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Most Popular Articles

Getting involved in policy and politics

Oestberg, Fredrik

Nursing Critical Care. 8(3):48, May 2013.

By knowing how the political system works and which strategies can effectively influence policy, any nurse can become an advocate at the local, state, or federal level.

Caring for a patient after coronary artery bypass graft surgery

Mullen-Fortino, Margaret; O'Brien, Noreen

Nursing Critical Care. 4(1):22-27, January 2009.

Every year, some 427,000 patients in the United States have coronary artery bypass graft (CABG) surgery. A patient undergoing CABG has complex healthcare needs. We'll outline your role in patient care by body system.

Prone positioning for patients with ARDS

Hudack, Michael E.

Nursing Critical Care. 7(2):20-24, March 2012.

Although not common in ICUs, proning may help improve oxygenation for patients with acute respiratory distress syndrome. Find out about the science behind this technique and how to incorporate it into a plan of care.

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.

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.

When can you say no?

Brooke, Penny S.

Nursing Critical Care. 6(5):48, September 2011.

Because of understaffing and other pressures, you need to know when (and how) to say no so you can manage your time efficiently, keep patients safe, and protect yourself from burnout and legal repercussions.

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.

Sedation in the ICU: A mindful approach to achieving a balance

Griffiths, Carrie L.; Livengood, Spencer J.; Hertel, Kristie A.

Nursing Critical Care. 13(3):28-33, May 2018.

Sedation is commonly required in the ICU. Critical care nurses need to be familiar with strategic sedation management techniques, including patient monitoring, appropriate sedative selection, and nonpharmacologic interventions. Multidisciplinary patient-centered care is key to achieving optimal patient outcomes.

Caring for the patient with a left ventricular assist device

Chmielinski, April; Koons, Brittany

Nursing2019 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.

Necrotizing fasciitis: Infection identification and management

Brennan, Mary R.; LeFevre, Florence

Nursing2018 Critical Care. 14(1):6-11, January 2019.

Necrotizing fasciitis (NF) is a life-threatening infection that is best managed through early identification and intervention. This article will help critical care nurses recognize, assess for, and treat NF. An effective plan of care may include antibiotic therapy and surgical debridement.

Improve your professional etiquette

Pagana, Kathleen D.

Nursing Critical Care. 5(6):48, November 2010.

Professional etiquette is critical for presenting yourself as a polished, confident, and professional nurse. These seven tips can help you stand out and improve your chances for career success.

Basics of general anesthesia for the critical care nurse

Greenberg, Kendra; Morrison, Suzanne

Nursing Critical Care. 12(4):36-42, July 2017.

Critical care nurses play an integral role in the care of surgical patients. A more thorough understanding of what general anesthesia entails may enable the critical care nurse to tailor care to patients following surgery. This article describes the stages of general anesthesia, along with related medications, potential adverse reactions, and what nurses need to know to provide optimal care.

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.

How to recognize and respond to refeeding syndrome

Yantis, Mary Ann; Velander, Robyn

Nursing Critical Care. 4(3):14-20, May 2009.

Restarting nutrition in malnourished patients can pose lethal consequences. Here's what you need to know about assessing your patient and avoiding problems.

Mechanical ventilation weaning: An evidence-based review

Hetland, Breanna; Heusinkvelt, Jennifer; Krabbenhoft, Lisa; More

Nursing2018 Critical Care. 13(6):5-16, November 2018.

Mechanical ventilation weaning is an ongoing challenge in critical care nursing. This article reviews evidence-based guidelines on common ventilator modes and settings, the weaning process, complications, and symptom management.

Rapid response teams: Current perspectives

Jackson, Shirley A.

Nursing Critical Care. 12(6):16-23, November 2017.

Rapid response teams (RRTs) have been in existence for nearly 25 years. The team's purpose is to assess and manage patients who experience acute clinical deterioration. The critical care nurse performs a vital role in the function of the team. This article reviews the composition, responsibilities, and common challenges of RRTs.

Angiotensin II for septic shock treatment: An update

Griffiths, Carrie L.; Jackson, Matthew R.; Hoke, Tanner J.; More

Nursing2018 Critical Care. 13(6):30-37, November 2018.

Septic shock can lead to life-threatening hypoperfusion, which often requires vasopressor therapy. Last year, the FDA approved angiotensin II for use in septic shock. This article explores the literature and nursing considerations surrounding this septic shock treatment.

Fluid balance and resuscitation: Critical aspects of ICU care

Stevens, Wendy J.

