Monitoring pulmonary artery pressures: just the facts.

abstract：:IABP timing challenges the nurse not only with a waveform analysis but also an understanding of complex physiologic concepts crucial to patient management. Optimizing timing through assessment of the five points of the IABP waveform permits the critical care nurse to increase the hemodynamic benefits of IABP therapy, ...

journal_title：Critical care nurse

authors： Wojner AW

更新日期：1994-06-01 00:00:00

abstract：:Hereditary hemorrhagic telangiectasia is a rare, autosomal dominant genetic disease that causes abnormal growth of blood vessels and, subsequently, life-threatening arteriovenous malformations in vital organs. Epistaxis may be one of the initial clues that a patient has more serious, generalized arteriovenous malforma...

journal_title：Critical care nurse

authors： Sacco KM,Barkley TW Jr

更新日期：2016-06-01 00:00:00

abstract：:Errors related to health care devices are not well understood. Nurses in intensive care and progressive care environments can benefit from understanding manufacturer-related error and device-use error, the principles of human factors engineering, and the steps that can be taken to reduce risk of errors related to heal...

journal_title：Critical care nurse

authors： Mattox E

更新日期：2012-08-01 00:00:00

abstract：:Designed for independent study, this module explores some of the common, but often missed, pupillary abnormalities and eye movement irregularities. Part 3 concludes the module and provides the posttest and answer keys for the posttest and the three review exercises in Part 2. ...

journal_title：Critical care nurse

authors： Bishop BS

更新日期：1991-09-01 00:00:00

abstract：:Transplant cardiologists in our hospital have performed the percutaneously placed axillary-subclavian intra-aortic balloon pump procedure since 2007. This procedure allows patients to mobilize and walk while they wait for a heart transplant, rather than remaining on bed rest as they would with a traditional femoral in...

journal_title：Critical care nurse

authors： Macapagal FR,McClellan E,Macapagal RO,Green L,Bonuel N

更新日期：2019-04-01 00:00:00

abstract：:Family engagement in rounds has been recommended to improve communication, but its impact on patient outcomes is unknown. At the authors' institution, nurses encouraged family presence at rounds as part of a larger project to enhance communication during rounding. In the case reported here, family engagement resulted ...

journal_title：Critical care nurse

authors： Strathdee SA,Hellyar M,Montesa C,Davidson JE

更新日期：2019-10-01 00:00:00

abstract：:To prepare a presentation, the critical care staff member must be willing to invest time and effort. Time and effort combined with an organized approach to the development process should result in a quality presentation. ...

journal_title：Critical care nurse

authors： Thomassy CS

更新日期：1989-07-01 00:00:00

abstract：:Because of the potential severity of the associated complications, nurses have an essential role in the care of patients with HAT. Bedside nurses have the opportunity to report information that may indicate a change in a patient's condition after administration of heparin. This information could lead to diagnosis of h...

journal_title：Critical care nurse

authors： Jerdee AL

更新日期：1998-12-01 00:00:00

abstract：TOPIC:The growing use of acute mechanical circulatory support devices to provide hemodynamic support that has accompanied the increasing prevalence of heart failure and cardiogenic shock, despite significant improvement in the treatment of acute myocardial infarction. CLINICAL RELEVANCE:The critical care nurse plays a...

journal_title：Critical care nurse

authors： Asber SR,Shanahan KP,Lussier L,Didomenico D,Davis M,Eaton J,Esposito M,Kapur NK

更新日期：2020-02-01 00:00:00

abstract：:Critically ill patients require vigilant monitoring of tissue oxygenation, particularly oxygenation of the gut mucosa, because of the mucosa's fragile blood supply. With the advent of gastric tonometry, splanchnic tissue oxygenation can be measured in a minimally invasive and cost-effective manner. Requiring only a ga...

