Articles: critical-care.
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Case Reports Guideline
A nursing guide for patient care after percutaneous cardiopulmonary support.
Information is presented about a relatively new procedure being used in the critical care area. The percutaneous insertion technique for the initiation of cardiopulmonary bypass support (PCPS) has given new hope for patients who are considered high risk for elective coronary angioplasty and to those who suffer cardiopulmonary arrest in the cardiac catheterization laboratory or critical care unit. ⋯ Specific attention is given to the immediate postprocedural phase, where nursing responsibilities and prioritization of patient care are addressed. A nursing care guide is included.
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The main aim of sedation in the critically ill patient is to provide relief from anxiety and pain. The current, ideal level of sedation should leave a patient who is lightly asleep but easily roused. No single regimen is suitable for all patients. ⋯ Attention to the environment is also important. Midazolam and morphine given by intermittent bolus or by infusion are the mainstay of most regimens. Propofol is ideal for short periods of care on the ICU, and during weaning when longer acting agents are being eliminated.
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Critical care nurse · Apr 1992
Emergency oxygen administration and airway management [continuing education credit].
Airway-directed vigilance is a priority for all critical care providers. Methodical respiratory assessment, proficient skill in basic airway support, and thorough preparation for advanced airway control modalities, uniquely enable the nurse to initiate timely airway intervention. Ultimately, this can contribute significantly to reduction and prevention of patient morbidity and mortality.