Pulse Check with Archer Nursing

• EP 13 - Tumor Lysis Syndrome

  Tumor lysis syndrome (TLS) is an oncologic emergency that can unfold fast—and nurses are on the front line of catching it early. In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, breaks down the cellular chaos that occurs when high-dose chemotherapy causes rapid tumor cell destruction, leading to a flood of intracellular contents and dangerous metabolic complications. From muscle cramps and tingling lips to sudden confusion and bradycardia, Morgan walks you through the signs of TLS, the critical labs to monitor, and a real case where quick ICU intervention made all the difference. Learn the essential nursing priorities to protect the kidneys, stabilize the heart, and manage electrolyte abnormalities—plus, get a breakdown of a high-yield NCLEX-style select-all-that-apply question. Topics discussed in this episode: What tumor lysis syndrome is and why it’s an oncologic emergency Electrolyte imbalances: hyperkalemia, hyperphosphatemia, and hypocalcemia Kidney damage and the role of uric acid crystals in acute kidney injury A real ICU case triggered by third-line chemo for a mediastinal mass Priority nursing interventions for TLS management Why telemetry and aggressive lab monitoring are key Breaking down a high-yield NCLEX-style SATA question on TLS labs This episode is packed with clinical pearls and practical takeaways to help you recognize, respond to, and prevent the worst outcomes of TLS. Tune in now to sharpen your nursing instincts and NCLEX prep! Find everything Archer Review has to offer: ⁠⁠archerreview.link/PulseCheck⁠⁠ Use code PULSECHECK10 - an exclusive discount just for our listeners! Connect with us!  📸 Instagram: @archernursing 📘 Facebook: Archer NCLEX Review 🎵 TikTok: @archernursing ▶️ YouTube: Archer Review NCLEX, USMLE, TEAS7, and FNP 

  --------  

  15:26
• EP 12 - Rhabdomyolysis

  Rhabdomyolysis may start in the muscles—but without fast nursing intervention, it can spiral into electrolyte imbalances, kidney failure, and life-threatening arrhythmias. In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, breaks down the cascade of events that occurs when muscle cells break down and release their contents into the bloodstream. From dark “cola-colored” urine to dangerously high potassium levels, Dr. Taylor shares the classic signs of rhabdo, the key labs to monitor, and a real-life case that underscores how fast things can escalate. Learn the step-by-step interventions to protect the kidneys, stabilize the heart, and prevent deadly complications. Plus, we’ll walk through a high-yield NCLEX-style question to solidify your knowledge. Topics discussed in this episode: What rhabdomyolysis is and why it’s a medical emergency Muscle cell breakdown and the release of CK, myoglobin, potassium, and phosphate Classic signs: tea-colored urine, weakness, muscle tenderness, and electrolyte abnormalities A real case of rhabdomyolysis in a college athlete Managing hyperkalemia: calcium gluconate, insulin, and dextrose Breaking down a high-yield NCLEX question on EKG changes in rhabdomyolysis This episode is packed with critical nursing actions and clinical red flags to help you manage rhabdomyolysis like a pro. Tune in now to sharpen your skills and prep for both the NCLEX and real-world emergencies! Find everything Archer Review has to offer: ⁠⁠archerreview.link/PulseCheck⁠⁠ Use code PULSECHECK10 - an exclusive discount just for our listeners! Connect with us!  📸 Instagram: @archernursing 📘 Facebook: Archer NCLEX Review 🎵 TikTok: @archernursing ▶️ YouTube: Archer Review NCLEX, USMLE, TEAS7, and FNP

