Lets Explore the ICU. What is the Purpose of the ICU? To provide ___________________ intensive...
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Transcript of Lets Explore the ICU. What is the Purpose of the ICU? To provide ___________________ intensive...
What is the Purpose of the ICU?
To provide ___________________ intensive ________________ and treatment of patients seven days a week.
The ICU Health Care Team
• ____________________ • ____________________• Nurses• Physicians (IM, Pulmonary, etc.)• _____________________• Respiratory therapists • Other medical consultants from a broad range
of specialties including surgery, ____________, anesthesiology, and ________________
Where do the patients come from?
• The general hospital floors
• __________________
• _____________ from other hospitals & nursing homes
• _______________________
• _________________ bypassing the ER
Intensive Care Unit
What types of patients would you see?Post heart surgery MI’s
Renal and Liver failure _________________
Pulmonary embolism _________________
___________________________
Arrhythmias Suicidal
______________ coma ARDS
Intensive Care Unit
The monitors are your second major bedside assessment tool – the first is your ___________.
What is on the monitor screen?
•EKG•Heart rate•Blood pressure•Arterial pressure•O2 Saturation•Respirations
Equipment
EQUIPMENT cont….
• _______________: a machine designed to mechanically move breathable air into and out of the _____________.
CHEST TUBES:a flexible plastic tube that is inserted through the side of the ______________ into the _________ space to drain _________, body ___________ or ____________
LARYNGOSCOPE & ETT
•_________________: An instrument that helps in intubation for mechanical ventilation.
•________________ Tube: inserted into a patient's __________ in order to ensure that the airway is not closed off and that air is able to reach the _________. Regarded as the most reliable available method for ____________ a patient's airway.
CRASH CARTA set of trays/drawers/shelves on wheels used in hospitals for transportation and __________________ of emergency __________/equipment at the site of the emergency for ________ _________________.
Includes:•Defibrillator with pads•AMBU bag•Medications•IV equipment•Normal Saline•Procedure kits•Oxygen tank•And much more
Central IV LinesA catheter placed into a large vein in the __________ (internal jugular vein),__________ (subclavian vein) or ________ (femoral vein).
It is used to administer ____________ or fluids, obtain _________ tests and directly obtain cardiovascular _____________________ (central venous pressure).
LABS
• _______________ mostly draw the labs
• Similar labs to those drawn in the ER
• Common Labs Include:
• ABG’s (drawn by the _____________ usually)
• Evaluates the respiratory effort
• _______________ levels
• Chemistry
• _________________--Fibrinogen, Prothrombin
• __________________—proteins released into the bloodstream when heart muscle damage occurs
What are the routines of the ICU?
• Report, assessment, ____________________
• Record info: flow sheets, ______ sheets, _______________ totals, lab results, ________________
• ________________
• KARDEX
• Carrying out orders
• Documentation ______________
• Administering ________________
Intensive Care Unit
How does the ICU affect the family members?
• Feelings of __________________
• Scared and afraid
• ________________
• Inquisitive
• _________________
Intensive Care Unit
How to care for the family members?Practice _________________ Care!!!
• Be ___________________
• EDUCATE, EDUCATE, ________________
• ___________________ needs
• Keep them _____________
Intensive Care Unit
What’s a NICU?
• Neonatal Intensive Care Unit/Special Care Nursery• For _________________ and __________________ term
infants• Different levels of care for newborns…Levels I-III
– Level I: Lowest level of care (_____________________)
– Level II: ______________ care—IV fluids, __________, “feeder growers”, CPAP, ________ wks gestation or greater
– Level III: Highest level of care• __________ weeks gestation or greater (generally)• Ventilators• Surgeries (sometimes in the unit!)—______________________• Nitrous oxide therapy, Extra Corporeal Membrane Oxygenation
(ECMO)– __________________________
Who works there?
• Pediatricians• ____________________• NNPs, PNPs• Nurses• OT _______________• ________ (positioning,
massage)• ____________________• Respiratory Therapy
• Pharmacist• Pharmacy Technicians• ____________________• Chaplains• And more!
Why do we need a special ICU for infants?
• In premature infants, every body system is ___________________
• What problems do you think that a baby would have with each body system?– Nervous?– Cardiovascular?– GI?– Immune?– Endocrine?– Respiratory?– Musculoskeletal?– Reproductive?– Urinary?
What problems would you see?
• Chronic lung disease of prematurity (BPD)
• Necrotizing enterocolitis• __________________• Meconium aspiration• Congenital heart defects• _____________• Anemia• Intraventricular
Hemorrhage• ___________________
• Retinopathy of prematurity
• ___________________• _______________
Developmental care
• Simulate a _____________ environment– Warm, humid, dark, quiet
• Developmental positioning to aid with _____________ and ____________ development– Make the environment less ______________
• Poor _________________and growth• Abnormal ___________________
Stress signals
• May be different than in term babies, children and adults
• Crying– Less common in the very ill
or very premature babies
• ____________________• Wrinkled _____________• Averted gaze
• __________ arms and legs
• “stop” hands• “shut down”• Changes in vital signs