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Caring for patients with burn injuries

Culleiton, Alicia L.; Simko, Lynn M.

Nursing Critical Care . 8(1):14-22, January 2013.

Caring for a patient with severe burn injuries offers many challenges for critical care nurses. Find out about various types of burns and providing initial resuscitative care for a patient if treatment in a designated burn center facility or burn ICU isn't possible.

Sepsis-3: The new definitions

Seckel, Maureen A.

Nursing Critical Care . 12(2):37-43, March 2017.

Sepsis definitions were recently revised by the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) to better align with current understanding of the research, physiology, and management of patients with sepsis. This article reviews the new definitions and other recent changes in sepsis management.

Burn injuries in the ICU: A case scenario approach

Simko, Lynn Coletta; Culleiton, Alicia L.

Nursing Critical Care . 12(2):12-22, March 2017.

This article uses a case scenario to review various types of burn injuries, burn pathophysiology, and what nurses need to know to provide comprehensive assessment and resuscitative care to patients with this type of injury.

Acute ischemic stroke: The golden hour

Anderson, Jane A.

Nursing Critical Care . 11(3):28-36, May 2016.

Acute ischemic stroke is a medical emergency resulting from an embolic or thrombotic occlusion of an intracranial artery. This article provides acute care nurses with a summary of recent updates on the rapid evaluation and workup for patient selection and treatment with I.V. fibrinolysis.

Caring for the patient with a left ventricular assist device

Chmielinski, April; Koons, Brittany

Nursing Critical Care . 12(2):24-31, March 2017.

Mechanical circulatory support devices such as left ventricular assist devices provide an alternative to heart transplantation for patients with advanced heart failure, and critical care nurses need to understand how to care for these patients.

Shhh! Too much hospital noise slows recovery

Lim, Fidelindo A.

Nursing Critical Care . 9(2):43-47, March 2014.

Monotonous call bells, oscillating conversations, and clanking equipment disturb patients' rest, especially in the ICU and operating rooms. But besides being irritating, excessive noise causes sleep deprivation, which can lead to hypertension, an increase in cardiovascular disease, impaired immune function, attention and memory deficits, depression and even death.

Updating your nutrition care practice

McCarthy, Mary S.; Martindale, Robert G.

Nursing Critical Care . 10(1):18-26, January 2015.

About 65% of ICU patients aren't receiving enough nutrition. When their survival is threatened, nutrition taken orally, topically, through inhalation, or by injection helps improve outcomes. Active nutrients reduce damage to cells, control inflammation, decrease the metabolic response to stress, and improve feeding tolerance.

In-hospital cardiac arrest

Leary, Marion

Nursing Critical Care . 10(1):34-40, January 2015.

Hospital teams need experienced leadership, with members filling defined roles to properly treat patients in cardiac arrest. Overcrowding can cause poor communication, prevent task delegation and potentially risk patients' lives. Healthcare professionals are more confident when they have “rolling refreshers” periodically practicing CPR skills, using CPR training manikins, and CPR feedback devices.

Zika virus: What nurses need to know

Coyle, Amanda L.

Nursing Critical Care . 11(4):30-34, July 2016.

Local, state, national, and international healthcare organizations are rapidly scaling up their response to the recent Zika virus outbreak. Nurses must stay abreast of the evolving body of knowledge surrounding Zika virus infection in order to provide optimal care to their patients.

Craniosynostosis

Blake, Stephanie M.; Bradshaw, Wanda T.

Nursing Critical Care . 10(1):27-33, January 2015.

This article discusses the birth defect in which one or more of the joints between the bones of a baby's skull prematurely closes. Cranial growth and brain development are influenced. Neurologic and physiologic after effects can include: auditory and visual impairment, seizures, swallowing dysfunction, heart and lung abnormalities, developmental delays, speech impairments, self-esteem issues, and learning disabilities.

Encephalitis in adults: Outcomes in critical care

Vacca, Vincent M. Jr.

Nursing Critical Care . 11(2):14-22, March 2016.

