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Doctor insights on: Icu Care

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Dr. Rada Ivanov
67 Doctors shared insights

Icu Care (Overview)

The ICU setting allows for 24-hour close monitoring and treatment from a skilled team.


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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

Dr. Rada Ivanov
67 Doctors shared insights

Icu Care (Overview)

The ICU setting allows for 24-hour close monitoring and treatment from a skilled team.


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

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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Giving Palliative Care (Checklist)

Make a list of medicines and times to give them
once
Keep number for doctors and other caregivers (for example hospice agency) handy
once
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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’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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Improving Personal Care (Checklist)

Brush teeth twice a day and floss once a day
daily
Exercise by walking, swimming, or biking
5x week
Eat lots of fresh fruits and vegetables
once
Do some form of meditation to decrease stress
daily
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Icu 'intensive care unit' emergency. Is it possible that somebody can get better after 'restarting' their heart?

Icu 'intensive care unit' emergency. Is it possible that somebody can get better after 'restarting' their heart?

Yes: The reason coronary care units were invented in the 1960s was from the observation that many people who sustain a sudden cardiac arrest during a heart attack or acute illness can get better and live many more years if they can be quickly resuscitated. Prior to ICUs and CCUs, they were left in unmonitored beds and were just found dead in their rooms hours after the event. ...Read more

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Please help? Is the "post operative room", the same as "intensive care unit" (icu)?

Please help? Is the "post operative room", the same as "intensive care unit" (icu)?

Not necessarily.: A postoperative or post anesthesia unit specializes in care of patients who have recently emerged from anesthesia (and veryrecent surgery). An intensive care unit specializes in high level (intensive) physiologic monitoring, ventilators, and powerful vasoactive medications and sedatives that need to be closely titrated. There can be overlap in some places, but they are separate in others. ...Read more

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Why do old people in the icu go crazy?

Why do old people in the icu go crazy?

Not just old people: Severe illness, sleep disturbances and sedative medications used in icu's can all contribute to delirium. It is a major dilemma for health care providers and research into the ideal sedative agents is ongoing. ...Read more

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How often are vitals monitored in icu?

How often are vitals monitored in icu?

It depends: Some pts are in the ICU because of the severity of their disease. They might need invasive ways to monitor their vital signs, which produce a continuous monitoring (i.e. Invasive BP monitoring). Some other pts are there because they may have a complication in the next few hours and they require a more often monitoring than in the regular floors, usually once per hour (i e some post-op pts). ...Read more

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Do most of the patients in an icu die?

Do most of the patients in an icu die?

No: Some icus have sicker patients (higher acuity) than others, but even in these high acuity icus, the large majority of patients survive to make it out of the hospital. {of course, somebody out there will respond with the flippant observation that no ICU patients survive, since everyone eventually dies.}. ...Read more

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Is there a chapel near most icu units?

Possibly: I suspect it would be uncommon to have a chapel near the ICU itself. However, many hospitals have chapels. Depending on the hospital size, would depend on how close it would be to the icu. ...Read more

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What's it like being an icu trauma nurse?

What's it like being an icu trauma nurse?

Rewarding: I am not an ICU trauma nurse, but the ones I know are very intelligent, kind, compassionate, hard working individuals who I am sure feel rewarded each day after providing good quality care to ailing patients. ...Read more

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Please tell me what neonatal icu nurse does?

Please tell me what neonatal icu nurse does?

Critical care: Neonatal ICU nurses focus their work on the care of newborns in trouble. These include premature infants that weigh a few pounds at birth and big term newborns that develop complications. Issues including breathing problems, infection, birth defects, and more that have need for constant supervision. ...Read more

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How long can a person be on a ventilator in the icu?

As long as necessary: Or until they are better or expire. ...Read more

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Why might a person not wake up after being sedated in the ICU?

Why might a person not wake up after being sedated in the ICU?

Multiple reasons: Being treated on the intensive care unit usually means a very serious and/ or life-threatening condition; it is often accompanied by changes in function of the organs, responsible for the breakdown (metabolism) of the drugs. There is often degree of metabolic encephalopathy that is currently poorly understood, unfortunately. Having a detailed conversation with the doctors you trust might help. ...Read more

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Will a pastor provide support for family members of those in icu?

Will a pastor provide support for family members of those in icu?

Usually: I believe a pastor, minister, priest, or rabbi has some duty to comfort those with a loved one in the icu. I do not believe they should be waiting in the icu, but some contact should be made. Make sure they know your loved one is in an ic unit! ...Read more

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Supposing you're in the icu on life support. How do you let out waste?

