A
ABG report, interpretation of 450
Abnormal automaticity 115
Absorbent products 346
Accommodation 149
Action potential initiation by autorythmic cells 58
Admit patients in ICU 11
Airborne
contamination 418
include standard precautions plus, components of 419
transmission 425
occurs, how 418
Air-in-line 34
Airway 5
devices during cardiac and respiratory arrest 69t
in mouth, insertion of 87f
patency 80
reaches uvula 87
insertion of 84
Alarm limits 46
Alert health care workers 424
Alternating pressure mattresses 309f
Alveolar collapse 24
Ambu, types of 91
Amino acids 247
Anemia disease 299
Animal waste 398
Ankle pumps 280f
Anticipated quality of life 10
Antiepileptic drugs 228t
Antioxidants 248
Apnea 368
Apply sterile dressing 97
Arterial
blood gas 446
line with pressure transducer 187f
pressure line
insertion of 186
puncture, contraindications of 449
Artery wedge pressure monitoring 201
Artificial
airway 80
complications of 89
indications for use of 86
insertion of 84
life support with ventilators. 11
mechanical breathing unit 90
urinary sphincter 340f
Assisted ventilation 21
Atelectasis 106
Atrial
premature depolarization 128
Atrioventricular block 135
Audible alarm, volume of 30
Augmented limb leads 111
Automatic flushing system 187f
Azotemia 251
B
Back panel 30
Balloon of tracheostomy tube 95
Barotrauma 27
Basic structure of heart 109f
Battery low 34
Baxter volumetric pump 35
Beck oral assessment scale 315t
Bed blocks 290f
Biological death 368
Biopatch dressing 169f
Biopsies 469
Biotechnology 399
Bite blocks 84
Blades 399
Bleeding from tracheostomy site 98
components in transfusion therapy 456
oxygen saturation 45
pressure monitoring 44f
transfusion 452
set 11
volume, increased 212
Body tissue, maintenance of 253
Bone infection 295
Bradyarrythmias, general management of 139
Brain 469
dead organ donors, nurse in management of 369
confirmation 368t
monitoring signs of 369
injured patient 106
tissue volume, increased 213
waves, classification of 436
Bridging 281f
Bronchospasm 106
BVM, types of 91
C
Cables ending in electrodes 40f
Calcium 298
Calculate drug doses 54
Calories based on stress, calculation of 246t
Cannula 37
Carbohydrates 246
Cardiac
arrest 7
indications of 59t
dysfunction 18
dysrhythmias 106
life support
advanced 65
steps of advanced 66
monitor 17
setting up of 39
with different monitored parameters 41f
output measurement
noninvasive methods of 194
techniques 194
pacing 139
pet scan, steps involved in 436
Cardiopulmonary resuscitation 57
Catheter
changing 346
dislodgement 172
in between suctioning 105f
indwelling time 219
site dressing regimens 168
Central
console 41
different monitored parameters of multiple patients 42f
line
bundle 166
indications for use of 163
venous
cannula per age 11
dressing change and care, procedure for 169
types of 164
line flushing protocol 172
pressure 191
Cerebellar function 156
Cerebrospinal fluid volume, increased 212
Chemotherapy 33
Chest
drainage, principles of 234
exercises, instruction for 279
leads 112
problems, exercises for 278
tube 234
dislodgement of 7
indications of 231
procedure of 234
removal, assisting with 239
removing 239
Chylothorax 233
Circulation 5
Circulatory problems 295
Circumferential cleaning of pin site 294f
Clamp tubing before removal from pump 37f
Clonic phase 224
Coarse VF 134f
Coexisting disease 10
Cognitive needs 379
Color codes for different sized airways 85t
Coma or unresponsiveness 365
Communicate, assess ability to 102
Communication 386
chart for
basic needs 267
emergency needs 265
psychological needs 269
chart-experience, development of 263
methods of 261
