Today we're continuing our toxicology mini-series with another group of very common, and often very critical, toxins - human medications.

There are a whole host of different medication toxicities we see, and in this episode I'm going to walk you through 4 big ones: paracetamol toxicity in cats, NSAID toxicity in both cats and dogs, inhaler ingestion or overdose, and ingestion of antidepressants and ADHD medications.

These patients also need a whole host of nursing support. We're essential in the management of these cases, where prompt triage and stabilisation is vital, as is intensive monitoring.

To do that confidently, we need to understand how each of these toxins impact our patients, and the signs we see as a result - so we can spot them, and care for the patient accordingly - and that's exactly what you'll find in this episode.

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This podcast does not replace a veterinary surgeon's advice, and its content is provided only for information. A veterinary surgeon must diagnose all conditions, and veterinary nurses and technicians must ensure they work within local legislation and regulating body guidelines at all times. Any products or treatments discussed are for information only and do not constitute endorsements of products or services.

I'm willing to bet that most people listening have seen a dietary toxin case at some point in their career. Dogs especially have a knack for raiding bins, cupboards, and kitchen counters. Thankfully most cases we see are mild, but they can be life-threatening and need intensive monitoring and nursing care.

But what happens when our patients ingest these toxins? What signs do we see, and what nursing care do these patients need? Well, it varies depending on the toxin - but it's often intensive.

Today, we'll focus on three big dietary toxins: chocolate, grapes, and tremorgenic mycotoxins. We'll talk about how they affect our patients, the signs to look out for, and how to treat and nurse these patients effectively. So you can spend less time on the phone to the poisons helpline, and more time caring for your patients.

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BRAND NEW ways to learn with me:

📲 Join the Medical Nursing Library Club

📲 Join me for the next live webinar: IV access 101, how to hit those tricky veins!

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More free ways to learn with me:

📲 Grab the show notes and references from today's episode

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This podcast does not replace a veterinary surgeon's advice, and its content is provided only for information. A veterinary surgeon must diagnose all conditions, and veterinary nurses and technicians must ensure they work within local legislation and regulating body guidelines at all times. Any products or treatments discussed are for information only and do not constitute endorsements of products or services.

In episode 90 of the Medical Nursing Podcast, we're starting a brand new mini-series on toxicology.

Whether you work in general practice, referral medicine, or out of hours, you'll encounter these patients often - and spoiler alert: our role is so much more than holding a litter tray under a patient whilst the apomorphine kicks in.

Our role in managing toxin ingestion cases is vast, whether that involves providing advice to caregivers who are concerned, monitoring a patient exhibiting active signs of toxicity, or managing critically ill patients on CRIs or receiving ventilation.

And with all of this, of course, there are tons of practical skills we get to use in the process.

To start things off, this episode will give you all the information you need on toxicology triage and decontamination. We'll chat through pre-visit advice and how to get the information you need from your caregivers, when these patients should be seen, and what decontamination strategies we have (as well as which toxins to use them with).

You'll leave the episode feeling ready to triage and stabilise your toxicity cases - and then across the next few weeks, we'll take a closer look at the specific toxins commonly affecting our patients.

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BRAND NEW ways to learn with me:

📲 Join the Medical Nursing Library Club

📲 Join me for the next live webinar: IV access 101, how to hit those tricky veins!

---

More free ways to learn with me:

📲 Grab the show notes and references from today's episode

📲 Follow me on Instagram

🖥️ Learn more about medical nursing

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This podcast does not replace a veterinary surgeon's advice, and its content is provided only for information. A veterinary surgeon must diagnose all conditions, and veterinary nurses and technicians must ensure they work within local legislation and regulating body guidelines at all times. Any products or treatments discussed are for information only and do not constitute endorsements of products or services.

In this episode, we're looking at another less common, but really challenging disease to care for - tetanus infection in dogs and cats.

The first tetanus case I ever saw was as a locum nurse at an out-of-hours hospital. The vet and I are examining this dog, who was starting to become stiff and had the classic tetanus grin, knowing we needed to refer them ASAP before things got a lot worse.

And now that I'm in referral practice, I see the other side of this. I see our ICU nurses working tirelessly to support these patients, using countless skills in the process, and making all the difference in how these patients recover.

Caused by the neurotoxin-producing bacterium Clostridium tetani, this disease might be uncommon, but it's life-threatening, and it needs early recognition, aggressive management, and really intensive nursing to give patients the best chance of survival.

But to do that well, we need to understand how tetanus affects our patients, and the interventions they need to recover - and that's exactly what we're talking about today.

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BRAND NEW ways to learn with me:

📲 Join the Medical Nursing Library Club

📲 Join me for the next live webinar: IV access 101, how to hit those tricky veins!

---

More free ways to learn with me:

📲 Grab the show notes and references from today's episode

📲 Follow me on Instagram

🖥️ Learn more about medical nursing

---

This podcast does not replace a veterinary surgeon's advice, and its content is provided only for information. A veterinary surgeon must diagnose all conditions, and veterinary nurses and technicians must ensure they work within local legislation and regulating body guidelines at all times. Any products or treatments discussed are for information only and do not constitute endorsements of products or services.

In this episode, we're chatting about a condition that's been on our radar for a few years now, and is both incredibly challenging and frustrating to manage - and that's cutaneous and renal glomerular vasculopathy, or as it's better known, Alabama rot.