Nursing Critical Care. 3(2):12-21, March 2008.

Critically ill patients are at great risk for volume depletion that may be secondary to internal and external fluid losses. Daily fluid balance assessments may be inaccurate, as total volume losses aren't always recognized or measurable.

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.

Dying with dignity

Privette, Krystal; Kautz, Donald D.

Nursing Critical Care. 9(1):48, January 2014.

Part of an ICU nurse's job is to help family members understand what to expect when a loved one wants to die with dignity.

Take a rapid treatment approach to cardiogenic shock

Gorman, Diane; Calhoun, Kim; Carassco, Maria; More

Nursing Critical Care. 3(4):18-27, July 2008.

Cardiogenic shock is a major and frequently fatal complication of a variety of acute and chronic disorders. Recognition of early signs and symptoms of cardiogenic shock and rapid interventions enable the nurse and treatment team to prevent complications and assist the patient to recovery.

Fatigue and critical care nurses: Considerations for safety, health, and practice

Hobbs, Barbara B.; Wightman, Lori

Nursing Critical Care. 13(1):6-13, January 2018.

Physical fatigue is a major concern for critical care nurses. This article reviews how sleep loss affects fatigue, the dangers of shift work, safer scheduling practices, and countermeasures critical care nurses can take to avoid feeling fatigued on the unit. Resources to help address fatigue level and manage symptoms are also listed.

Reducing your liability risk

Nursing Critical Care. 7(4):4, July 2012.

Are you doing everything you can to reduce your liability risk? A recent report sheds light on areas where you must stay vigilant to keep yourself and your patients safe.

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.

Deceased donor organ donation: The critical care nurse's role

O'Leary, Geraldine M.

Nursing2018 Critical Care. 13(4):27-32, July 2018.

Critical care nurses are instrumental in the process of identifying potential organ donors. As such, nurses must be familiar with the criteria used to determine brain death and best practices when communicating with the families of potential donors.

Acute pain management in the patient with a substance use disorder

Rosier, Patricia Kelly

Nursing Critical Care. 12(1):40-46, January 2017.

Opioid addiction and substance use disorders are a major problem in the United States. These conditions are present in many of the patients admitted to hospitals. This article discusses nursing assessment, management, and evaluation of acute pain in the presence of substance use disorder and what to do when a patient with addiction is already in treatment.

Incorporating the 2017 critical care pediatric nutrition support guidelines into clinical practice

Irving, Sharon Y.; Guenter, Peggi; Mehta, Nilesh M.

Nursing2018 Critical Care. 14(1):13-19, January 2019.

Proper nutrition support is essential to achieving optimal outcomes in critically ill children. This article summarizes the key points of the recently published Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient, which were developed by the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition. Practical tips to incorporate these guidelines into clinical practice are provided.

Animal-assisted therapy and activities in the critical care setting

Rugari, Susan M.; Hunter, Cheryl L.; Carswell, B. Michele

Nursing Critical Care. 12(6):32-40, November 2017.

Animal-assisted therapy (AAT) and animal-assisted activities (AAA) are different dimensions in the field of human-animal interaction that incorporate various species of animals in diverse manners to benefit humans. Research shows physiologic and psychological benefits of AAT/AAA but is limited in the area of critical care. Current guidelines discourage the use of AAT/AAA in CCUs because of infection control concerns. However, these concerns can be addressed with the right policies.

Delivering LGBTQ-sensitive care

Lim, Fidelindo; Paguirigan, Medel; Cernivani, Daniel

Nursing2018 Critical Care. 13(4):14-19, July 2018.

The historic and lingering stigma faced by members of the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community is a major contributor to health risks. Learn the best practices critical care nurses can employ to combat the health disparity that challenges this patient population.

Cerebral hyperperfusion syndrome following carotid artery revascularization

Vacca, Vincent M. Jr.; Thomas, Sarah Beth

Nursing Critical Care. 12(1):32-39, January 2017.

Cerebral hyperperfusion syndrome (CHS) is a complication that follows carotid artery revascularization by either carotid endarterectomy or carotid artery stenting. Anticipation, early recognition, and aggressive management of CHS are essential to prevent disastrous complications.

Delirium in critical care patients

Laske, Rita Ann; Stephens, Barbara

Nursing Critical Care. 11(1):18-23, January 2016.

Delirium can impact up to 80% of CCU patients and increases their length of stay and cost of hospitalization. Often, delirium may be misdiagnosed as dementia, depression, or other psychiatric disorders.

