AACN Protocols For Practice: Noninvasive Monitoring, Second by Editor: Suzanne M. Burns

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By Editor: Suzanne M. Burns

This Protocol delineates the proof for utilizing units for noninvasive sufferer tracking of blood strain, center rhythms, pulse oximetry, end-tidal carbon dioxide, and respiration waveforms. those protocols consultant clinicians within the acceptable number of sufferers to be used of the machine, software of the machine, preliminary and ongoing tracking, gadget removing, and chosen features of quality controls.

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Extra resources for AACN Protocols For Practice: Noninvasive Monitoring, Second Edition

Sample text

Clinical Implications The document provides answers to several questions that can guide hospitals in providing optimum patient care. Two of the more important questions are: 1. Who should have ST-segment monitoring? Patients with unstable angina and ST elevation or non-ST elevation MI are highest priority. Others who may benefit include patients with chest pain prompting a visit to the emergency department, catheter-based interventions, coronary vasospasm, cardiac surgery, high risk patients with noncardiac surgery.

While many more respiratory waveforms were available on Ms West’s ventilator, the clinicians focused on the use of pressure-time and flow-time waveforms. 3 Determining the presence of auto-PEEP using flowtime waveforms. Auto-PEEP is the presence of positive pressure in the lungs at the end of exhalation. It is a result of inadequate expiratory time relative to the patient’s condition. In this case, the expiratory portion of the flow waveforms (the portion below the baseline) does not return to baseline (waveforms 2, 3, and 4), indicating the presence of auto-PEEP.

Mizutani M, Freedman SB, Barns E, et al. ST monitoring for myocardial ischemia during and after coronary angioplasty. Am J Cardiol. 1990;66:389–393. Study Sample Patients undergoing PTCA (n = 97). Comparison Studied Twelve-lead ECG monitoring was done during PTCA to determine the optimum lead or lead combination for detecting ST-segment deviation during acute ischemia. Patients were divided into 2 groups on the basis of evidence of ischemia during PTCA (chest pain, ST elevation, or both). Comparisons were made between the 2 groups in terms of clinical, angiographic, and hemodynamic subsets.

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