Critical care archives and clinical topics

This special edition of Critical Care Advisor provides you with relevant information that can be used in your practice immediately. American Nurse Journal is committed to delivering authoritative research translated into content that keeps nurses up to date on best practices. Articles are written by nurses…for nurses in all clinical specialties and practice settings. Read on to help maximize patient outcomes.

Critical Care Advisor

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Critical Care

Mobile stroke units

Mobile stroke units (MSUs), ambulances equipped to evaluate, diagnose, and treat strokes in the prehospital environment, decrease door-to-thrombolytic administration time, cut door-to-thrombectomy time, reduce the risk of mortality and long-term disability, and improve patient outcomes.

I.V. push medications: An evidenced-based practice guide

I.V. push medications can be particularly dangerous given their immediate bioavailability and the narrow therapeutic dose range, which can make reversing any adverse effects difficult.

Time is brain

According to the American Heart Association (AHA), more than 795,000 Americans experience a stroke each year, and first-time strokes account for over three-quarters of them. An acute stroke, whether ischemic or hemorrhagic, is a clinical emergency that requires urgent intervention

Metformin-associated lactic acidosis

Early recognition prevents negative outcome. Takeaways: Metformin-associated lactic acidosis is associated with a high mortality rate when treatment is delayed or the patient takes an unintentional overdose. Patients at risk…

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Opioid overdose cardiopulmonary emergencies

Over the past 10 years, opioid-related overdoses and death have steadily increased across the United States. The World Health Organization indicates that about half a million deaths are attributable to drug use globally, with about 70% specifically related to opioids.

Implementing trauma-informed care

Childhood trauma can result in severe mental and physical consequences that reverberate throughout a person’s life. Despite the widespread occurrence of childhood trauma, most nurses remain unaware of its long-term, negative effects. Many nursing tasks—touching a patient’s body, asking questions about past sexual history or abuse—can trigger retraumatization. By implementing trauma-informed care, you can help reduce the risk of re-traumatizing patients.