摘要:

Heart failure from diastolic dysfunction is a clinical syndrome similar to, but distinct from, failure from systolic dysfunction. Because the standard cardiac diagnostic tools may not be helpful, the advance practice nurse and physician collaborate on the diagnosis. Interventions are aimed toward improving diastolic filling and reducing hemodynamic compromise for these patients.

ISSN:0730-4625    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Nursing management of cardiac surgical patients has changed dramatically over the last several years. The need for cost-effective care with quality patient outcomes has forced critical care nurses to re-evaluate the standard of practice for postoperative cardiac patients. The authors describe the implementation of a fast-track weaning program giving critical care nurses more responsibility for weaning decisions and choice of sedative agent.Our experience in a six-bed Cardiothoracic Recovery Unit (CRU) in a midwestern community hospital evolved from receiving heavily anesthetized patients, continuing sedation postoperatively and prolonged intubation to minimal pharmacologic intervention with propofol and early extubation. In the fast-track weaning protocol, the nurses were given more authority to make critical decisions during the weaning process.This article describes the transition from the traditional time-based weaning system to the fast-track system where individual weaning progress is monitored by the critical care nurses.

ISSN:0730-4625    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The life expectancy of transplant patients has dramatically increased because of the development of cyclosporine to combat graft rejection. More recently, tacrolimus has been approved and is expected to further enhance survival. This paper compares these two medications and explores the role of the critical care nurse in monitoring outcomes and preventing side effects in patients with these immunosuppressants.

ISSN:0730-4625    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Cardiac surgery patients are being extubated earlier than ever before. This article describes how the nurses responded when the first patient to be extubated in the OR was admitted to the critical care unit. This case shows how this change is not as simple as just extubating the patient. Early extubation requires protocol changes, ethical considerations, system changes, staff education, and evaluation of patient outcomes.

ISSN:0730-4625    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0730-4625    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0730-4625    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The rising acuity of hospitalized patients requires that critical care nurses maintain a high level of clinical expertise. Expert skill levels (critical thinking, technical skills, and interpersonal skills) of clinicians improve patient outcomes that translates into savings for the institution through shorter length of stay and decreasedfiequency of re-admissions. lhe authors outline the steps to follow in developing a theory-based career advancement plan that encourages and rewards clinical competence.

ISSN:0730-4625    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Myocardial infarction patients ofren have unanswered questions about resuming sexual activity afrer this life-threatening event. Critical care nurses can play apivotal role in educating patients in this sensitive area. However, sexual counseling is an area of nursing practice that isji-equently neglected. llhe authors assessed comfort and responsibility levek and their relationship to the practice of sexual counseling by critical care nurses.

ISSN:0730-4625    

出版商:OVID    

年代:1996

数据来源: OVID