NSG 430 Exam 1 (topic 1) Questions with Correct Answers 100% Verified| Guaranteed Success
From stable to unstable - every patient has the potential for becoming unstable
- patients often exhibit early and subtle signs of deterioration (ex; mild confusion, tachypnea) 6-
8 hours before respiratory or cardiac arrest
- many patients show symptoms ahead of time before decompensating
- early critical care intervention has made significant contributions to reducing mortality rates
- frequent assessments to monitor trends in the patients physiologic parameters
- rapidly recognizing and managing complications
- EHRs have programs built into them and sends alerts to teams that patient may be becoming
unstable
Progressive care units (PCUs) - examples:
- awaiting stent replacement
- awaiting heart transplant
- receiving stable doses of vasoactive IV drugs (ex; diltiazem)
- being weaned from prolonged mechanical ventilation
- PCUs provide critical care nursing for an at-risk client population in a more cost effective
environment
- PCUs provide a transition between the ICU and general care unit or discharge
- PCU clients are also at risk for serious complications and deterioration
Caring for unstable or "at risk" adults - clients with acute and unstable physiologic problems;
can be anywhere in the healthcare or home setting
- ICU nursing has expanded from delivering care in a standard unit to bringing ICU care to
patients wherever they may be
- critical care nurses are required to have in depth knowledge of anatomy, physiology,
pathophysiology, and advanced assessment skills, as well as the ability to use advanced
technology
- requires formal education combined with a preceptor clinical orientation, often over several
months
, Unstable/complex care monitoring - the technology available in the ICU or PCU is extensive;
equipment used in these settings are not typically used in the med-surge setting; it's important
to be proficient in how to use this equipment
ICU monitoring devices - electrocardiogram (ECG)
- BP
- O2 saturation
- cardiac output (CO)
- intracranial pressure
- internal temperature
- focused ongoing assessments
Examples:
- cardiac index (CI)
- stroke volume (SV)
- stroke volume variation (SVV)
- ejection fraction (EF)
- end-tidal carbon dioxide (CO2)
- tissue O2 consumption
- mechanical ventilators
- etc...
PCU monitoring devices - continuous ECG
- arterial BP
- O2 saturation
- end tidal CO2
- ventilator care and monitoring
From stable to unstable - every patient has the potential for becoming unstable
- patients often exhibit early and subtle signs of deterioration (ex; mild confusion, tachypnea) 6-
8 hours before respiratory or cardiac arrest
- many patients show symptoms ahead of time before decompensating
- early critical care intervention has made significant contributions to reducing mortality rates
- frequent assessments to monitor trends in the patients physiologic parameters
- rapidly recognizing and managing complications
- EHRs have programs built into them and sends alerts to teams that patient may be becoming
unstable
Progressive care units (PCUs) - examples:
- awaiting stent replacement
- awaiting heart transplant
- receiving stable doses of vasoactive IV drugs (ex; diltiazem)
- being weaned from prolonged mechanical ventilation
- PCUs provide critical care nursing for an at-risk client population in a more cost effective
environment
- PCUs provide a transition between the ICU and general care unit or discharge
- PCU clients are also at risk for serious complications and deterioration
Caring for unstable or "at risk" adults - clients with acute and unstable physiologic problems;
can be anywhere in the healthcare or home setting
- ICU nursing has expanded from delivering care in a standard unit to bringing ICU care to
patients wherever they may be
- critical care nurses are required to have in depth knowledge of anatomy, physiology,
pathophysiology, and advanced assessment skills, as well as the ability to use advanced
technology
- requires formal education combined with a preceptor clinical orientation, often over several
months
, Unstable/complex care monitoring - the technology available in the ICU or PCU is extensive;
equipment used in these settings are not typically used in the med-surge setting; it's important
to be proficient in how to use this equipment
ICU monitoring devices - electrocardiogram (ECG)
- BP
- O2 saturation
- cardiac output (CO)
- intracranial pressure
- internal temperature
- focused ongoing assessments
Examples:
- cardiac index (CI)
- stroke volume (SV)
- stroke volume variation (SVV)
- ejection fraction (EF)
- end-tidal carbon dioxide (CO2)
- tissue O2 consumption
- mechanical ventilators
- etc...
PCU monitoring devices - continuous ECG
- arterial BP
- O2 saturation
- end tidal CO2
- ventilator care and monitoring
