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Adding a Third Oral Agent
If a patient isn't achieving glycemic control on 2 oral agents, should a third oral agent be considered?
Medscape Diabetes & Endocrinology, February 2008
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What Is the Maximum Safe Dose of Opioids?
Clinicians must consider a number of patient characteristics when dosing opioid pain medications.
Medscape Pharmacists, February 2008
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Can Nurse Practitioners Bill for Sedation Services for Pediatric Patients?
How should nurse practitioners code for sedation services so that they will be reimbursed?
Medscape Nurses, February 2008
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What Skin Care Routines and Treatments Are Effective for Adolescent Acne?
There are many prescription and OTC products for treating adolescent acne, including combination products. Do you have a protocol that you follow in your practice?
February 2008
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How Should APNs Bill for Group Education?
How do advanced practice nurses bill for group education for chronic conditions such as diabetes?
Medscape Nurses, February 2008
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Should Patients With Asthma Receive Beta-Blockers for Heart Problems?
Given the risk for bronchospasm associated with beta-blockers, should patients with asthma be taking these medications?
Medscape Pharmacists, January 2008
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Locoregional Recurrence of Breast Cancer After Mastectomy
Can surgery improve survival in a patient with chest wall recurrence a decade after mastectomy?
Medscape Hematology-Oncology, January 2008
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Do Antihistamines Relieve Drug-Induced Bone Pain?
Anecdotal reports suggest that nonsedating antihistamines ease bone pain associated with granulocyte colony-stimulating factor drugs. Does evidence support this practice?
Medscape Pharmacists, January 2008
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Can Fentanyl Patches Be Replaced Sooner to Improve Pain Control?
The approved dosing interval for transdermal fentanyl is 72 hours, but some pain specialists are shortening that period to provide adequate pain relief.
Medscape Pharmacists, January 2008
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How Can a Nurse Practitioner Improve Patient Compliance and Patient Education in a Perioperative Setting?
I am an FNP in a hospital setting. How can perioperative NPs initiate a program to improve patient compliance and pre- and postoperative teaching in this setting?
Medscape Nurses, January 2008
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Fear of Needles
Introducing the topic early can ease the transition to insulin therapy, even when the patient expresses a fear of needles.
Medscape Diabetes & Endocrinology, December 2007
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What Comprises a Preventive Cardiovascular Examination for an Adult?
What should be included on a complete cardiovascular examination for an adult, for preventive purposes?
Medscape Nurses, December 2007
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Are Double-Beta Lactam Combinations Appropriate in the NICU?
Certain combinations of DBL antibiotics have demonstrated benefits, but clinicians should exercise caution in drug selection because of the potential risks.
Medscape Pharmacists, November 2007
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Can Nurse Practitioners Provide and Bill for Hospice Care?
What is the current status of NPs and billing for hospice care? Can NPs now direct and/or manage hospice care once a physician has certified the patient's eligibility for hospice?
Medscape Nurses, November 2007
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Which Resuscitation Guidelines Should Be Used For Neonates Beyond the Delivery Room?
Is it necessary to train emergency department and pediatric department staff in the Neonatal Resuscitation Program in addition to Pediatric Advanced Life Support? How do these programs differ?
Medscape Nurses, November 2007
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Triple-Negative Invasive Breast Cancer: Adjuvant Treatment Choices After Lumpectomy
What treatment should follow surgery for a triple-negative ductal breast cancer with no nodal involvement and no distant metastases?
Medscape Hematology-Oncology, October 2007
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Which Antibiotics Are Time- or Concentration-Dependent?
In addition to drugs that are time-dependent or concentration-dependent, a third category exhibits both effects; the new agent tigecycline belongs in this group.
Medscape Pharmacists, October 2007
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How Can I Help the Family of a Convicted Pedophile?
I am counseling a client whose husband was recently incarcerated for sexually abusing young girls. She has many questions about pedophilia. Can you give me some guidance?
Medscape Nurses, October 2007
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Is It Safe to Use "Natural" Sleep Aids While Taking Antidepressants?
Patients on antidepressants frequently have trouble sleeping, but should they use therapies such as melatonin or tryptophan to address the problem?
Medscape Pharmacists, October 2007
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Are Nurses With a Doctor of Nursing Practice Degree Called "Doctor"?
I am thinking of going back to school to earn a DNP. If I earn this degree, can I be called "Doctor" when I practice? How must I identify myself to the public as a nurse practitioner?
Medscape Nurses, October 2007
