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Doctor insights on: Critical Care Progress Note Template

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Why are critical care nurses so important?

Why are critical care nurses so important?

Critical care nurses: Critical care nurses are very important because they have a unique skill set to take care of patients who are so ill that they require support of their basic life functions.

Some of these patients rely on mechanical ventilators to help them breath, dialysis machines to replace the function of their kidneys and powerful intravenous medications to support their heart and blood pressure. ...Read more

Dr. John Sampson
161 Doctors shared insights

Critical Care (Definition)

The assessment, treatment and management of patients with life threatening illness who require advanced monitoring and minute by ...Read more


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What exactly does a critical care nurse do?

What exactly does a critical care nurse do?

Critical care nurse: A critical care nurse takes care of patients who are in the intensive care unit. These are the sickest patients in the hospital and have conditions that impair their life functions such as breathing, kidney function, blood pressure control and heart function. ...Read more

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Who do people get fed who are in critical care?

Who do people get fed who are in critical care?

Hypermetabolic: Critically ill patients are typically hypermetabolic meaning they're requiring large amounts of energy to repair and maintain normal physiologic systems. This energy requires food to replenish or else muscle will be lost to provide energy stores. Even with feeding, many people have a net loss of weight and muscle mass with critical illnesses. ...Read more

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What is the definition or description of: critical care?

What is the definition or description of: critical care?

See below: The assessment, treatment and management of patients with life threatening illness who require advanced monitoring and minute by minute adjustment of therapy. ...Read more

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What are the differences between a nurse and a critical care nurse?

What are the differences between a nurse and a critical care nurse?

Different specialty: Some nurses get extra training to become critical care nurses, since patient require more complex treatments. ...Read more

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What do critical care pharmacists do?

What do critical care pharmacists do?

ICU Pharmacist: A critical care pharmacist is a pharmacist who specializes in the critical care or ICU where the needs of the patient are different than the regular floor of the hospital. They assist the Intensivist by recommending dose adjustment, alternate medication options in addition to preparing the IV mixture of the medication. They are an integral part of the ICU treatment team. ...Read more

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Which departments in the hospital are considered critical care?

Which departments in the hospital are considered critical care?

ICU: Hi. The intensive care unit may be run by various specialists: medical ICU is usually run by pulmonary critical care, cardiac ICU is run by cardiology, surgical ICU is run by anesthesiologists with surgical input, pediatric ICU and neonatal ICU are run by pediatric intensivists, neurological ICU is run by neurological intensivists. What ICU a patient ends up in depends on patient problem. ...Read more

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What’s the difference between a critical care and an intensive care unit?

Same thing: Different hospitals have different terms for specialized care units that take care of the sickest patients. ...Read more

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Is critical care cost covered by medicare?

Is critical care cost covered by medicare?

Yes: Generally there is coverage for critical care if you have medicare. Payment is linked to diagnoses and is fixed, so it doesn't cover all charges. However, patient's are only responsible for their deductibles. ...Read more

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How is eclampsia treated by the critical care team?

Manage symptoms: Intensivists work with the obstetricians in a multidisciplinary, multispecialty collaborative practice team. Major treatment is to treat symptoms and manage preeclampsia. Specific treatment may include control of blood pressure, drugs for seizures. The only real treatment is delivery of the baby; the ICU team helps control the symptoms until the OB believes risk/benefit is in favor of delivery. ...Read more

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Are intensive care and critical care the same thing?

Yes: Yes, there are different intensive care unit (cardiovascular, surgical or medical). The physician practicing in these units are Critical Care physicians. ...Read more

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Do nurses have to be certified in critical care to work in the icu?

No: Training in critical care is a must for rns who work there, but a special certification can be obtained (ccrn) which denotes advanced training and expertise. Rn's have to pass a special test to get this qualification and only a minority of critical care rn's have it. ...Read more

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Is a pastor available for family members of those in a critical care room?

Is a pastor available for family members of those in a critical care room?

Yes: Pastoral care is a part of the healthcare team in an ICU and should be available to you. ...Read more

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Please tell me if it is normal for critical care doctors to not update family member on a loved ones status?

