C U one - C U two: Introduction to Critical Nursing Care Nursing
Philippine of Critical Nurses
Patient Classification and Triage
I C U Multidisciplinary Team
Objective Parameter Model
Pillar Two - Laboratory Values
Ethical - Based on right and wrong. Legal - Based on written law.
Time and Attention: Divide nursing care fairly. Micro-Allocation:
Beneficence versus Autonomy
Beneficence versus Nonmaleficence
Everyday ICU Ethical Decisions
Spectrum of Critical Care Intervention
Three. Palliative Intent - Focus on comfort.
Medical Futility - Treatment no longer gives reasonable benefit.
Euthanasia - Comes from the Greek words meaning "good death." Also called "mercy killing."
Foundational Codes of Practice ANA Ethical Code for Nurses - Main moral guide for nurses.
Republic Act nine thousand one hundred seventy-three (Philippine Nursing Act of two thousand two)
LEGAL RESPONSIBILITIES OF REGISTERED NURSE
Captain of the Ship Doctrine
Professional negligence causing patient harm.
Durable Power of Attorney for Healthcare
Six Legal Flashpoints in Critical Care:
Responsible nurse or witness writes it.
Clinical Restraint Protocols
Medical Criteria Brain death means either:
Three Essential Findings:
AHA and ACC Recommendation Classes
Clinical Practice Guidelines
ICU Hospital-Acquired Infections
Common ICU Hospital-Acquired Infections:
Ventilator-Associated Pneumonia
Ventilator-Associated Pneumonia Microorganisms:
Ventilator-Associated Pneumonia Diagnosis:
Central Line-Associated Bloodstream Infection - Bloodstream infection caused by a central line.
Catheter-Associated Urinary Tract Infection
Sepsis Golden Hour Protocol
Common Infection Sources:
Blood Cultures Before Antibiotics:
Broad-Spectrum Antimicrobials:
CU THREE: ALTERED VENTILATION
Upper Airway (Conditioners and Protectors)
Lower Airway (Conductors and Exchangers)
Nasal Blood Supply and Nosebleeds
Larynx Vocalization - Contains vocal cords.
Physiology of Respiration Two Stages of Respiration:
Three process of external Respiration:
Mechanics of Respiratory Failure (V/Q Mismatch)
Dead Space Ventilation (High V/Q)
Respiratory Dynamics and Acid-Base Regulation
DERIVED PULMONARY CAPACITIES
Functional Residual Capacity
STANDARD RESPIRATORY ASSESSMENT
Impending Respiratory Crisis Signs
Systemic Warning Signs: One. Mentation
Subject History Presenting Illness Ask about:
Personal and Social Exposure Ask about:
Family and Systems Review Check:
Breathless only during heavy exercise
Breathless when hurrying or walking uphill
Walks slower than others or stops while walking
Stops after walking about one hundred yards or ninety-one meters
Breathless even at home or while dressing
Two. Labored Breathing - Visible hard breathing.
Three. Clubbing - Enlarged fingertips from long-term low oxygen. Four. Chest Symmetry and AP Diameter
Coarse Crackles - Low-pitched gurgling sound.
Associated Disorder: Asthma
Pleural Friction Rub - Harsh grating sound.
Environmental Interference:
End-tidal carbon dioxide Decision Tree:
Normal ABG Values: Partial pressure of oxygen
Primary Acid-Base Disorders
Two. Respiratory Alkalosis
Three. Metabolic Acidosis
Four. Metabolic Alkalosis
Oxygen Toxicity Critical Threshold
Airway Management Escalation Basic
Endotracheal Intubation (RSI) Indications:
Lung-Protective Triad (VALI Prevention)
PEEP (Positive End-Expiratory Pressure) Mechanism:
Core Ventilator Parameters Tidal Volume
Fraction of Inspired Oxygen
Assist-Control Ventilation
Synchronized Intermittent Mandatory Ventilation
Pressure-Controlled Ventilation
Pressure-Regulated Volume Control - Adjusts pressure every breath.
Nursing Monitoring During Weaning Watch for:
CU four to five: Altered Ventilation
Other Causes (Non-Thrombotic):
More than fifty percent blockage:
Two. Acute Respiratory Distress Syndrome
Clinical Stages: Stage One, zero to twelve hours
Three. Acute Respiratory Failure
Five. Chronic Obstructive Pulmonary Disease
Nursing Priorities: Airway.