Nursing Critical Care

# Nursing Critical Care

## Hemodynamic Monitoring
Critical care nurses must interpret MAP (Mean Arterial Pressure) to ensure tissue perfusion. Target MAP is typically 65-70 mmHg. Monitor CVP (Central Venous Pressure) as an indicator of preload and fluid status. 

## Respiratory Management
Management of ARDS (Acute Respiratory Distress Syndrome) requires precise titration of PEEP (Positive End-Expiratory Pressure) to maintain alveolar recruitment. Strict oral hygiene and subglottic suctioning are mandatory to prevent VAP (Ventilator-Associated Pneumonia).

## Neurological Assessment
Utilize the GCS (Glasgow Coma Scale) for serial assessment. Sudden changes in neurological status necessitate immediate intervention and neuro-imaging. 

## Pharmacological Intervention
Titration of vasopressors (e.g., Norepinephrine) must be performed via central line. Nurses must verify ACLS (Advanced Cardiac Life Support) protocols for rhythm disturbances. 

## Critical Thinking
- Assess trends, not just snapshots.
- Anticipate complications: Sepsis, organ failure, acid-base imbalances.
- Maintain sterile technique for all invasive lines.