systems 386
with donor family 370
with patient on
tracheostomy tube 260
ventilator 260
Complete blockage in delivery tubing 37
Complete heart block 138
Condom catheter 347g
Confirmatory findings on neurologic assessment 368t
Congestive heart failure 24
Contact
precautions include standard precautions plus, components of 418
transmission 424
occurs 417
Container plastic bag 400
Containment products 344
Continuous monitoring. 11
Cotton ring placed under elbow 307f
CPR, articles required for 66
Cranial
functions 148t
nerve 148t
examination 147
I, olfactory 148
II 149
II, optic 148
III 149
IV 149
IX 151
V 149
VI 149
VII 150
VIII 150
X 151
XI 151
XII 151
Crash cart 51f
Critically ill
bedridden, care of 307
patient
definition, transfer of 2
introduction, transfer of 1
purposes, transfer of 2
transfer of 1
Current apnea interval settings 28
Cushing’s triad 213
D
DC shock therapy 140f
Decreased blow tracheostomy tube 98
Defibrillate patient 67
Defibrillation, complications of 72
Device malfunction 172
Dexterity test 157
Dietary management 348
Different color coded airways 85f
Different forms of PVC’s 130
Discarded medicine 399
Disposable syringes 11
10cc 11
2cc 11
50cc 11
5cc 11
Documentation in intensive care unit 351
Doll’s eyes reflex 367f
Don sterile gloves 104f
Dose calculation 54
Double-checking selected tidal volume 24
Drain, care of 219
Drainage system, closed 346
Dressing change, frequency of 168
Drug
affecting urinary elimination 337t
calculation, reference for 54
in ACLs, list of 70t
support, advanced 11
therapy 341
Dry stoma with dry sterile gauze 96
Duolin respules 12
Durapore 4 inch 12
Dynaplast 4 inch 12
E
Educating caregiver 309
EEG electrodes applied to patient’s head 437f
Effect of critical illness on caregiver 378
Elastic compression stockings 327f
Electrical events of heart conduction system 57
Electroencephalography 436
Electrophysiology 109
Empyema 233
Enhanced normal automaticity 115
Environmental stressors 478
Equipment
care of 39
complications of 17
faults 38
for suctioning 103f
needed 421
of lumbar traction 289f
required for CPR 66
Escape beats 119
Esophageal Doppler 197f
Essential equipment required bedside 79
ETO gas sterilization, requirement for 409
Extended position 95f
Extraocular movements 150f
Eye protection 395
F
Factors affecting pulse, oximetry 47
Families of critically ill dying patients 371t
Fat overload syndrome 251
Fats 246
Femoral vein 164
Fever 97
Fick’s method 195
Fifth breath 20
Figure of eight 158
Finger-finger test 157
Finger-nose test 157
First aid for seizures 225
Fluid management 348
Flutter waves with constant R-R interval 125
Focal onset seizures 223
Forms of sterilization to inactivate HIV and HBV 412t
Fracture 63
G
Gait 156
Gardner-Wells tongs 286f
Gastrointestinal system 82
Glass 399
Glossopharyngeal and vagus 151
Gloving, procedure guidelines for 394t
Glucose monitoring strips 11
Gowning apron 391
Greek gravity traction 286f
Gugging swallowing screen 325t
H
Hemoglobin, concentration of 45
Hand hygiene 166
Handle contaminated linen 415
Hard rubber ring 307f
Hazards of health care waste 404
Head tilt chin lift maneuver 63f
Healing environment in ICU, strategies for promoting 486
Health
care
acquired infection in immunocompromized patients, prevention of 420
waste, aspects of 404
practices of nurse 425
professionals 410
Heel to shin test 158
Hemodynamic monitoring 181
Hemopneumothorax 232
Hemorrhage 24
Hepatic steatosis 251
Hepatitis C 415
High level disinfection 406
Hip flexion 281f
HIV hepatitis B 415
Hospital infection control committee 403
Hospital-acquired infections 311
