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Clinical Accuracy Spoken Here
COPD: The Methylxanthines
Considered a third line drug category, this bronchodilator provides numerous mechanism of actions including increasing the force of diaphragmatic contractions and suppressing further brochospastic stimuli. This category of drug continues to be used largely due to its low cost. However, there are adverse side effects which must be considered before using these drugs. Which two medications are found in this category?

[Reference:COPD: Pharmacologics, Module C: Agents, Page 19] www.athenaforum.com

Diabetes: Dipeptidyl Peptidase-4 Inhibitors
DDP-4 is a new classification of oral diabetes medication. A star medication of this new group of pharmacologic agents is Januvia. Only one recommended dose level for use is needed. If any dose adjustment is needed, it is related to the renal function of your patient. Januvia only works in the presence of elevated blood sugar to address the diminished insulin due to dysfunctional beta and alpha-cells. What system does this medication enhance in order to regulate glucose in the pancreas?

[Reference: Diabetes, Module C: Pharmacologics, page 22]
Excellence in Case Mgmnt
A Time and Place
My list is centered on things that I should accomplish. But focusing on better time management can also includes others who interact with me on a daily basis. There are activities on my list that are not stamped with just my name on it. The intended outcomes can be obtained when more than one person is contributing to its accomplishment. Delegation is a word or action that can certainly make these situations better. When possible, delegate. It’s worth the time – yours and mine!

Helen Keller Deaf-Blind Awareness Week
In the Headlines . . .
“Have WISE-EARS! ® for Life”
Protecting yourself, your family and your patient’s hearing from damaging noise-induced hearing loss (NIHL) is the goal of the National Institute of Deafness and Other Communication Disorders (NIDCD) and the National Institute for Occupational Safety and Health (NIOSH). This health education campaign is ongoing and points to the fragility of our hearing when exposed to the damaging sounds of our increasingly noisy society and world. Do you know how much too much noise is or what types of protection there is to keep what hearing you have? Read, challenge yourself and others, and pass on this life-changing advice so that we all can hear and enjoy life.

Monday Memo Archive Did you miss an issue? Need to look up a reference in a past Monday Memo? All past issues are archived for your use.

“Celebrate National Case Management Week – October 12-18, 2008”
This year’s celebration focuses on “Engage Case Management,” the theme that is represented by a group of people holding a globe together in oneness of mind and spirit. Although it may be three months away, it is not too early to begin planning and taking advantage of the Promotional guides and kits that are now available. Additional information and materials specific to your needs can be found at the CMSA website.

The look of confidence
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Connie Sunderhaus Connie Sunderhaus, RN-BC, CCM
Clinical Editor
Athena Forum


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