CRITICAL CARE NURSING.pptx

THIS LESSON BELONGS UNIVERSITY OF SOUTHRN SOMALIA

1. UNIVERSITY OF SOUTHERN SOMALIA Lecturer : muktar ibrahim amin 1

2. Critical Care Nursing Introduction 2

3. Critical care Nursing Critical care is defined: Medical care for a critically ill or injured patient or is term used to describe as care for patients who are extremely ill and whose clinical condition is unstable. Critical care unit: is a specially designed and equipped facility staffed by skilled personnel to provide effective and safe care for patients with a life threatening problems. A critical care nurse is a licensed professional nurse who is responsible for ensuring that critically ill patients and their families receive optimal care 3

4. Aim of the critical care Promote optimal delivery of safe and quality to the critically ill patients and their families C are for the critically ill patients with a complete approach: biological , psychological and cultural U se appropriate knowledge and clinical skills, supported by advanced technology for: prevention, early detection and treatment P rovide palliative care to the critically ill patients in situations. 4

5. What are the condition considered as critical? Cardiac system : Cardiogenic shock Heart block Acute coronary heart failure Hypertensive emergencies Unstable angina with dysrhythmias Dissecting aortic aneurysm 5

6. What are the condition considered as critical? Pulmonary system : Acute respiratory failure Pulmonary embolism Massive Hemoptysis Neurologic disorder : Intracranial hemorrhage Severe head injury Meningitis with altered mental status Status epilepticS 6

7. What are the condition considered as critical? GI disorders : Life threatening GI bleeding Hepatic failure Severe pancreatitis miscellaneous: Severe shock Acute renal failure Poly trauma ( multiple organ failure ) Severe burn Any critical Abnormalities 7

8. Types of Critical care units Neonatal Intensive Care Unit (NICU) Pediatric Intensive Care Unit (PICU) Psychiatric intensive care unit ( PICU) Special care nursery ( SCN) Respiratory intensive care unit (RICU) Cardiac surgery intensive care unit ( CSICU) Cardiovascular intensive care unit ( CICU) 8

9. Types of Critical care units Medical intensive care unit ( MICU ) Medical surgical intensive care unit ( MSICU Neurointensive care unit ( NICU ) Burn intensive care unit ( BICU ) Trauma intensive care unit ( TICU) 9

10. Classification of critical care units Level I Care for wide variety of disorders Provides monitoring, observation and short term ventilation Does not require organ support Medical staff are not present in the unit all the time 10

11. Classification of critical care units Level II Provide observation, monitoring and long term ventilation Patients need single organ support Junior medical staff are present in the unit all the time Consultant medical staff is available if needed 11

12. Classification of critical care units Level III Provide all aspects of intensive care Patients need two or more organ support or need mechanical ventilation One nurse per patient Doctor present in the unit all the time 12

13. Principles of critical nursing care Priorities of patients Early detection and promote action Collaborative practice Communication Crisis intervention and stress reduction Critical thinking 13

14. Critical Care Nurses Responsibilities Support and respect for the patients autonomy. Helping the patient to obtain the necessary care. Continuous monitoring. Efficient individualized care. Counseling and information to family . Record all activities. Maintain infection control principles. Administering IV fluids and Medications 14

15. Critical Care Overview 15