Critical care nurse
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Critical care nurse · Aug 2020
Holding and Mobility of Pediatric Patients With Transthoracic Intracardiac Catheters.
Nursing care of pediatric patients after cardiac surgery consists of close hemodynamic monitoring, often through transthoracic intracardiac catheters, requiring patients to remain on bed rest and limiting holding and mobility. ⋯ Pediatric patients with transthoracic intracardiac catheters can be safely held and mobilized out of bed.
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Sleep in the intensive care unit can be poorly consolidated and highly fragmented. This review examines the neurobiology of normal and abnormal sleep, with a focus on the changes that occur in the intensive care unit environment. ⋯ The review examines sleep mechanisms, including brain electrical activity, regulatory centers in the brain, and circadian and diurnal patterns of sleep and hemodynamic function. Nursing interventions for specific patient risk factors in the intensive care unit are proposed.