l#NURSING#
l3RD l#EDITION l#BY l#KATHLEEN l#PERRIN, l#CARRIE l#MACLEOD
TABLE l#OF l#CONTENT
1. What l#is l#Critical l#Care?
2. Care l#of l#the l#Critical l#Ill l#Patient
3. Care l#of l#the l#Patient l#with l#Respiratory l#Failure
4. Interpretation l#and l#Management l#of l#Basic l#Dysrhythmias
5. Cardiodynamics l#and l#Hemodynamic l#Regulation
6. Care l#of l#the l#Patient l#Experiencing l#Shock
7. Care l#of l#the l#Patient l#Experiencing l#Heart l#Failure
8. Care l#of l#the l#Patient l#Experiencing l#Acute l#Coronary l#Syndrome
9. Care l#of l#the l#Patient l#Following l#Traumatic l#Injury
10. Care l#of l#the l#Patient l#Experiencing l#an l#Intracranial l#Dysfunction
11. Care l#of l#the l#Patient l#With l#a l#Cerebral l#or l#Cerbrovascular l#Disorder
12. Care l#of l#the l#Critically l#Ill l#Patient l#Experiencing l#Alcohol l#Withdrawal l#and/or l#Liver
l#Failure
13. Care l#of l#the l#Patient l#With l#an l#Acute l#Gastrointestinal l#Bleed l#or l#Pancreatitis
14. Care l#of l#the l#Patient l#with l#Problems l#in l#Glucose l#Metabolism
15. Care l#of l#the l#Patient l#with l#Acute l#Kidney l#Injury
16. Care l#of l#the l#Organ l#Donor l#and l#Transplant l#Recipient
17. Care l#of l#the l#Acutely l#Ill l#Burn l#Patient
18. Care l#of l#the l#Patient l#with l#Sepsis
19. Care l#of l#the l#ICU l#Patient l#at l#the l#End l#of l#Life
, Perrin: Understanding the Essentials of Critical Car
l# l# l# l# l# l#
1: What is Critical Care?
l# l# l# l# l#
MULTIPLE l# CHOICE. l # Choose l# the l# one l# alternative l# that l# best l# completes l# the l#
l # the l # ques
1) Identify l#who l#of l#the l#following l#patients l#suffers l#from l#critical l#illness. l#A l#patient:
A) With l#chronic l#airflow l#limitation l#whose l#VS l#are: l#BP l#110/72, l#P l#110, l#R l#1
B) With l#acute l#bronchospasm l#and l#whose l#VS l#are: l#BP l#100/60, l#P l#124, l#R l#32.
C) Who l#was l#involved l#in l#a l#motor l#vehicle l#accident l#whose l#VS l#are: l#BP l#124
D) On l#chronic l#dialysis l#with l#no l#urine l#output l#and l#whose l#VS l#are: l#BP l#98/50, l#
Answer: l#B
Explanation: l# l# l#A) l # Acute l # bronchospasm l # can l # present l # a l#-litfh
ereatening l # situatio
l # jeopardize l # a l#patient's l # survival. l # #1, l # #3, l # and l # #4 l # are l # ex
l # situations.
Nursing l#Process: l#Assessment
lCognitive l#Level: l# Analysis
#
Category l#of l#Need: l#Physiological l#Integrity–Physiological l#Adapt
B) Acute l # bronchospasm l # can l # present l # a l#-litfh ereatening l # situation, l
l # jeopardize l # a l#patient's l # survival. l # #1, l # #3, l # and l # #4 l # are l # ex
otnhreatening l # situations. l#Nursing l # Process: l # Assessment
Cognitive l#Level: l#Analysis
Category l#of l#Need: l#Physiological l#Integrity–Physiological l#Adapt
C) Acute l # bronchospasm l # can l # present l # a l#-litfh ereatening l # situation, l
l # jeopardize l # a l#patient's l # survival. l # #1, l # #3, l # and l # #4 l # are l # ex
otnhreatening l # situations. l#Nursing l # Process: l # Assessment
Cognitive l#Level: l#Analysis
Category l#of l#Need: l#Physiological l#Integrity–Physiological l#Adapt
D) Acute l # bronchospasm l # can l # present l # a l#-litfh ereatening l # situation, l
l # jeopardize l # a l#patient's l # survival. l # #1, l # #3, l # and l # #4 l # are l # ex
otnhreatening l # situations. l#Nursing l # Process: l # Assessment
Cognitive l#Level: l#Analysis
Category l#of l#Need: l#Physiological l#Integrity–Physiological l#Adapt
2) Of l#the l#following l#patients, l#who l#should l#be l#cared l#for l#in l#a l#critical l#care l#unit?
l#that
apply.)
A) With l#an l#acetaminophen l#overdose
B) Suffering l#from l#acute l#mental l#illness
C) With l#chronic l#renal l#failure
D) With l#acute l#decompensated l#heart l#failure
Answer: l#A, l # D
Explanation: l# l # A) l # (Note: l # This l # requires l # multiple l # responses l # to l # be l # correct
Critical l # care l # units l # are l # co-#le
stfficient l # units l # for l # caring l # for l # pa
system l#failure. l#Although l#the l#organ l#failing l#in l##4 l#is l#obviou
l#acetaminophen# lo verdose l# often l#suffer l# liver l# failure l# as l# a l# con
l# present l# patient l# concerns # lo f l# a l # noncritical l # nature.
, B) (Note: l#This l#requires l#multiple l#responses l#to l#be l#correct.)
Critical l # care l # units l # are l # co-#le
stfficient l # units l # for l # caring l # for l # pa
system l#failure. l#Although l#the l#organ l#failing l#in l##4 l#is l#obviou
l#acetaminophen# lo verdose l# often l#suffer l# liver l# failure l# as l# a l# con
l# present l# patient l# concerns # lo f l# a l # noncritical l # nature.
Nursing l#Process: l#Evaluation
lCognitive l#Level: l# Analysis
#
Category l#of l#Need: l#Physiological l#Integrity–Physiological l#Adapt
C) (Note: l#This l#requires l#multiple l#responses l#to l#be l#correct.)
Critical l # care l # units l # are l # co-#le
stfficient l # units l # for l # caring l # for l # pa
system l#failure. l#Although l#the l#organ l#failing l#in l##4 l#is l#obviou
l#acetaminophen# lo verdose l# often l#suffer l# liver l# failure l# as l# a l# con
l# present l# patient l# concerns # lo f l# a l # noncritical l # nature.
Nursing l#Process: l#Evaluation
lCognitive l#Level: l# Analysis
#
Category l#of l#Need: l#Physiological l#Integrity–Physiological l#Adapt
D) (Note: l#This l#requires l#multiple l#responses l#to l#be l#correct.)
Critical l # care l # units l # are l # co-#le
stfficient l # units l # for l # caring l # for l # pa
system l#failure. l#Although l#the l#organ l#failing l#in l##4 l#is l#obviou
l#acetaminophen# lo verdose l# often l#suffer l# liver l# failure l# as l# a l# con
l# present l# patient l# concerns # lo f l# a l # noncritical l # nature.
Nursing l#Process: l#Evaluation
lCognitive l#Level: l# Analysis
#
Category l#of l#Need: l#Physiological l#Integrity–Physiological l#Adapt