Not usually: It really depends on which team is the primary team taking care of your loved one. Many times the critical care team is the primary team who is responsible for updating family members as well as providing care. Sometimes however the critical care team is only a consultant team and at the request of the primary team may give minor updates to the family if the primary team wants to take that role. ...Read more

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What is the speciality pediatric critical care?

ICU doctors: Children who are very ill often need intensive care, one on one nursing and a doctor who specializes in severe diseases and illnesses...A pediatric critical care doctor. ...Read more

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What does a critical care medicine specialist do?

ICU: Critical care specialists are trained to take care of the sickest patients in the hospital who require special expertise in complex management of multiple organ systems. They coordinate the care of other specialists and work as the leader of the team managing patients with life threatening illnesses. ...Read more

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What childhood kidney problems require critical care?

What childhood kidney problems require critical care?

Acute renal failure: Hemolytic-uremic syndrome, severe renal trauma/shattered kidney, malignant hypertension, uncontrolled hematuria, hematuria with thrombocytopenia with or without bk virus, overwhelming urosepsis. ...Read more

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Who takes care of my children if they would ever need critical care treatment?

Critical care doc: If your child needs critical care treatment, he/she would presumably be cared for in an intensive care unit (icu), or more specifically a pediatric ICU (picu). The main physicians caring for your child there would be pediatric intensivists and/or surgical critical care specialists. There might be other specialists consulting on the case, too. There would also be ICU nurses and other therapists. ...Read more

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Gi vs pulmonary critical care, what's the difference?

Stomach vs lungs: GI stands for gastrointestinal. These doctors specialize in problems dealing with the esophagus, stomach, intestines, liver, gallbladder, and pancreas. Pulmonary doctors specialize in issues pertaining to the lungs and many of these are also critical care specialists. ...Read more

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What r d diseases doc handle in emergency medicine n critical care?

Medical School: This question would require a whole library of textbooks. It is a whole fellowship after medical school and is most likely way beyond the scope of this simple app. Perhaps you can enroll in some courses in college to learn anatomy and physiology and pathology to start to learn the beginnings of answering this question. ...Read more

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What's the difference between the icu (intensive care unit), and a ccu (critical care unit)?

None: These are terms that essentially describe the same high level care floor/unit for the critically ill. ...Read more

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What is the definition or description of: pulmonary critical care?

Word play: Critical care is aka intensive care which covers a wide spectrum of care including pulmonary. Docs enter the field of critical care typically after doing training in anesthesia, surgery, medicine, and pulmonology. The latter group may use pulmonary critical care as they have more pulmonary training. ...Read more

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Is spirometry used in critical care only to measure lung function?

Rarely used: Spirometry is a test of lung physiology usually performed in outpatient settings, not in an icu. I can think of a few times when we've used it to assess a patient's ability to breathe when they have neuromuscular disease, but it's not generally a tool we'd use in an icu. ...Read more

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I have a friend who has been diagnosed with legionnaires disease and is in the critical care department of a local hospital. Is this a disease that is mandated to be reported to the (u.S.) cdc? Will there be follow up on the source of the bacteria?

I have a friend who has been diagnosed with legionnaires disease and is in the critical care department of a local hospital. Is this a disease that is mandated to be reported to the (u.S.) cdc? Will there be follow up on the source of the bacteria?

Yes and yes: Legionella is nationally reportable- the lab that did the testing or the physician will report the result to the local health department, which will be responsible for further notification. Typically, if the source is not known some investigation will occur. This may involve testing water sources and other environmental risks, and investigating related cases. ...Read more

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Are beta blockers used in critical care to treat hearts?

Absolutely: Beta blockers are frequently used in the ICU for management of various conditions related to the heart and sometimes for blood pressure control. In the icu, the patient may sometimes benefit from intravenous beta blockers that can be specifically titrated on a real time basis, with less fear about erratic absorption from the gut. ...Read more

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Formula for cardiac output via fick test using blood gases and hgb work in critical care?

Fick Cardiac Output: Cardiac ouput = vo2/13.4 x hb x (sao2 - svo2)

vo2 = o2 consumption (~ 250 cc/min in healthy individual)
hb = hemoglobin
sao2 = arterial oxygen saturation
svo2= venous oxygen saturation. ...Read more

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Help please? How serious would a brain injury be, if the person has to stay in the critical care unit?

