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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.

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.

Inflammatory mechanisms associated with COPD: A principle-based concept analysis

Conley, Patricia B.; Kelechi, Teresa J.

Nursing Critical Care . 12(3):24-30, May 2017.

Identification of the attributes, antecedents, and outcomes of inflammation in chronic obstructive pulmonary disease (COPD) is essential. Studies examining the mediators of inflammation have investigated the physiologic, cellular, and molecular causes, but none of the findings are conclusive. This principle-based concept analysis of debilitating pulmonary inflammation focuses on identifying the mediators that initiate and exacerbate chronic COPD. Determining the exact mediators will help develop treatments to better target the detrimental pathogenesis of inflammation in COPD. Nurses, working together with other healthcare scientists, can improve healthcare delivery and quality of life for their patients through future research.

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.

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.

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.

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.

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.

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.

Posttraumatic stress disorder in critical care nurses

Danella, Nicole; Hamilton, Sharece; Heinrich, Chelsea

Nursing Critical Care . 12(3):40-46, May 2017.

This article summarizes the research on and evidence-based practice for posttraumatic stress disorder in critical care nurses. Precipitating factors and diagnostic criteria as well as best practices for prevention and treatment are addressed. The authors also look to military history and research to illustrate potential solutions.

A review of novel oral anticoagulants

O'Leary, Geraldine M.

Nursing Critical Care . 12(3):32-39, May 2017.

Recently, a new class of anticoagulant drugs has emerged, called novel oral anticoagulants (NOACs), which have significant advantages over warfarin. This article provides a review of the actions, indications, contraindications, adverse reactions, and reversal agents for four new drugs. Nursing considerations and teaching strategies for patients taking NOACs are also discussed.

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.

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.

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.

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.

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.

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.

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.

#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.

The secrets of synthetic drugs: A guide for nursing care

Smeltzer, Michelle D.

Nursing Critical Care . 12(3):14-22, May 2017.

The rapid development of synthetic drugs and their ever-changing list of ingredients present a challenge to providers who must constantly refresh their knowledge of these substances. The ability of a nurse to rapidly assess and anticipate patient needs has always been a crucial part of the plan of care; however, a current knowledge base is needed to individualize care when a patient is suspected to have taken synthetic drugs.

Tracheostomy Care

Parker, Laura C.

Nursing Critical Care . 9(6):38-41, November 2014.

The longer a patient requires mechanical ventilation, the more likely it is that the patient will have a tracheostomy. Read about indications, benefits, potential complications, and nursing care associated with tracheostomies.

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