Dimensions of critical care nursing : DCCN
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Goodpasture's syndrome is an uncommon occurring disorder that causes hemorrhage in the basement membrane lining of the kidneys and the lungs. By recognizing early signs and symptoms of pulmonary-renal syndromes that may lead to a diagnosis of Goodpasture's syndrome, critical care and advanced practice nurses can play a key role in ensuring successful patient outcomes and preventing complications. Expert nursing care and emotional support is essential for the patient and family to cope with this usually fatal disease.
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Dimens Crit Care Nurs · Mar 1999
Case ReportsPatterns of parental stress in PICU emergency admission.
Emergency admission of a previously healthy child to a pediatric intensive care unit for a sudden critical illness or trauma is extremely stressful for the child and parents. Although nurses expect parents to be highly anxious, this study shows that parental anxiety levels are higher than expected, reaching near-panic levels initially. This article suggests ways nurses can adapt their family strategies to take into consideration parents' potential difficulties concentrating or even asking questions.
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This chart describes some clinical problems organ donors may face, how the nurse should intervene, and the rationale for the intervention. The recommendations were developed by Corrinne Morgan, RN, CCRN, CNRN, for the Delaware Valley, Pa., transplant program, which serves eastern Pennsylvania, southern, New Jersey, and Delaware.
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Minimally invasive coronary artery bypass graft (CABG) surgery is a promising variation on traditional CABG, avoiding the risks of sternotomy and cardiopulmonary bypass. This article describes the procedure, patient-selection criteria, and postoperative care.
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Dimens Crit Care Nurs · Mar 1999
Case ReportsA sedation protocol for preventing patient self-extubation.
Inadequate sedation management can place critically ill patients in danger of self-injury. This article describes the development and use of a protocol for managing sedation in intubated patients to prevent injury from self-extubation. Critical care nurses can use the protocol to effectively manage agitation in intubated patients and prevent self-extubation.