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Critical Care Nursing Quarterly最新文献

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Anticoagulation Considerations in Liver Disease. 肝脏疾病的抗凝注意事项。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-04-01 DOI: 10.1097/CNQ.0000000000000398
Andrew C Stone, Joshua W Gaborcik, Megan E Smetana
{"title":"Anticoagulation Considerations in Liver Disease.","authors":"Andrew C Stone,&nbsp;Joshua W Gaborcik,&nbsp;Megan E Smetana","doi":"10.1097/CNQ.0000000000000398","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000398","url":null,"abstract":"<p><p>Coagulopathy of liver disease is a complex pathology that may result in thrombosis and/or bleeding complications. Routine laboratory values are not always reflective of the degree of these risks. Additionally, prophylaxis and treatment of venous thromboembolism in patients with cirrhosis require careful evaluation when selecting and monitoring drug therapy for these indications. Therefore, this article aims to provide insight regarding coagulopathy of liver disease, influence on laboratory values, and anticoagulant therapy considerations for critical care nurses assuming care for patients with cirrhosis.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"45 2","pages":"156-166"},"PeriodicalIF":1.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10132122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Review of Target-Specific Anticoagulation Reversal Agents. 靶向抗凝逆转剂的研究进展。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-04-01 DOI: 10.1097/CNQ.0000000000000400
Keaton S Smetana, Jacob Counts, Angad Sodhi, Casey C May
{"title":"Review of Target-Specific Anticoagulation Reversal Agents.","authors":"Keaton S Smetana,&nbsp;Jacob Counts,&nbsp;Angad Sodhi,&nbsp;Casey C May","doi":"10.1097/CNQ.0000000000000400","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000400","url":null,"abstract":"<p><p>Bleeding related to direct oral anticoagulants accounts for nearly half of emergency department visits annually and until recently there were no reversal antidotes available. As there continues to be a shift in prescribing practices away from warfarin, it is essential to have these reversal agents readily available for the treatment of life-threatening bleeds associated with these anticoagulants. In addition, for agents that continue to lack a targeted reversal agent (eg, low-molecular-weight heparin, antiplatelets, and new antithrombotics), it is imperative that research continues to evaluate improved reversal strategies. This review focuses on target-specific anticoagulation reversal agents currently available in the United States (protamine, idarucizumab, and andexanet alfa) and summarizes agents that are in the pipeline for these anticoagulants and antiplatelets.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"45 2","pages":"180-188"},"PeriodicalIF":1.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10187882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Perioperative Anticoagulation Management. 围手术期抗凝管理。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-04-01 DOI: 10.1097/CNQ.0000000000000395
Lauren D Briete, William F Towers, Rachel Bone, Ranjit Nair, Mackenzie Steck, B Tate Cutshall, Samarth P Shah
{"title":"Perioperative Anticoagulation Management.","authors":"Lauren D Briete,&nbsp;William F Towers,&nbsp;Rachel Bone,&nbsp;Ranjit Nair,&nbsp;Mackenzie Steck,&nbsp;B Tate Cutshall,&nbsp;Samarth P Shah","doi":"10.1097/CNQ.0000000000000395","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000395","url":null,"abstract":"<p><p>Management of anticoagulation in individuals undergoing operative procedures is a complex situation. Each case should be assessed individually with proper risk assessment, monitoring, and plan for perioperative and postoperative anticoagulation. Clinical evidence for the management of these patients is relatively scarce, and clinicians are often assessing each individual case with minimal guidance. This review provides nurses with a summary of available literature on the assessment, laboratory monitoring, timing of adjusting anticoagulation, and bridging prior to procedures. In addition to general perioperative anticoagulation management, this review discusses perioperative management in special populations and provides a summary on principles when anticoagulation should be resumed following a procedure.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"45 2","pages":"119-131"},"PeriodicalIF":1.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10187878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Use of Prothrombin Complex Concentrate in Oral Anticoagulant-Associated Major Bleeding. 凝血酶原复合浓缩物在口服抗凝相关大出血中的应用。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-04-01 DOI: 10.1097/CNQ.0000000000000399
Jack G Lukas, Michael J Reichert, G Morgan Jones