Change your appetite: Stop “eating the young” and start mentoring

Echevarria, Ilia M.

Nursing Critical Care. 8(3):20-24, May 2013.

Nurses have an obligation to mentor colleagues and to treat them with respect, trust, and dignity. Learn about the destructive cycle of horizontal violence and how to break the cycle.

Mass shootings: A call for nursing awareness and action

Glasofer, Amy; Laskowski-Jones, Linda

Nursing2018 Critical Care. 13(5):14-20, September 2018.

Critical care nurses need to be prepared to care for the victims of a mass shooting. This article reviews survival and hemorrhage control recommendations as well as hospital preparedness lessons learned by facilities that have previously experienced this type of emergency.

Recognizing cerebral venous thrombosis in adults

Vacca, Vincent M. Jr.

Nursing Critical Care. 13(3):6-13, May 2018.

Review the anatomy and physiology, pathophysiology, risk factors, and complications of cerebral venous thrombosis (CVT). Because this serious thrombotic disorder can be mistaken for a migraine, critical care nurses need to be familiar with the clinical presentation of CVT so that treatment can begin as soon as possible.

Pharmacotherapy management in critically ill older adults

Kaplow, Roberta; Griffiths, Carrie L.

Nursing2018 Critical Care. 13(4):20-26, July 2018.

Complex pharmacotherapy management is a particular challenge in the care of critically ill older adults. Explore the science of pharmacokinetics and pharmacodynamics, as well as nursing implications.

Meningitis: the inflamed brain

Burnet, Sophary; Huntley, Ann; Kemp, Kelda M.

Nursing Critical Care. 2(4):28-36, July 2007.

Meningitis is an inflammation of the meninges of the brain, which is caused by various pathogens. Critical care nurses are the first-line clinicians to observe these patients in the ICU, thus, they're an integral part of the prevention of major complications. Therefore, revisit the anatomy, epidemiology, and types of meningitis, as well as prevention, nursing care, and treatment for the disease.

Break through your fears

Langlois, Barb

Nursing Critical Care. 6(6):48, November 2011.

By using empowerment activities and a four-step process of dealing with fears and difficult coworkers, you can gain new courage in the workplace.

Epidural analgesia in the critically ill

Hader, Christine Flickinger

Nursing Critical Care. 2(5):20-30, September 2007.

With advances in pain management approaches and techniques, clinicians need to be aware of comprehensive and contemporary approaches to pain management for the critically ill patient. Epidural analgesia is a pharmacologic approach to pain management that should be considered following an appropriate assessment of a patient's pain.

Getting in sync with intra-aortic balloon pump therapy

Goldich, Guy

Nursing Critical Care. 6(3):14-19, May 2011.

Patients may need IABP therapy for a variety of reasons, including unstable angina or to improve myocardial oxygen delivery during cardiac procedures. Find out how to manage a patient who's receiving this therapy.

Multimodal analgesia in critical care

McGlory, Gayle; Davis, Ana E.; Kirksey, Kenn M.

Nursing Critical Care. 13(2):18-23, March 2018.

Pain is one of the most common patient complaints in the critical care setting. This article covers the problems associated with monomodal analgesia, evidence-based pain assessment methods and interventions, multimodal pharmacology, complementary and alternative medicine, and nursing considerations for patients with acute pain.

Hyperglycemia management in patients with acute ischemic stroke

MacIntyre, Rebecca; Ciechanowski, Mary

Nursing Critical Care. 13(3):14-19, May 2018.

Hyperglycemia can lead to poor outcomes in patients with acute ischemic stroke. This article examines the latest glucose targets and management techniques, as well as nursing assessments and interventions for this patient population.

Music therapy: Nursing interventions with a beat

Crowley, Jessica

Nursing Critical Care. 8(2):15-17, March 2013.

Research has shown that older adults can benefit from music therapy and that this therapy doesn't need to be formal to be effective. This article focuses on interventions you can use to help patients.

Tactile stimulation improves consciousness and vital signs in patients with traumatic brain injury

YekeFallah, Leili; Aghae, Fatemeh; Azimian, Jalil; More

Nursing2018 Critical Care. 13(6):18-22, November 2018.

A study of 60 ICU patients with traumatic brain injury in Qazvin, Iran, showed that tactile stimulation could increase the level of consciousness and decrease systolic BP, diastolic BP, and respiratory rate in these patients, adding to the previous literature on this topic.

