The Exchange

Commentary and Observations from
the Medical Front Lines

 

Welcome to PCE's The Exchange—Stay Current on Issues That Matter Most to You and Your NP/PA Colleagues

PCE is excited to announce the launch of The Exchange, a collection of short commentaries from your NP/PA colleagues on a broad range of topics relevant to your practice. The Exchange will bring you reflections on trends in medicine, observations about new treatments and guidelines, and advice related to career decisions and practicing in today's changing healthcare environment.


Kidney Function and Hypertension in Heart Failure: They Go Hand in Hand

Kidney Function and Hypertension in Heart Failure: They Go Hand in Hand

We all have been educated numerous times about the need to control hypertension in all patients with that diagnosis. This is particularly in patients with heart failure (HF), where kidney function plays an important role in how well we can control blood pressure. Recently, a causal mediation analysis (using estimated glomerular filtration rate [eGFR] as the mediator) of the ALLHAT (Antihypertensive and Lipid-Lowering Treatment to Lower Heart Attack) trial data was performed to look at the re... Continue Reading

Filed under: Cardiometabolic

Sacubitril/Valsartan and Heart Failure: Improvement of Health Status

Sacubitril/Valsartan and Heart Failure: Improvement of Health Status

For the last few years, we have seen a number of continuing education sessions and articles related to advances in the treatment of heart failure (HF). One o... Continue Reading

Filed under: Cardiometabolic

Nurses Week 2021: May 6 - May 12

Nurses Week 2021: May 6 - May 12

I can't believe a year has gone by since I wrote about the 2020 Nurses Week theme. This year, the American Nurses Association (ANA) joined with the World Hea... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

Should We Be Screening all Patients Over 50 for Age-Related Macular Degeneration?

Should We Be Screening all Patients Over 50 for Age-Related Macular Degeneration?

A growing public health issue for older adults is impaired sight. In fact, in 2011, 12% of US adults aged 65 to 74 years reported trouble with their vision,... Continue Reading

Filed under: Miscellaneous, Preventive Medicine

New in April: Open Notes Law Goes Into Effect

New in April: Open Notes Law Goes Into Effect

The 21st Century Cures Act, passed by Congress in 2016, has gone into effect in April 2021. This gives patients the right to immediate electronic access to t... Continue Reading

Filed under: Health Policy and Trends, Practice Management/Career

COVID-19 Infection: Matters of the Heart

COVID-19 Infection: Matters of the Heart

Though the respiratory tract is the main target of COVID-19, its potential impact on the cardiovascular (CV) system is a very serious matter, portending a hi... Continue Reading

Filed under: Cardiometabolic, Infectious Diseases

Diagnosis and Management of Anemia and Iron Deficiency in Heart Failure

Diagnosis and Management of Anemia and Iron Deficiency in Heart Failure

The American College of Cardiology/American Heart Association (ACC/AHA) heart failure (HF) guidelines recommend that routine baseline assessment for all pati... Continue Reading

Filed under: Cardiometabolic

Anemia, Iron Deficiency, and Heart Failure: What Clinicians Need to Know

Anemia, Iron Deficiency, and Heart Failure: What Clinicians Need to Know

Anemia and iron deficiency are common and important comorbid conditions in patients with heart failure (HF). These conditions are mediators of poor clinical... Continue Reading

Filed under: Cardiometabolic

Identification and Management of Chronic Rhinosinusitis

Identification and Management of Chronic Rhinosinusitis

Chronic rhinosinusitis (CRS) has an estimated prevalence of up to 5% of the population. By definition, CRS is a chronic inflammatory condition of the paranas... Continue Reading

Filed under: Allergy/Immunology

Contact Dermatitis Diagnosis and Management: When to Refer for Patch Testing

Contact Dermatitis Diagnosis and Management: When to Refer for Patch Testing

Contact dermatitis (CD) is a relatively common inflammatory skin condition, grouped with occupational skin disease. CD usually presents with erythematous and... Continue Reading

Filed under: Allergy/Immunology

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