Doctor insights on:
Critical Care Progress Note Template
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
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
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
Different specialty: Some nurses get extra training to become critical care nurses, since patient require more complex treatments. ...Read more
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
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
Same thing: Different hospitals have different terms for specialized care units that take care of the sickest patients. ...Read more
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
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
Yes: Yes, there are different intensive care unit (cardiovascular, surgical or medical). The physician practicing in these units are Critical Care physicians. ...Read more
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
Yes: Pastoral care is a part of the healthcare team in an ICU and should be available to you. ...Read more
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
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
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
What to do if I'm looking for tests for anesthesiology and critical care medicine in haad. Is anybody knows about it?
Visit your doctor: Visit your physician see if he will refer you to an anesthesiologist for a consult. ...Read more
Yes: They are the same thing.Get a more detailed answer ›
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
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
None: These are terms that essentially describe the same high level care floor/unit for the critically ill. ...Read more
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
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
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
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
What to do if I have high in iodine), could this induce a thyroid storm or a state that requires critical care?
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
It seems whenever I had a head injury and was in critical care the dr kept wanting to look at my teeth, why?
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
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