Hospitals, disinfectants used in 407
Hot air oven 408
Housekeeping neuro intensive care units 410
Huffing 278
Human anatomical waste 398
Hydraulic system 181
Hypercapnia 252
Hyperglycemia 255
Hyperosmolarity 255
Hypertriglyceridemia 251
Hypoactive delirium versus depression 485
Hypodermic needle 11
16g 11
26g 11
Hypoglossal 151
Hypothermia 7
Hypovolemic shock 7
Hypoxemia 106
I
ICP
importance 214
indications 214
monitoring 214
interpretation of 216
pulse waveforms, significance of 217
Illness, severity of 10
Implantable venous access devices 166
Implementation Infection Control Program 423
Incineration ash 399
Incomplete records or information 7
Indirect contact transmission 417
Infection
control 422
committee 403
program, management of 423
into lungs, pathway of spread of 313f
Inflating balloon 96f
Infusion schedules 255
Initiate airway management protocols 68
Inner cannula 472
Insert airway, articles required to 87
Insulin 34
Intake of fluids 346
Integration of evidence 48
Intercostal drainage 231
Intermediate level disinfection 406
Internal jugular vein 164
Interruption to therapy 37
Intracranial pressure
causes of increased 212
monitoring 210
methods of 214
pulse waveform, components of 217f
Intrapleural space 232f
Intravenous cannula per age 11
Intrinsic peep 28
Intubation, complications of 26
Invasive methods of cardiac output measurements 194
Involuntary movements 153
Ipratropium bromide 12
Irregular R-R interval 126f
IV infusion set 11
L
Lamp test checks leds 29
Lateral position 103f
Latex examination gloves box 12
Leveling of pressure transducer 185f
Levels of pacemaker of heart 110t
Limb leads 111
Limitations of pulse, oximeter 47
Liquefying secretions 100
Liquid waste 399
Lithium dilution cardiac output 198
Lobar pneumonia 24
Locating compression site patient’s sternum 61f
Locked elbows of rescuer 62f
Log rolling of patient 293f
Lower extremities 158
Lundberg’s A, B, C waves 216
M
Mains cable 40
Maintaining quality practice setting 386
Major atelectasis 24
Mandatory breaths 21
Maximal barrier precautions 166
Measure size of airway 86
Mechanical ventilation 18
complications with 26
indications for 17
on different modes 11
CMV 11
CPAP 11
SIMV 11
patient, monitoring of 76
Medicines to kept in crash carts 52t
Meeting caregivers needs 381
Meningeal signs 158
Met need of caregivers 379
Microbiological monitoring 411
Microbiology 399
Microorganisms, type of 405
Migration 172
Mobitz II 137f
Moisol eye drops 12
Monitoring during transport 6
N
Nasotracheal intubation 460
National institues of health stroke scale 321t
Nebulization set with T-piece 11
Neck stiffness 158
Needles 399
Nerve 469
abducens 149
conduction 441
studies 439f
facial 150
trigeminal 149
trochlear 149
vestibulocochlear 150
Neurological
assessment 142
articles 144
definition 143
indications 143
procedure 144
purpose 143
examination, articles for 144t
status 159
system assessment 79
Neurology 5
Neuromuscular disease 18
Neurosurgical intensive care unit 411
Noise 479
Nomenclature 18
Non-dominant hand 104f
Non-touch technique 388
Normal
blood flow 108
breath
mechanism of 19f
physiology of 18
ECG measurements 112f
saline 11
SaO2 46
Nurse
in acute stroke management, role of 319
patient with communication chart 262f
role acute phase of stroke 320
role of 33
Nursing
actions to prevent free flow 36
care 31
after application of traction 292
during application of traction 292
of patient with chest tube 238
consideration 31
during defibrillation 70
with BPS 177
implications and steps of procedure 43
interventions 485
in intracranial pressure monitoring 220
management of brain dead organ donors 364
