Case study: neuroleptic malignant syndrome.
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Biomedical subjects
Publications and source records attributed to P C Waggoner.
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As patients' health care needs become more complex, technologic modalities will be designed to reverse pathology and/or support physiologic function until recovery occurs or death ensues. The value of these technologies needs to be evaluated not just on their economic feasibility but on their contribution in achieving a specific patient outcome(s). Justification of the purchase and use of new technologies will be based on that articulation of economics to the achievement of a specific patient outcome(s). Mechanical devices can positively impact patient outcome, but continued research, both quantitative and qualitative, must be conducted to articulate further the relationship between the hypothesized application and specific, measurable patient outcomes.
Pacemaker technology has experienced many advances. Today temporary pacing can be provided in several ways. This chapter examines one of these modalities, transcutaneous noninvasive pacing. In addition, this chapter reviews relevant historic milestones, describes transcutaneous pacing, state procedural aspects, and delineate important nursing aspects of care.
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Adults with an untreated intracardiac shunt present a unique challenge to the critical care nurse. The disease process necessitates an understanding of cardiac anatomy and physiology in order to determine the etiology of the cardiac defect and resulting shunt. An understanding of fluid and pressure dynamics is also of importance since anatomic shunting alters usual adult hemodynamics. Arterial and mixed venous oximetry monitoring is most helpful in determining the response to therapies. One must rethink some of the hemodynamic goals that are traditionally used in caring for adults with primary left ventricular dysfunction. Therapeutic response is usually limited to a narrow hemodynamic range. Many of these patients have superimposed health problems such as atherosclerosis, hypertension, and cigarette smoking. Therefore, the critical care nurse is confronted with caring for a patient with unique problems that test creativity and assessment skills.
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