Scoring systems as a prognostic predictors: Several objective systems based on statistically validated determinants of outcome have been developed during the last 15 years. In general‚ these system include physiologic variables‚ diagnosis‚ age and previous health status. Recently‚ measurement over time have been used to refine predictions from these systems(Osborne‚1992). The ideal predictive scoring system would use objective‚ simply measured predictors. For prediction models to become universally
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senior year. I’ve always wanted to become a nurse and work with patients. I took a certain internship class where I left school two hours early and got to go to LaPorte Hospital where I was able to work in the Emergency room‚ Critical Care Unit (CCU)‚ and the Intensive Care Unit (ICU). Ever since that experience I wanted to work as a Registered Nurse in a hospital. I seen myself becoming a nurse‚ and I believed that I could do it‚ so I went to college to peruse my dream. That is one of the reasons that
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Australia and New Zealand‚ the paper will show that without an effective weaning plan‚ the job of an intensive care unit (ICU) nurse becomes difficult and ineffective. Different weaning approaches will be discussed as well as different outcomes of successful weaning. A nurse-led approach to Mechanical Ventilation Weaning Protocol Mechanical ventilation (MV) was introduced to intensive care units (ICU) nearly forty years ago. Patients are often placed on MV for various reasons and different
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Philosophy of Nursing For as long as I can remember‚ nursing was a profession that I longed to be a part of because nurses represented the very essence of caring and compassion. After realizing my dream‚ I found myself working in a Neonatal Intensive Care Unit (NICU) where I developed a personal philosophy and core set of values regarding nursing. “Philosophies of nursing are statements of beliefs about nursing and expressions of values in nursing that are used as bases for thinking and acting”
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Ventilator-Associated Pneumonia (VAP): The Key to Prevention Aleisha N. Curry Professional Role Development II Nursing 402 Christian Brothers University February 20‚ 2012 Sue Trzynka‚ Ph.D.‚ RN Introduction In the fast paced Trauma Intensive Care Unit (TICU) there are many things to remember while working with ventilated patients. Therefore‚ it is essential to implement practices that will decrease opportunities for adverse incidents. Ventilated patients represent about forty percent of
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atelectasis despite no evidence of left heart failure (e.g.‚ normal pulmonary capillary wedge pressure (PCWP). ARDS is present when the ALI results in such severe hypoxia that at the PaO2/FIO2 ratio is 200 mm Hg or less. Approximately 10% to 15% of intensive care patients meet the criteria for ARDS in the typical ICU. ARDS is often accompanied by multiple organ system failure. When ARDS was first described‚ its mortality rate was approximately 90% and the majority of deaths were due to respiratory failure
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Many intensive care unit (ICU) patients with multiple traumatic injuries are susceptible to pulmonary contusion. A pulmonary contusion is an injury to the lung which is a common result after a blunt chest trauma from incidents such as vehicular accidents and assaults or after penetrating chest trauma from explosions or shock waves (Ganie et al‚ 2013). Also‚ although it is more commonly associated with chest traumas such as pneumothorax‚ rib fractures or hemothorax‚ pulmonary contusion is also related
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become clinically evident after 48 hours of hospitalization are considered hospital-acquired. HAIs represent a frequent nonspecific clinical problem with potential consequences for morbidity and mortality. The highest rates of HAIs are observed in intensive care units (ICUs)‚ which are also the units in which the most severely ill patients are treated and in which the highest mortality rates are observed. ICU patients are both at risk of acquiring HAIs and at risk of dying. A non-traditional‚ but increasingly
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I assumed care of L.M. in the MICU ten days after her admission in the ED. She had been intubated and put on a mechanical
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a tracheostomy. Recovery after bronchoscopy Bronchoscopy by either procedure usually takes between 30 to 60 minutes. You will be in recovery for 2 to 3 hours after the procedure. Following the procedure: * Are taking any medicines. * Are allergic to any medicines‚ including anesthetics. * Have had bleeding problems or take blood-thinners‚ such as aspirin‚ clopidogrel (Plavix)‚ or warfarin (Coumadin). * Do not eat or drink anything for about 2 hours‚ until you are able to swallow
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