Sedation And Sleep In Critical Care An Update An Issue Of Critical Care Nursing Clinics

Author: Jan Foster
Publisher: Elsevier Health Sciences
ISBN: 0323446531
Size: 50.12 MB
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Sedation is a necessary component of care for critically ill and injured individuals. Sedatives assist in coping with mechanical ventilation and other invasive devices, and help patients tolerate procedures and noxious stimuli in the intensive care unit. Sedatives are also useful in the control of agitation and delirium. In addition to fundamental humane reasons, calming patients with sedatives provides physiologic benefits, such as reducing oxygen consumption expended during restlessness, and prevents dislodgement of life-preserving tubes and catheters. When administering sedatives to manage critically ill patients, clinicians must be cognizant of the many complex issues surrounding their use. This issue, edited by Consulting Editor, Dr. Jan Foster, provides current updates in this area, including new guidelines and a focus on delirium.

Neuromonitoring And Assessment An Issue Of Critical Care Nursing Clinics Of North America

Author: Catherine Harris
Publisher: Elsevier Health Sciences
ISBN: 0323416446
Size: 61.14 MB
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Neuromonitoring is a broad term that essentially accounts for the essence of neuroscience nursing. Nurses working with critically ill, neurologically impaired patients should have a foundation in not only in invasive neuromonitoring, but the more subtle aspects of care. Nurses must understand that they are the most important tool in monitoring patients and interpreting the data. This issue of Critical Care Nursing Clinics will bring together the critical aspects of neuromonitoring in the intensive care units that can be used as a resource for nurses. Some articles included are devoted to Temperature Targeted Management; Refractory Intracranial Pressure Management; Blood pressure monitoring controversies; Invasive Neuromonitoring; Neuroradiology Review; Nursing Monitoring of Critically Ill Neurological Patients; Case Studies in EEG monitoring; and Neuromonitoring in the Operating Room.

Cardiac Arrhythmias An Issue Of Critical Care Nursing Clinics Of North America E Book

Author: Mary G. Carey
Publisher: Elsevier Health Sciences
ISBN: 0323462758
Size: 35.67 MB
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A cardiac dysrhythmia is a disturbance in the cardiac rhythm which can be normal (e.g., sinus arrhythmia) or instantly lethal (e.g., sustained ventricular tachycardia). This issue of Critical Care Nursing Clinics of North America will provide state of the art diagnostic and treatment information for cardiac dysrhythmias as well as addressing how to achieve the most accurate diagnostic approach to interpreting an electrocardiogram, which is omnipresent in critical care and of critical importance in diagnosing arrhythmias. Articles in this issue are devoted to: The Normal Cardiac Conduction System; The Normal Electrocardiogram: Resting 12-lead and Continuous Cardiac Rhythm Strips; Premature Beats; Paroxysmal Supraventricular Tachycardia, Including the Special Type Called Wolff-Parkinson-White; Atrial Fibrillation, The Most Common Type of Supraventricular Arrhythmia; Ventricular Tachycardia and Its Disorganized Counterpart, Ventricular Fibrillation; Brady-Dysrhythmias, When Heart Rate Slows Myocardial Ischemia & Infarction and their Relationship to Dysrhythmias; Pharmacologically Induced Dysrhythmias; and Implantable Cardiac Devices and their Role in Dysrhythmias Management.

Infection In The Intensive Care Unit An Issue Of Critical Care Nursing Clinics Of North America E Book

Author: Todd Tartavoulle
Publisher: Elsevier Health Sciences
ISBN: 0323477585
Size: 54.61 MB
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Critical care units are high-risk areas which contribute to increased health care costs and increased patient morbidity and mortality. Patients in critical care units are commonly confronted with existing and the potential to develop infections. Critical care practitioners play a crucial role as initial providers to critically ill patients with infections through the delivery of timely and appropriate therapies aimed to prevent and treat patient infections. The responsibility of critical care practitioners include prudent delivery of care to treat current infections as well as ensuring the delivery of care does not increase the development of new infections. Aggressive infection control measures are needed to reduce infections in critical care settings. Dissemination of scholarly work on the topic of infection in critically ill patients can play a role in improving patient outcomes. The information provided on infections in this issue of Critical Care Nursing Clinics promotes the dissemination of current literature on a series of timely and relevant infection topics in critical care environments.

