- Icu cheat sheet nursing
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- Critical care protocols and guidelines
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- New icu nurse resources
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Icu cheat sheet nursing
The cardiovascular system is so vital that its activity defines the presence of life. The cardiovascular system begins its activity when the fetus is barely a month old and is the last body system to cease activity at the end of life. More than 80 million Americans have one or more types of cardiovascular disease which include hypertensioncoronary artery disease, heart failure, and other congenital cardiovascular defects. Because of the prevalence of cardiovascular diseases, nurses practicing in any setting should have a clear understanding of various conditions affecting the cardiovascular care. To help you grasp the core concepts of Cardiovascular Care Nursing or Cardiac Care Nursinghere are our visual nursing mnemonics and tips! Heart blocks are abnormal heart rhythm where the heart beats too slowly. In this condition, the electrical signals that tell that heart to contract are partially or totally blocked between the upper chambers atria and lower chambers ventricles. When the right ventricle fails in right-sided heart failure, congestion in the peripheral tissues and the viscera predominates. This occurs because the right side of the heart cannot eject blood and cannot accommodate all the blood that normally returns to it from the venous circulation. Right-sided heart failure primarily produces systemic signs and symptoms. Pulmonary congestion usually occurs in left-sided heart failure ; when the left ventricle cannot effectively pump blood out of the ventricle into the aorta and to the systemic circulation. Blood volume and pressure in the left atrium increases which decreases blood flow from the pulmonary vessels. Pulmonary venous blood volume and pressure increase, forcing fluid from the pulmonary capillaries into the pulmonary tissues and alveoli, causing pulmonary interstitial edema and impaired gas exchange. Management of HF are to relieve patient symptoms, to improve functional status and quality of life, and to extend survival. Medical management depends on the type, severity, and cause of HF — it can include reducing the workload of the heart by reducing preload and afterload; elimination of contributing factors such as hypertension. The excessive pressure on the artery walls caused by hypertension or high blood pressure can damage the blood vessels, as well as organs in the body. The higher the blood pressure and the longer it goes uncontrolled, the greater the damage. With time, hypertension increases the risk of heart disease, kidney disease, and stroke. However, MONA does not represent the order in which you should administer these treatments as a nurse. It is a mnemonic intended to help you remember the components of MI treatment, not the prioritization of them. Goals of treatment during MI are to minimize myocardial damage, preserve myocardial function, and prevent complications. These goals can be achieved by reperfusing the area with the emergency use of thrombolytic medications or by PCI. Reducing myocardial oxygen demand, and increasing oxygen supply with medications, oxygen administration and bed rest can minimize myocardial damage. Nursing care for patients who suffered MI is directed towards detecting complications, preventing further myocardial damage, and promoting comfort, rest, and emotional well-being. Cardiopulmonary bypass CPB mechanically circulates and oxygenates blood for the body while bypassing the heart and lungs. CPB maintains perfusion to body organs and tissues and allows the surgeon to complete the anastomosis in a motionless, bloodless, surgical field. CPB is not benign and there are a number of associated problems; use is limited to several hours. In cardiac tamponade, blood or fluid collects in the pericardium, the sac surrounding the heart. Pericardial fluid may accumulate slowly without causing any noticeable symptoms until a large amount accumulates. However, a rapidly developing effusion can stretch the pericardium to its maximum size and, because of increased pericardial pressure, reduce venous return to the heart and decrease CO. It often has three characteristic signs that the physician will recognize during a physical exam. Know a few witty nursing mnemonics? Also, there are more nursing mnemonics herebe sure to check them out. So very useful for clinical nursing. All the posts are so interactive, easy to grasp and made my learning fun. I love this site and love to share some of the contents to my colleagues. Thank u again! More power to all the people behind it. Super happy to know that and thank you for your kind message!
