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CARENURSING 3RD EDITION BY KATHLEEN PERRIN,
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CARRIE MACLEOD b b
TABLEOF CONTENT b b
1. What is Critical Care?
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2. Care of theCritical Ill Patient
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3. Care of the Patient with RespiratoryFailure
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4. Interpretation and Management of Basic Dysrhythmias
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5. Cardiodynamics and Hemodynamic Regulation b b b
6. Care of the Patient Experiencing Shock
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7. Care of the Patient Experiencing Heart Failure
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8. Care of the Patient Experiencing Acute CoronarySyndrome
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9. Careof the Patient FollowingTraumatic Injury
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10. Careof the Patient Experiencing an Intracranial Dysfunction
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11. Care of the Patient With a Cerebral or Cerbrovascular Disorder
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12. Care of the Critically Ill Patient Experiencing Alcohol Withdrawal and/or Liver Failure
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13. Care of the Patient With an Acute Gastrointestinal Bleed or Pancreatitis
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14. Care of the Patient with Problems in Glucose Metabolism
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15. Careof the Patient with Acute Kidney Injury
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16. Care of the Organ Donor and Transplant Recipient
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17. Care of the Acutely Ill Burn Patient
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18. Careof the Patient with Sepsis
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19. Care of the ICU Patient at the End of Life
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, Perrin: Understanding the Essentials of Critical Care N
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What is Critical Care? b b b b
MULTIPLE CHOICE. Choose the one alternative that best completes the statemen
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1) Of the following patients, who should be cared for in a critical care unit? A patient: (S
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A) With an acetaminophen overdose
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B) Sufferingfrom acutementalillness b b b b
C) Withchronicrenalfailure
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D) Withacutedecompensated heartfailure
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ANSWER:A, D b b
Explanation: A) (Note: This requires multiple responses to be correct.)
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Criticalcareunitsarec o- e
s tfficient unitsforcaringforpatientswithsb b b b
b
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system failure. Although the organ failing in #4 is obvious, patienb b b b b b b b b b
overdose often suffer liver failure as a consequence. #2 and #3 pre
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noncritical nature. b b
NursingProcess:Evaluation b b
Cognitive Level: Analysis b b b
CategoryofNeed:PhysiologicalIntegrity–Physiological Adaptati b b b b b
,B) (Note: This requires multiple responses to becorrect.)
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Criticalcareunitsarec o- e
b s tfficient unitsforcaringforpatientswiths
b b b
b
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system failure. Although the organ failing in #4 is obvious, patien
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overdose often suffer liver failure as a consequence. #2 and #3 pre
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noncritical nature.
b b
NursingProcess:Evaluation
b b
Cognitive Level: Analysis
b b b
CategoryofNeed:PhysiologicalIntegrity–Physiological Adaptati
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C) (Note: This requires multiple responses to becorrect.)
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Criticalcareunitsarec o- e
b s tfficient unitsforcaringforpatientswiths
b b b
b
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system failure. Although the organ failing in #4 is obvious, patien
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overdose often suffer liver failure as a consequence. #2 and #3 pre
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noncritical nature.
b b
NursingProcess:Evaluation
b b
Cognitive Level: Analysis
b b b
CategoryofNeed:PhysiologicalIntegrity–Physiological Adaptati
b b b b b
D) (Note: This requires multiple responses to becorrect.)
b b b b b b b
Criticalcareunitsarec o- e
b s tfficient unitsforcaringforpatientswiths
b b b
b
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system failure. Although the organ failing in #4 is obvious, patien
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overdose often suffer liver failure as a consequence. #2 and #3 pre
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noncritical nature.
b b
NursingProcess:Evaluation
b b
Cognitive Level: Analysis
b b b
CategoryofNeed:PhysiologicalIntegrity–Physiological Adaptati
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, 2) A hospital in a small rural town would be able to provide which level of care in the crit
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A) Level I b
B) Level II b
C) Level III b
D) It is unlikely that the hospital would have a critical care unit
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ANSWER: C b
Explanation: A) #1 and #2 describe more advanced and inclusive critical care abil
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because most hospitals have some critical care areas.
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NursingProcess:Evaluation b b
Cognitive Level: Application b b b
CategoryofNeed:Safe,EffectiveCareEnvironment–Managemen b b b b b b
B) #1 and #2 describe more advanced and inclusive critical care abil b b b b b b b b b b
because most hospitals have some critical care areas.
b b b b b b b b
NursingProcess:Evaluation b b
Cognitive Level: Application b b b
CategoryofNeed:Safe,EffectiveCareEnvironment–Managemen b b b b b b
C) #1 and #2 describe more advanced and inclusive critical care abil b b b b b b b b b b
because most hospitals have some critical care areas.
b b b b b b b b
NursingProcess:Evaluation b b
Cognitive Level: Application b b b
CategoryofNeed:Safe,EffectiveCareEnvironment–Managemen b b b b b b
D) #1 and #2 describe more advanced and inclusive critical care abil b b b b b b b b b b
because most hospitals have some critical care areas.
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NursingProcess:Evaluation b b
Cognitive Level: Application b b b
CategoryofNeed:Safe,EffectiveCareEnvironment–Managemen b b b b b b
3) A nurse employed in an "open" ICU would most likely be working with a:
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A) Multidisciplinaryteamwithphysicianswhoarealsoresponsibleforpatientson b b b b b b b b b b
B) Multidisciplinaryteamthatincludesaphysicianemployedbythehospital. b b b b b b b b b
C) Physician in charge of patient care who is a specialist in critical care.
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D) Primary care physician who must consult a critical care specialist.
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ANSWER: A b
Explanation: A) #2, #3, and #4 refer to "closed" ICUs.
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NursingProcess:Evaluation b b
Cognitive Level: Analysis b b b
CategoryofNeed:Safe,EffectiveCareEnvironment–Managemen b b b b b b
B) #2, #3, and #4 refer to "closed" ICUs. b b b b b b b
Nursing Process: Evaluation b b b
Cognitive Level: Analysis b b
CategoryofNeed:Safe,EffectiveCareEnvironment–Managemen b b b b b b
C) #2, #3, and #4 refer to "closed" ICUs. b b b b b b b
Nursing Process: Evaluation b b b
Cognitive Level: Analysis b b
CategoryofNeed:Safe,EffectiveCareEnvironment–Managemen b b b b b b
D) #2, #3, and #4 refer to "closed" ICUs. b b b b b b b