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  THIS JUST IN September 2010  
Most intensive care unit patients, including those with delirium, have unrelieved and distressing symptoms.

Oxygen delivered by nasal cannula provides no additional symptomatic benefit for relief of refractory dyspnea near death.

Incorporating palliative care with standard oncologic care early in treatment for patients with metastatic non–small-cell lung cancer resulted in prolonged survival and improvements in quality of life.

Simplified tool assesses death risk in pulmonary embolism.


  FROM OUR JOURNALS


Sudden Cardiac Death in the Young
Critical Care Nursing Quarterly, July/September 2010

Learn about etiologies associated with sudden cardiac death in the young, including structural and functional abnormalities, primary electrical diseases also known as channelopathies, and commotio cordis, a life-threatening cardiac arrhythmia caused by a direct, nonpenetrating, often low-impact blow to the chest.



The Arterial Blood Gas Analysis In Action
Nursing2010 Critical Care, July 2010

Read three case studies that illustrate how ABG analysis can help you better manage a patient who's on mechanical ventilation. The article focuses on ways to improve oxygenation, pulmonary ventilation, and acid-base balance.



Pharmacology Consult: Vasopressors in Septic Shock: A Possible Deadly Intervention
Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, September/October 2010

Follow the current recommendations to treat hypotension during the first 6 hours after recognition of sepsis: maintain MAP greater than 65 mm Hg; provide crystalloid or colloid fluid resuscitation; norepinephrine and dopamine should be the initial vasopressors of choice; epinephrine should be the first alternative agent when shock is poorly responsive to norepinephrine or dopamine; use low-dose dopamine for renal protection; and use dobutamine if myocardial dysfunction is present.



Leadership DIMENSION: Life-Support Technology and the Dying Experience: Implications for Critical-Care Nursing Practice
Dimensions of Critical Care Nursing, September/October 2010

One-fifth of all patients admitted to the ICU will die while hospitalized. Explore the historical, social, and philosophical factors related to life-support technology and its effects on patients dying in an ICU.




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