CRGV first appeared in the UK in 2012, and we've seen cases pop up every year since. It's difficult to predict, still poorly understood and comes with high morbidity and mortality rates. However, as nurses and technicians, we play a vital role in identifying it early, educating our clients, and supporting our patients throughout their hospitalisation. And we'll be chatting all about how to do just that throughout today's episode.

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Resources mentioned this episode:

📲 Alabama Rot information site & case tracker

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BRAND NEW ways to learn with me:

📲 Join the Medical Nursing Library Club

📲 Join me for the next live webinar: IV access 101, how to hit those tricky veins!

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More free ways to learn with me:

📲 Grab the show notes and references from today's episode

🖥️ Grab the free webinar, podcast AND resource library access

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This podcast does not replace a veterinary surgeon's advice, and its content is provided only for information. A veterinary surgeon must diagnose all conditions, and veterinary nurses and technicians must ensure they work within local legislation and regulating body guidelines at all times. Any products or treatments discussed are for information only and do not constitute endorsements of products or services.

In this episode, we're chatting about a disease that - if you're lucky - you won't see often, but unfortunately, one that's on the rise - and that's metabolic bone disease.

There are a few causes of metabolic bone disease, and we'll focus mainly on the most common one today, which is nutritional secondary hyperparathyroidism. This disease is frustrating, unbelievably sad, and completely preventable - and we play a huge role in caring for patients with it.

We'll also touch on renal secondary hyperparathyroidism, which many of us will have seen in our CKD patients - so you can advise your clients confidently, and make dietary recommendations that truly meet the patient's needs.

So whether you're on the way to a shift, heading home after a busy day in the hospital, relaxing with a cup of coffee or walking the dog, let's spend the next 20-30 minutes getting nerdy together.

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Resources mentioned in this episode:

📲 Balance.It nutrition checker

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BRAND NEW ways to learn with me:

📲 Join the Medical Nursing Library Club

📲 Join me for the next live webinar: IV access 101, how to hit those tricky veins!

---

More free ways to learn with me:

📲 Grab the show notes and references from today's episode

🖥️ Grab the free webinar, podcast AND resource library access

📲 Follow me on Instagram

🖥️ Learn more about medical nursing

---

This podcast does not replace a veterinary surgeon's advice, and its content is provided only for information. A veterinary surgeon must diagnose all conditions, and veterinary nurses and technicians must ensure they work within local legislation and regulating body guidelines at all times. Any products or treatments discussed are for information only and do not constitute endorsements of products or services.

When I worked in general practice, I had no idea IMPA was even a thing. Until I started in referral as a brand new medicine nurse, and suddenly had a very lame, very pyrexic black labrador to care for. I was completely confused why we were seeing a lameness case - until we tapped the joints, found inflammation, and I learned just how much damage the immune system can do.

My patient needed a LOT of nursing - recumbency management, potent analgesia and a lot of supportive care. And through looking after him, I learned just how vital nurses are in managing this condition.

In today's episode, we'll cover:

• What IMPA is and how it develops

• The signs we tend to see in patients with it

• How we accurately diagnose and differentiate IMPA

• How we successfully treat and manage it

• The skills we can use to support these patients - both in the hospital, and long-term.

So if you're ready to do more to support your IMPA patients, episode 86 has got you covered.

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BRAND NEW ways to learn with me:

📲 Join the Medical Nursing Library Club

📲 Join me for the next 'Evidence Files: Live!' call

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More free ways to learn with me:

📲 Grab the show notes and references from today's episode

🖥️ Grab the free webinar, podcast AND resource library access

📲 Follow me on Instagram

🖥️ Learn more about medical nursing

---

This podcast does not replace a veterinary surgeon's advice, and its content is provided only for information. A veterinary surgeon must diagnose all conditions, and veterinary nurses and technicians must ensure they work within local legislation and regulating body guidelines at all times. Any products or treatments discussed are for information only and do not constitute endorsements of products or services.

In episode 85 of the Medical Nursing Podcast, we're finishing our infectious disease series with a group of diseases that are increasingly common but often overlooked, and that's tick-borne disease.

I had NO idea what these were when I worked in general practice. The first time I ever heard of it was when a dog from a nearby rescue centre we worked with had a bleeding disorder, and the vet mentioned Ehrlichia. I had no idea what it was, but the patient needed a lot of care.

Tick-borne disease is on the rise, and there's a good chance you'll see it - particularly if you work in first opinion practice, internal medicine, emergency and critical care, or rescue and rehoming settings.

When I say tick-borne disease, I'll cover four main conditions. These are:

• Borrelia burgdorferi, which causes Lyme disease

• Anaplasma phagocytophilum

• Ehrlichia canis

• And Babesia species, most commonly Babesia canis

In the episode, we'll look at what each of these diseases causes, how they present, how we test for and treat them, and - most importantly for us - what we can do as nurses and technicians to care for these patients.

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BRAND NEW ways to learn with me:

📲 Join the BRAND NEW Medical Nursing Library Club

📲 Join me for the next 'Evidence Files: Live!' call

---

More free ways to learn with me:

📲 Grab the show notes and references from today's episode

📲 Follow me on Instagram

🖥️ Learn more about medical nursing

---

This podcast does not replace a veterinary surgeon's advice, and its content is provided only for information. A veterinary surgeon must diagnose all conditions, and veterinary nurses and technicians must ensure they work within local legislation and regulating body guidelines at all times. Any products or treatments discussed are for information only and do not constitute endorsements of products or services.