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Biomedical subjects

J K Stiesmeyer

Publications and source records attributed to J K Stiesmeyer.

7 recordsLinked to original sources
PubMed1993

Unstable angina associated with critical proximal left anterior descending coronary artery stenosis.

A critical proximal left anterior descending coronary artery stenosis associated with unstable angina places a patient at extreme risk for extensive anterolateral myocardial damage with potentially irreversible hemodynamic demise. Characteristics of this pathology are a clinical profile of new-onset unstable angina, normal or minimally elevated cardiac enzymes, and 12-lead electrocardiographic indicators specific for anterolateral ischemia usually seen in periods when the patient is pain-free. Knowledge of this profile, administration and evaluation of pharmacologic therapies and a unique bedside monitoring strategy with hourly surveillance of the precordial leads are key measures necessary to stabilize and preserve the integrity of myocardial tissue until aggressive, invasive revascularization therapies are instituted.

Adult↗
PubMed1992

Care of the elderly mechanically ventilated patient: preserving the fragile environment.

Caring for the elderly mechanically ventilated patient is a challenging and increasingly frequent clinical situation confronting critical nurses. The key complications and states to which the elderly patient is particularly susceptible are nosocomial pneumonia; congestive heart failure; malnutrition; reactions to medications, especially antibiotics, morphine sulfate, and valium; changes in mental status, and pneumothorax. These can significantly contribute to multisystem deterioration. It is unclear which mode of ventilation is best for sustaining the patient during the course of illness or the weaning process. It is critical to recognize the assessment indicators of failed weaning. Paramount in this assessment are rapid shallow breaths, change in blood pressure of 20 mmHg, change in respiratory rate of more than 10 breaths per minute, tidal volume of less than 250 to 300 mL, a minute ventilation with an increase of 5 L/minute, and an oxygen saturation of less than 90% per pulse oximeter. Research in these areas is needed.

Aged↗
PubMedDate not supplied

Strategies for involving staff in nursing research.

Involving staff nurses in nursing research can improve patient care as well as increase their work satisfaction. The authors propose strategies for involving nurses and give examples of ways to apply them.

Clinical Nursing Research↗
PubMedDate not supplied

Developing an effective nursing research committee.

If you want to challenge your critical care nurses to participate in nursing research, develop a nursing research committee. Participation on a research committee fosters nurses' research interests and provides an opportunity for them to learn about the research process from a practical perspective.

Budgets↗