RESUMEN
Most infective processes are straightforward and can be diagnosed from bacterial findings in a single test. IE does not always follow this tenet, so establishing the diagnosis can be difficult. The salient features of IE may present atypically or be obscured by the presence of preexisting and coexisting diseases. Flulike symptoms may mask the beginning of this devastating disease. Early diagnosis of IE is important because of its high risk of morbidity and mortality. Management of the patient who has IE is complex and requires interventions by infectious disease specialists, cardiologists, respiratory therapists, and critical care nurses to address the many multifaceted complications. Early evaluation, diagnostic validation, multidisciplinary management, prompt pharmaceutical initiation, and intense critical care nursing intervention are necessary to reduce the probability of long-standing complications and to improve patient outcomes.
Asunto(s)
Endocarditis Bacteriana/terapia , Cuidados Críticos , Ecocardiografía Transesofágica , Embolia/etiología , Endocarditis Bacteriana/complicaciones , Endocarditis Bacteriana/diagnóstico , Endocarditis Bacteriana/microbiología , Endocarditis Bacteriana/enfermería , Insuficiencia Cardíaca/etiología , Humanos , Rol de la Enfermera , Infarto del Bazo/etiologíaRESUMEN
The field of nuclear cardiology has grown significantly over the past decade. This is a reflection of the value seen by providers in these safe and effective procedures. Nuclear scan studies are noninvasive and versatile in their usefulness. These studies assist in determining the likelihood of future cardiac events, guide approaches to revascularization, and assist in evaluation of the adequacy of revascularization procedures. Critical thinking and decision-making abilities are two key requirements for nurses in the critical care environment. Knowledge and understanding of the nuclear scan studies indicated for patients help nurses advocate for those in their care.
Asunto(s)
Cuidados Críticos/métodos , Rol de la Enfermera , Cintigrafía/métodos , Cintigrafía/enfermería , Competencia Clínica , Fluorodesoxiglucosa F18 , Imagen de Acumulación Sanguínea de Compuerta , Humanos , Educación del Paciente como Asunto , Tomografía de Emisión de Positrones , Cintigrafía/efectos adversos , Radiofármacos , Radioisótopos de Talio , Tomografía Computarizada de Emisión de Fotón ÚnicoRESUMEN
Critical care patients present with or develop conditions that require imaging with a variety of radiographic methods. Technological advances such as the introduction of digital imaging instead of screen-film radiography have improved image resolution, readability, management, and portability of results while maintaining confidentiality of patient information. Radiographic imaging in the critical care unit is an integral part of patient management. It is imperative that the critical care nurse be cognizant of radiographic studies and thus be able to collaborate with all health care providers in the administration of quality patient care.