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 head laceration. The subsequent assessment, hospital course, and treatments required are outlined.
journal_name
Crit Care Nursejournal_title
Critical care nurseauthors
Rauen CAdoi
10.4037/ccn2012596subject
Has Abstractpub_date
2012-10-01 00:00:00pages
42-6; quiz first page after 46issue
5eissn
0279-5442issn
1940-8250pii
32/5/42journal_volume
32pub_type
杂志文章abstract::The results of this evaluation indicate that specially trained critical care nurses can remove femoral sheaths with an acceptable margin of safety. As a result, these nurses can provide quality, cost-effective care to angioplasty patients. However, before this procedure is included as part of the RN's responsibility, ...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1996-04-01 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
pub_type: 杂志文章
doi:
更新日期:1995-02-01 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
pub_type: 杂志文章
doi:10.4037/ccn2020764
更新日期:2020-02-01 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
pub_type: 杂志文章
doi:10.4037/ccn2012877
更新日期:2012-04-01 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
pub_type: 杂志文章
doi:
更新日期:1991-09-01 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
pub_type: 杂志文章
doi:10.4037/ccn2011552
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:The outbreak of coronavirus disease 2019 (COVID-19) rippled across the world from Wuhan, China, to the shores of the United States within a few months. Hospitals and intensive care units were suddenly faced with a "tsunami" warning requiring instantaneous implementation and escalation of disaster plans. EVI...
journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:10.4037/ccn2020799
更新日期:2020-12-01 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
pub_type: 杂志文章
doi:
更新日期:1989-11-01 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
pub_type: 杂志文章,评审
doi:
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Hospital-acquired pressure ulcers are serious clinical complications that can lead to increased length of stay, pain, infection, and, potentially, death. The surgical progressive care unit at Sharp Grossmont Hospital, San Diego, California, developed the multidisciplinary Healthy Skin Project to decrease the...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2013290
更新日期:2013-06-01 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
pub_type: 杂志文章
doi:
更新日期:1990-07-01 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
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::As surgery for complex congenital heart disease is becoming more advanced, an increasing number of patients are surviving into adulthood, yet many of these adult patients remain in the pediatric hospital system. Caring for adult patients is often a challenge for pediatric nurses, because the nurses have less experienc...
journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:10.4037/ccn2016131
更新日期:2016-08-01 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
pub_type: 杂志文章,评审
doi:10.4037/ccn2019729
更新日期:2019-04-01 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
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract::More patients in the intensive care unit are surviving their critical illnesses because of advances in medical care. This change in survival has led to an increased awareness of the emotional consequences of being critically ill. Posttraumatic stress disorder has been identified in approximately 9% to 27% of criticall...
journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:10.4037/ccn2015758
更新日期:2015-06-01 00:00:00
abstract::During the springs and summers of 2009 to 2012, military and nongovernment organization nurses served side by side on hospital ships USNS Comfort and USNS Mercy to offer free humanitarian clinical services to developing nations in Central and South America and Southeast Asia. Translators were engaged to facilitate com...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2013584
更新日期:2013-08-01 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
pub_type: 杂志文章
doi:10.4037/ccn2011470
更新日期:2011-12-01 00:00:00
abstract::Music therapy is an effective intervention for critically ill patients for such purposes as anxiety reduction and stress management. The therapy is readily accepted by patients and is an intervention patients thoroughly enjoy. The MAIT is one resource that nurses caring for critically ill patients can use to implement...
journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:
更新日期:1999-06-01 00:00:00
abstract::If no complications arise, the near-drowning victim is usually discharged within 48 hours. However, some patients require complex care because of multisystem failure. These patients challenge the critical care nurse, who must understand the interrelationships of the problems to provide quality care. The major focus of...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1993-08-01 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
pub_type: 杂志文章
doi:10.4037/ccn2017742
更新日期:2017-06-01 00:00:00
abstract:TOPIC:Acute respiratory distress syndrome is a complex respiratory disease that can be induced by influenza virus infection. Critical care providers are uniquely positioned to manage this pathological progression in adult patients through evidence-based practice. CLINICAL RELEVANCE:Influenza and subsequent acute respi...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2020746
更新日期:2020-10-01 00:00:00
abstract::The congenital heart defect of HLHS is nearly uniformly fatal without intervention. As surgeons gain experience with the techniques the success rates are improving; more infants with HLHS are being offered hope for survival and quality of life. The critical nature of this diagnosis, the relatively new treatment option...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
abstract::A 9-member educational task force and a 4-member panel of experts was used to establish the validity of the PEDS-BKAT, which was modified from version 4 of the adult BKAT for critical care nursing. A sample of 105 pediatric ICU nurses from 6 settings took the PEDS-BKAT. Test results include a mean score of 78.9 points...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1998-06-01 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
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract:BACKGROUND:Hospitals are increasingly turning to clinical decision support systems for sepsis, a life-threatening illness, to provide patient-specific assessments and recommendations to aid in evidence-based clinical decision-making. Lack of guidelines on how to present alerts has impeded optimization of alerts, specif...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2018352
更新日期:2018-08-01 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
pub_type: 杂志文章
doi:10.4037/ccn2020251
更新日期:2020-08-01 00:00:00
abstract::This article discusses congenital heart defects that are marginal candidates for biventricular repair and highlights the anatomic considerations upon which the surgical decision is based. Specifically, the article reviews the importance of capacitance and compliance of the ventricles and their associated atrioventricu...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2018679
更新日期:2018-10-01 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
pub_type: 杂志文章,评审
doi:
更新日期:2000-04-01 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
pub_type: 杂志文章
doi:10.4037/ccn2017453
更新日期:2017-04-01 00:00:00