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THIS JUST IN

November 2010

Rivastigmine found to be ineffective in reducing delirium in critically ill patients and trial stopped early because drug may increase mortality.

Hospital admission for stroke on a weekend found to be associated with a higher mortality rate than admission on a weekday.

Older patients who survive severe sepsis are at increased risk of substantial new cognitive impairment and diminished functionality.

Concomitant use of a histamine2-receptor antagonist (H2RA) and clopidogrel for patients with prior acute coronary syndrome (ACS) increases the risk of adverse outcomes compared to treatment with clopidogrel only.

The FDA approved Pradaxa capsules (dabigatran etexilate) for the prevention of stroke and blood clots in patients with atrial fibrillation.

FROM OUR JOURNALS

Diagnosis and Treatment of Abdominal Angina
The Nurse Practitioner: The American Journal of Primary Health Care, November 2010

Abdominal angina (AA) refers to pain or discomfort in the gut when the blood supply to the tissues and organs of digestion is compromised. If left untreated, necrosis of vital abdominal viscera can occur and cause sequelae ranging from diminished nutrient absorption to systemic sepsis and death.

Research Dimension: Comparison of Two Pain Scales for the Assessment of Pain in the Ventilated Adult Patient
Dimensions of Critical Care Nursing, November/December 2010

How do you assess pain when a patient is mechanically ventilated? Both the Behavioral Pain Scale and the Non-Verbal Pain Scale were found to have significant reliability and validity in this study of 249 ventilated patients.

Genetics & Genomics in Critical Care Nursing
Nursing2010 Critical Care, November 2010

Don’t miss this overview of the importance of genetics and genomics for nurses. Using the example of hypertrophic cardiomyopathy (HCM), you’ll understand thenursing implications of genetic disorders.

Effect of Body Position on Cerebral Oxygenation and Physiologic Parameters in Patients With Acute Neurological Conditions
Journal of Neuroscience Nursing, October 2010

Several variables influence intracranial pressure, cerebral perfusion pressure, or mean arterial pressure after brain injury. Nurses must be alert to the effects of body positioning and evaluate changes in hemodynamic parameters and cerebral oxygenation with position changes.

Tech Talk: Mobile Apps for Nurses
Nursing2010 Critical Care September 2010

Looking for applications to use with your smartphone or other handheld device? Read this article in which Karen Innocent explains the basics of mobile apps - plus she’s pulled together a list of free mobile apps and where to find them!

Featured Webcast: Prevention of Ventilator-Associated Pneumonia

Prevention of Ventilator-Associated Pneumonia

Ventilator-associated pneumonia is one of the most common and costly complications in the ICU. View this webcast and learn: How VAP develops, Factors that put your patients at risk, Which preventive measures are research proven…and which aren't, Steps you can take to lower your unit's infection rate.
Earn Free CE Credits!

View this Webcast now...

Webcast Sponsored by an educational grant from
Kinetic Concepts Inc (KCI) and Sage Products

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In Our Next Issue:

Critical Care Nurses' Perceptions of Obstacles, Supports, and Knowledge Needed in Providing Quality End-of-Life Care
Understanding Acute Pancreatitis

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