ICU Clinical Summary

Words: 1585
Pages: 7
Open Document
Upon entering my second clinical rotation I was given a tour, along with my fellow nursing students, of St. Francis where I would be completing a rotation on a medical and surgical unit. As being our first day at the site we were taken on a tour of the entire facility. While doing the tour our group was allowed to enter the medical and surgical intensive care unit. In doing so, we were allowed to observe a client that was undergoing treatment for acute respiratory distress syndrome (ARDS). I was intrigued by the case, as the client was in a prone position and intubated. I had no prior experience with a client who has suffered from ARDS and wanted to learn what more this diagnosis meant for the client needing oxygenation in an acute …show more content…
In this particular article, the objective was to determine the effects of fever (temperatures above 38.3 degrees C) and nursing interventions to reduce its effects on client hemodynamics and oxygenation in surgical intensive care unit clients presenting febrile. Çelik et al.’s study (2011) took a retrospective and descriptive approach to a sample of 53 febrile clients from one hospital facility. ICU clientele are more likely to be in a febrile state when compared to their counterparts of hospitalized clients. Although fever is more likely due to infection, ICU clients may become febrile from numerous noninfectious …show more content…
near drowning, vasculitis, gastric aspiration) or nonpulmonary (e.g. sepsis, major trauma with shock, obstetric events) insults, with sepsis the leading cause. Associated risk factors for ARDS are: Afro-Caribbean ethnicity, age, chronic alcohol abuse, liver disease, pregnancy, obesity, immunosuppression, and genetic predisposition (Liew and Martin, 2014). ARDS is believed to be a direct or indirect injury to the lungs that triggers an inflammatory response, releasing numerous cytokines and activating neutrophils and alveolar macrophages (Liew and Martin, 2014). This increases capillary permeability and damages the alveolar epithelium, resulting in vast alveolar edema and surfactant production compromise (Liew and Martin, 2014). Clinical symptomatology includes acutely progressive dyspnea, tachypnea, and hypoxemia (Liew and Martin,
Show More

Related Documents: ICU Clinical Summary

MSN interview in progress Essay

Master's Prepared Nurse Interview Interview The interview is conducted with a Mater’s prepared nurse name L.M .She is holding a position as a nurse manager of an ICU unit where I am working. The purpose of the interview is to prove how a nurse with advanced education in nursing can effectively train to hold a higher role in the field of nursing practice, teaching or management. The current accomplishment gave the person many open doors for development and professional growth. Aside from knowing that…

Words 1349 - Pages 6

Acute CHF ICU Essay

Because of increased mortality and the potential for significant improvement with early revascularization, the practitioner must first consider acute coronary syndrome. However, variants of stress (takotsubo) cardiomyopathy may be more prevalent in ICU settings than previously recognized. Early diagnosis is important to direct treatment of complications of stress cardiomyopathy, such as dynamic LV outflow tract obstruction, heart failure, and arrhythmias. Global LV dysfunction occurs in the critically…

Words 7316 - Pages 30

Essay on Nursing Modes

self-care model in which Orem’s nursing process is produced. Her nursing process has only 3 steps: Assessments, Nursing Diagnosis, and Implementation and Evaluation. (sites.google.com/site/oremstheory/description-of-the-model). Orem’s theory, in summary, examines how people can achieve a healthy well-being through self-care, either independently or with the aid of nursing care. The American Association of Critical-Care Nurses’ (AACN) Synergy Model for Patient Care. The synergy model is a conceptual…

Words 754 - Pages 4

Zap Vap Essay

infections are also known as nosocomial infections. VAP usually happens when patients are on mechanical ventilation (the ventilator) for over 48 hours. VAP is costly because it increases the hospital length of stay, often times in the Intensive Care Units (ICU). Patients are often on the ventilator and are receiving antibiotics to treat the pneumonia. This paper will show that…

Words 3706 - Pages 15

Scholarly Paper Improving working conditions in the acute care units

nurses’ workload into four levels: unit level, job level, patient level and situational level. Unit level focuses on the nurse to patient ratio. The job level focuses on the nurses’ stress level and job dissatisfaction. Patient level focuses on the clinical condition or acuity level of the patient. On a unit level, sometimes budget constraints and lack of nurses negatively affect the ability of units to staff acute care units with the recommended 2-1 ratio. Currently, we are seeing an average 3-1 ratio…

Words 1461 - Pages 6

Nr393 Course Project Phase 2 Final Report

Olga: One particular individual who had a big influence on my practice over the years was the nursing mentor I had in my first year of clinical practice. I was feeling overburdened by my workload and was considering resigning all the time, as I had previously mentioned. Nonetheless, my 50-year-old nursing preceptor provided me with guidance, instruction, emotional support, and assistance…

Words 1844 - Pages 8

Telenursing...the Future is Now Essays

Telenursing…the Future Is Now Naomi Hurst Chamberlain College of Nursing NR361: Information Systems in Healthcare September 2014 Telenursing…the Future Is Now Telemedicine, the term initially used to describe the delivery of healthcare services from a distance through the use technology, began as early as the 1920’s when Doctors would utilize radio to diagnose patients and give recommendations. In the 1960’s, with the advancements into aerospace, the term “telemedicine” was vastly replaced…

Words 1803 - Pages 8

Marilyn Ray and Jean Watson's Theories Compared Essay

apply to everyday practice all elements of the Holographic Theory of Bureaucratic Caring to each and every patient (Bailey, 2009). Understanding and applying these concepts will provide a consistent universal approach to caring for the patients. In summary, Ray expresses that when caring is defined as an art or science, neither is adequate to signify current practice. “Nurses must be able to understand and articulate the politics and economics of nursing practice and health care” (Parker & Smith…

Words 1638 - Pages 7

Law and the Chid Essay

Review Pain Management For Neonates Health And Social Care Essay Review of literature is defined as a critical summary of review on a topic of interest, often prepared to put a research problem in contest (Polit & Beck,2006). The review of literature in the research report is a summary of current knowledge about a particular practice problem and includes what is known and not known about the problem. The literature is reviewed to summarize knowledge for use in practices or to provide a basis for…

Words 6808 - Pages 28

Faye Abdellah Researches Essay

Reasearches: Faye Glenn Abdellah (born 1919) dedicated her life to nursing and, as a researcher and educator, helped change the profession's focus from a disease-centered approach to a patient-centered approach. She served as a public health nurse for 40 years, helping to educate Americans about the needs of the elderly and the dangers posed by AIDS, addiction, smoking, and violence. As a nursing professor, she developed teaching methods based on scientific research. Abdellah continued to work…

Words 10235 - Pages 41