journal_title：Critical care nurse

authors： Ferguson A

更新日期：1996-12-01 00:00:00

abstract：:Cardiac output and cardiac index values are traditionally used by critical care nurses as indicators of myocardial contractility. Due to the incidence of compensatory tachycardia in many critically ill patients, however, the value of LVSWI as an indicator of myocardial contractility is enhanced, because the formula fo...

journal_title：Critical care nurse

authors： Ramsey JD,Tisdale LA

更新日期：1995-02-01 00:00:00

abstract：:Critical care nurses are constantly challenged to provide safe, high-quality patient care at a low cost with increasingly scarce resources while implementing the latest evidence-based practices into their own clinical practice. This article is the first in a 4-part series to provide a practical quality improvement gui...

journal_title：Critical care nurse

authors： Stausmire JM

更新日期：2014-12-01 00:00:00

abstract：:Staff nurse preceptors are integral members of effective critical care orientation programs. Much of the success of the orientation experience and orientee satisfaction depends on them. A critical care preceptor workshop containing a review of the orientation program and the application of educational principles in cr...

journal_title：Critical care nurse

authors： Quinn JR,Tibi DA

更新日期：1993-02-01 00:00:00

abstract：:Provision of nutritional support to critically ill patients can be challenging. Critical care nurses must be aware of which patients require specific nutritional support, when to initiate nutritional support, and by which route to provide nutritional support. Consultation with a dietitian or nutritional support servic...

journal_title：Critical care nurse

authors： Trujillo EB,Robinson MK,Jacobs DO

更新日期：2001-08-01 00:00:00

abstract：BACKGROUND:Pressure injuries, also known as pressure ulcers, are a serious complication of immobility. Patients should be thoroughly examined for pressure injuries when admitted to the intensive care unit to optimize treatment. Whether community-acquired pressure injuries correlate with poor hospital outcomes among cri...

journal_title：Critical care nurse

authors： McGee WT,Nathanson BH,Lederman E,Higgins TL

更新日期：2019-06-01 00:00:00

abstract：:In patients with chronic heart failure, fluid retention (or hypervolemia) is often the stimulus for acute decompensated heart failure that requires hospitalization. The pathophysiology of fluid retention is complex and involves both hemodynamic and clinical congestion. Signs and symptoms of both hemodynamic and clinic...

journal_title：Critical care nurse

authors： Albert NM

更新日期：2012-04-01 00:00:00

abstract：:Clostridia are organisms which, in the right environment, can cause a rapidly spreading, fulminant myonecrosis. Early diagnosis and a combined management program are clearly paramount to a successful outcome. Knowledge of this disease and ongoing meticulous assessment are the tools that a nurse must use when dealing w...

journal_title：Critical care nurse

authors： Corry M,Montoya L

更新日期：1989-11-01 00:00:00

abstract：BACKGROUND:Immobility contributes to many adverse effects in critically ill patients. Early progressive mobility can mitigate these negative sequelae but is not widely implemented. Appreciative inquiry is a quality improvement method/change philosophy that builds on what works well in an organization. OBJECTIVES:To ex...

journal_title：Critical care nurse

authors： Fernald MM,Smyrnios NA,Vitello J

更新日期：2020-08-01 00:00:00

abstract：:Postoperative nausea and vomiting is a dreaded, uncomfortable, and unpleasant patient experience that is also a factor contributing to adverse outcomes in postoperative recovery. The key to management of this concern is to identify high-risk patients and to develop a systematic method of assessment, intervention, and ...

journal_title：Critical care nurse

authors： Collins AS

更新日期：2011-12-01 00:00:00

abstract：:Leadless pacemakers will most likely be the future of cardiac pacing. Leadless pacing employs a single-chamber system to pace only the right ventricle and is fully self-contained, which eliminates the need for leads. These systems, implanted by using a transcatheter sheath, are indicated for patients who need right ve...

