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Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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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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Heart Failure V: Medical Management01:30

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Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
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Acute Coronary Syndrome IV: Interprofessional Care01:28

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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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The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
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A Data-Driven Approach to Quantifying Immune States in Sepsis
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Triage and flow management in sepsis.

Hudson Henrique Gomes Pires1, Fábio Fernandes Neves2, Antonio Pazin-Filho3

  • 1Department of Internal Medicine, Urgency and Emergency Discipline, Triangulo Mineiro Medical School, Federal University of Triangulo Mineiro, Avenida Getúlio Guaritá, 159, Bairro, Nossa Senhora da Abadia, Uberaba, Minas Gerais, 38025-440, Brazil. hudson.pires@uftm.edu.br.

International Journal of Emergency Medicine
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Sepsis patients received lower intensive care unit (ICU) priority and faced longer waits, significantly increasing their mortality risk by 2.7 times compared to other critical conditions.

Keywords:
Clinical pathwaysHealth care rationingHealthcare systemsSepsisTriage

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Area of Science:

  • Critical Care Medicine
  • Public Health
  • Emergency Medicine

Background:

  • Sepsis presents a significant public health challenge with high mortality rates, especially in severe cases.
  • Timely intensive care unit (ICU) access is crucial for improving sepsis survival rates.
  • This study investigates triage and ICU rationing differences between sepsis and non-sepsis patients.

Purpose of the Study:

  • To compare ICU triage strategies and resource allocation for sepsis patients versus those with other critical conditions.
  • To analyze the impact of these strategies on ICU admission and patient outcomes.
  • To identify factors influencing prioritization and admission for critical care.

Main Methods:

  • Analysis of 9195 ICU requests from a Brazilian tertiary hospital (2010-2016).
  • Comparison of demographic data, Charlson Comorbidity Index (CCI), SOFA, and qSOFA scores between septic and non-septic patients.
  • Use of logistic regression models to assess prioritization and ICU admission factors.

Main Results:

  • Septic patients constituted 11.7% of ICU requests, with 27.2% prioritized as priority 1.
  • Despite priority, septic patients experienced longer ICU waiting times (median 43.9h vs. 32.5h).
  • Overall mortality was substantially higher in septic patients (72.3%) compared to others (39.8%), with a 2.7-fold increased risk.

Conclusions:

  • Septic patients are assigned lower ICU admission priority and face extended delays for critical care.
  • These delays in ICU access contribute to a significantly higher mortality risk for sepsis patients.
  • Findings highlight disparities in critical care allocation that negatively impact sepsis outcomes.