Icu notesCritical care doctors work under severe, extreme pressure, giving orders, ordering tests and reading lab reports. Therefore, it is imperative for them to have a professional team of men and women who can respond quickly and effectively during a crisis. These men and women should be able to function, even in the toughest of situations. Although, all nurses play a vital role in the well- being and recovery of patients, all nurses are not cut out to work in a fast pace setting, where life and death decisions are made nearly every second of every minute. It is during one of these intensive life- threatening moments that an ICU nurse must make one of the most life altering decisions of his or her career. Which medication will work best and quickest if a patient is in duress? ICU nurses with extended knowledge of medication should not have a problem answering this question. However, an ICU or intensive care unit nurse who has been out of circulation for a while, will definitely need to find out the answer to these questions. Listed below is a guide listing at least eight common types of medications an ICU nurse needs to know about:. This medication has a very short life, normally about 10 seconds. This means that this medication must be used immediately. It is used to treat supraventricular and atrial tachycardia conditions. Doctors prescribe this drug for as a treatment for shingles, herpes, and a blood disorder known as porphyria cutanea tarda. While AMP treats shingles and herpes, A TP is used to treat kidney failure, hypertension, lung cancer and cystic fibrosis. When placed under the tongue this drug can increase physical energy. When administered intravenously, the drug can block nerve and surgical pain, in addition to promoting blood circulation. It aids in the treatment of an irregular heartbeat, and in the prevention of unstable metabolism systems, which causes people with advanced cancer to lose weight. Because of its multiple benefits to patients with various illnesses and diseases, this drug is used to:. However, it is among one of the most preferred choice of drugs, for patients facing blood flow problems of the heart. Patients are normally administered this drug in a hospital setting, where their heart rhythm can be monitored by an EKG, EGG or electrocardiograph. Patients with tachycardia experience faster than normal heart beats, even during periods of rest, which doctors consider to be abnormal. If this condition is not treated it could cause serious complications including heart failure. Patient with a ventricular fibrillation condition faces even more serious problems, as the heart quivers instead in lieu of pumping blood. This condition requires immediate medical intervention. This drug is used to:. This medication helps make breathing easier for patients suffering with blocked air passages, such as asthmatic patients, and patients with lung disorders. It is also a life saver for people with severe allergies or those who experience certain types of heart conditions. However, epinephrine is often added to selected forms of anesthesia to make the effects of the drug last longer. This drug quickens the rhythm of the heart, strengthens the contractions of the heart, and expands the airways of the lung. In fact, epinephrine is often referred to as adrenaline, because of its effect on the adrenal gland, which is part of the flight or fight reaction. Epinephrine increases blood pressure and heart rates, and it also releases glucose from the liver. Therefore, epinephrine is used to treat:. Vasopressin increases the re-absorption of water, and is used to treat diabetes insipidus. It is an alternative to epinephrine, and is often used in the intensive care unit to support the blood pressure of organ donor patients. It can be used in some instances to treat variceal bleeding, and cardiac arrest.
