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roles of 6 CVVHD see continuous venovenous Department of Health and Human Services
training 5f haemodialysis (HHS) 82
critical care outreach team (CCOT) 51 CVVHDf see continuous venovenous depolarisation 183–184
Critical Care Pain Observation Tool haemodiafiltration depressants, CNS, overdose of 599–600, 600t
(CPOT) 142, 143t CX see circumflex artery depression 61–63, 62t
critical care patient dependency tool cytokines 785 HRQOL and 63
(CCPDT) 30 cytopathic anoxia 785 postnatal 731
critical care services, resourcing 17–18 postpartum 731
critical care surge plan template 33–34 psychological recovery from 61–63
critical care units, care delivery process in 43, D dermatomes 429–430, 430f
45t–47t DAI see diffuse axonal injury designated officers 785
critical illness 785 damage-control surgery 629, 785 designated specialist 785
continuum of 58f DAT see decision analysis theory designer drugs, overdose of 601
family needs during 158–160 data, use and disclosure of 95 diabetes
patient outcomes following 59–61 Davidson Trauma Scale 61 DKA see diabetic ketoacidosis
HRQOL measurement 59–60, 59t DCD see donation after cardiac death HHNS 526, 786
physical function measurement 60, 60t DCM see dilated cardiomyopathy treatment of 528t
psychological function measurement DDD pacing 270–272, 271f incidence of (in Australia) 526–528
60–61, 60t death 172, 785 diabetic ketoacidosis (DKA) 526, 785
in pregnancy see pregnancy Aboriginal patients and families and counterregulatory hormone effects in 526b
psychological recovery from 61–66 169–170 nursing practice 526–528
anxiety 61–63, 62t brain see brain pathological effects of 527t
assessment scale used in 61 critical care nurse and, care of 173 pathophysiology of 526, 527f
depression 61–63, 62t donation after cardiac see donation after treatment of 528t
interventions to improve 66 cardiac death diagnosis-related group (DRG) 18, 785
memories 63 family care and 172–173 dialysate 785
perceptions 63 in-hospital prediction of, early signs in dialysis 785
posttraumatic stress 63 critically ill patients and see also renal dialysis
recovery after hospital discharge 68–72 557b–558b dialyzer 786
home-based care 71–72 mechanisms, ICDs and 284 diaphragmatic injuries 636
ICU follow-up clinics 68–71, 69b near-death experiences 671–672 diarrhoea 116
critical illness myopathy (CIM) 58 decision analysis theory (DAT) 7 DIC see disseminated intravascular coagulation
critical illness neuromyopathy (CINM) 58, 569 decision making diencephalon 421t–422t
critical illness polyneuropathy (CIP) 58 clinical see clinical decision making diet, bowel function and 115–116
critically ill patients 785 research vignette 13b diffuse axonal injury (DAI) 456–457, 457f
early signs in, in-hospital death prediction decision-making principles, end-of-life diffusion 492, 785
and 557b–558b and 84–88, 85f digestion, enzymes for 506, 507t
glycemic control in 525–526 advance directives 86 dilated cardiomyopathy (DCM) 241
see also diabetes best interests principle 85–86 disaster triage 588–589
hypocaloric intake in 510 conscientious objection 88 external see emergency department
interhospital transport of 587–588 do-not-resuscitate issues 87 dissecting aortic aneurysm 244, 244f
monitoring during 588 euthanasia 87 disseminated intravascular coagulation
retrieval of 587–588 medical futility 86–87 (DIC) 785
transport of see transport of critically ill nursing advocacy 87–88 distributive shock states 551–554
patients palliative care 87 sepsis see sepsis
cross-clamp 785 patient advocacy 86 septic shock see septic shock
croup 689–690, 690t quality of life 85 diuretics, for CHF 238t, 239
CRRT see continuous renal replacement therapy substituted judgement principle 86 DKA see diabetic ketoacidosis
CRT see cardiac resynchronization therapy Declaration of Buenos Aries: workforce DNR see do-not-resuscitate
CSF see cerebral spinal fluid 765–766 DO 2 see oxygen delivery
CT see computed tomography Declaration of Helsinki 91–92 documentation
CTG see Clinical Trials Group Declaration of Madrid: education 763–764 of incident 30t
cTnI see cardiac troponin I Declaration of Manilla: patient rights 767 of respiratory system assessment 339
cTnT see cardiac troponin T Declaration of Vienna: patient safety in intensive domestic violence 729
CTPA see computed tomography pulmonary care medicine 49, 768–772 Donatelife Organ Donor Coordinator 754, 785
angiography deep vein thrombosis (DVT) 114, 367–368 donation 785
cuff management 385–386 postpartum patient and 736 opt-in 746–747, 787
cuff pressure measurement (CPM) 386 defibrillation 660–661, 662t, 785 opt-out 787
cultural care 161–170 automatic external 280–281 tissue see tissue
competence 162–163 electrical 660–661 types of 747
defining 161–162 praecordial thump 660 see also organ donation
differing world views 162 delirium 136–138 donation after cardiac death (DCD) 89–90,
individualised care 164 assessment of 137 757–758, 785
Aboriginal and Torres Strait Islander CAM-ICU for 137, 139f donors
people 167t, 168–170 ICDSC for 137, 138f. blood tests required for 756t
culturally and linguistically diverse pathophysiology of 136–137 family care 757
165–166 prevalence of 136 living 787
Mαori patients and families 166–168, prevention of 137–138 medical management of 756b
167t risk factors for 136–137 multiorgan 787
levels of practice 162–163, 163t subtypes of 136 potential 787
patient and family needs determination treatment of 137–138 retrieval surgery 756–757
163–164 demand pacing 268, 268f tissue-only 758, 788
CVP see central venous pressure monitoring dendrite 414–415, 416f types of 747
CVR see cerebrovascular resistance denervation 785 do-not-resuscitate (DNR) 87
CVVH see continuous venovenous post heart transplantation 317, 318t Doppler ultrasound
haemofiltration deontological principle 17–18, 785 methods 204–205, 205f