Pulmonary State Of The Science An Issue Of Critical Care Nursing Clinics

Author: Ellstrom Kathi
Publisher: Elsevier Health Sciences
ISBN: 1455742732
Size: 62.43 MB
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This issue of Critical Care Nursing Clinics will include articles on the following topics: overview of pulmonary critical care; Respiratory Failure; ARDS management; Sleep apnea; Cystic Fibrosis; Asthma; Pulmonary complications of immunocompromised patients; Trauma/chest injury; Pneumonia; and Idiopathic Pulmonary Fibrosis/Pulmonary Hypertension.

Winter Trauma An Issue Of Critical Care Nursing Clinics E Book

Author: Margaret Ecklund
Publisher: Elsevier Health Sciences
ISBN: 1455747262
Size: 80.28 MB
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This issue of Critical Care Nursing Clinics, Guest Edited by Margaret M Ecklund, MS, RN, CCRN, ACNP-BC, will focus on Winter Health Challenges, with article topics including: Near Drowning and Multiple Organism Aspiration; Geriatric Perils: Falls and Complications; Vitamin D Deficiency; Gastroenteritis and Surgical Perils; Frostbite; Rural Trauma; Respiratory failure and adult influenza; RSV; Diabetes and Seasonal Depression; and Holiday Heart Disease.

Sedation And Sleep In Critical Care

Author: Jan Foster
Publisher: W B Saunders Company
ISBN: 9781416026525
Size: 75.74 MB
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Presents an issue that deals with sedation and the particular safety measures necessary for treating particular types of patients. This book includes articles on such topics as sedation issues in neonates, safety issues for pediatric patients and the role of sedation in palliative care. It also includes sleep disorder and sleep deprivation topics.

The Lungs In A Mechanical Ventilator Environment An Issue Of Critical Care Nursing Clinics

Author: Meredith Mealer
Publisher: Elsevier Health Sciences
ISBN: 1455743968
Size: 40.39 MB
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This issue of Critical Care Nursing Clinics will include articles on the following topics: Non-invasive ventilation; Modes of mechanical ventilation; Mechanical ventilation effect on heart/lung interactions; Effect of ventilation on the lungs; VAP; Liberation/weaning & Sedation/pain control; Self/unplanned extubation; Communication; recovery and rehab post ICU; Airway protection with aging; home ventilation; monitoring of the mechanical vent patient; and Dyspnea.

Safety An Issue Of Critical Care Nursing Clinics E Book

Author: Debora Simmons
Publisher: Elsevier Health Sciences
ISBN: 1455700223
Size: 24.58 MB
Format: PDF, Kindle
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This issue of Critical Care Nursing Clinics, Guest Edited by Debora Simmons, RN, MSN, CCRN, CCNS, will feature such article topics as: Cause Mapping Critical Events; Blood Bank Safety in the ICU; Patient Safety in Perinatal Care; High Risk Drugs in Critical Areas; Enteral Feeding Tubing Misconnections; Safe Practices for Enteral Nutrition; Negotiating Safety; Device Complexity and Human Factors; Decreasing Risk; Delirium in ICU; and Voice of the Patient.

Palliative Care In Critical Care An Issue Of Critical Care Nursing Clinics Of North America

Author: Tonja Hartjes
Publisher: Elsevier Health Sciences
ISBN: 0323395600
Size: 13.21 MB
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Intensive care units (ICUs) provide comprehensive, advanced care to patients with serious or life-threatening conditions and consequently, a significant amount of end-of-life care (EOLC). Indeed, approximately 20% of deaths in the U.S. are associated with an ICU stay, and nearly half of U.S. patients who die in hospitals experience an ICU stay during the last 3 days of life. Despite the commonality of the ICU experience, ICU patients typically suffer from a range of distressing symptoms such as pain, fatigue, anxiety, and dyspnea, causing families significant distress on their behalf. Thus, there is a growing imperative for better provision of palliative care (PC) in the ICU, which may prevent and relieve suffering for patients with life threatening illnesses. Effective palliative care is accomplished through aggressive symptom management, communication about the patient and family’s physical, psychosocial and spiritual concerns, and aligning treatments with each patient’s goals, values, and preferences. PC is also patient-centered and uses a multidisciplinary, team-based approach that can be provided in conjunction with other life-sustaining treatments, or as a primary treatment approach. Failure to align treatment goals with individual and family preferences can create distress for patients, families, and providers. If implemented appropriately, palliative care may significantly reduce the health care costs associated with intensive hospital care, and help patients avoid the common, non-person centered treatment that is wasteful, distressing, and potentially harmful. Due to the success of many PC programs, administrators, providers, and accrediting bodies are beginning to understand that palliative care in the ICU is vital to optimal patient outcomes.