General terms
ICU: the special ward in hospital where
patient with critically ill conditions are kept for
intensive treatment under skilled nursing
care management.
CCU: Special ward in hospital where patients
with cardiac diseases are kept for special
treatment, medical management and skilled
nursing care.
INSTRUMENTS
Ventilator: equipment that is manually or
mechanically operated to maintain a flow of
air into and out of lungs of patient who is
unable to breathe normally.
Defibrillator: the equipment used for issuing
a measured electrical current to a patient
heart in defibrillation.
Contd..
ECG monitor: a machine that displays the
current electrical activities in patient’s heart
to observe and monitor patient’s
electrocardiograph on the monitor.
Electrocardiograph: the graphic
representation of electric activities of heart
muscles that forms a series of waves and
complex known as P wave, QRS complex
and T wave.
Procedures
Echocardiography: non invasive ultrasound
test that is used to examine the size, shape
and motion of cardiac structures.
Pulse oximetry: non invasive method of
monitoring the oxygen saturation.
Contd..
ABG analysis: measurement of blood pH,
arterial oxygen and carbondioxide tension.
Arterial line: method of direct continuous
monitoring of system in arterial pressure by
inserting a catheter into a peripheral artery
either in arm of leg.
Contd..
CVP monitoring: measurement of pressue
of blood within the right atrium which is used
to assess the right ventricular function and
venous blood return to right side of heart.
Tread mill test: stress or exercise test is an
evaluation of stress effect on heart and blood
circulation
Contd..
Holter monitoring: an ambulatory ECG
monitoring technique with a device used to
detect cardiac arrhythmias, abnormal
changes in cardiac rate and silent myocardial
ischemia.
Swan Ganz catheter: the balloon tip
catheter that is inserted in to a peripheral
vein, usually the anterior cubital vein and
allowed to pass into the heart.
contd..
Pacemaker implantation: implantation of an
electrical device that delivers an artificial
stimulus to the heart causing electrical
depolarization and cardiac contraction.
Pericardial tapping: aspiration of fluid from
pericardial sac to perform diagnostic study,
to relieve cardiac tamponade and to facilitate
respiratory function.
Contd..
CPR: an emergency procedure that is used
to restore cardiac and respiratory function
after a cardiac arrest.
DC shock: the direct delivery of a sufficiently
large electrical current to the heart by means
of metal paddles placed in chest or directly
on heart when a chest is open during cardiac
surgery.
DISEASES
Arrhythmias: literally means “out of rhythm”
and is used to describe a condition where
heart beat has become irregular.
Angina pectoris: the term used to describe
discomfort due to transient myocardial
ischemia and may occur whenever there is
imbalance between myocardial oxygen
supply and demand.
Contd..
Shock: condition developed when oxygen delivery is
inadequate to meet the metabolic requirements of
tissues due to some form of circulatory failure.
Cardiogenic shock: shock in acute MI which is
typified by a marked fall of arterial blood pressure
usually below 85 mm hg, cold ,clammy, sweaty skin,
cyanosis, weak steady pulse, mental confusion and
sometimes coma.
Heart failure: inability of heart to maintain normal
circulation for need of body despite satisfactory
venous pressure.
Contd..
Myocardial infarction: necrosis of
myocardium due to insufficient supply of
blood and oxygen to myocardium leading to
severe chest pain.
Brain death: defined as irreversible
cessation of brain function including cerebral
cortex and brain stem.
Contd..
Acute drug poisoning: poisoning due to a
tragic accident of manipulative, suicidal or
criminal intentions.
ICU syndrome: mental disorder associated
with prolong stay in ICU characterized by
anxiety, depression, delirium, agitation and
confusion.
ROLES AND
RESPOSIBILITIES OF
ICU NURSE
Assessing a patient’s condition and planning
and implementing patient care plans
Treating wounds and providing advanced life
support
Assisting physicians in performing procedures
Observing and recording patient vital signs
Ensuring that ventilators, monitors and other
types of medical equipment function properly
Administering intravenous fluids and
medications
Ordering diagnostic tests
Collaborating with fellow members of the
critical care team
Responding to life-saving situations, using
nursing standards and protocols for treatment