Fast Facts for the Critical Care Nurse: Critical Care by Michele Angell Landrum ADN RN CCRN

By Michele Angell Landrum ADN RN CCRN

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This pocket-sized reference for brand spanking new and professional in depth care unit (ICU) nurses includes severe wisdom awarded within the transparent, certain, truth proof structure. It presents easy access to a extensive array of guidance, techniques, and kit utilized by ICU nurses day-by-day in addition to on a much less widespread basis.

The e-book covers overview and procedural abilities, medicinal drugs, intravenous (IV) remedy, foodstuff, wound care, sterile box setup, and sufferer instruction. It allows apparatus mastery for respiration and cardiac care in addition to troubleshooting suggestions for tracking and mechanical units. additionally incorporated is details on particular varieties of serious care devices, equivalent to cardiac, surgical, neuro, and the burn unit. Documentation, develop directives, organ donations, palliative and end-of-life care also are mentioned.

The source addresses the necessities of The Joint fee and proposals of the facilities for disorder keep watch over and Prevention, resembling isolation precautions and use of private protecting gear. different very important details is supplied similar to basic hemodynamic measurements, uncomplicated electrocardiographic (EKG) rhythms, 12-lead EKG electrode placement, and a don't Use abbreviation checklist within the appendix that would aid hinder medicine errors.

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Diuretics and morphine lessen congestion, while anxiolytics help to reduce anxiety. A trial of low-dose oxygen may reduce dyspnea; however, it is not used to improve O2 saturation levels. The patient should be positioned upright in bed, if possible, to maximize lung capacity. One inch of nitroglycerin paste applied to the chest wall may improve orthopnea. Hycoscyamine sulfate can be given in an attempt to reduce audible secretions. If wheezing is noted, bronchodilators are often administered. Proper skin care and hygiene are essential during end-oflife care, as they maximize comfort and assure both patient and family that care is ongoing.

3 Advance Directives and Organ Donation INTRODUCTION A critical care unit is an exciting, adventurous place to work. Unfortunately, there are some drawbacks that arise when caring for critically ill patients and their families. The most emotionally and physically challenging aspect of nursing, a patient’s death, is often encountered in an ICU. While end-of-life care is a challenge for hospital staff and frightening for the patient and family, numerous things can be done to help the patient, family, and staff cope positively with an impending death.

Invite the family to participate in the final care following death of their loved one. Some family members will opt in; others will not. 6. Be sensitive to the possibility that a family member might need to actually hear medical personnel state that the patient has expired. 7. ╇A meeting of the family and physician or health care team. ╇A simple card or phone call from the health care team. ╇Information about the facility’s bereavement program and support groups for those who have experienced the death of a loved one.

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