Abstract:
:Caring for the bariatric patient in the acute care environment poses many challenges to the team delivering care. The management of obstructive sleep apnea with noninvasive ventilation is one priority. Treatment options, including bi-level ventilation and continuous positive airway pressure, and delivery strategies are reviewed in conjunction with other aspects of care that ensure a holistic, comprehensive plan of care. The most effective plan of care for the bariatric patient is one that uses a multidisciplinary coordinated team effort.
journal_name
Crit Care Nurs Clin North Amjournal_title
Critical care nursing clinics of North Americaauthors
Ecklund MM,Kurlak SAdoi
10.1016/j.ccell.2004.03.004subject
Has Abstractpub_date
2004-09-01 00:00:00pages
311-7, viiissue
3eissn
0899-5885issn
1558-3481pii
S0899588504000188journal_volume
16pub_type
杂志文章,评审abstract::Ventricular tachycardias include ventricular tachycardia, ventricular fibrillation, and torsades de pointes; although these rhythms may be benign and asymptomatic, others may be life threatening and lead to increased morbidity and mortality. To optimize patient outcomes, ventricular tachycardias need to be rapidly dia...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2016.04.004
更新日期:2016-09-01 00:00:00
abstract::The nutritional needs of the bum-injured patient are exaggerated and change constantly with the patient's stage of convalescence. Nurses working closely with other members of the health care team, specifically the nutritional specialist, can positively affect the patient's survival by optimizing the nutritional assess...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2003.09.004
更新日期:2004-03-01 00:00:00
abstract::The critical care nurse is responsible for monitoring the effects of parenteral therapy. If the nurse is to collaborate with the physician on the type of solution appropriate for the patient, it is imperative that the nurse understand how the solution will impact the patient. Only through comprehending the effects and...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1998-12-01 00:00:00
abstract::The gut organs are vulnerable to injury during shock because of ischemia and reperfusion of the microcirculation. These injuries result in upper GI hemorrhage, liver dysfunction, and pancreatic and mesenteric necrosis. Toxic mediators, released via lymph drainage and with reperfusion, contribute to the failure of othe...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1990-06-01 00:00:00
abstract::Pediatric brain tumors are the most common solid tumor and the second most common neoplasm in childhood. Diagnosis is made by CT scan and MR imaging. Treatment includes surgery followed by observation, chemotherapy, or radiation therapy. A multidisciplinary approach in the treatment of these children is necessary with...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1995-03-01 00:00:00
abstract::Pressure injury treatments are tailored to the characteristics of the wound. Wound depth, exudate, presence of infection, and patient goals of care will guide appropriate dressing and treatment selection. The interprofessional team, patient, and family should collaborate to create a plan of care for wound healing. ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2020.08.002
更新日期:2020-12-01 00:00:00
abstract::The needs and significance of well children in the family typically have not been considered when addressing family-centered care. Health care providers and overstressed parents may have little awareness of or insight into the needs and concerns of these children. Without informed and sensitive interventions, however,...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract::Sleep is an important factor related to health and quality of life for all individuals. For people with cancer, sleep disturbances are common and are a source of distress. This article summarizes the problems and reviews the types, prevalence, etiology, risk factors, clinical sequelae, and management of sleep disturba...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2005.04.010
更新日期:2005-09-01 00:00:00
abstract::Hypoxemia, visible as cyanosis, is present in infants and children with congenital cardiac defects that result in arterial desaturation. Although many of these defects can be surgically repaired, some children remain cyanotic. Chronic cyanosis causes adaptive changes such as polycythemia and potentially damaging chang...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::Patients presenting with active infections or at increased risk for infections pose a significant challenge in critical care nursing. It is important for critical care nurses to use effective antimicrobial strategies in patient management to reduce the potential development of antimicrobial resistance. They should be ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2006.10.006
更新日期:2007-03-01 00:00:00
abstract::Eating disorders are maladaptive eating behaviors that typically develop in adolescence and early adulthood. Psychiatric maladies and comorbid conditions, especially insulin-dependent diabetes mellitus, frequently co-exist with eating disorders. Serious medical complications affecting all organs and tissues can develo...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2004.07.002
更新日期:2004-12-01 00:00:00
abstract::Trauma providers are engaged in a constant struggle to improve quality and to assure positive outcomes in an unpredictable disease process. Traditional quality assurance has been unsuccessful in achieving these goals. Continuous quality improvement methodologies hold promise as the tools to balance quality, outcomes, ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1994-09-01 00:00:00
abstract::The highly specialized knowledge and skills necessary to care for critically ill patients requires a team approach involving physicians, nurses, pharmacists, and other health care providers. The role of the pharmacist in the intensive care unit is evolving rapidly to a new responsibility for ensuring definite drug the...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::IPV presents a serious health risk to many women. Emergency and critical care nurses are in a prime position for identification of and intervention with these women. Careful assessment and recognition of symptoms and conditions associated with IPV helps nurses to identify victims and potential victims. Building a trus...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2006.05.013
