By Suzanne Burns

ISBN-10: 0071822798

ISBN-13: 9780071822794

Concise but thorough information on find out how to adequately and properly deal with grownup, seriously unwell sufferers and their households

Endorsed by way of the yank organization of Critical-Care Nurses (AACN) and written through best medical specialists in serious care nursing, this textbook covers the entire must-know info at the care of grownup, significantly sick sufferers and their households. Supported via necessary tables and algorithms, the book's useful, building-block association starts off with the fundamentals sooner than continuing to extra advanced techniques. AACN necessities of serious Care Nursing comprises crucial content material present in ECCO (Essentials of severe Care Orientation, an internet application provided by way of AACN), key details essential to effectively arrange for CCRN certification in serious care nursing, and masses extra. AACN necessities of severe Care Nursing is split into 4 sections:

THE ESSENTIALS — provides center details that new clinicians needs to comprehend to supply secure, useful nursing care to all seriously sick sufferers, despite their underlying scientific diagnoses

PATHOLOGICAL CONDITIONS — covers pathologic stipulations and administration ideas often encountered between grownup serious care sufferers

ADVANCED options IN taking good care of THE severely ailing PATIENT — strikes past the necessities and provides complex serious care suggestions or pathologic stipulations which are much less universal or extra really expert than anticipated in serious care perform

KEY REFERENCE INFORMATION — good points common laboratory and diagnostic values, algorithms for complicated cardiac existence aid, troubleshooting publications for hemodynamic tracking, precis tables of serious care medications, and cardiac rhythms and therapy guides

Learning aids comprise wisdom capabilities that may be used to gauge development and "Essential Content" case experiences with questions and solutions to extra strengthen your wisdom.

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Extra info for AACN Essentials of Critical Care Nursing (3rd Edition)

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Wie könnte die Beatmung verbessert werden? a b c d Verminderung der FiO2, um die Sauerstofft fftoxizität zu verringern Verlängerung des I : E-Verhältnisses auf 1 : 2 Senkung der Atemfrequenz und Erhöhung des Atemzugvolumens (f 10, Pinsp 30) Erhöhung des PEEP und der Atemfrequenz Lösungen zu Fragen siehe Seite 379. 3 Monitoring FALLBEISPIEL T. Hamp, C. Krenn Ein 73-jähriger Patient wird wegen einer septischen Hüft ftprothese operiert. Noch vor Einleitung der Narkose werden der Blutdruck, die Sauerstoffff sättigung und das EKG monitiert.

5 Larynxtubus ▲ Indikationen Der Lar ynxtubus ist eine relativ neue Alternative zur endotrachealen Intubation und wird vor allem in der Notfallmedizin eingesetzt. ▲ Vorteile Die Handhabung der Larynxtubus ist relativ einfach und die Verletzungsgefahr gering. ▲ Nachteile Der Larynxtubus bietet, ähnlich wie die Lar ynxmaske, keinen absoluten Aspirationsschutz. Abb. 30 Lar ynxtubus ▲ Komplikationen Schleimhautverletzungen, insuffi ffiziente Beatmung und Aspiration regurgitierten Mageninhalts. ▲ Durchführung Der Larynxtubus wird meist blind eingeführt, bis die schwarze Markierung die obere Zahnreihe (Alveolarkamm) erreicht.

Hyperkapnie (etCO2 > 45 mmHg) Æ Ventilation steigern Hypokapnie (etCO2 < 30 mmHg) Æ Ventilation verringern Ein optimaler Sauerstoff ffaustausch kann nur bei großer Lungenoberfl fläche stattfi finden (möglichst keine kollabierten Lungenareale). Der paO2 kann mithilfe der inspiratorischen Sauerstoffk ffkonzentration (FiO2) gesteuert werden und wird auch durch PEEP beeinflusst fl (hält die Alveolen off ffen). 2 Atemwegsmanagement und Beatmungstherapie Hypoxie ÆFiO2 steigern und PEEP optimieren Hyperoxie ÆFiO2 reduzieren Grundsätzlich lässt sich jeder Respirator mit den folgenden 5 Basisgrößen einstellen: • Inspiratorische Sauerstoffk ffkonzentration (FiO2): Sie wird in Prozent angegeben und sollte im Notfall initial 100 % (1,0) betragen (der/die PatientIn sollte also mit reinem Sauerstoff ff beatmet werden).

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AACN Essentials of Critical Care Nursing (3rd Edition) by Suzanne Burns

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