Working in an eICU unit: life in the box.

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

authors： Stanley M

更新日期：1996-03-01 00:00:00

abstract：:Most public education about the clinical symptoms of MI and the appropriate response to those symptoms has been designed to reach educated segments of the white population based on data gathered from white men. As a result, AAs and Korean-Americans may be less alert to chest pain, less likely to relate this symptom to...

journal_title：Critical care nursing clinics of North America

authors： Lee H,Bahler R,Park OJ,Kim CJ,Lee HY,Kim YJ

更新日期：2001-12-01 00:00:00

abstract：:PAH is a chronic disease requiring lifelong therapy, regardless of chosen treatment options. Nurses and other providers must allow for open, honest discussion on the risks and benefits of each therapy. Determining the best treatment option for patients requires consideration of the patient's overall function and socia...

journal_title：Critical care nursing clinics of North America

authors： Centeno MM

更新日期：2011-12-01 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

authors： Eisenberg PG

更新日期：1991-12-01 00:00:00

abstract：:Throughout the years, bum care treatment in the United States has made major strides in the ability to save the lives of those once rendered helpless as a result of an extensive bum injury. Bum care professionals are able to assist these individuals to live as normal a life as possible as they heal from one of the mos...

journal_title：Critical care nursing clinics of North America

authors： LaBorde P

更新日期：2004-03-01 00:00:00

abstract：:Thoracic trauma is frequently complicated by the development of Adult Respiratory Distress Syndrome (ARDS). Over the past 20 years numerous articles and book chapter have explored the causes and clinical course of the syndrome. There still remains debate, however, concerning the pathophysiology and most effective trea...

journal_title：Critical care nursing clinics of North America

authors： Kearney ML

更新日期：1993-12-01 00:00:00

abstract：:The greatest threats to America's public health include accidental importation of deadly diseases by international travelers and the release of biologic weapons by our adversaries. The greatest failure is unpreparedness because international travel and dispersion of biologic agents by our enemies are inevitable. An ef...

journal_title：Critical care nursing clinics of North America

authors： Marklund LA

更新日期：2003-06-01 00:00:00

abstract：:Inflammation is a physiologic response to irritants, injury, and infection. Inflammatory dysregulation is believed to contribute to mortality and morbidity in illnesses common to critical care units, such as burns, trauma, sepsis, and cardiovascular disease. This article reviews the approaches used to investigate the ...

journal_title：Critical care nursing clinics of North America

authors： Winkelman C

更新日期：2008-06-01 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

authors： Kyba FC

更新日期：2002-06-01 00:00:00

abstract：:Patient competence is a prerequisite to fulfilling the primary ethical principle of patient autonomy or self-determination. This article defines the legal designation of incompetence and describes the components of the assessment of a patient's decision-making capacity. These assessments occur within the context of re...

journal_title：Critical care nursing clinics of North America

authors： Jurchak M

更新日期：1990-09-01 00:00:00

abstract：UNLABELLED:NO has been used successfully to treat PPHN, reducing the need for ECMO. NO has also been used in the cardiac catheterization laboratory to determine if pulmonary hypertension will decrease with NO. Patients who do not respond to NO are at higher risk after open-heart surgery, because their pulmonary hyperte...

journal_title：Critical care nursing clinics of North America

authors： Ware LE

更新日期：2002-03-01 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

authors： Grogan TA

更新日期：2011-09-01 00:00:00

abstract：:This article presents an overview of postoperative nutritional requirements and goals following bariatric surgery. It summarizes current diet progression and nutrient intake guidelines geared toward optimizing weight loss and maintaining adequate nutritional status, nutrient absorption, as well as hydration. The artic...

journal_title：Critical care nursing clinics of North America

authors： Bosnic G

更新日期：2014-06-01 00:00:00

abstract：:Rabies is a devastating encephalitis caused by RNA viruses that use mammals as reservoirs. In the United States, most naturally acquired human cases have come from bats. The use of appropriate preexposure and postexposure prophylaxis can be nearly 100% effective. If prophylaxis is not used, or is implemented incorrect...

journal_title：Critical care nursing clinics of North America

authors： Weant KA,Baker SN

更新日期：2013-06-01 00:00:00

abstract：:Solid organ transplantation has become a well-established standard of care for end-organ failure, and the nurse in the intensive care unit may be exposed to these patients at any stage in the care continuum of pretransplant or posttransplant care. Knowledge of risk factors, timing, and treatments for infections may he...

