Insulinoma: diagnosis and treatment

1990 ◽  
Vol 10 (9) ◽  
pp. 26-27
Author(s):  
MF Walhout
Keyword(s):  
Critical Care ◽  
Nursing Care ◽  
Signs And Symptoms ◽  
Diagnosis And Treatment ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Appropriate Treatment

A patient with an insulinoma, although rare, can be an interesting challenge to the critical care nurse. Recognition of signs and symptoms pointing to possible insulinoma is vital to prevent delays in appropriate treatment. Intensive nursing care is necessary in the preoperative, intraoperative, and postoperative stages of this condition.

Acute renal failure in the newborn

1996 ◽  
Vol 16 (5) ◽  
pp. 84-94 ◽  
Author(s):  
M McCourt
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Critical Care ◽  
Supportive Care ◽  
Nursing Care ◽  
Early Recognition ◽  
Signs And Symptoms ◽  
Vital Role ◽  
Care Nurse ◽  
Critical Care Nurse

Newborns at risk for acute renal failure require immediate diagnosis and treatment. Supportive care must be provided while the kidney heals and begins functioning again. The critical care nurse plays a vital role in early recognition and treatment of signs and symptoms of acute renal failure. As technology improves, a greater number of acutely ill newborns are surviving. The critical care nurse is managing more neonates with acute renal failure. Expertise in caring for these infants has also improved. Quality nursing care plays a crucial role in preventing complications and improving the prognosis of neonates with renal failure.

Review and update of neuromuscular blocking agents

1989 ◽  
Vol 9 (10) ◽  
pp. 76-80 ◽  
Author(s):  
DD O'Brien
Keyword(s):  
Critical Care ◽  
Nursing Care ◽  
Neuromuscular Blocking ◽  
Neuromuscular Blocking Agents ◽  
Anesthesia Care ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Blocking Agents

The patient arriving in the PACU or ICU following surgery requires vigilant and intelligent nursing care. The postanesthesia nurse or critical care nurse with an understanding of the neuromuscular blocking agents used in anesthesia care is best prepared to observe, evaluate, and care for this patient.

Caring for the victim of near drowning

1993 ◽  
Vol 13 (4) ◽  
pp. 25-32 ◽  
Author(s):  
DM Glankler
Keyword(s):  
Critical Care ◽  
Nursing Care ◽  
Quality Care ◽  
Complex Care ◽  
Major Focus ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Near Drowning ◽  
Provide Quality Care

If no complications arise, the near-drowning victim is usually discharged within 48 hours. However, some patients require complex care because of multisystem failure. These patients challenge the critical care nurse, who must understand the interrelationships of the problems to provide quality care. The major focus of care is stabilization and normalization of the cardiovascular, respiratory and neurologic systems through accurate nursing assessments and implementation of appropriate nursing care.

Clinical management of DIC: early nursing interventions

1991 ◽  
Vol 11 (10) ◽  
pp. 42-53 ◽  
Author(s):  
C Epstein ◽  
A Bakanauskas
Keyword(s):  
Critical Care ◽  
Nursing Care ◽  
Clinical Manifestations ◽  
Nursing Interventions ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Quality Patient Care ◽  
Comprehensive Knowledge ◽  
Assessment Skills ◽  
Primary Nurse

Achievement of successful patient outcomes depends on the availability of a primary nurse responsible for all aspects of nursing care. A consistent caregiver not only has a grasp of phenomena at hand but possesses an overall perspective of recovery. Care can be evaluated and readjusted on a timely basis. Identification of signs of progress as well as deterioration may be facilitated through continuity of care. The primary nurse can provide meaningful, ongoing information to the patient and significant others as a means of optimizing their coping behaviors. Effective nursing care of the patient with DIC is enhanced by a thorough understanding of its pathophysiology and its clinical manifestations. When the critical care nurse has a comprehensive knowledge base and uses purposeful assessment skills, potential complications become much clearer and are avoided. The primary nurse who knows how to prioritize care is capable of anticipating the patient's needs. By integrating theory with practice, the critical care nurse functions from a position of strength in promoting quality patient care.

