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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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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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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
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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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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
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Post-intensive care syndrome: A concept analysis.

Chu Yuan1, Fiona Timmins1, David R Thompson2

  • 1School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.

International Journal of Nursing Studies
|November 21, 2020
PubMed
Summary
This summary is machine-generated.

Post-intensive care syndrome (PICS) involves new or worsening physical, psychological, and cognitive impairments after critical illness. This study defines PICS to improve understanding and guide preventative strategies for better patient outcomes.

Keywords:
Concept analysisICUPost-intensive care syndrome

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Area of Science:

  • Critical Care Medicine
  • Patient Outcomes
  • Syndrome Definition

Background:

  • Post-intensive care syndrome (PICS) is a complex condition affecting patients after critical illness.
  • It encompasses multidimensional impairments (physical, psychological, cognitive, social) persisting post-discharge.
  • Existing conceptualization of PICS is limited, hindering accurate measurement and understanding.

Purpose of the Study:

  • To define the concept of post-intensive care syndrome (PICS).
  • To achieve conceptual clarity for practitioners and researchers.
  • To facilitate accurate measurement of PICS incidence and prevalence.

Main Methods:

  • Employed the Walker and Avant approach to concept analysis.
  • Conducted an extensive electronic literature search (2010-2020) across multiple databases.
  • Included both quantitative and qualitative studies related to PICS.

Main Results:

  • Identified 24 relevant studies from 3948 initial articles.
  • Defined PICS attributes: new/worsening multidimensional impairments, physical/psychological/cognitive dysfunction, failed social reconstruction, and persistent symptoms.
  • Categorized antecedents (pre-existing, ICU admission-related) and consequences (positive coping, adverse quality of life, caregiver burden).

Conclusions:

  • PICS affects over half of ICU survivors, highlighting its significant impact.
  • The proposed operational definition enhances understanding and aids in designing preventative strategies.
  • Further research and instrument development are crucial for characterizing PICS and informing interventions.