journal_title：Critical care nursing clinics of North America

authors： Winterbottom F,Jenkins M

更新日期：2017-03-01 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

authors： Collins AS

更新日期：1990-06-01 00:00:00

abstract：:Congenital coagulopathies in the pediatric population continue to be a serious cause of morbidity and mortality. Familiarity with such disorders is essential for individuals responsible for the care of children. This article discusses a variety of congenital and inherited coagulation disorders, classifying them in eit...

journal_title：Critical care nursing clinics of North America

authors： Srnec P

更新日期：1993-09-01 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

authors： Shiminski-Maher T,Wisoff JH

更新日期：1995-03-01 00:00:00

abstract：:Hyperglycemia and diabetes place hospitalized patients at greater risk for serious complications such as infections, diabetic ketoacidosis, hyperosmolar hyperglycemic state, dehydration, electrolyte imbalances, greater antibiotic use, and lengthened hospitalization. Identification and proper treatment of hyperglycemia...

journal_title：Critical care nursing clinics of North America

authors： Crawford K

更新日期：2013-03-01 00:00:00

abstract：:A multisite APN role presents a unique perspective. You may see this in terms of opportunities or as frustrations. Ultimately it is your response, not the situation, that determines the outcome. As with any major transition, it can be a catalyst to transform yourself and reenergize your practice. Careful attention to ...

journal_title：Critical care nursing clinics of North America

authors： Stahl MA,Myers J

更新日期：2002-09-01 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

authors： Chulay M

更新日期：2001-03-01 00:00:00

abstract：:September 11, 2001 is a date we will all remember. For the nurses at the Virginia Hospital Center-Arlington, however, the day is particularly important, as these nurses work at the official hospital for the Pentagon. This article provides an insider's view of the events of the day and the lessons learned. ...

journal_title：Critical care nursing clinics of North America

authors： Jurkovich T

更新日期：2003-06-01 00:00:00

abstract：:Pulmonary embolism is the leading cause of maternal death in the United States. Amniotic fluid embolism (AFE) represents the least preventable and most lethal of complications with a reported mortality of 86% and an associated fetal demise of 50%. Although it is widely accepted as a clinical entity, AFE is incompletel...

journal_title：Critical care nursing clinics of North America

authors： Sisson MC

更新日期：1992-12-01 00:00:00

abstract：:Availability of oxygen and adequate blood flow to wounded tissues are important factors for the prevention of impaired wound healing. Oxygen is essential for the growth of new blood vessels, formation of collagen, and the prevention of infection. Subcutaneous tissue oximetry, an experimental technology for evaluating ...

journal_title：Critical care nursing clinics of North America

authors： Wipke-Tevis DD

更新日期：1995-06-01 00:00:00

abstract：:Sex and gender-based differences in responses to infection and sepsis are evident. Estrogens increase immune function, sometimes to the point of inducing autoimmune disease. Testosterone suppresses immune function, sometimes leading to a worsened outcome following traumatic injury. Therapies using sex hormones to impr...

journal_title：Critical care nursing clinics of North America

authors： Beery TA

更新日期：2003-03-01 00:00:00

abstract：:Traumatic cerebral vasospasm is a relatively frequent occurrence after an individual suffers a severe head injury, and therefore poses a real threat for these individuals. Although vasospasm is a physiologic defense response, it can cause a decrease in CBF, ischemia, infarction, and death. A review of the literature h...

journal_title：Critical care nursing clinics of North America

authors： Susi EA,Walls SK

更新日期：1990-03-01 00:00:00

abstract：:Educational institutions are being asked to develop more meaningful ways to measure student learning. The critical care nursing faculty at this baccalaureate institution have delineated a process of outcomes-based education that they use as evidence of successful learning in their course. The faculty regard this as an...

journal_title：Critical care nursing clinics of North America

authors： Myer SA

更新日期：1999-06-01 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

authors： Griffin KB

更新日期：1990-12-01 00:00:00

abstract：:Health care is a primary need and an important goal for individuals and for society overall. From an ethical perspective, resources should be allocated appropriately so everyone can enjoy the best health care possible. With limited resources available from an economic reimbursement perspective, we need to analyze the ...

journal_title：Critical care nursing clinics of North America

authors： Marsee VD

更新日期：2000-09-01 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

authors： Mackavey CL,Hanks R

更新日期：2013-12-01 00:00:00