Laser angioplasty in peripheral vascular disease

1990 ◽  
Vol 10 (5) ◽  
pp. 65-78
Author(s):  
MC Paul ◽  
M Halfman-Franey
Keyword(s):  
Critical Care ◽  
Nursing Care ◽  
Patient Population ◽  
Surgical Intervention ◽  
Laser Energy ◽  
Laser Angioplasty ◽  
Peripheral Vascular ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Peripheral Arterial

The use of laser energy to recanalize peripheral arterial vessels is a new and challenging alternative to more extensive surgical intervention. This exciting technique allows the critical care nurse to respond creatively to changing protocols and patient situations, establishing standards of nursing care for this patient population.

The HEMOPUMP cardiac assist system: nursing care of the patient

1991 ◽  
Vol 11 (4) ◽  
pp. 46-48
Author(s):  
WD Rountree ◽  
PM Rutan ◽  
A McClure
Keyword(s):  
Critical Care ◽  
Nursing Care ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Cardiac Assist ◽  
Potential Problems

This article uses a case study to demonstrate the support provided by the HEMOPUMP temporary cardiac assist system. The Nursing Plan of Care addresses the actual and potential problems encountered by the critical care nurse.

scholarly journals Riglyne vir die respiratoriese verpleging van die kardio-torakale pasient in die post-ekstubasie fase

2002 ◽  
Vol 7 (1) ◽  
pp. 56-67
Author(s):  
Geertjie G De Beer ◽  
Elzabe Nel ◽  
Eben Arries
Keyword(s):  
Critical Care ◽  
Nursing Care ◽  
Full Text ◽  
Cardiothoracic Surgery ◽  
Care Nurse ◽  
Critical Care Nurse

The critical care nurse is responsible and accountable for quality nursing care of the patient that has undergone cardiothoracic surgery. OpsommingDie kritieke sorgverpleegkundige is verantwoordelik en aanspreeklik vir hoe gehalteverpleging van die pasient wat koronere vatchirurgie ondergaan het. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

Outcomes sensitive to critical care nurse staffing levels: A systematic review

2021 ◽  
pp. 103110
Author(s):  
Pamela J.L. Rae ◽  
Susie Pearce ◽  
P. Jane Greaves ◽  
Chiara Dall'Ora ◽  
Peter Griffiths ◽  
...  
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Nurse Staffing ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Staffing Levels

Critical Care Nurse Burnout in Veterans Health Administration: Relation to Clinician and Patient Outcomes

2021 ◽  
Vol 30 (6) ◽  
pp. 435-442
Author(s):  
David C. Mohr ◽  
Lakshmana Swamy ◽  
Edwin S. Wong ◽  
Meredith Mealer ◽  
Marc Moss ◽  
...  
Keyword(s):  
Critical Care ◽  
Patient Outcomes ◽  
Employee Satisfaction ◽  
Veterans Health Administration ◽  
Critical Care Nurses ◽  
Veterans Health ◽  
Health Administration ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Nurse Burnout

Background Critical care nurses have a burnout rate among the highest of any nursing field. Nurse burnout may impact care quality. Few studies have considered how temporal patterns may influence outcomes. Objective To test a longitudinal model of burnout clusters and associations with patient and clinician outcomes. Methods An observational study analyzed data from annual employee surveys and administrative data on patient outcomes at 111 Veterans Health Administration intensive care units from 2013 through 2017. Site-level burnout rates among critical care nurses were calculated from survey responses about emotional exhaustion and depersonalization. Latent trajectory analysis was applied to identify clusters of facilities with similar burnout patterns over 5 years. Regression analysis was used to analyze patient and employee outcomes by burnout cluster and organizational context measures. Outcomes of interest included patient outcomes (30-day standardized mortality rate and observed minus expected length of stay) for 2016 and 2017 and clinician outcomes (intention to leave and employee satisfaction) from 2013 through 2017. Results Longitudinal analysis revealed 3 burnout clusters among the 111 sites: low (n = 37), medium (n = 68), and high (n = 6) burnout. Compared with sites in the low-burnout cluster, those in the high-burnout cluster had longer patient stays, higher employee turnover intention, and lower employee satisfaction in bivariate models but not in multivariate models. Conclusions In this multiyear, multisite study, critical care nurse burnout was associated with key clinician and patient outcomes. Efforts to address burnout among nurses may improve patient and employee outcomes.

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