Abstract:
:Myocardial infarction generally occurs in the presence of known risk factors and identifiable coronary artery disease. Atypical presentations due to therapeutic and illicit drug use are documented, however, and lead to the consideration of alternative pathophysiologic rationales for myocardial infarction. This article discusses central nervous system stimulants and other drugs that have the potential for myocardial damage and their nursing implications.
journal_name
Crit Care Nurs Clin North Amjournal_title
Critical care nursing clinics of North Americaauthors
Bergstrom DL,Keller Csubject
Has Abstractpub_date
1992-06-01 00:00:00pages
273-8issue
2eissn
0899-5885issn
1558-3481journal_volume
4pub_type
杂志文章,评审abstract::Heart failure is a complex disease that interacts with other organ systems, such as the lungs, kidneys, and the liver, in a complex manner. The stages of heart failure often define the acuity and onset of disease symptoms and progression as well as treatment measures, in addition to the patient's functional class. As ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2018.11.006
更新日期:2019-03-01 00:00:00
abstract::Sudden cardiac death accounts for up to one half of the heart failure deaths each year. Thus, an understanding of the possible mechanisms, markers, and treatments of sudden cardiac death is an important component in the care of this patient population. This article discusses recent hypotheses as well as both preventat...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1993-12-01 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::Despite advances in understanding the cause of ischemic stroke, cryptogenic stroke remains a diagnostic and therapeutic challenge for clinicians. Approximately 15% to 40% of all ischemic strokes have no identifiable cause. CS is a diagnosis of exclusion after completing the standard stroke work-up. Further investigati...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2019.11.008
更新日期:2020-03-01 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
abstract::A review of the mechanism of ischemic-reperfusion injury, proposed interventions to prevent injury, and future directions have been presented to enhance the practitioner's knowledge of this new, exciting concept in myocardial injury. There is increasing evidence in the literature that reperfusion injury may occur in o...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1990-12-01 00:00:00
abstract::This article describes the potential application of brain tissue oxygen monitoring technology in the care of patients who have sustained traumatic brain injury (TBI) or subarachnoid hemorrhage (SAH). To accomplish this objective, a review of the intracranial dynamics that are created by primary and secondary brain inj...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2006.01.003
更新日期:2006-06-01 00:00:00
abstract::Coagulopathy-related bleeding events are a major concern in the management of acute and chronic liver disease. The liver attempts to maintain a balance between procoagulant and anticoagulant factors, and providers struggle with poor prognostic indicators to manage bleeding and critical complications. Subtle changes in...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2013.09.001
更新日期:2013-12-01 00:00:00
abstract::The detailed evaluation of a patient for liver transplant candidacy involves health care professionals from various disciplines to ensure that liver transplantation is optimal for patient morbidity and mortality from the medical and psychosocial perspective. The national liver allocation policy is complex and should b...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2010.05.002
更新日期:2010-09-01 00:00:00
abstract::Sepsis in the elderly occurs frequently and carries a high rate of mortality. With increasing numbers of elderly patients being cared for in critical care units, the critical care nurse must have a thorough understanding of the unique aspects of this patient population. Nurses must be prepared to deliver expert nursin...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1996-03-01 00:00:00
abstract::Liver transplantation has evolved into an accepted treatment for many suffering from end-stage liver failure. The complex nature of the liver results in every organ system being impacted by either the failing or the transplanted liver. Organ shortage remains problematic, and work to ensure maximizing the organ donor p...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2011.08.002
更新日期:2011-09-01 00:00:00
abstract::Optimal management of the postoperative pediatric cardiac surgical patient requires a thorough understanding of patient anatomy, physiology, surgical repair or palliation, and clinical condition. This necessitates a dedicated team of clinicians including skilled nurses, physicians, and respiratory therapists specializ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2005.08.006
更新日期:2005-12-01 00:00:00
abstract::Pressure injury prevention is required in all health care environments. Respiratory technology includes invasive and noninvasive positive pressure ventilation methods of support and life-saving equipment. Pressure injury can occur from tracheostomy tubes and their securement devices, or use of noninvasive positive pre...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2017.01.006
更新日期:2017-06-01 00:00:00
abstract::The health care culture must change. Florence Nightingale wrote [8] "deep-rooted and universal is the conviction that to give a medicine is to be doing something, or rather everything and to give air, warmth, cleanliness etc. is to do nothing." Hygiene care practices and mobility activities are fundamental and indepen...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2006.08.006
