Approach to patient Management In Critical Condition

• Published in: Health science journal 2022-01, Vol.16, p.1-26
• Main Authors: Isaias, Garcerant Campos, Duenas, Carmelo, Perales, Karen, Juan, E Tafur Delgado, Andres, Solano Gustavo, Yohan, E Pulgarín Ospina, Maria, Salcedo Gamarra, Yuli, Parodi González, Ronald, Castro Ahumada, Steven, Restrepo Londono Andres
• Format: Article
• Language: English
• Subjects: Critical care; Enteral nutrition; Falls; Hospitals; Intensive care; Medical prognosis; Mortality; Nursing; Nutrition; Parenteral nutrition; Patients
• ISSN: 1791-809X; 1791-809X
• DOI: 10.36648/1791-809X.16.S7.957

Nursing One of the important elements is the role of the nursing corps, since, the nursing professional has the ability to project and sensitize to the point of knowing when and how much a certain factor is stressful or not stressful in a patient, in addition, part of the functions of nurses is the clinical care, within it, monitoring the patient, compliance with medical treatment, performing procedures, care planning, monitoring vital signs, scheduling prevention of skin lesions, patient comfort, among others that promote the maintenance of a stable condition or early identification of possible complications [4]. [...]they are very close to the patient and interact with the patient's family, either by providing information, explanation of procedures and education, being in the duty to focus their attention on the bio-psychosocio-spiritual needs, with individualized care, which manage an ethic based on respecting the suffering of the other, being sensitive to his pain, protecting him and his family and making him feel as little as possible his disability or dependence [5-7]. According to standard practice and the recommendations of different scientific entities, enteral nutrient delivery is preferable because it has advantages such as the maintenance of the structure and function of the intestinal barrier, as well as a lower rate of metabolic complications related to nutrient delivery such as hyperglycemia. In this case, nutrition is suspended for 6 hours and restarted at half the dose, in addition prokinetics will be added for intestinal transit, a gastric residue value of 500 ml can be recommended as a limit in ICU patients under treatment with EN by nasogastric tube, this is used as an indicator of tolerance of the diet, if finally it is not tolerated, nutrition will be parenteral, preferably in the shortest possible time and only for life in patients with short bowel, since this route brings with it important adverse effects; Gastroparesis should be avoided because although it is not serious, these patients require much more medical and nursing time and may change their prognosis in the unit [18].