responsibility
for maintenance of crash cart 52
in handling infusion pump 38
O
Obesity 300
Occlusive devices 347
Occupational health and safety 405
Oculocephalic reflex 367f
Oculomotor nerve 149
Open diaper sheet 12
Optimal catheter site selection 166
Oral
airway, measuring size for 86f
care for orally intubated patients 310
care of intubated patient 316
care, frequency of 315
cavity, assessment of 315
intubation, problems with 311
Orotracheal intubation 460
Overshoes 395
Oxygenated blood absorbs 45
P
Parkinson’s disease 339
Paroxysmal coughing 106
Partial CO2 rebreathing 199
Pathological reflexes 154t
Pathway to HAP 312
Patient
assessment sheet 362
breathing circuit 12
cable 40
care of 38
controlled analgesis 34
education and health promotion 349
on ventilator, system wise assessment of 79
report 355
system wise assessment of 78t
temporarily increased susceptibility, caring for 421
undergoing
CT-scan 429f
gamma-knife surgery 453f
MRI 431f
pet scan 435f
wishes 11
with incontinence, care of 335
Patting test 158
PCWP waveform, comparison of 202f
Penile clamps 347f
Perform leak test 29
Performed in chair, exercises 281
Performing arterial puncture 447
Perineal care 346
Periodic inspection of the equipment 295
Peripherally inserted central catheter 165f
Phlebitis 172
Physical stressors 478
Pneumatic compression devices 328f
Pneumothorax 171
Positioning of potient during seizure 226f
Positive-pressure ventilators, classifications of 22
Post-cardiac arrest care among adults 73f
Post-defibrillation care 71
Post-ictal phase 224
Post-resuscitative complications 72
Post-ventilator period 277
Potential complications of suctioning 105
Prepare for defibrillation 67
Prerequisite 94
Press monitor select to display tests 28
Pressing MS displays current bias flow 28
Pressure
FRC, change in 23
on nail beds 366f
on supraorbital area 366f
relieving support surfaces 308
settings 25
transducer 182f
calibration of 185
system, setting up 181
development of 297
early warning signs of 302
in critically ill patients, prevention of 297
sites of 302
stage 2
of 303f
stage I 303f
stages of 302
waves 216
Preventing injury to friction 308
Prevention of bedsores 304
Primary breath patterns 21
Prior drug therapy 421
Prior to suctioning, assessment of 102
Protein 24
Protocol for cleaning 413t
Psychological stressors 478
Pulse
contour cardiac output 199
oximeter 46
components of 45
measurement, mechanism of 45
physical properties of 45
Pump, setting up of 35
Pupillary reaction 149
Puritan bennet 29f
Push ups 283f
PVCS couplets 130f
R
Radiofrequency catheter ablation 140
Raised intracranial pressure 106
Rapid alternating movements 157
Readiness for departure 6
Rebound test 157
Recent cardiopulmonary arrest 11
Re-expanded lungs after chest tube insertion 232f
Refeeding syndrome 252
Reflex grading 153t
Rehabilitation management of patient on ventilator 271
Renal system 82
Reporting in ICU, importance of 355
Reserved volume 23
Residual volume, measurement of 343
Respiratory
acidosis 450
alkalosis 450
arrest 60
conditions 17
cycle, phases of 19
problems 7
system
assess 102
assessment 80
tract, care of 272
Response of treatment to date 11
Resuscitation trolley, setting up of 50
Reticular activating system 176
Right atrial pressure monitoring 191
Rinne’s test 151
Role of intensive care unit 369
Romberg’s test 155
Rope fixed for normal movement and turning 306f
Rotating syringe 448f
Rotation of airway 88f
Routine nursing care 371
RTPA, action of 330
Ryles tube per age 12
S
Safe environment 396
Safety checks 79
Salbutamol 12
Scalpels 399
Secretion, clearance of 279
Sedation 34
