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Related Concept Videos

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Related Experiment Video

Updated: Apr 6, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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A planned admission protocol application in intensive care units.

Banu Terzi1, Nurten Kaya2

  • 1Health School, Nutrition and Dietetics Department, Amasya University, Amasya, Turkey.

Nursing in Critical Care
|July 23, 2015
PubMed
Summary

Implementing an intensive care unit (ICU) admission protocol improved patient comfort post-transfer. This protocol did not significantly alter physiological parameters but enhanced overall patient well-being.

Keywords:
ComfortIntensive care unitsNursing carePatient admissionPhysiological parameters

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Area of Science:

  • Critical Care Medicine
  • Patient Experience
  • Nursing Research

Background:

  • Intensive care unit (ICU) admission can negatively impact patient physiology and comfort.
  • Standardized patient admission protocols may mitigate these adverse effects.

Purpose of the Study:

  • To evaluate the impact of a patient admission protocol on comfort and physiological parameters.
  • To compare outcomes between patients admitted via protocol versus routine procedures.

Main Methods:

  • Randomized controlled trial involving 100 patients undergoing planned ICU admission.
  • Data collection included physiological parameters and comfort assessments pre-admission, during, 24 hours post-admission, and 24 hours post-transfer.
  • Experimental group received protocol-based admission; control group received routine admission.

Main Results:

  • No significant differences in physiological parameters or comfort were observed prior to, during, or 24 hours after ICU admission between groups.
  • A statistically significant increase in patient comfort was noted in the experimental group 24 hours after transfer compared to the control group (p < 0.01).

Conclusions:

  • Patient admission protocols do not influence physiological parameters but significantly enhance patient comfort.
  • Development and implementation of institutional patient admission protocols are recommended for ICUs to improve patient experience.