May 20, 2024

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Moderate sedation (formerly conscious sedation) is a drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation.

May 19, 2024

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Minimal sedation (anxiolysis) is a drug-induced state during which patients respond normally to verbal commands. Although cognitive function and coordination may be impaired, ventilatory and cardiovascular function is unaffected.

May 18, 2024

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
One unit of PRBCs contains the same red cell mass as 1 unit of whole blood. One unit of PRBCs raises the hematocrit by approximately 3% in an adult or increases the hemoglobin level of a 70-kg individual by 1 g/dL.

May 17, 2024

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Central venous access remains a cornerstone of resuscitation. Hemodynamic monitoring, rapid infusion of fluid, placement of transvenous pacemakers, and administration of some medications all require central venous access.

May 16, 2024

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Arterial puncture is the most accurate blood sampling technique for true arterial blood gas and acid-base determination. The absence of arterial blood pressure defines cardiac arrest and serves as a definitive endpoint for resuscitative efforts.

May 15, 2024

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Minimize pauses in chest compressions because even short pauses profoundly affect coronary perfusion pressure and outcomes. Long pauses in chest compressions before delivery of a shock are associated with failure of defibrillation.

May 14, 2024

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Quality chest compression increases the efficacy of drugs administered during resuscitation, whereas inadequate circulation leads to minimal effects from peripherally delivered drugs.

May 13, 2024

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Although CPR is widely taught to healthcare personnel, the importance of high-quality CPR cannot be stressed enough. High-quality CPR immediately before defibrillation increases the chance of successful restoration of circulation.

May 12, 2024

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The quality of CPR is an important technical issue and has a direct effect on patient outcomes. For example, shallow chest compressions have an adverse impact on the success of defibrillation.

May 11, 2024

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing 
If aspiration with small-needle pericardiocentesis fails, the patient may have a purulent, malignant or loculated effusion. Placement of a pericardial catheter is more useful in the long-term management of these patients.

May 10, 2024

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing 
Most non-hemorrhagic effusions can be drained by pericardiocentesis with a small needle or by a catheter. Removal of even a small amount of fluid can cause immediate and dramatic improvement in blood pressure and cardiac output.

May 9, 2024

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing 
A major indication for emergency pericardiocentesis is a patient in cardiac arrest with PEA. Always consider cardiac tamponade in the differential diagnosis for PEA, especially if jugular venous pressure is elevated.

May 8, 2024

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing 
The ultrasonographic finding of a large pericardial effusion (>20 mm) in a stable patient should lead to early cardiology or cardiothoracic surgery consultation for percutaneous drainage or placement of a pericardial window.

May 7, 2024

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing 
There are two indications for pericardiocentesis: (1) to diagnose the presence and cause of a pericardial effusion (diagnostic pericardiocentesis) and (2) to relieve tamponade (therapeutic pericardiocentesis).

May 6, 2024

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing 
Echocardiography is the best tool for diagnosing pericardial effusion or tamponade. It not only demonstrates the presence of a pericardial effusion but can also detect hemodynamic abnormalities.