更新日期:2006-12-01 00:00:00
abstract::In the face of maintaining airways and providing circulatory support, pain assessment may be given a low priority in the critical care unit. On the contrary, given the deleterious effects pain may have for the critically ill or injured patient, pain assessment must be given a high priority to develop effective managem...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract::It is well-documented in the literature that infants who suffer from hypoxic ischemic encephalopathy are at high risk for neurologic sequelae or even death. With the addition of therapeutic hypothermia into the treatment regimen for neonatal hypoxic ischemic encephalopathy, newborns afflicted with hypoxic ischemic enc...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2018.07.007
更新日期:2018-12-01 00:00:00
abstract::Mass casualty incidents are events where the number of injured patients exceeds the resources of the health care institution to the degree that care may not be available or may be limited for a portion of the casualties. Mass casualty incidents are increasing in frequency throughout the United States. Managing mass ca...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2015.02.008
更新日期:2015-06-01 00:00:00
abstract::The purpose of this article is to present an option for a model of care that allows small rural hospitals to be able to provide specialty physicians for critical care patient needs in lieu of on-site critical care physician coverage. A real-time, 2-way audio and video remote presence robot is used to bring a specialis...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.ccell.2014.08.006
更新日期:2014-12-01 00:00:00
abstract::Advances in medical technology during the past 3 decades altered the scenarios of our dying. It is now possible to prolong life, with the frightening reality that we also can extend death. This paper examines challenges to dying well in America, defines key end-of-life dilemmas faced by critical care nurses, and exami...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/s0899-5885(01)00004-1
更新日期:2002-06-01 00:00:00
abstract::Aging is a multidimensional process that involves the physical, psychosocial, and spiritual domains. The reserves in each of these areas are challenged during the stressful experience of acute and critical care illness and hospitalization. It is imperative that hospital nursing staff recognize the vulnerability of the...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.ccell.2007.05.008
更新日期:2007-09-01 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::HIV infection is a chronic illness that affects individuals of all ages. The pulmonary system is the most common body system affected by the disease. Management of these complications has improved over the years and has resulted in a decline in mortality. Critical care nurses should understand the complications that d...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1999-12-01 00:00:00
abstract::Arterial cannulation, while common in critical care, is a procedure with attendant risks of complications. Anecdotal data from the American Association of Critical Care Nurses' Thunder Project provided evidence that catheters, insertion sites, and monitoring systems continue to be sources of complications. The problem...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1993-09-01 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::A mixed methods study using family research with a phenomenological approach (n = 5 families) was conducted to explore family members' perceptions about the extensive monitoring technology used on their critically ill family member after cardiac surgery, as experienced when family members initially visited the patient...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2014.04.004
更新日期:2014-09-01 00:00:00
abstract::Right ventricular failure associated with pulmonary hypertension is a potential complication in selected cardiac surgical patients following cardiopulmonary bypass. Treatment modalities are generally focused on reduction of right ventricular afterload. PGE1 infusion is one method of providing afterload reduction by it...
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::Several studies suggest that the incidence of brain tumors is rising, an increase that cannot be accounted for by improved diagnostic abilities. Brain tumors can be subdivided according to their histology and location. When approached from this standpoint, survival statistics and treatment options can vary greatly. Un...
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::Complementary therapies are becoming widely used in health care in the United States. Most nurses, as are many Americans, are familiar with complementary therapies such as imagery, aromatherapy, massage, and healing touch. Many nurses, however, are not familiar with complementary therapies that are widely used in othe...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/s0899-5885(02)00048-5
更新日期:2003-09-01 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::Transition from hospital to home is a vulnerable period for older adults with multiple chronic conditions. A pilot of the Transitional Care Model at a community hospital reduced readmission rates for patients with heart failure by 48%. This article shares the experience of a large metropolitan health care system in ex...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2014.08.009
更新日期:2014-12-01 00:00:00