Abstract:
:IL-2 is a biotherapeutic drug and a biological response modifier. This drug has not been approved by the Food and Drug Administration for general use but continues to undergo clinical trials. Candidates for this therapy are patients with advanced carcinoma that has not responded to standard modalities of treatment. Administration of IL-2 can lead to systemic toxicity, which usually appears to be dose-related. As a result, high-dose therapy requires intensive care. The critical care nurse assesses and documents side effects that occur as a result of IL-2 therapy and must be aware of both the physical and psychological needs of the patient. Through successful assessment and intervention, the nurse can gain the knowledge required to manage, both physically and psychologically, patients who are undergoing this therapy.
journal_name
Crit Care Nursejournal_title
Critical care nurseauthors
Raymond BA,Haney PE,Gimesky Jsubject
Has Abstractpub_date
1994-12-01 00:00:00pages
47-53issue
6eissn
0279-5442issn
1940-8250journal_volume
14pub_type
杂志文章abstract::Nurses in a full range of settings from acute to home care are increasingly exposed to the use and maintenance of central VADs. Although the advantages of central VADs are well recognized, the incidence and potential for complications associated with these devices should not be minimized. The major complication of cat...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1989-05-01 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::Sjo2 monitoring has several important limitations, such as catheter reliability, sampling error, and lack of regional specificity. However, combining Sjo2 monitoring with other available technologies can facilitate optimization of treatment and improve outcomes in patients with severe brain injuries. ...
journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:
更新日期:2001-12-01 00:00:00
abstract::The end of the formal unit orientation program is a stressful time of adjustment for nurses hired into critical care without previous critical care experience. Although most units offer reassurance that experienced colleagues will provide the needed guidance, consistent support may not be available for many reasons. D...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2015368
更新日期:2015-08-01 00:00:00
abstract::This 6-month retrospective study provided our medical center with a profile of the population of patients readmitted within 31 days of discharge. We found that chronic illness and age greater than 65 years were the high risk factors related to patient readmissions. These 2 attributes are common in critical care patien...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:2001-04-01 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::Although methemoglobinemia is not commonly seen in the ER or the critical care setting, it can be life threatening if unrecognized and left untreated. A detailed case history illustrates the symptoms and some of the possible precipitating factors, and outlines treatment for a successful patient outcome. ...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1990-03-01 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::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::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::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::Status epilepticus is a medical emergency that requires rapid diagnosis and treatment. Nonconvulsive status epilepticus is frequently underdiagnosed and therefore undertreated, which can lead to permanent neuronal damage resulting in disability or death. Despite the frequent occurrence and morbidity associated with st...
journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:10.4037/ccn2016892
更新日期:2016-04-01 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::IABP timing challenges the nurse not only with a waveform analysis but also an understanding of complex physiologic concepts crucial to patient management. Optimizing timing through assessment of the five points of the IABP waveform permits the critical care nurse to increase the hemodynamic benefits of IABP therapy, ...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1994-06-01 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::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::The most common cause of death due to the H1N1 subtype of influenza A virus (swine flu) in the 2009 to 2010 epidemic was severe acute respiratory failure that persisted despite advanced mechanical ventilation strategies. Extracorporeal membrane oxygenation (ECMO) was used as a salvage therapy for patients refractory t...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2011186
更新日期:2011-10-01 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
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::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::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 Vanderbilt University Hospital's original rapid response team included a critical care charge nurse and a respiratory therapist. A frequently identified barrier to care was the time delay between arrival of the rapid response team and arrival of the primary health care team. Objective To assess the impact o...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2014847
更新日期:2014-02-01 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
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: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::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:Although critical care nurses gain satisfaction from providing compassionate care to patients and patients' families, the nurses are also at risk for fatigue. The balance between satisfaction and fatigue is considered professional quality of life. OBJECTIVES:To establish the prevalence of compassion satisfa...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2015392
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:The outcome focus for survivors of critical care has shifted from mortality to patient-centered outcomes. Multidimensional outcome assessments performed in critically ill patients typically exclude those with primary neurological injuries. OBJECTIVE:To determine the feasibility of measurements of physical f...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2020681
更新日期:2020-06-01 00:00:00
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