Supposing you're in the icu on life support. How do you let out waste?

Depends: Sometimes there are catheters in the bladder or tubes in the rectum to collect waste. Other times, the patient excretes into a bed pan. Or, waste is excreted, and cleaned up by hand. ...Read more

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Why were some of the bigger babies in the icu sicker than the littler babies?

Why were some of the bigger babies in the icu sicker than the littler babies?

SGA (small for...: ...Gestational age) babies do better than babies who are large for their lower gestational age. ...Read more

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What are reasons why would a person not wake up after being sedated in the icu?

What are reasons why would a person not wake up after being sedated in the icu?

Many: There are many reasons for a patient not to wake up after sedation. First, many other drugs that are administered in the ICU can have an effect on mental status. Physiologic conditions including alterations in electrolyte levels or changes in circadian rhythm can have an effect as well. Also, problems with the central nervous system may cause issues. Clinical work up will help reveal cause. ...Read more

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What special training do the nurses have to be able to work in the neonatal icu?

What special training do the nurses have to be able to work in the neonatal icu?

Generally: You would first need to get a degree in nursing (bsn) and become a registered nurse (rn) by qualifying through the state board. Next you need undergo specialty training in neonatal intensive care with several possible routes and certifications including master of science in nursing (msn) with a focus on neonatal nursing and neonatal nurse practioner (nnp). Requirements vary from state to state. ...Read more

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My boyfriend was in the ICU 3 months ago for pneumonia. He is better but not 100%. What should he avoid and what should he be doing to get better?

My boyfriend was in the ICU 3 months ago for pneumonia. He is better but not 100%. What should he avoid and what should he be doing to get better?

Depends: This depends on the specifics of 1) if he has an underlying condition that predisposed to the pneumonia (like a disease that lowers ones immunity) or one that would be adversely affected by having pneumonia (like asthma) so this really should be addressed by his primary care doctor. Very often after this kind of hospitalization a patient is given discharge instructions, which should be followed. ...Read more

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Why are most patients in the icu sedated?

Why are most patients in the icu sedated?

For various reasons: There are two main reasons to sedate patients. First is for comfort, having a breathing tube or getting stuck for procedure is uncomfortable and allows patient to tolerate these interventions. A second reason is when patients are critically ill you want to control various physiologic parameters such as breathing and heart rate. We sedate people so we can manipulate these factors. ...Read more

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How are breathing treatments administered in the icu?

How are breathing treatments administered in the icu?

Vent or no vent: In the ICU breathing treatments are administered the same way as when a patient is on a hospital ward unless the patient is on a ventilator. When they are on the vent the treatment is administered through the mechanical tubing. ...Read more

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What does it mean if icu units are restricted?

What does it mean if icu units are restricted?

ICU MD responsible: Icus are "restricted" or "closed" if the ICU is staffed by intensivists devoted entirely to ICU patient care only. The intensivist assumes primary control over the care of all patients in the icu, until such time as they are able to move out of the icu. The care is transfered back to the physician who admitted the patient. A hospital may contain many icus with open and closed statuses. ...Read more

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Is a phone available for family members in icu?

Is a phone available for family members in icu?

It is uncommon: For hospitals to restrict cell phone use anymore. There used to be concerns about emi (electrical interference) but this proved not to be true. We actually give (loan) our patients families cell phones to carry so we can contact them if we need to. ...Read more

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How does icu treat ards?

How does icu treat ards?

Life support: Depending on the severity of ards, a patient may need to have a breathing tube and ventilation support for days to weeks. If blood oxygen levels are very low, ecmo may be needed. Other organs may be damaged by lack of oxygen, so support of blood pressure or kidney function may be necessary. Often, antibiotics are given to treat infection. Other treatment plans depend on the cause of ards. ...Read more

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What is the use of Ranitidine in ICU?

What is the use of Ranitidine in ICU?

Ranitidine: Ranitidine is in a group of drugs called histamine-2 blockers. Ranitidine works by reducing the amount of acid your stomach produces. In the ICU setting, there may be other medications that could irritate your stomach lining, so deceasing acid with ranitidine may be prescribed prophylactically. Hope this helps. ...Read more

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How long does a preemie stay in the icu?

How long does a preemie stay in the icu?

Depends: Depends how premature the baby is and what other complications arise.
Some infants, even if they are premature do not require ICU stays. ...Read more