Rapid Response RN
Sarah Lorenzini
Recent Episodes
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 can work together to recognize the signs of sepsis-induced cardiomyopathy early and give patients a better chance at recovery. You'll learn the diagnostic clues that your patient’s heart is in trouble, how to approach controversial treatments like sodium bicarb, and what has to happen before intubation in a dual shock state.
Topics discussed in this episode:
- What the initial bedside assessment says about the patient
- Treatment priorities for the intensivist and nurse
- Signs that point to more than just sepsis
- Why fluids aren’t always the answer
- Blood pressure management: vasopressors and inotropes
- Pathophysiology of sepsis-induced cardiomyopathy
- How a sepsis-induced cardiomyopathy diagnosis changes treatment
- The vasopressin debate for sepsis-induced cardiomyopathy
- Clues your intervention isn’t working and what to do next
- How to prepare the patient for high-risk intubation
- What you need to know about administering sodium bicarb
- Why collaboration matters at every step for patient recovery
Connect with Dr. Ibrahim:
Instagram: https://www.instagram.com/icuboy_meded/
Facebook: https://www.facebook.com/share/1Dg1ZTyfsN/
TikTok: https://www.tiktok.com/@icuboy_meded
Threads: https://www.threads.com/@icuboy_meded
X: https://x.com/icuboy_meded
Learn more about the different phenotypes in sepsis induced cardiomyopathy:
https://journal.chestnet.org/article/S0012-3692(25)05143-8/abstract
Mentioned in this episode:
CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://www.rapidresponseandrescue.com/therapidresponsern ✅ Earn CE’s for listening to podcasts through RNegade: https://rnegade.thinkific.com/?ref=d9d541 SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE ⏱️ 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! This episode was produced by Podcast Boutique https://www.podcastboutique.com
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check em out here: https://xshear.com//discount/Rapid10 and you can use code RAPID10 to get 10% off your purchase
Differential diagnosis is part physiology, part detective work. Especially in heart failure, where similar vital signs can mean very different things.
In this episode, Natalie RN is back on the show to break down two pediatric cases that looked almost identical on arrival to the ED but their workups led to two very different treatment plans. She shares the assessment findings, diagnostics, and clinical clues that helped them uncover what was really going on.
Learn how to connect the dots and find the right intervention when presentations look identical!
Topics discussed in this episode:
- Presentation of two pediatric patients with similar symptoms
- Differential diagnosis and early clinical clues
- What to look for in your clinical assessment
- Pathophysiology of pulmonary hypertension
- Pathophysiology of dilated cardiomyopathy
- Key physical exam and diagnostic differences
- Dilated cardiomyopathy interventions
- Why it’s hard to diagnose pulmonary hypertension in the ER
- Nurse priorities when managing patients in the CVICU
- Managing pulmonary hypertension crises and reducing PVR
- Pearls and pitfalls of treating these conditions
Connect with Natalie:
https://www.instagram.com/chatwithnat_rn/
Listen to Chat with Nurse Nat on Spotify:
https://open.spotify.com/show/7Jh2qe44KipudVKkdXFwWH
Listen to Chat with Nurse Nat on Apple Podcasts:
https://podcasts.apple.com/us/podcast/chat-with-nurse-nat/id1815541418
Mentioned in this episode:
CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://www.rapidresponseandrescue.com/therapidresponsern ✅ Earn CE’s for listening to podcasts through RNegade: https://rnegade.thinkific.com/?ref=d9d541 SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE ⏱️ 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! This episode was produced by Podcast Boutique https://www.podcastboutique.com
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!