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Related Concept Videos

Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Pneumonia III: Complications and Assessment01:30

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Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
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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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Pneumonia IV: Management01:28

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The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
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Acute Coronary Syndrome V: Nursing Management01:26

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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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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Post-intensive care syndrome (PICS): recent updates.

Stephanie L Hiser1,2,3, Arooj Fatima4,5, Mazin Ali4,5

  • 1Department of Health, Human Function, and Rehabilitation Sciences, The George Washington University, 2000 Pennsylvania Ave. NW, Suite 2000, Washington, DC, 20006, USA. stephanie.hiser@gwu.edu.

Journal of Intensive Care
|May 23, 2023
PubMed
Summary

Survivors of critical illness may develop post-intensive care syndrome (PICS), characterized by long-term physical, cognitive, and mental health impairments. Recent research explores PICS subtypes, risk factors, and interventions to improve patient outcomes.

Keywords:
Critical illnessIntensive careLong-term outcomes

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Area of Science:

  • Critical care medicine
  • Neuroscience
  • Psychiatry

Background:

  • Increasing survival from critical illness leads to a rise in post-intensive care syndrome (PICS).
  • PICS encompasses long-lasting physical, cognitive, and mental health impairments.
  • Understanding and managing PICS is crucial for improving patient recovery.

Purpose of the Study:

  • To review recent studies on post-intensive care syndrome (PICS).
  • To examine PICS co-occurrence, phenotypes, risk factors, and interventions.
  • To highlight emerging aspects of PICS, such as fatigue, pain, and unemployment.

Main Methods:

  • Narrative review of recent literature.
  • Synthesis of studies evaluating PICS impairments, risk factors, and interventions.
  • Focus on emerging PICS-related issues.

Main Results:

  • Recent studies investigate the interplay of PICS impairments and identify distinct patient phenotypes.
  • Research is elucidating underlying risk factors and biological mechanisms contributing to PICS.
  • Intervention studies show promise in mitigating PICS consequences.

Conclusions:

  • Post-intensive care syndrome (PICS) is a complex condition requiring multifaceted management strategies.
  • Further research into PICS phenotypes and targeted interventions is essential.
  • Addressing long-term sequelae like fatigue, pain, and unemployment is critical for comprehensive PICS care.