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 for its calculation does not emphasize the variable of heart rate. The advantages of using LVSWI are the following: It is easily calculated at the bedside by using an integrated hemodynamic software package or by using the formula provided. It is readily available to the nurse and indicates sensitive changes in myocardial function. When used in LV function curves in the nursing assessment of myocardial contractility of critically ill adults, its use can direct changes in fluid and pharmacologic interventions. Factors that affect ventricular end-diastolic pressure such as altered myocardial compliance or increased transmural pressure alters PCWP. Although LVSWI is not completely independent of these factors and may be less precise with altered PCWP, the LVSWI does enhance the data base used to manage patients with altered ventricular function. Ideal LVSWI values may not be achievable in patients with poor myocardial contractility; however, tracking the LVSWI provides sensitive and immediate feedback on the efficacy of pharmacologic intervention. Critical care nurses should use the LVSWI for any hemodynamically unstable patient whose myocardial contractility might be compromised. This information allows the nurse to optimize the patient's hemodynamic performance with a more accurate assessment of heart function.
journal_name
Crit Care Nursejournal_title
Critical care nurseauthors
Ramsey JD,Tisdale LAsubject
Has Abstractpub_date
1995-02-01 00:00:00pages
61-7issue
1eissn
0279-5442issn
1940-8250journal_volume
15pub_type
杂志文章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：: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：: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：: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：:"Broken heart syndrome," or takotsubo cardiomyopathy, is a spontaneously reversible form of cardio-myopathy that is often induced by emotional or physical stress. Signs and symptoms include chest pain, dyspnea, electrocardiographic changes, and elevated levels of cardiac biomarkers. Patients often have signs and sympt...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2009451
更新日期：2009-02-01 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：: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: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：: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：: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：: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：: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：: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：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：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
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journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2018669
更新日期：2018-10-01 00:00:00
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journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1994-10-01 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
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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：:There are many traditional beliefs about the need to restrict visitors on coronary care units (CCUs). Some hospitals, however, have modified their visiting policies. This article identifies factors related to the setting and control of visiting policies on CCUs. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1992-02-01 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：: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
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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
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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
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journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1989-07-01 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：: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：: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：: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：: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
