kill your patient! That’s why this follow-up episode to last week’s patient story is covering the process of intubation, what can go wrong and how nurses can mitigate risk factors to avoid bad outcomes like cardiac arrest.In part two of this intubation series, host Sarah Lorenzini details proper intubation preparation and the role of nurses during intubation. She walks through the entire process from assembling a team to what supplies and

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15:46

72: How Do You Know When it's Time to Intubate?

Rapid Response RN ·

2023/09/29

Patients get intubated in every department of the hospital… not just the ICU. So it’s important that every nurse know the signs and symptoms of when it’s time to intubate.Our host Sarah Lorenzini, has been asked the same type of questions about intubation multiple times this week, so we felt it was necessary to address them. Sarah’s extensive knowledge and experience in critical care and rapid response situations has prepared her to be able to provide expertise and insights on this topic, which she

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