September 2017 - Volume 12 - Issue 5
pp: 4-48

Editorial


Professional Enrichment


Name That Strip


Pearls



Genetics in the cardiovascular ICU

Halbmaier, Katie; Beutner, Katherine; Daniels, Chetana; More

Nursing Critical Care. 12(5):14-24, September 2017.

There is currently an increase in the use of genetic technologies for risk assessment, diagnosis, treatment, and prevention of inheritable causes of mortality and morbidity. Patients and families are relying more and more on their nurse's understanding of genetics to guide their care. This article offers a review of the clinical applications of genetics relevant to the nurse practicing in the cardiovascular ICU.

Burn injuries in the ICU: A case scenario approach Part 2

Simko, Lynn Coletta; Culleiton, Alicia L.

Nursing Critical Care. 12(5):26-36, September 2017.

This article is the second part of a case study about Abe, a young Amish patient with severe burn injuries. In Part 1, various types of burns were described, as well as initial resuscitative care for patients with severe burn injuries. In Part 2, the authors detail Abe's unfolding case scenario and conclusion, cultural concerns in nursing care for an Amish patient, and the treatment modalities necessary to manage patients with burn injuries in the ICU.

Myasthenia gravis and myasthenic crisis

Vacca, Vincent M. Jr.

Nursing Critical Care. 12(5):38-46, September 2017.

Myasthenia gravis (MG) is the most commonly encountered autoimmune disease of the postsynaptic neuromuscular junction of skeletal muscles, affecting an estimated 700,000 individuals worldwide. Approximately 15% to 20% of patients with MG will experience a myasthenic crisis (MC), typically within 2 years of diagnosis. Nurses must be knowledgeable about this disease and prepared to assist with pharmacologic testing and/or MC to ensure maximum safety for patients with MG before, during, and after evaluation.