Management of the critically ill pediatric patient with acute renal failure

Article Abstract:

Children who experience acute kidney failure may recover kidney function if they are carefully managed. Acute kidney failure occurs when kidney function abruptly decreases or is lost. Destruction of kidney cells results from lack of blood and fluid flow, and from nerve damage by toxins or inflammation. Management of acute kidney failure consists of restoring fluid, electrolyte and acid balance, providing adequate nutrition, infection control, and kidney replacement treatments such as dialysis.

Methods, Pediatric diseases, Pediatric nursing, Acute kidney failure, Critically ill children, Acute renal failure in children

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Planning care for acutely confused critically ill older persons

Article Abstract:

The critically ill older patient needs special care during episodes of delirium. Nurses should be aware of the risk factors, symptoms, and complications in acute confusion. Caused mostly by physiologic influences, confusion is also linked to psychologic, nutritional, and environmental aspects. Providing a supportive environment including help from family and managing agitated patients are key interventional strategies. Keeping aged patients safe is a further practice keystone.

Health aspects, Aged patients, Elderly patients, Delirium

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Work redesign in the intensive care unit setting

Article Abstract:

The nursing departments of Allegheny General Hospital in western Pennsylvania conducted research to compare staffing levels and patterns with comparable hospitals. This benchmarking led to the formation of a team to visit a similar hospital and then to determine the appropriate (higher) intensive care staff-to-patient ratio. The goal was increased efficiency while maintaining high-quality patient care.

Human resource management, Hospitals, Intensive care units, Allegheny General Hospital (Pittsburgh, Pennsylvania)

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