Icu basics for nursesA nursing report sheet is a paper template that a nurse uses throughout the day to keep track of what is going on with his or her patients. At the beginning of the day, a nurse might start a report sheet based on the information the leaving nurse provides. Throughout the day, that same nurse might have sheets specific to his or her patients or department. Some will choose simple sheets, while others prefer to have every detail noted. The following are some of the many other bits of information that can be added as well:. The most significant benefit of using nursing brain sheets is that you have immediate access to information about each of your patients. There are other ways a nursing report sheet can be helpful, however. There are dozens of types of nursing, which all require different amounts and kinds of information. A charge nurse is going to have different daily tasks than an ICU nurse. The same goes for a nurse who works out of the emergency department and one who specializes in cardiac nursing. Some nurses like to take pages and pages of notes, while others prefer to fill in a few boxes and move on. At the beginning of your shift, you will be receiving copious amounts of information about your patients from the nurse who is headed home to rest. Remembering everything that this person says is challenging, and in cases where you have many patients, it can be impossible. Several things, such as these listed, might be included in a handoff or start-of-shift report:. You will likely not need to fill out every section for each patient, but a template that includes all of these can be used for any patient, rather than having a specialized sheet solely for start of shift information. If you are the type of nurse who prefers to only take down the most critical information, without all of the superfluous details, there are plenty of charts out there for you, too. If you want to build one on your own, we have you covered. Here are some of the things you might want to include on your mini nursing sheets:. If you prefer, build your own with all the information that matters to you. In contrast to those who prefer a simple brain sheet, there are those who like to jot down all of their thoughts throughout the day. Many nurses who fall into this category appreciate having more space available to take notes and less space to keep track of assessment information. The Whitespace Nursing Assessment Sheet number 20 is an excellent example of this idea. The top has the information about the patient, while the edges leave room for information about labs, IV fluids, and other things of that nature. In the middle of the page is a large white area where you can keep note of anything that seems relevant. A slightly different option is number 14 Boxes, Boxes, Boxes on that same website. It has many of the same features as the one above but with more space for each item that is important. Whether you are doing rotations in postpartum or are working there as a specialty, there are many unique things you need to keep track of. Every nurse has a whole lot on his or her plate, but for nobody does that ring truer than for those who are charge nurses. The typical charge nurse treats patients but is also tasked with supporting and supervising nursing staff. This means that daily duties include typical nursing tasks, managerial duties, and administrative responsibilities. When it comes down to supervising patients of nurses on the charge nurse team, there may be little need for as much detailed information as there would be for the nurse doing most of the treatment. Some hospitals and medical facilities choose to have a communication method that is standardized and used across all members of the healthcare team. One of the most common techniques is the SBAR. It offers information on how information is structured, how it is communicated, and what it should be composed of. This type of sheet is set up in a specific way. It starts at the top with the situation, moves into the background, uses the assessment to fill most of the sheet, and ends with recommendations. Here is what you can expect at each point in the technique:. Everyone is different and will have unique needs when it comes to brain sheets, charting, and patient care. We hope this article will give you a place to start in choosing the method that works best for you. Powered by Campus Explorer.
Icu notes for residentsThis sheet is often filled out with key information during change-of-shift report and then updated as things change and they always do! The sheet is then used at the end of shift to give report to the oncoming nurse, making a good brain sheet key for patient safety and effective communication. Nurse Mo, I think your website is the best! I will be starting my 4th semester nursing thru an ADN program. However, I usually do pretty good with clinical, but this semester we will be on our own, so looking forward to all the goodies you have provided. Thank you for unselfishly thinking of us when you have a career and family to think about. Do you have anything related to a brain for a med -surg floor? I love the flow of yours and all the details, I am just not an ICU nurse. Good question! The best thing might be to ask the RTs at the facility where you do your clinical rotations. And best of luck with RT school…such a cool job! I love your ICU brain sheets? Do you happen to have one I could edit? If not, I understand! Hido you have any notes biliary and pancreas disorders? Can you post some please? Ina…I will look! Hi, is there anyway you can make a labor and delivery one? Hi Celeste! Love it. Doesnt quite work for ED. How many patients do you think you see in a day? I imagine it can be a lot! This is one of the best peripheral brains I have seen. I recently transferred from ED where I was able to keep all that chaos bottled inside my head. The ICU is a completely different animal and I am afraid my poor brain will overload with trying to remember all the labs and vent settings, gtts, etc. Love this brain! Do you have a link to open these on a word document? I like typing and it would be great to have this there! Hey I was wondering if you have a word document copy of this. I would really like to type up my report because my handwriting looks like I am having a seizure during report lol. Thank you! This site uses Akismet to reduce spam. Learn how your comment data is processed. Run Sheet Download. Share this: Twitter Facebook Pinterest. Like this: Like Loading Leave a Reply Cancel reply.
