No abstract

Critically ill patients with acute renal failure who are receiving dialysis therapy may suffer from many complications that can be decreased by using bicarbonate dialysate during dialysis sessions. Aim: this study was carried out to compare between the hemodialized acute renal failure patientsusing bicarbonate versus acetate dialysate ondeveloping complications. Design: descriptive comparative designutilized in this study. Setting: This study was carried out at the kidney dialysisunit, Assiut University Hospital. Subjects Sixty adult male and female critically ill patients with acute renal failure who are admitted to the kidney dialysis unit (how many using bicarbonate and how many using acetate and how you selected them).Tool:"hemodialysis patient observational and monitoring tool" was used to monitor and record the personal and medical data needed for this study by the researcher.Methods: Interview, observation and reviewing patient`s records were utilized to collect data pertinent to the study. Each patient was monitored closely ten minutes before connection to the dialysis machine, during the dialysis session and ten minutes after disconnection, three times per week for two successive weeks. Results: The patients on the acetate group had experienced many problems (tachycardia, hypotension and dyspnea). There was a significant statistical difference between both groups with (p value=0.001). Conclusion: the group of patients on bicarbonate dialysate during dialysis sessions was found to experience lesser problems than acetate dialysis group.

Background: Pain is the most common reason due to which patients come to the emergency department and painful traumatic injuries account for a large portion of emergency department visits. Inadequately managed pain can lead to adverse physical and psychological patient outcomes. Because of the capricious nature of trauma pain, recognition and alleviation of pain, regular assessment and frequent adjustments in medications, dosages, and techniques should be a priority when treating the ill and injured patients. Aim of the study: to assess nurses' knowledge and practices regarding management of acute pain among injured persons at Kafr El Sheikh General Hospital. Research Design: A Descriptive exploratory research design was utilized in the current study. Research questions: a) What do emergency nurses know about management of acute pain among injured persons at Kafr El Skeikh general hospital? b) What are the emergency nurses' practices toward acute pain among injured persons at Kafr El Skeikh general hospital?Setting: The study was carried out at the emergency department in Kafr El sheikh general hospital. Sample: A purposive sample including nursing staff who were working in the emergency department at Kafr El Sheikh general Hospital and were willing to participate in this study(70 nurses).Tools of data collection; Tool 1:Knowledge assessment questionnaire sheet which consist of two parts(a)personal characteristics& background data.(b)Emergency nurses' knowledge regarding management of acute pain Tool 2: An observational checklist Results: (91.4%) of the study sample were females .As Well, (85.7%) of them were married .While (47.1%) of them were having technical nursing institute degree and (45.7%) of them got training courses in emergency courses, the highest mean scores related to causes of acute pain(0.4333 out of 1),all the study subjects had unsatisfactory general knowledge about acute pain and hundred percent of the studied sample were having an unsatisfactory practice level in relation to nursing management for acute pain Conclusion: considering the result of the present study and the available evidence it can be concluded that, hundred percent of the studied sample were having an unsatisfactory Knowledge practice level in relation to nursing management for acute pain. Recommendations: based on results of the present study can recommended Hospital decision makers create strategies to decrease work load on nurses and encourage inservices training programs for nurses included knowledge and skills for how to apply assessment and management of patients with acute pain.

Background: Knowing the weaning criteria is crucial to ensuring the success of mechanically ventilated patients, as weaning from the ventilator is the most challenging task for nurses. The study aim to compare utilizing Burn's Wean Assessment Program Versus Routine Method to predict outcomes of mechanically ventilated patient's Quasi experimental research design was used. Setting: This study was carried out in general intensive care unit at sohag university hospital 110 adult patients who had been on the ventilator for more than 72 hours served as a convenient sample. Three tools were utilized in this study: tool 1 patient characteristic, medical data, hemodynamic parameter, level of conscious assessment, Mechanical ventilation data and Acute Physiological and Chronic Health Evaluation tool 2 Burn's wean assessment checklist; tool 3 patient's outcomes. Results: Burn's score and weaning outcome had a statistically significant and inverse relationship, which meant that a high Burn's score was linked to a shorter ventilation time and effective weaning. Conclusion: According to the study, using the Burn's program was preferable than using the conventional approach of weaning. Recommendations: Making a burn wean evaluation program training session for new nurses working in the critical care.

Health outcomes are the main measure of critical care practice. Mortality during ICU stay has been most frequently used effects in clinical practice. So this study aims to assess profile criteria for patient admitted to general intensive care unit and to describe their outcomes. A descriptive research design was once used. Setting: study was carried out at General Intensive Care Unit at Assuit University Hospital, A convenience sample of all adult critically ill patients over a period of 12 months. Two main tools used, tool I: patient profile characteristic's sheet, Tool II: clinical outcomes assessment tool: Main results: of 302 patients were admitted to General ICU, there were 55.6% males and 44.4% females. Age group from 50-65 years account for 52.3% of total admission, the study showed that trauma cases account for 21.9% of all admission and it was the same as respiratory cause while the lowest was from Gynecological & obstetric, drowning and Hematological Disease 0.7%. Mortality rate was 52.3%.Conclusion: Majority of the studied patients at general intensive care unit were at a high risk of mortality with total mortality rate of 52.3 % more than half of death patients were aged from 50 -65 years and males. Recommendations: -Future identical studies should be carried to disclose standards for intensive care admissions