journal_title：Critical care nurse

authors： Leier M

更新日期：2017-04-01 00:00:00

abstract：BACKGROUND:Catheter-associated urinary tract infections are preventable adverse outcomes that increase hospital morbidity, mortality, and costs. These infections are particularly prevalent in intensive care units. OBJECTIVES:To describe the success of an 18-bed neurological intensive care unit in using several nurse-i...

journal_title：Critical care nurse

authors： Richards B,Sebastian B,Sullivan H,Reyes R,D'Agostino JF,Hagerty T

更新日期：2017-06-01 00:00:00

abstract：:The insertion of Silastic sheeting provides an opportunity for improved survival of patients with severe abdominal trauma. This new treatment modality represents a challenge to nurses to expand their knowledge base. ...

journal_title：Critical care nurse

authors： Bolton PJ,Von Rotz NP

更新日期：1994-04-01 00:00:00

abstract：:A patient with a new tracheostomy will face threatening changes upon discharge from hospital support. Nurses, particularly in the critical care unit, frequently and closely support a patient and family through new and often difficult situations during hospitalization. The patient leaving the hospital with a new trache...

journal_title：Critical care nurse

authors： Wilson EB,Malley N

更新日期：1990-07-01 00:00:00

abstract：:Nurses in a full range of settings from acute to home care are increasingly exposed to the use and maintenance of central VADs. Although the advantages of central VADs are well recognized, the incidence and potential for complications associated with these devices should not be minimized. The major complication of cat...

journal_title：Critical care nurse

authors： Brown LH,Wantroba I,Simonson G

更新日期：1989-05-01 00:00:00

abstract：BACKGROUND:Delirium is a common neuropsychiatric diagnosis in intensive care units and often leads to extended hospital stays and an increased rate of complications. Delirium can be classified as hypoactive, hyperactive, or mixed. Hyperactive delirium is often accompanied by agitation, which is a predictive factor for ...

journal_title：Critical care nurse

authors： Kerber K,Zangmeister J,McNett M

更新日期：2020-04-01 00:00:00

abstract：:Hematologic assessment is part of the routine assessment of acute and critically ill patients. Nurses must be aware of the reference ranges for complete blood cell counts and common coagulation profiles. A case study is presented of an elderly patient, taking warfarin for atrial fibrillation, who falls and sustains a ...

journal_title：Critical care nurse

authors： Rauen CA

更新日期：2012-10-01 00:00:00

abstract：:Everyone experiences stress. That stress may be related to work (internal), community (external), or family; it may be cumulative or related to a particular critical incident. The cost related to treating acute stress is staggering, both to individuals and to organizations. Critical care nurses are well educated in th...

journal_title：Critical care nurse

authors： Caine RM,Ter-Bagdasarian L

更新日期：2003-02-01 00:00:00

abstract：:The most common measurements of pulmonary hypertension include systolic and mean pulmonary artery pressures, PVR, and transpulmonary gradient. Pulmonary artery pressures greater than 50 mm Hg, PVR greater than 6 Woods units, and transpulmonary gradient greater than 15 mm Hg that are unresponsive to optimal vasodilator...

journal_title：Critical care nurse

authors： Coe PF

更新日期：2000-04-01 00:00:00

abstract：:BACKGROUND Many hospitals have well-planned nursing competency assessment programs, but these are meant to measure competency in traditional bedside roles, not in tele-intensive care unit (tele-ICU) nurses practicing remotely. OBJECTIVE To determine whether current tele-ICU programs have a formal competency assessment...

journal_title：Critical care nurse

authors： Goran SF

更新日期：2011-10-01 00:00:00

abstract：:Both pharmacological and nonpharmacological methods are used to control shivering in therapeutic hypothermia. An evidence-based protocol based on the most current research has been developed for the management of shivering during therapeutic hypothermia. Meperidine is the drug of choice and provides the greatest reduc...

journal_title：Critical care nurse

authors： Logan A,Sangkachand P,Funk M

更新日期：2011-12-01 00:00:00