{"title":"Use of Prothrombin Complex Concentrate in Oral Anticoagulant-Associated Major Bleeding.","authors":"Jack G Lukas,&nbsp;Michael J Reichert,&nbsp;G Morgan Jones","doi":"10.1097/CNQ.0000000000000399","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000399","url":null,"abstract":"<p><p>Severe bleeding remains the most significant adverse effect associated with both warfarin and the direct oral anticoagulant agents. Due to the life-threatening nature of these bleeds, knowledge and understanding of agents that are able to rapidly overcome the anticoagulation effects of these medications is paramount to their use. Worldwide, the most commonly used agent for this indication is prothrombin complex concentrate (PCC). This review summarizes the evidence on the use of PCC in this population and provides practical information regarding patient-specific administration considerations.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"45 2","pages":"167-179"},"PeriodicalIF":1.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10132121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Tale of Two Pulmonary Artery Catheters. 两个肺动脉导管的故事。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000382
Jeremy C Durack, Leon L Chen, Saira Imran, Neil A Halpern
{"title":"A Tale of Two Pulmonary Artery Catheters.","authors":"Jeremy C Durack,&nbsp;Leon L Chen,&nbsp;Saira Imran,&nbsp;Neil A Halpern","doi":"10.1097/CNQ.0000000000000382","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000382","url":null,"abstract":"<p><p>Innovative catheter-based therapies are increasingly being used for the treatment of patients with submassive pulmonary embolism. These patients may be monitored in the intensive care unit following insertion of specialized pulmonary artery catheters. However, the infusion catheters utilized in catheter-based therapies differ greatly from traditional pulmonary artery catheters designed for hemodynamic monitoring. As such, the critical care team will have to be familiar with the monitoring and management of these novel catheters. Important distinctions between the catheters are illustrated using a clinical case report.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"45 1","pages":"8-12"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911303/pdf/nihms-1831843.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10504055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Heparin-Induced Thrombocytopenia: A Management Review for Nurses. 肝素性血小板减少症:护士管理综述。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000381
Raymond Smith, Zackery Bullard
{"title":"Heparin-Induced Thrombocytopenia: A Management Review for Nurses.","authors":"Raymond Smith,&nbsp;Zackery Bullard","doi":"10.1097/CNQ.0000000000000381","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000381","url":null,"abstract":"<p><p>Heparin-induced thrombocytopenia (HIT) is a life-threatening adverse drug reaction that relies on quick assessment and treatment by the health care team to prevent poor outcomes. Nurses can play a critical role in recognizing disease, advocating for patients, and facilitating treatment by being familiar with current guideline recommendations and risk stratification approaches. The purpose of this article is to review management of HIT including pathogenesis, clinical presentation, current guideline recommendations for risk assessment, laboratory testing, and treatment, as well as discuss nonheparin anticoagulation options that may be ordered when HIT is suspected.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"45 1","pages":"2-7"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10130745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Nursing Strategies to Safeguard COVID-19 Patients From Harm in the Intensive Care Unit. 保护重症监护室COVID-19患者免受伤害的护理策略。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000383
Darcy Shiner, Bethany Bock, Crystal Simpson, Timothy Skorupski
{"title":"Nursing Strategies to Safeguard COVID-19 Patients From Harm in the Intensive Care Unit.","authors":"Darcy Shiner,&nbsp;Bethany Bock,&nbsp;Crystal Simpson,&nbsp;Timothy Skorupski","doi":"10.1097/CNQ.0000000000000383","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000383","url":null,"abstract":"<p><p>The aim of this article is to identify quality improvement nursing strategies that have been implemented to safeguard COVID-19 patients from harm while being cared for in the intensive care unit (ICU). This article incorporates a literature review on the experiences of nurses working at a large urban teaching hospital in the areas of critical care, quality, safety, and regulatory. As leaders in the delivery of health care, nurses have always pioneered innovative ways to deliver care despite difficult circumstances. COVID-19 is a novel viral disease with many unknowns, and it required nurses to integrate innovative approaches with evidence-based practice in order to meet the needs of the patient and to ensure patient safety. While in the critical care setting, COVID-19 patients are at an increased risk for various hospital-acquired injuries, threats to personal safety, and decline in mental health. Through ingenuity and adaptability, successful nursing strategies have been identified in the delivery of quality, evidence-based nursing care to safeguard the vulnerable COVID-19 patient population from harm while in the ICU.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"45 1","pages":"13-21"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10130748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency Department Initiative to Improve Sepsis Core Measure Compliance: A Hospital Network Approach. 急诊科倡议提高败血症核心措施依从性:医院网络方法。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000385
