Mod 10a: intro to critical care

Question 1

Which patients get critical care

Answer 1

Patients with potentially recoverable conditions who can benefit from detailed observation

Question 2

What are the characteristics of critical care?

Answer 2

Continuous availability of medical staff from specialty to ICU staff

HCU vs ICU: combined/separate

Space for extra nursing, monitors

Piped O2, vacuum, suction, medical compressed air

Power sockets

Ambubag

Question 3

Who should be admitted into critical care?

Answer 3

Those who are most likely to benefit, patients requiring advanced respiratory support, patients requiring support of two/more organ systems, patients with co-morbidities with acute reversible failure of another organ system

Question 4

What must be taken into consideration when doing admission?

Answer 4

Consultant to consultant referral
Reversibility
Difficult decisions may admit patient to observe response
Must benefit patient
Chronic ill health not reversible in ICU
Difficult to predict outcomes

Question 5

Who forms part of the staff in critical care

Answer 5

ICU consultants
Registrars
Nursing staff
Cleaners
Technologists

Question 6

What is a care bundle and give a typical care bundle found in most ICUs.

Answer 6

A care bundle is collection of three to five evidence-based practices that are performed together to improve patient outcomes.

FASTHUG is found in most ICUs:
F: Feeding(enteral, parenteral)
A: Analgesia
S: sedation
T: Thromboprophylaxis
H: Head up
U: Ulcer prophylaxis
G: Glucose control

Question 7

What 8 aspects forms part of the global patient care in critical care?

Answer 7

Skin care
Tracheal suction
Turning and pressure care
Washing
Eye, mouth and bowel care
Mobilization
Psychological
Asepsis

Question 8

What respiratory support do they provide?

Answer 8

ventilation, tracheostomy, weaning
CPAP

Question 9

What CVS support do they provide

Answer 9

Inotropic and fluid support
Invasive monitoring

Question 10

What renal support do they provide?

Answer 10

Acute dialysis
Renal replacement therapy

Question 11

What enteral support to they provide

Answer 11

enteral feeding
parenteral feeding

Question 12

What infection support do they provide

Answer 12

antibiotics

Question 13

What neurological support do they provide

Answer 13

preventing secondary brain injury
ICP monitoring