Encephalitis can lead to alterations in level of consciousness, cognition, and behavior as well as fever, headache, seizures, cranial nerve disorders, and motor deficits. Despite advances in technology and pharmacology, encephalitis remains challenging to diagnose and difficult to treat.

Coronary Artery Bypass Grafting

Plitnick, Katherine R.

Nursing Critical Care . 9(6):32-37, November 2014.

Coronary artery disease is the most common type of heart disease and heart disease is the leading cause of death in the U.S. Of the 4.7 million in-patient heart-related procedures performed on approximately 4.7 million people annually in the United States, 395,000 of those are coronary artery bypass grafting.

Managing drug-resistant organisms in acute care

Nealy, Kimberly L.; McCarty, Delilah J.; Woods, J. Andrew

Nursing Critical Care . 11(3):16-22, May 2016.

This article provides nurses with therapeutic considerations for infections caused by drug-resistant organisms in the acute care setting. Proper identification of organisms and appropriate use of antibiotics are imperative strategies to help reduce the development and spread of antimicrobial resistance.

Managing vasoactive infusions to restore hemodynamic stability

Timmerman, Rosemary A.

Nursing Critical Care . 11(2):35-43, March 2016.

Critically ill patients frequently suffer circulatory disturbances necessitating the use of vasoactive medications. Critical care nurses must know the actions and possible adverse reactions of vasoactive agents and be able to titrate hemodynamic medications to achieve therapeutic endpoints indicating adequate perfusion.

The nurse as the patient

Nursing Critical Care . 9(2):4, March 2014.

What happens when the nurse is the patient? Don't ignore warning signs that your own health needs attention because if you're in pain, even with friends in the business, you could have to wait for appointments, prescriptions, precertification, and follow-up visits – just like your patients.

#Blacklivesmatter: Leveraging family collaboration in pain management

Booker, Staja Q.

Nursing Critical Care . 11(2):1-7, March 2016.

Pain may be more difficult to manage in ethnically diverse patients, such as Black Americans. Learn how family collaboration can assist nurses to effectively assess and treat pain while also respecting and incorporating personal and cultural preferences.

Creating a culture of safety

Nursing Critical Care . 9(4):4, July 2014.

Some 98,000 people die in the U.S. annually because of medical errors such as infections, mistaken identity and wrong-site surgeries. This costs hospitals up to $29 billion nationwide. Healthcare workers are challenged to develop a culture of safety to protect patients.

Improving the critical care safety culture

Serembus, Joanne Farley

Nursing Critical Care . 9(4):26-29, July 2014.

Millions of patients each year live with the risks associated with the fast-paced, challenging critical care unit environment. They don't need extra, preventable threats such as infections and medication errors. This article explores developing a safety culture in healthcare facilities.

An oral care survey for critically ill patients

Grap, Mary Jo; Munro, Cindy L.; Gardner, Marie

Nursing Critical Care . 11(2):30-34, March 2016.

The importance of oral care in critically ill patients has been well documented, especially in those who are mechanically ventilated. Documentation is important in these patients, which includes information on the frequency of oral care.

Is this patient a candidate for ultrafiltration?

Streets, Kara W.; Vickers, Sharon M.

Nursing Critical Care . 8(2):31-38, March 2013.

Similar to dialysis, ultrafiltration is a type of renal replacement therapy that may be indicated for patients with heart failure who have significant volume overload despite outpatient diuretic therapy. Here's what you need to know about this therapy, which can be safely managed in any telemetry unit or even in an outpatient treatment area that has appropriately trained personnel.

Measuring quality care with HCAHPS

Villanueva, Perfecto “Mac; McCall, Levida Dawn

Nursing Critical Care . 7(5):18-21, September 2012.

As hospitals transition to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey as a meaningful measure of patient satisfaction, healthcare leaders are asking if their organizations are prepared.

Using the Montessori method to engage patients with dementia

Volland, Jennifer; Fisher, Anna

Nursing Critical Care . 10(2):9-14, March 2015.

Created for use on children with mental retardation, then used with children from lower-income areas, the Montessori method has been adapted to engage adults with dementia by stimulating their minds with activities that use fine motor skills and build self-esteem.

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