Lori Laux, Thomas Campbell, Kathleen M Latouf, Kerry Saunders, Joyce Schultz, Michelle Schwartzmier
{"title":"Emergency Department Initiative to Improve Sepsis Core Measure Compliance: A Hospital Network Approach.","authors":"Lori Laux,&nbsp;Thomas Campbell,&nbsp;Kathleen M Latouf,&nbsp;Kerry Saunders,&nbsp;Joyce Schultz,&nbsp;Michelle Schwartzmier","doi":"10.1097/CNQ.0000000000000385","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000385","url":null,"abstract":"<p><p>The topic of sepsis has been realized among the last 20 years. A majority of patients with sepsis enter the health system through the emergency department, and health professionals need to provide evidence-based care. Within the health system, interdepartmental teams were formed with the purpose to set a system-wide standard to meet the evidence-based practice standards for sepsis. Participants were recruited from every department that was involved with the care delivery of emergency department patients with sepsis. The team developed a team charter to state the group objectives. A gap analysis was completed to set group priorities. The first priority was to develop a system-wide sepsis alert process. The Operational Excellence coach conducted direct observations and interviews at each system facility and then a sepsis alert plan was developed. Two hospitals volunteered to pilot the sepsis alert within their emergency departments, and education was completed at each hospital. Informatics nurses developed electronic medical record workflow and outcome elements to help the team with the process. The pilot process showed an increase in compliance for core measures and laid the groundwork for each hospital to develop an individualized process.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"45 1","pages":"25-34"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10130746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
A Quality Improvement Initiative to Evaluate the Effectiveness of the ABCDEF Bundle on Sepsis Outcomes. 评估ABCDEF治疗脓毒症疗效的质量改进计划
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000387
Rachel A Loberg, Benjamin A Smallheer, Julie A Thompson
{"title":"A Quality Improvement Initiative to Evaluate the Effectiveness of the ABCDEF Bundle on Sepsis Outcomes.","authors":"Rachel A Loberg,&nbsp;Benjamin A Smallheer,&nbsp;Julie A Thompson","doi":"10.1097/CNQ.0000000000000387","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000387","url":null,"abstract":"<p><p>Sepsis affects 1.7 million Americans annually and often requires an intensive care unit (ICU) stay. Survivors of ICU can experience long-term negative effects. This quality improvement initiative was designed to increase compliance with ABCDEF bundle elements and improve clinical outcomes. A significant improvement was seen in the completion of spontaneous awakening and breathing trials (P = .002), delirium assessment (P = .041), and early mobility (P = .000), which was associated with a reduction in mortality and 30-day readmission rates. Findings were consistent with other research that demonstrated an improvement in care delivery and some clinical outcomes.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"45 1","pages":"42-53"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10130747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Factors Influencing University Students' Acceptance to Undertake the COVID-19 Vaccine in Jordan. 约旦大学生接受新冠肺炎疫苗接种的影响因素
IF 1
Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000393
Ahmad Yahya Al-Sagarat, Lourance A Al Hadid, Marwa Al Barmawi, Omar Al-Khawaldeh
{"title":"Factors Influencing University Students' Acceptance to Undertake the COVID-19 Vaccine in Jordan.","authors":"Ahmad Yahya Al-Sagarat, Lourance A Al Hadid, Marwa Al Barmawi, Omar Al-Khawaldeh","doi":"10.1097/CNQ.0000000000000393","DOIUrl":"10.1097/CNQ.0000000000000393","url":null,"abstract":"<p><p>Vaccines are effective measures that can mitigate the high burden of diseases. However, vaccine refusal poses serious challenges for achieving coverage for population immunity. With the availability of coronavirus disease-2019 (COVID-19) vaccines, limited information is available about the university students' acceptability and attitudes toward COVID-19 vaccines. This article reports study findings regarding factors that influence university students' decision of acceptability to the COVID-19 vaccine in Jordan. Results highlight the continued need for clear and consistent information about the vaccine by health care decision-makers and university administrations.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"45 1","pages":"98-106"},"PeriodicalIF":1.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10504053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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