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January 2009 - Volume 4 - Issue 1
pp: 4-56

Editorial


Improve practice for continuous ST segment monitoring

Palatnik, Anne Marie

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

Through education, nurses can become better patient advocates and achieve better outcomes. Other opportunities for nurses to excel include changing practice on their units and sharing their knowledge with their peers.

Heart Beats


Long QT syndrome: Dangerous delay

Foran, Catherine K.

Nursing Critical Care. 4(1):5-7, January 2009.

By understanding what causes long QT syndrome and how to manage it, you may be able to help your patient avoid the potentially lethal complications of this condition.

Topics in Progressive Care


Responding to four gastrointestinal complications in cancer patients

Held-Warmkessel, Jeanne; Schiech, Linda

Nursing Critical Care. 4(1):9-15, January 2009.

Obstructions of the small or large bowel may be caused by intrinsic or extrinsic compression of the bowel from a tumor, postsurgical adhesions, ileus, or volvulus (twisting of the intestine).

Research Rounds


Making a quick study of research articles

Kamm-Steigelman, Lucia

Nursing Critical Care. 4(1):17-18, January 2009.

We'll discuss the format used to publish research by examining an article that compares the benefits of two different kinds of education and counseling for older adults with heart failure.

Nursing Ethics


POLST sweeps the nation

Robley, Lois R.

Nursing Critical Care. 4(1):19-20, January 2009.

As an antidote to the difficulties encountered with advance directives, a relatively new and simple tool—the Physician Orders for Life-Sustaining Treatment—has been devised to augment advance directives.

Diagnostic Update


ACTH stimulation: Testing the adrenals

Whiteman, Kim

Nursing Critical Care. 4(1):56, January 2009.

Adrenal insufficiency is a state of inadequate cortisol production. An adrenocorticotropic hormone stimulation blood test can be used to evaluate whether the adrenal glands are producing sufficient amounts of cortisol.


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.

Supporting your patient through holiday heart syndrome

Dirks, Joni

Nursing Critical Care. 4(1):29-30, January 2009.

Holiday heart syndrome is the term for an acute dysrhythmia, typically supraventricular tachycardia. Find out the causes for it and what treatment a patient should receive.

Getting to the root of testicular pain

Polt, Caroline A.

Nursing Critical Care. 4(1):31-34, January 2009.

Testicular torsion, a twisting of the spermatic cord that suspends the testis, requires immediate surgery. Because testicular torsion cuts off the testicle's blood supply, delay in diagnosis and treatment can result in loss of a testicle.

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).

Understanding ventilator waveforms—and how to use them in patient care

Lian, Jin Xiong

Nursing Critical Care. 4(1):43-55, January 2009.

Ventilator waveforms provide real-time information about patient ventilator interaction and ventilator function. Learn the basics of ventilator waveforms, how they're interpreted, and how you can use this information when caring for your patient.