Help please? How serious would a brain injury be, if the person has to stay in the critical care unit?

Normally moderate: To severe. Beyond that, it is difficult to say. Sometimes critical care units can just be observation, where other times patients can stay for extended amount of times, just depending on the brain injury itself. At the very least though, I would assume a moderate brain injury has occurred. Without more info, that is about the best I can offer with any accuracy. Best wishes for you during this time. ...Read more

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What to do if I have high in iodine), could this induce a thyroid storm or a state that requires critical care?

What to do if I have high in iodine), could this induce a thyroid storm or a state that requires critical care?

Probably not: It is unlikely that this will affect your thyroid function. Iodine is used by your thyroid gland to produce thyroid hormone.
In some circumstances, people have overly active thyroid glands. The amount of hormone they produce will be limited when they use up their iodine. If they suddenly get a lot of iodine, their gland will have a fresh supply and may suddently produce a lot of hormone. ...Read more

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It seems whenever I had a head injury and was in critical care the dr kept wanting to look at my teeth, why?

It seems whenever I had a head injury and was in critical care the dr kept wanting to look at my teeth, why?

Cranial nerves: Your doctor was performing a neurologic exam, part if which is evaluating the cranial nerves. When asked to show your teeth, your doctor was evaluating the facial nerve. ...Read more

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Icu care in hospitals. Is it pretty safe or do people frequently end up with mrsa?

Icu care in hospitals. Is it pretty safe or do people frequently end up with mrsa?

Many complications: Generally care in icu's is accompanied by intense efforts to control secondary infection. The problem is that most patients in ICU have severe medical issues often requiring medications and techniques of management such as intubation of lungs and bladder, central IV lines, and so on, and these predispose to secondary infections. Mrsa is one, c. Difficile colitis, uti, pneumonia, etc., etc. ...Read more

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My s.G.O.T is 38.1 and s.G.P.T is 100.7 so please advise to cure my liver & is this position is critical or normal?

My s.G.O.T is 38.1 and s.G.P.T is 100.7 so please advise to cure my liver & is this position is critical or normal?

Need diagnosis first: Prior to treating one must know what the disease is.... In your case this will require some lab testing to exclude the common causes of lft elevation. This could be anything from fatty liver to hepatitis to recent alcohol intak, etc. Need to see doc to figure this out. ...Read more

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Read this in wikipedia: "when a cell s telomeres shorten to critical lengths, the cell senesces" is that how we age?

Read this in wikipedia: "when a cell s telomeres shorten to critical lengths, the cell senesces" is that how we age?

One theory: This one biomarker of aging. Other theories include oxidative stress, and other environmental stressors, genetics, etc. Nature (genetic longevity) and nurture (environmental, how we treat ourselves, medical care) all contribute to the longevity of the human race. ...Read more

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What does critical condition exactly mean?

What does critical condition exactly mean?

Unstable vital signs: Which includes primarily bp/heart rate/ oxygen. When any of these parameters are outside normal range patient is in critical state. There could be several causes including bleeding, heart attack, stroke, pneumonia few common conditions. ...Read more

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Can I tell me how I can get a doctors note?

You can't get a: Doctor's note through this site. However, if you see a physician ; have a medical problem with a medical indication for a note - most physicians will oblige. ...Read more

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What is diabetes? And what is normal and critical stage?

What is diabetes? And what is normal and critical stage?

Diabetes: Diabetes is a condition in which blood sugar is higher than normal.
I suggest you go online and read some articles about diabetes.
You could start with looking up the American Diabetes Association. ...Read more

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What is the only appropriate way to write "units" of insulin for example to avoid errors while reading the script or note?

What is the only appropriate way to write "units" of insulin for example to avoid errors while reading the script or note?

Insulin RX: Name of insulin
sig: # of units per day
# of vials
refills: # or duration of refills
this should do it for the pharmacy. ...Read more

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Does ARDS count as critical illness?

Does ARDS count as critical illness?

ARDS: ARDS is acute respiratory distress syndrome and is a dangerous and critical illness. ...Read more

Dr. Rada Ivanov
67 Doctors shared insights

Icu Care (Definition)

The ICU setting allows for 24-hour close monitoring and treatment ...Read more