Semi fowler’s position 103f
Serum electrolyte concentration, abnormalities of 255
Set alarms 30
Set apnea interval special functions 29
Set bias flow special functions 29
Set high pressure alarms 30
Set ventilation parameters 32f
Severity of stroke, assessment of 321
Side effects of T-PA 332
Sighs rarely needed 26
Skin
in person with depressed sensorium, care of 272
integrity and mobility 82
precautions 420
requirement for 420t
Social needs 380
Solid waste 399
Spindle shapped pattern of QRS complexes 133
Spinothalamic tract, assessment of 156
Spontaneous breath 21
ST segment 113
Staffing and communication 5
Standard
limb leads 111
precautions, components of 415
safety measures in caring for patients 384
statements 385
Sterilium 11
Sterilizing articles in ward 413t
Steroid therapy 299
Stressors types 478
Stretch reflexes 153
Subclavian vein 164
Subcutaneous emphysema 238
Suction
article for 102
catheter
age 11
right sized 101
chamber, assess 239
endotracheal 99
portable 11
wall 11
tip with tubing 11
Suitable treatment, availability of 11
Supported ventilation 21
Suprapontine lesions 339
Suprasacral infrapontine 339
Sural nerve biopsy 470f
Surgery, types of 228
Surgical handrub 391
Synchronized intermittent mandatory ventilation 22
T
T wave 113
Tachyarrythmias, general management of 139
Tactile discrimination 156
Tandem gait 157
Terminal nature of disease. 11
Terminate all articles properly 97
Therapeutic environment 396
Thermodilution method 195
Thoracic electrical bio-impedance 200
Tie tracheostomy tube properly 97
Toe taps and heel lifts 282f
Toileting assistance 343
Tolerance, monitoring 251
Tonic phase 224
Total lung capacity 23
Total parentral nutrition 33
TPN, contraindications of 253
Trace elements 248
Tracheal trauma 106
blockage, signs of 94
care 93
purposes of 94
tube
change 94
how to store 97
parts of 473f
side of 97
types of 472
Traction
articles used for 290f
evolution of 285
in neurological conditions 287
principle of 286
purposes of applying 289
related to neurological condition 285
types of 287
Transesophageal echocardiography 198
Transmembrane resting potential 115
Transmission routes 414
Trauma 5
Treatment of UI 338
Trolley, transfer 2f
Truncal ataxia 157
Tube into antiseptic solution 97f
Tubing, disinfection of 411
Tunneled venous catheter 165f
Two point discrimination 156
Tying tube 97
U
Ulcer
develop in prone position 301f
prone areas in
lateral position 301f
sitting position 301f
supine position 301f
Underlying disease 421
Unipolar chest leads 111f
Unit, design of 410
Unmet need of caregivers 379
Upper extremities 157
Urinalysis 342
Urobag with urometer 12
V
Validation of first draft 263
Vascular disease 299
Vector borne 425
Vehicle transmission 424
Venous thrombosis 172
Venticular fibrillation 133f
Ventilator 29f
associated pneumonia 27
disinfection of 411
induced lung injury 27
setting up of 17
set-up 28
steps for setting up 28
support to brain dead 11
tubing
expiratory limb in 30f
inspiratory limb in 30f
Ventricular
asystole 134
bigeminy pvcs 130f
dysrrhythmias 116
fibrillation 133
quadrigeminy PVCS 130f
rhythms 128
tachycardia 131
classification of 131
trigeminy PVCS 130f
Ventriculostomy 214
Vestibulo-ocular reflex 367f
Visible blood 414
Volutrauma 27
W
Wall
electrical suction machine 101
fixed electrical suction machine 101f
suction machine with tubing 102
Ward items, disinfection of 407
Waste
classification of 397
management
protocol in hospital setting 404t
staff for training on 404t
segregation 424
sharps 399
Wave forms 28
Wearing apron 391
Weber’s test 151
Whole blood cells 455f
Writing of records 353