Music helps heal mind, body, and spirit

Thomas, Linda S.

Nursing Critical Care. 9(6):28-31, November 2014.

Heart rate, blood pressure, and oxygen consumption decease when the right type of music is played. This auditory stimulus positively affects the patient physiologically and psychologically.

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.

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.

One drink over the line

Molnar, Arletta

Nursing 2006 Critical Care. 1(6):20-33, November 2006.

By Arletta Molnar, RN,C Alcohol withdrawal syndrome (AWS) is one of the most common withdrawal syndromes, second only to caffeine and nicotine withdrawal. Recognizing the symptoms of AWS and providing early and appropriate interventions are important in providing care to this challenging patient population.

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.

Extracorporeal membrane oxygenation: A review

Trinsey, Ashley

Nursing Critical Care. 12(4):16-23, July 2017.

Extracorporeal membrane oxygenation (ECMO) is a mechanical circulatory support device that is used when the heart and/or lung functions are affected by severe disease or organ dysfunction. ECMO therapy provides temporary, lifesaving support to the body until surgical intervention or more permanent treatments can be provided. This article reviews the two main types of ECMO therapy along with therapeutic indications, function, and management of critically ill adult patients using ECMO.

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.

Patient education in 5 easy pieces

Overgaard, Penny Morgan

Nursing Critical Care. 5(3):48, May 2010.

Try these 5 easy steps to add education to every patient encounter. Good teaching can help improve patient outcomes and may even save a life.

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.

Electrolyte series: Calcium and phosphorus

Madiraca, Jessica; Hoch, Christine

Nursing Critical Care. 13(2):24-31, March 2018.

The latest installment in our Electrolyte Series explores the reciprocal relationship between calcium and phosphate, the main circulating form of phosphorus. Critical care nurses need to understand the significance of calcium and phosphorus imbalances to achieve optimal patient outcomes.

Recognizing and managing traumatic brain injury

Wittenberg, Carla J.

Nursing Critical Care. 13(1):20-27, January 2018.

Traumatic brain injury (TBI) is a serious condition that can lead to high healthcare costs for and significant disabilities in patients. After reviewing the epidemiology and classification of TBI, this article covers clinical care recommendations and medication management strategies. Learn evidence-based guidelines for patient care surrounding TBI.

Caring for the patient with schizophrenia

Iannaco, Dodi

Nursing Critical Care. 6(5):20-22, September 2011.

Caring for a patient with schizophrenia includes ensuring that prescribed medications are administered as directed. You'll also monitor for adverse drug reactions, in addition to addressing the medical problem that brought the patient to the ICU.

Update: 2017/2018 AHA BLS, ACLS, and PALS guidelines

Craig-Brangan, Karen Jean; Day, Mary Patricia

Nursing2018 Critical Care. 14(1):33-35, January 2019.

The American Heart Association released updates to its Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) guidelines in November 2018. This article summarizes the major updates from the 2018 guidelines as well as the 2017 Basic Life Support (BLS) guidelines update.

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.

More nurses asked to get baccalaureate degrees

Specht, Dawn M.

Nursing Critical Care. 10(5):40-46, September 2015.

Why should RNs get a BSN? This article focuses on what's required for the degree and how additional education helps nurses advance in their careers and reduces patient mortality.

Responding to trauma: Your priorities in the first hour

Laskowski-Jones, Linda

Nursing Critical Care. 4(1):35-41, January 2009.

Trauma care always begins with the primary survey, a rapid assessment of the patient's ABCs—airway, breathing, and circulation—with the addition of D (disability) and E (exposure).

Transcatheter aortic valve replacement

Karycki, Melody K.

Nursing2018 Critical Care. 14(1):22-30, January 2019.

Transcatheter aortic valve replacement (TAVR) is an alternative to surgical intervention. This article discusses various prosthetic valve devices and outlines TAVR diagnostic screening, procedures, complications, postoperative management, and nursing considerations.

Does a high WBC count guarantee infection?

George, Elisabeth L.; Panos, Angela

Nursing Critical Care. 1(1):14-16, January 2006.

Taken alone, the WBC count may have little value unless nurses correlate it to the patient's clinical condition and analyze the WBC differential.

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.

Vasoactive agents in shock

Griffiths, Carrie L.; Vestal, Mark L.; Hertel, Kristie A.

Nursing Critical Care. 13(2):6-13, March 2018.

