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!

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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

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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.

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.