Abstract：
:Heart failure is a burdensome cardiovascular condition associated with high rates of morbidity and mortality. The 3-month period after hospitalization is a vulnerable phase in which patients are at high risk for mortality and rehospitalization. To reduce risk during this period, patients with heart failure and reduced ejection fraction should receive guideline-directed pharmacological therapies-the right drugs at the right doses-before hospital discharge. Optimal pharmacotherapies for these patients include agents that suppress the renin-angiotensin-aldosterone system, suppress the sympathetic nervous system, enhance vasodilation, slow heart rate when needed, and reduce excess volume. Because optimal prescription and adherence are both necessary to ensure the best clinical outcomes, nurses need to participate in interventions that optimize prescription and drug use over time. Collaboration with pharmacists and advanced practice acute care nurses may help ensure that medication selection and dosing are consistent with national guidelines. Use of a predischarge order set and electronic medical records checklist can enhance collaborative care.
journal_name
Crit Care Nursejournal_title
Critical care nurseauthors
Albert NM,Kozinn MJdoi
10.4037/ccn2018669subject
Has Abstractpub_date
2018-10-01 00:00:00pages
16-24issue
5eissn
0279-5442issn
1940-8250pii
38/5/16journal_volume
38pub_type
杂志文章abstract：:Critically ill patients require vigilant monitoring of tissue oxygenation, particularly oxygenation of the gut mucosa, because of the mucosa's fragile blood supply. With the advent of gastric tonometry, splanchnic tissue oxygenation can be measured in a minimally invasive and cost-effective manner. Requiring only a ga...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1996-12-01 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：:Children admitted to the ICU with status asthmaticus require continuous nursing assessment of respiratory status and monitoring of the response to therapy. Nurses must be aware of the progression of respiratory distress and of the expected response to treatment and the side effects that can occur with each therapy. By...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1998-02-01 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：: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：:Numerous research-based guidelines for PA pressure monitoring are available. Despite the availability of this large body of literature related to PA pressure monitoring, critical care nurses continue to demonstrate insufficient knowledge and ability to apply information related to the collection and interpretation of ...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：2000-12-01 00:00:00
abstract：:Hereditary hemorrhagic telangiectasia is a rare, autosomal dominant genetic disease that causes abnormal growth of blood vessels and, subsequently, life-threatening arteriovenous malformations in vital organs. Epistaxis may be one of the initial clues that a patient has more serious, generalized arteriovenous malforma...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2016270
更新日期：2016-06-01 00:00:00
abstract：:Both pharmacological and nonpharmacological methods are used to control shivering in therapeutic hypothermia. An evidence-based protocol based on the most current research has been developed for the management of shivering during therapeutic hypothermia. Meperidine is the drug of choice and provides the greatest reduc...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2011618
更新日期：2011-12-01 00:00:00
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：:Recent advances in smartphone technology now allow clinicians to use commercially produced applications when studying for nursing certification examinations. The quality of currently available CCRN review applications varies in this first generation of products. Most are limited to multiple-choice practice questions, ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2014842
更新日期：2014-06-01 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：:Instruction in the use of the automated external defibrillator is now a mandatory component of ACLS certification. Here's a review of changes to the ACLS algorithm. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1992-06-01 00:00:00
abstract：:Hypoplastic left heart syndrome is a severe form of congenital heart disease that results in single-ventricle physiology. Although surgical palliation in infants with this syndrome is widely agreed on in practice, variation occurs in both surgical and medical management. Perinatal factors that affect preoperative mana...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2016461
更新日期：2016-02-01 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: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：: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：:As the field of surgery advances and the conservative use of banked blood transfusion increases the need for postoperative autotransfusion has increased. By using the CATR, the patient's demands for blood can be more adequately met without causing further complications for the patient. This article presents one method...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1991-04-01 00:00:00
abstract：:Everyone experiences stress. That stress may be related to work (internal), community (external), or family; it may be cumulative or related to a particular critical incident. The cost related to treating acute stress is staggering, both to individuals and to organizations. Critical care nurses are well educated in th...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：2003-02-01 00:00:00
abstract：BACKGROUND:Patients who have radiological imaging with contrast material are at risk for contrast medium-induced nephropathy, reduced renal function, longer hospitalizations, and renal failure requiring dialysis. OBJECTIVE:To determine whether the Mehran risk scoring tool can be used to predict changes in hospitalized...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2011746
更新日期：2011-02-01 00:00:00
abstract：BACKGROUND:Pressure injuries, also known as pressure ulcers, are a serious complication of immobility. Patients should be thoroughly examined for pressure injuries when admitted to the intensive care unit to optimize treatment. Whether community-acquired pressure injuries correlate with poor hospital outcomes among cri...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2019530
更新日期：2019-06-01 00:00:00
abstract：:Malnutrition is common in critically ill patients and is associated with poor outcomes for patients and increased health care spending. Enteral nutrition is the method of choice for nutrition delivery. Enteral nutrition delivery practices vary widely, and underfeeding is widespread in critical care. Interruptions in e...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2014243
更新日期：2014-08-01 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：: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：:Errors related to health care devices are not well understood. Nurses in intensive care and progressive care environments can benefit from understanding manufacturer-related error and device-use error, the principles of human factors engineering, and the steps that can be taken to reduce risk of errors related to heal...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2012925
更新日期：2012-08-01 00:00:00
abstract：:Knowledge of the physiologic changes, conditions, and therapies of pregnancy that increase the risk of pulmonary edema enables nurses to influence the outcome of their patients who develop medical complications while undergoing tocolytic therapy. Cooperation between perinatal and critical care nurses ensures optimal c...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1996-06-01 00:00:00
abstract：CLINICAL RELEVANCE:Clostridioides (formerly Clostridium) difficile infection is among the most identified causes of health care-associated infections in US hospitals and remains a major public health problem. The incidence and severity of C difficile infection are high among critically ill patients. Treating critically...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2019841
更新日期：2019-10-01 00:00:00
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 ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2012596
更新日期：2012-10-01 00:00:00
abstract：BACKGROUND:Delirium is a common neuropsychiatric diagnosis in intensive care units and often leads to extended hospital stays and an increased rate of complications. Delirium can be classified as hypoactive, hyperactive, or mixed. Hyperactive delirium is often accompanied by agitation, which is a predictive factor for ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2020697
更新日期：2020-04-01 00:00:00
abstract：:Because of the potential severity of the associated complications, nurses have an essential role in the care of patients with HAT. Bedside nurses have the opportunity to report information that may indicate a change in a patient's condition after administration of heparin. This information could lead to diagnosis of h...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1998-12-01 00:00:00
abstract：:The patient in septic shock who develops vascular insufficiency secondary to purpura fulminans is a challenge to the healthcare team. Initial management is directed toward reversing the disease process by administering antibiotics immediately and initiating life-support measures. Emergency measures include optimizing ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1993-06-01 00:00:00