Vasoactive agents, such as vasopressors and inotropes, are frequently needed to manage the patient in shock and prevent adverse outcomes. This article reviews the clinical manifestations of shock, as well as the vasoactive agents used to manage shock and what critical care nurses need to know about these important drugs.

Gender confirmation surgery: Critical considerations

Kroning, Maureen; Listopad, Katerina

Nursing Critical Care. 13(2):32-37, March 2018.

The number of transgender patients electing to undergo gender confirmation surgery (GCS) is growing. Still, many healthcare providers are unfamiliar with these procedures and their potential complications. This article explores GCS and postsurgical complications, and provides up-to-date terminology and educational resources.

Celebrating our profession and Florence Nightingale

Palatnik, AnneMarie

Nursing Critical Care. 5(3):4, May 2010.

The annual observation of Nurses Week is a time to reenergize yourself and your practice, and remember that you make a difference, every day.

Aortic stenosis

Townsend, Terri

Nursing Critical Care. 10(1):15-17, January 2015.

Aortic stenosis occurs when the aortic valve opening becomes narrowed, resulting in left ventricular outflow obstruction. The most common cause of this progressive disorder is calcification of the valve leaflets. Risk factors for calcification include: hypertension, dyslipidemia, metabolic syndrome, and smoking.

Bark scorpion envenomation

Simon, R. Bryan

Nursing Critical Care. 11(2):44-47, March 2016.

The bark scorpion is the most dangerous scorpion within the United States. Early identification of common signs and symptoms and a better understanding of treatment protocols have resulted in more effective care of patients and a lessening of the adverse reactions of the venom.

Moyamoya disease: A puzzling condition

Bussinger, Patricia A.

Nursing Critical Care. 9(1):25-27, January 2014.

A smoker with asthma found out when she crashed into a car that what she thought was a stroke was a rare, progressive brain disease.

Waterworld, part 2: Understanding diabetes insipidus in adults

Crawford, Ann; Harris, Helene

Nursing Critical Care. 7(1):12-16, January 2012.

Refresh your understanding of the pathophysiology and treatment of DI, a disorder of excess water excretion.

Venous thromboembolism prophylaxis

Senecal, Pol-Andre

Nursing Critical Care. 10(6):16-25, November 2015.

Venous thromboembolism (VTE) is a diagnosis that includes deep vein thrombosis and pulmonary embolism. An estimated 900,000 Americans develop VTE annually, and approximately two-thirds were recently hospitalized at the time of diagnosis.

Innovations in practice: A call for research, quality improvement, and evidence-based practice projects

Glasofer, Amy

Nursing Critical Care. 11(2):7-10, March 2016.

Introducing our newest department, which will focus on publishing high-quality research, quality improvement, and evidence-based practice projects that are relevant to critical care nursing practice.

Five steps to reduce bullying

Langlois, Barb

Nursing Critical Care. 7(1):48, January 2012.

Nurse-to-nurse bullying is widespread, infiltrates most nursing units, and creates a harmful work environment. Follow these five easy steps to ensure you're not one of the culprits.

Electrolyte series: Sodium and chloride

Rowe, Amy

Nursing Critical Care. 13(3):20-27, May 2018.

The latest installment in our Electrolyte Series explores sodium and chloride. Learn the causes, signs and symptoms, and available treatments for the following imbalances: hypernatremia, hyponatremia, hyperchloremia, and hypochloremia.

Manage heart failure

Riggs, Janet M.

Nursing Critical Care. 1(4):18-28, July 2006.

Heart failure is one of the nation's most important healthcare issues. The American College of Cardiology and the American Heart Association updated the guidelines for the medical management of the condition. Get acquainted with the latest guideline changes to help you better assess, diagnose, and manage heart failure patients.

Electrolyte series: Potassium

Reid, Linda K.

Nursing Critical Care. 12(6):6-14, November 2017.

After a brief review of intracellular and extracellular fluid compartments, this article discusses the history and physiology of potassium, and the causes, signs and symptoms, and treatments of hyperkalemia and hypokalemia. Both medical treatments and nursing considerations are included. This article, the first in our Electrolyte Series, also reviews the latest evidence-based practice and recent research on potassium.

Genetics & Genomics in critical care nursing

Pestka, Elizabeth L.; Dretsch, Margaret F.

Nursing Critical Care. 5(6):12-16, November 2010.

This article provides an overview of the importance of genetics and genomics for nurses and uses hypertrophic cardiomyopathy, a commonly inherited cardiovascular disorder, as an example of a genetic disorder with implications for nursing care.

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