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Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

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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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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

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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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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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Pneumonia I: Introduction01:30

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Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
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Updated: Feb 26, 2026

The Application of Point-of-Care Ultrasonography (POCUS) in the Management of Acute Respiratory Distress Syndrome (ARDS) in the Intensive Care Unit
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The Application of Point-of-Care Ultrasonography (POCUS) in the Management of Acute Respiratory Distress Syndrome (ARDS) in the Intensive Care Unit

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Post-intensive Care Syndrome: an Overview.

Gautam Rawal1, Sankalp Yadav2, Raj Kumar3

  • 1Attending Consultant, Respiratory Intensive Care, Max Super Specialty Hospital, Saket, New Delhi, India.

Journal of Translational Internal Medicine
|July 20, 2017
PubMed
Summary

Post-intensive care syndrome (PICS) affects many critical care survivors, causing cognitive, psychiatric, and physical disabilities. Early prevention and multidisciplinary management are crucial for improving patient outcomes and quality of life.

Keywords:
cognitioncritical illnessintensive caresyndrome

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Area of Science:

  • Critical Care Medicine
  • Neuroscience
  • Rehabilitation Medicine

Background:

  • Advances in critical care have improved survival rates for critically ill patients.
  • A significant number of survivors develop long-term cognitive, psychiatric, and physical impairments, a condition known as post-intensive care syndrome (PICS).
  • Limited awareness of PICS among medical professionals often leads to overlooked symptoms, impacting patient quality of life and family well-being.

Purpose of the Study:

  • To highlight the prevalence and impact of PICS.
  • To emphasize the importance of PICS prevention and management strategies.
  • To advocate for increased awareness and a multidisciplinary approach to PICS care.

Main Methods:

  • Review of current literature on PICS.
  • Discussion of prevention strategies including minimizing sedation and early mobilization.
  • Outline of a multidisciplinary management approach for PICS patients.

Main Results:

  • PICS is a common and debilitating condition following intensive care unit (ICU) stays.
  • Preventive measures in the ICU can mitigate PICS development.
  • A coordinated, multidisciplinary team approach is essential for effective PICS management.

Conclusions:

  • Minimizing sedation and promoting early mobilization in the ICU are key preventive strategies for PICS.
  • Systematic evaluation and management of PICS by a multidisciplinary team are necessary for survivors.
  • Organizational changes are needed to integrate PICS care into routine critical care follow-up, improving long-term outcomes.