Icu documentation templateThe user is reminded that utilmate responsibility for accuracy of calculations and appropriateness of medication rests with the prescriber and professional actually administering the medication. Drug Dose. D5W cc. D5W cc to make c total volume. D5W cc qs to make cc volume. NS cc. Propofol Diprivan. To yield. Usual Dose Range. Other information. Sodium Nitroprusside. Dobutamine dobutrex. Epinephrine Adrenelin. Large doses produce vasoconstriction. Isopreterenol Isuprel. Norepinephrine Levophed. May be titrated to higher doses. Phenylephrine Neosnyphrine. Higher doses may be ordered. Loading dose 0. Nitroglycerin Tridil. Lidocaine xylocaine. Procanamide Pronestyl. Bretylium Bretylol. Vasopressin Pitressin. Must be aqueous pitressin. Labetalol Trandate. Loading Dose: 20 mg up to 80 mg. Esmolol Brevibloc. Diltiazem Cardizem. Given based on protocol. Given based on orders, sliding scale adjusted per Capillary Blood Glucose readings. Amiodarone Cordarone.
Critical care protocols and guidelinesSo we received a private email regarding a nursing student who is unsure what to expect on a Intensive Care Unit ICU placement coming up later this year. So we thought we would start a section on the website that goes into what to expect in all the different areas nursing students can be placed. And why not start with the speciality area of ICU. We must say, getting a placement here is lucky and definitely going to make some students envious while others will be dreading it. And you are probably feeling like you know nothing. You are a student and are not meant to feel in control at all times. The nurses in speciality areas do not expect you to know everything. Study your basics of anatomy and physiology, refresh the concepts. Go watch Khan Academy on Youtube and Google Quizlet on certain areas ie: quizlet, cardiac system nursing flashcards as these resources are filled with free teaching. We are nurses, they are not there for show. Use it constantly. Go read up on different heart sounds, lung sounds and what they mean, could suggest. The nurses and doctors are normally always willing to answer questions. For a few examples:. Having a basic understanding of the above, will allow you to hit your placement running and have a better understanding of what you will see and experience. A remember, to have fun, smile, laugh, relaxed and down to earth. Easy said than done, we get it. We hope this was useful. Skip to content. Table of Contents. Like this: Like Loading Leave a Reply Cancel reply.
Icu protocols download
New icu nurse resources
Peds Week - An alternate sheet, great for clipboards! Medfools Parasites Chart - 3 in a series! This is another well formated, clean chart that includes all the details for your study of those nasty little parasites, from worms to malaria, this list is all you need! An inner ear infection is a painful condition and causes rining in the ears and nausea that can often keep you up at night. Learn more about the symptoms and treatments for better night's rest at My Med. Medical Books Amazon. Wecome to the Medfools Download center. Got a great ScutSheet? Share it! Medicine Scutsheet - The favorite! Spotted on hospital wards from coast to coast! A double sided sheet to be folded in half that fits in your white coat pocket. Keep track of the Meds, Past medical history, labs, studies and more. A very nice general medicial scutsheet. Medicine Scutsheet Style 2 - A fantastic looking single sided sheet that can be folded in half. Easy on the eyes and streamlined for rounds. You can keep track of all the details with this card! Thanks to Michal. Medicine Heavy Duty Scutsheet -For those who love grids and small writing. The 1st 2 go back to back and the 3rd gets copied back to back with itself, then cut in half for adding more days. Medicine Resident Scutsheet - A scaled down card that lets the resident keep track of patients with enough detail, but not drowning in the daily vitals, and details that are more typical of interns. A double sided card that fits neatly in your pocket. Medicine Resident Team Sheet - Lets the resident keep track of the daily census of the team, with checkboxes for To Dos on all the patients. Great for call nights. Another 2 sided card, folds into your white coat pocket. This is a modified version of the basic Scutsheet double sided sheet to be folded in half. General Wards. Signout Cards- Great little set of To Dos and general info for signouts. This pocket cheat sheet reminds you of all the little details when interviewing parents for admissions, including vaccinations, birth history, family history. Peds Scutsheet - A double sided sheet to be folded in half to keep track and organize all the details related to your patients. Fits in your white coat.