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This issue of Critical Care Nursing Clinics, Guest Edited by Darlene Lovasik, RN, MN, CCRN, CNRN, will feature such article topics as: Evaluation and Work-up for Transplant; Basic Immunology; Pharmacology; Liver, Pancreas, Kidney Transplants; Living Donor Kideny, Liver Transplants; Heart, Lung, Intestinal and Multivisceral Transplants; Complications After Transplant ; Patient Education; Psychosocial Concerns; Ethical Issue; Financial/Operational Considerations; Organ Donation.
Gastrointestinal dysfunction or injury is common in the critical care patient either as a primary diagnosis or as secondary symptoms. Several studies confirm that up to 62% of critical care patients exhibit at least one GI symptom for at least one day. In addition, recent studies have shown that GI problems are related to negative outcomes in the critical care patient. The articles in this issue are current and relevant to critical care patients today: Autoimmune Disease of the Gut in the Critical Care Patient; Nutrition Options in CCU Patients; Mesenteric Ischemia; Management of C-Diff in Critical Care Setting; Management of Acute GI Bleed; Acute Diverticulitis Management; GI Patient Skills Training in the ICU: SOFA assessment and recognizing GI symptoms; EBP with probiotics in treatment for antibiotic associated diarrhea in the ICU; GI Problems in the ICU with Patients with HIV/AIDs; Complications of GI Motility/GI Failure in the Critically Ill Patient; Untreated Gastroesophageal Reflux Patients in the ICU; Liver Transplant; Ecoli Complications in Critical Care-Pediatrics; and GI Traumatic injuries: GI Perforation. Being knowledgeable and skillful in the recognition and care for these problems is paramount to the critical care nurse.
Dr. O'Malley is a well-known nurse researcer in the area of Hemaotology, and she has assembled top experts to write about the most important hemtaologic issues in critical care. The issue has articles devoted to the following topics: Cord blood banking; Leukemia and Lymphomas; Sickle Cell; Anticoagulants; Aplastic anemia & MDS; Hereditary Hemochromatosis and Pernicious Anemia; Hemophilia; Blood book: cells, products, transfusion; Anemia; Multiple Myeloma; DIC; and The lived experience of anemia without a cause. Nurses will come away with the clinical information they need to improve patient outcomes in the critical care setting.
This issue of Critical Care Nursing Clinics, Guest Edited by Celia Levesque RN, MSN, NP-C, CNS-BC, CDE, BC-ADM, from MD Anderson, will focus on Diabetes. Article topics will include Management of Diabetes in the Clinical Setting, Hyperglycemia management after solid organ transplantation, Insulin therapy in the hospitalized patient, Limb salvage for Vetrans with diabetes, and Management of steroid induced hyperglycemia in the ICU.
In this issue of Critical Care Nursing Clinics, guest editor and Instructor of Clinical Nursing Dr. Sherry Rivera brings her considerable expertise to the topic of Nephrology. Nurses care for patients with acute, chronic, and end-stage kidney disease in all patient care settings. Early recognition of risk and disease can improve health outcomes and delay progression of disease. In this issue, top experts provide expert coverage of issues frequently encountered when providing nursing care to individuals with kidney disease. - Contains 14 practice-oriented topics including medications and the kidney; race-based estimated glomerular filtration rate; acid-base disturbance and electrolyte disorders in nephrology patients; complications of kidney disease; COVID-19 and kidney disease; and more. - Provides in-depth clinical reviews on nephrology in critical care nursing, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
In consultation with Consulting Editor, Dr. Jan Foster, Dr. Brian Boling has put together a state-of the-art issue of the Critical Care Nursing Clinics devoted to Cardiothoracic Surgical Critical Care. Clinical review articles are specifically devoted to the following: Fast Track Cardiac Surgery; Options for Minimally Invasive Valvular Surgery; Surgical Interventions for the Treatment of Advanced Heart Failure; Lung Transplantation; Surgical Treatment of Lung Cancer; Post-Operative Management of Tetralogy of Fallot; Advanced Hemodynamic Monitoring in Cardiothoracic Surgery; Vasoactive Infusions in Cardiothoracic Surgery; Common Post Cardiothoracic Surgery Arrhythmias; Pain Control in the Cardiothoracic Surgery Patient; Renal Complications of Cardiothoracic Surgery; The Role of ECMO in Post Cardiotomy Shock; Resuscitation of Patients Who Arrest After Cardiac Surgery; and End of Life Care in Cardiothoracic Surgery. Readers will come away with the latest information they need to improve improves of cardiothoracic surgical patients.
This specialty standard focuses on protecting, promoting, and optimizing the health and abilities of both the recipents and the living transplant donors of transplanted across the life span. It is also an essential document for other specialists in transplant care, healthcare providers, researchers, and scholars, along with those involved in funding, legal, policy, and regulatory activities.
Heart failure is the only cardiovascular disease that is increasing. The impact on the critical care environment and the health care system, as a whole, is significant from both a cost and burden to the system perspective. There are 6.5 million hospital days a year and nearly $40 billion dollars in yearly health care costs attributed to heart failure in the United States. There are more Medicare monies spent for diagnosing and treating heart failure than any other Diagnosis Related Group. There is a 24% hospital re-admission rate for this diagnosis which leads to financial implications for health care systems.The human cost is also significant. Less than half of Americans diagnosed with heart failure survive greater than 5 years. The ongoing health care needs and cost of this chronic disease takes a significant toll on patients’ finances, time and quality of life. Over $2.9 billion dollars is spent annually on the pharmaceutical management of heart failure in the United States. This diagnosis is the leading cause of hospitalization for patients who are 65 years of age and older. Few health care providers in the critical care environment are not affected by heart failure on a routine basis. Caring for these patients and their families is both a challenging and yet a rewarding experience. This edition will provide critical care nurses with a comprehensive heart failure review which is essential in caring for this challenging population given the dynamic health and critical care environments.
This book is open access under a CC BY 4.0 license. This textbook, endorsed by the European Society for Blood and Marrow Transplantation (EBMT), provides adult and paediatric nurses with a full and informative guide covering all aspects of transplant nursing, from basic principles to advanced concepts. It takes the reader on a journey through the history of transplant nursing, including essential and progressive elements to help nurses improve their knowledge and benefit the patient experience, as well as a comprehensive introduction to research and auditing methods. This new volume specifically intended for nurses, complements the ESH-EBMT reference title, a popular educational resource originally developed in 2003 for physicians to accompany an annual training course also serving as an educational tool in its own right. This title is designed to develop the knowledge of nurses in transplantation. It is the first book of its kind specifically targeted at nurses in this specialist field and acknowledges the valuable contribution that nursing makes in this area. This volume presents information that is essential for the education of nurses new to transplantation, while also offering a valuable resource for more experienced nurses who wish to update their knowledge.
Sedation is a necessary component of care for critically ill and injured individuals. Sedatives assist in coping with mechanical ventilation and other invasive devices, and help patients tolerate procedures and noxious stimuli in the intensive care unit. Sedatives are also useful in the control of agitation and delirium. In addition to fundamental humane reasons, calming patients with sedatives provides physiologic benefits, such as reducing oxygen consumption expended during restlessness, and prevents dislodgement of life-preserving tubes and catheters. When administering sedatives to manage critically ill patients, clinicians must be cognizant of the many complex issues surrounding their use. This issue, edited by Consulting Editor, Dr. Jan Foster, provides current updates in this area, including new guidelines and a focus on delirium.