Blood gas assessment of intrapulmonary shunting and deadspace.

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：:Many older patients in critical care settings have significant arterial disease, so the assessment of peripheral circulation may be important in their management. A great deal of information can be gained through the physical examination, which can be supplemented by the use of the Doppler velocity detector. This devi...

journal_title：Critical care nursing clinics of North America

authors： Baker JD

更新日期：1991-09-01 00:00:00

abstract：:Hypertensive crisis presents as hypertensive urgency or hypertensive emergency, the differences being the presence or absence of target organ damage (TOD) and the type of treatment the patient will receive. Patients with hypertensive urgency do not express TOD, which is seen only in hypertensive emergencies and can in...

journal_title：Critical care nursing clinics of North America

authors： Taylor DA

更新日期：2015-12-01 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

authors： Fletcher K

更新日期：2007-09-01 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

authors： Cartwright MM

更新日期：2004-12-01 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

authors： Murray C,Ortiz E,Kubin C

更新日期：2014-12-01 00:00:00

abstract：:Transplantation of skin has been recognized as a method to increase the survival of patients who have suffered a massive skin deficit. Until about 30 years ago, a patient who suffered a 60% BSA skin deficit usually died from the effects of overwhelming sepsis. Great strides have since been made in the techniques and t...

journal_title：Critical care nursing clinics of North America

authors： Kinner MA,Daly WL

更新日期：1992-06-01 00:00:00

abstract：:This article presents an overview of the focused subjective and objective assessment of the older adult for the critical care nurse. Discussion includes the distinguishing features inherent to older adults, and relevant evidence-based screening tools that the nurse can use in assessing the critically ill older adult. ...

journal_title：Critical care nursing clinics of North America

authors： Gentleman B

更新日期：2014-03-01 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：:This ethnographic study of the VISICU eICU (VSISCU, Inc., Baltimore, MD) work environment in a large midwestern health care system describes everyday life working in a telemedicine intensive care. Data were gathered through 60 hours of observation and formal interviews of eICU clinician team members. Working in the re...

journal_title：Critical care nursing clinics of North America

authors： Stafford TB,Myers MA,Young A,Foster JG,Huber JT

更新日期：2008-12-01 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

authors： Smith CD,Custard K

更新日期：2014-09-01 00:00:00

abstract：:The differential diagnosis of chest pain is a challenging clinical experience requiring a perceptive and observant clinician. The patient is dependent on the clinician's skill in eliciting a meaningful and relevant history. The clinician must consider reasonable alternative diagnoses while providing immediate therapie...

journal_title：Critical care nursing clinics of North America

authors： Fruth RM

更新日期：1991-03-01 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

authors： Woo MA

更新日期：1993-12-01 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

authors： Kyba FC

更新日期：2002-06-01 00:00:00

abstract：:In critical care, nurses are expected to react quickly to urgent and emergent situations. It is imperative that nurses have the ability to recognize signs and symptoms in patients that require diagnostic intervention. This article begins with a brief description of angiography and its role in the critical care environ...

journal_title：Critical care nursing clinics of North America

authors： McInnis LA,Parsons L,Krau SD

更新日期：2010-03-01 00:00:00

abstract：:Critical care nurses constitute front-line care provision for patients in the intensive care unit (ICU). Hypoxemic respiratory compromise/failure is a primary reason that patients require ICU admission and mechanical ventilation. Critical care nurses must possess advanced knowledge, skill, and judgment when caring for...

journal_title：Critical care nursing clinics of North America

authors： Barton G,Vanderspank-Wright B,Shea J

更新日期：2016-12-01 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：: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

authors： Krau SD

更新日期：1998-12-01 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

authors： Davis AH,Hayes SP

更新日期：2018-09-01 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

authors： Jones KM

更新日期：1999-12-01 00:00:00

abstract：:It is clear that as a chronic illness, heart disease can create multiple stressors for women, including limitations on the performance of daily activities, difficulties managing symptoms and treatment, changes in role performance, lack of social support, and a reduced quality of life. Although available studies provid...

journal_title：Critical care nursing clinics of North America

authors： Fleury J,Cameron-Go K

更新日期：1997-12-01 00:00:00

abstract：:Patients who acquire sepsis, ARDS, ARF, or MSOF subsequent to multiple trauma have a high mortality rate. The pathophysiology of these complications is complex and is thought to involve ischemia, the generation of mediators, alterations in regional perfusion, and cellular oxygen use. Because of the critical nature of ...

journal_title：Critical care nursing clinics of North America

authors： Littleton MT

更新日期：1989-03-01 00:00:00

abstract：:The number of children infected with HIV is growing, and new treatments are extending their survival. Nurses, including pediatric intensive care nurses, more frequently have to care for HIV-infected children. This article discusses the transmission of HIV in children, pediatric manifestations of the disease, staging, ...

journal_title：Critical care nursing clinics of North America

authors： Czarniecki L,Dillman P

更新日期：1992-09-01 00:00:00

abstract：:Dating from the inception of percutaneous coronary angioplasty, restenosis has been the postprocedural Achilles heel. Despite a decade of research, with a myriad of mechanical devices and pharmacologic agents, this vexing problem has yet to be resolved. Although intracoronary stents have proved effective at restenosis...

journal_title：Critical care nursing clinics of North America

authors： Morris NB

更新日期：1999-09-01 00:00:00

abstract：:Critical care nurses work in challenging environments that are often sterile, impersonal, noisy, and frightening to patients and their families. Nurses act as liaisons between medical professionals and patients and their families in multiple specialty intensive care units. Critical care nursing practice, guided by the...

journal_title：Critical care nursing clinics of North America

authors： Parsons LC,Walters MA

更新日期：2019-12-01 00:00:00

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...

journal_title：Critical care nursing clinics of North America

authors： Bergstrom DL,Keller C

更新日期：1992-06-01 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：:In the move to increase effectiveness in valued-based organizational cultures, mindfulness leaders are charged to create environments that foster curiosity and creativity in uncertain times. Mindfulness increases situational awareness and improved communication enhances a culture of safety and better patient outcomes....

journal_title：Critical care nursing clinics of North America

authors： Roussel L

更新日期：2019-06-01 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：:One essential component of AD that many mistakenly overlook is that health care wishes should not be kept secret. Copies of the document should not be locked up; several should be distributed among family, health care providers, and significant others. Resistance can be expected with discussion of AD and ultimate deci...

journal_title：Critical care nursing clinics of North America

authors： Basile CM

更新日期：2002-06-01 00:00:00