更新日期:2006-09-01 00:00:00
abstract::Workplace violence is increasing, but through education, prevention, and man aging escalating crises, critical care nurses can help to minimize the negative consequences of violence. Critical care nurses are particularly prone to acts of aggression and acts of violence due to the stressful environment for them, their ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1997-06-01 00:00:00
abstract::Scientifically valid data about the risks and rates of nosocomial infection are important to assist critical care nurses in developing clinical care improvement strategies. Contemporary epidemiologic methods should be used to facilitate the accurate assessment of data, whether for intrahospital or interhospital compar...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1995-12-01 00:00:00
abstract::This article discuss the pathophysiology of traumatic brain injury and increased intracranial pressure, the consequences and treatment of secondary insults, and strategies for the medical and nursing management of the patient who has traumatic brain injury. ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.ccell.2009.07.009
更新日期:2009-12-01 00:00:00
abstract::This article reviews the nursing care of the patient who receives a lung transplant, starting with preparation for admission to the ICU. Issues of oxygenation, airway clearance, hemodynamic and fluid assessment, infection control, incisional assessment, and pain are addressed throughout the hospitalization. Emotional ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1996-09-01 00:00:00
abstract::Septic shock is the leading cause of death in critical care units. New research in the management of septic shock is focused on the use of immune-based therapy such as antiendotoxin monoclonal antibodies. The object of this therapy is to neutralize endotoxin and prevent the progression of the pathophysiologic events o...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::The treatment of oxygen transport parameters centers on improving any aspect of oxygen delivery that is threatened. The most important improvements center on improving cardiac output and oxygen carrying capacity, primarily through improving hemoglobin levels, and to a smaller extent, PaO2/SaO2 values. This article rev...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1989-12-01 00:00:00
abstract::Knowledge of NO and its role in the human body currently is limited. Further scientific research involving this unique molecule will expand its clinical usefulness. It is an exciting era in research,involving numerous body processes and systems. The initial work on pulmonary vascular response in newborns who have PPHN...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2004.02.004
更新日期:2004-06-01 00:00:00
abstract::An unexpected death is a traumatic event for everyone affected by it, especially family members. The manner in which a family is told that a death has occurred has a profound effect on their grief and bereavement process. The task of the health care professional working with these patients and their families is to ass...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract::Sepsis and septic shock are complex, clinical conditions associated with high morbidity and mortality rates. There are evidence-based guidelines outlining priority care areas for sepsis, including early screening outside the intensive care unit. Nurses are directly involved with patient care and must be able to provid...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2018.05.005
更新日期:2018-09-01 00:00:00
abstract::Complications of enteral nutrition may compromise respiratory function by direct mechanical injury by feeding tubes, aspiration of formula, or alterations in metabolism. Although much of the data reviewed in this paper were published more than 10 years ago, these studies still comprise most of the literature on pulmon...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
abstract::The critical care nurse caring for the postoperative bleeding patient must have a thorough knowledge of basic hemostatic principles and inherited and acquired disorders. Early recognition and treatment of bleeding problems reduces surgical morbidity and mortality; therefore astute clinical observations and a thorough ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1990-12-01 00:00:00
abstract::The pharmacology and pharmacokinetics of diuretics are unique among therapeutic drugs. Knowledge of these principles can be used to great advantage in the management of heart failure, whereas ignoring them can lead to either minor or life-threatening adverse consequences. Two major categories of potential therapeutic ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0899-5885(02)00092-8
更新日期:2003-12-01 00:00:00
abstract::Clinician involvement in critical care research will be essential if we are ever to achieve optimal patient outcomes. Educators and unit leadership play a pivotal role in facilitating, mentoring, and coaching clinicians both conduct research on important issues or problems in critical care and to ensure that practice ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:2001-03-01 00:00:00
abstract::This article reviews how to identify and risk-stratify patients at risk for developing coronary artery disease (CAD) or who already have CAD (or coronary risk equivalents), and how to manage their lipids. This discussion is directed toward nurses, nurse practitioners, and physician assistants, who can and should play ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2008.03.014
更新日期:2008-09-01 00:00:00
abstract::Intracerebral arteriovenous malformations (AVM) are a complex medical emergency in neonates. AVMs are congenital communications between the arterial and venous circulation. Occurring early in gestation, they may enlarge over time, promulgating a left-to-right shunt. This volume overload can present as severe congestiv...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract::The adult intensive care unit (ICU) at Baystate Medical Center is a 24-bed medical-surgical-trauma ICU that provides high-quality care to critically ill patients. Collaboration and expertise among the nursing staff, intensivists, and interdisciplinary colleagues have contributed to its development into a Beacon Award-...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.ccell.2005.01.005
更新日期:2005-06-01 00:00:00