Transcript Intensive Care Unit

Lets Explore the ICU
What is the Purpose of the ICU?
To provide
___________________
intensive ________________
and treatment of patients seven
The ICU Health Care Team
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____________________
Nurses
Physicians (IM, Pulmonary, etc.)
_____________________
Respiratory therapists
Other medical consultants from a broad
range of specialties including surgery,
____________, anesthesiology, and
Intensive Care Unit
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
Equipment
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 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 CART
A 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 Lines
A 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
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
Intensive Care Unit
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What are the routines of the ICU?
Report, assessment, ____________________
Record info: flow sheets, ______ sheets,
_______________ totals, lab results,
________________
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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 _____________
What’s next?
• Transfer to _____________
• Take to _________________
• Discharge (rare)
What are some important facts to consider
before going into an ICU as a student?
Intensive Care Unit
There is more than one type of ICU? WHAT?
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
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__________ weeks gestation or greater (generally)
Ventilators
Surgeries (sometimes in the unit!)—______________________
Nitrous oxide therapy, Extra Corporeal Membrane Oxygenation
(ECMO)– __________________________
Who works there?
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Pediatricians
____________________
NNPs, PNPs
Nurses
OT _______________
________ (positioning,
massage)
• ____________________
• Respiratory Therapy
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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?
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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
What stress cues are this baby
displaying?
What is RIGHT with this
picture?
The Goal…