Acute renal failure in the newborn

1996 ◽  
Vol 16 (5) ◽  
pp. 84-94 ◽  
Author(s):  
M McCourt

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.

1992 ◽  
Vol 3 (3) ◽  
pp. 688-697
Author(s):  
Sara Douglas

Acute tubular necrosis (ATN) is the most common cause of acute renal failure. Early recognition of patients who are at risk for ATN can prevent or improve the course of ATN. Acute renal failure is classified as prerenal, intrinsic, or postrenal disease. ATN is classified as a type of intrinsic renal disease. The clinical course of ATN is divided into the renal failure phase, diuretic phase, and recovery phase, with each phase having distinct symptoms and laboratory findings. Diagnosis of ATN often is complicated and confusing; understanding of laboratory findings can facilitate the critical care nurse’s ability to assess those at risk for ATN. The care and treatment of the patient with ATN is complicated, and specific treatments are discussed in detail. The critical care nurse can play a vital role in identifying the patient at risk, preventing the development of ATN in those at risk, and providing appropriate care for those who develop ATN


1990 ◽  
Vol 10 (9) ◽  
pp. 26-27
Author(s):  
MF Walhout

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.


1989 ◽  
Vol 9 (10) ◽  
pp. 76-80 ◽  
Author(s):  
DD O'Brien

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.


1993 ◽  
Vol 13 (4) ◽  
pp. 25-32 ◽  
Author(s):  
DM Glankler

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.


2020 ◽  
Vol 40 (2) ◽  
pp. 55-63
Author(s):  
Karen M. Vuckovic ◽  
Rebecca (Schuetz) Bierle ◽  
Catherine J. Ryan

High-acuity, progressive care, and critical care nurses often provide care for patients with heart failure during an exacerbation of acute disease or at the end of life. Identifying and managing heart failure symptoms is complex and requires early recognition and early intervention. Because symptoms of heart failure are not disease specific, patients may not respond to them appropriately, resulting in treatment delays. This article reviews the complexities and issues surrounding the patient’s ability to recognize heart failure symptoms and the critical care nurse’s role in facilitating early intervention. It outlines the many barriers to symptom recognition and response, including multimorbidities, age, symptom intensity, symptom escalation, and health literacy. The influence of self-care on heart failure management is also described. The critical care nurse plays a crucial role in teaching heart failure patients to identify and respond appropriately to their symptoms, thus promoting early intervention.


1991 ◽  
Vol 11 (10) ◽  
pp. 42-53 ◽  
Author(s):  
C Epstein ◽  
A Bakanauskas

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.


1990 ◽  
Vol 10 (5) ◽  
pp. 65-78
Author(s):  
MC Paul ◽  
M Halfman-Franey

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.


1991 ◽  
Vol 11 (4) ◽  
pp. 46-48
Author(s):  
WD Rountree ◽  
PM Rutan ◽  
A McClure

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.


2002 ◽  
Vol 7 (1) ◽  
pp. 56-67
Author(s):  
Geertjie G De Beer ◽  
Elzabe Nel ◽  
Eben Arries

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.


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