Nursing Interventions

This care study aims to outline the care provided to a patient during one 12hour shift. It will present the patients cause and course of ICU admission, identify problems both potential and actual, focussing particularly and two main problems. The nursing interventions preformed will be critically analysed and supported with research. Finally the care will be critically evaluated areas of possible improvement will be outlined.

Patient chosen is a 36yr old male pseudonym ‘Frank’ chosen for the purpose of confidentiality. Frank was day one post re- do orthotic liver transplantation (OLT) with roux -en-y anastomosis. He had his initial OLT for Primary sclerosing cholangitis secondary to auto-immune hepatitis preformed 5 days previously and
New England Journal of medicine 342:1301-1471. Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P; (2004)‘ Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Critical Care. 8(4 )
Center for disease control and prevention, guidelines (2009)
Clark R. and Ronco C. (1999) ‘efficiency and efficacy in relation to solute size’ Kidney International 56, S3–S7
De Vriese, A, Colardyn, F, Philippe, J, Vanholder, R, De Sutter, J, Lameire, N (1999) Cytokine removal during continous hemofiltration in septic patients. Journal of American Nephrology 10: 846–853
Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R, Reinhart K, Angus DC, Brun-Buisson C, Beale R, Calandra T, Dhainaut JF, Gerlach H, Harvey M, Marini JJ, Marshall J, Ranieri M, Ramsay G, Sevransky J, Thompson BT, Townsend S, Vender JS, Zimmerman JL, Vincent JL.’(2009) ‘Surviving sepsis campaign’ Crit Care Med. 2008
S , Belomo R., Boyce N., French J., Myburgh J., Noton R., (2004). ‘Safe study : A comparison of albumin and saline for fluid ressusitation’ new England journal of medicine 350;22
Hébert PC, Wells G, Blajchman MA, Marshall J, Martin C, Pagliarello G, Tweeddale M, Schweitzer I, Yetisir E. (1999) ‘A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group’. N Engl J Med. 11:340(6)
Jones. S(2004) ‘Heat loss and continuous renal replacement therapy’ ACCN clinical issues 15(2) Jones. S ‘Heat loss and continuous renal replacement therapy’ ACCN clinical issues 15(2)