  --------  

  14:01
• EP 11 - Sickle Cell Disease

  Sickle cell disease is more than just a blood disorder—it’s a lifelong condition that demands fast, compassionate, and informed nursing care. In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, breaks down the pathophysiology of sickle cell disease, explains why vaso-occlusive crises are so painful and dangerous, and walks you through a real-life emergency case involving a teen with acute chest syndrome. Learn how to prioritize pain control, hydration, and oxygenation—and why those three interventions can make or break outcomes. Plus, we’ll tackle the stigma clients often face and explore the long-term role of hydroxyurea in preventing future crises. As always, Dr. Morgan Taylor wraps up with a high-yield NCLEX-style question and breakdown. Topics discussed in this episode: What causes sickled red blood cells and why they block oxygen delivery Recognizing and managing vaso-occlusive crisis A real ED case of a 16-year-old with acute chest syndrome Pain management strategies and the importance of PCA pumps Fluids and oxygen: two lifesaving interventions in sickle cell crisis The long-term role of hydroxyurea in sickle cell care Breaking down a test question on priority nursing interventions This episode is packed with high-yield insights to help you recognize emergencies, challenge bias, and advocate fiercely for clients with sickle cell anemia. Tune in now to sharpen your clinical instincts and boost your NCLEX prep! Find everything Archer Review has to offer: ⁠⁠archerreview.link/PulseCheck⁠⁠ Use code PULSECHECK10 - an exclusive discount just for our listeners! Connect with us!  📸 Instagram: @archernursing 📘 Facebook: Archer NCLEX Review 🎵 TikTok: @archernursing ▶️ YouTube: Archer Review NCLEX, USMLE, TEAS7, and FNP

  --------  

  17:22
• EP 10 - Tetralogy of Fallot

  Tetralogy of Fallot is one of the most well-known congenital heart defects—but what exactly happens during a “tet spell,” and why is calming the infant the most critical first step? In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, breaks down the four defects that make up Tetralogy of Fallot, explains why these babies can turn cyanotic so quickly, and shares a real-life case from the pediatric cardiac ICU where fast thinking made all the difference.Learn how to recognize the triggers for tet spells, why positioning and calming interventions can be lifesaving, and the long-term surgical strategies used to repair Tetralogy of Fallot. Plus, Morgan walks you through a high-yield NCLEX-style question to lock in your understanding for both exams and real-world practice.Topics discussed in this episode:The four defects that define Tetralogy of FallotHow crying can trigger a rapid right-to-left shunt and cyanosisThe pathophysiology behind tet spellsA real-life pediatric cardiac ICU case of a newborn experiencing a tet spellPriority nursing actions: calming, knees-to-chest positioning, and fluid bolus basicsWhy morphine is the drug of choice during tet spellsLong-term surgical repair strategies and parent educationBreaking down a high-yield NCLEX question on tet spell managementThis episode is packed with critical clinical insights and must-know nursing interventions to help you feel confident managing these emergencies. Tune in now to sharpen your skills and master Tetralogy of Fallot!Find everything Archer Review has to offer: ⁠⁠archerreview.link/PulseCheck⁠⁠ Use code PULSECHECK10 - an exclusive discount just for our listeners! Connect with us!  📸 Instagram: @archernursing 📘 Facebook: Archer NCLEX Review 🎵 TikTok: @archernursing ▶️ YouTube: Archer Review NCLEX, USMLE, TEAS7, and FNP

  --------  

  15:01
• EP 9 - SIADH

  SIADH is one of those conditions where water retention can be deceptively subtle—but can quickly lead to life-threatening hyponatremia. In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, breaks down what happens when the body produces too much antidiuretic hormone (ADH), leading to fluid overload, dangerously low sodium, and neurological decline. Learn how to identify early signs of SIADH, interpret the hallmark lab values, and prioritize interventions when sodium levels drop to critical levels. Morgan shares a real-life post-op case that highlights how easily SIADH can go unnoticed—until confusion and lethargy set in. Plus, we walk through a high-yield NCLEX question to help lock in your understanding. Topics discussed in this episode: What SIADH is and how it affects fluid and sodium balance Why clients retain water but not sodium—and why that’s dangerous Early signs of hyponatremia and how to catch subtle neuro changes Interpreting lab results: low sodium, low serum osmolality, high urine osmolality A real case of SIADH post-head trauma with neurological decline Fluid restriction, seizure precautions, and hypertonic saline use The danger of correcting sodium too quickly Breaking down a test question on priority nursing interventions for SIADH This episode is packed with clinical pearls and must-know nursing actions to keep your clients safe and your knowledge sharp. Tune in now to master SIADH for the NCLEX and real-world practice! Find everything Archer Review has to offer: ⁠⁠archerreview.link/PulseCheck⁠⁠ Use code PULSECHECK10 - an exclusive discount just for our listeners! Connect with us!  📸 Instagram: @archernursing 📘 Facebook: Archer NCLEX Review 🎵 TikTok: @archernursing ▶️ YouTube: Archer Review NCLEX, USMLE, TEAS7, and FNP

  --------  

  14:33

More Education podcasts

Trending Education podcasts

About Pulse Check with Archer Nursing