Thursday, March 4, 2010

Worrying 2

I call dad today, once i come back home. But, he is on the way going to his boss house, which locate in around The Mines. Which means, i can't going to visit my grandma(Ah Ma-Hokkien). But, dad has going to visit Ah Ma.

Just a few minutes, once dad back. I ask for the situation of Ah Ma immediately. Dad say, Ah Ma is moving from ICU into CCU(Critical Care Unit), Ah Ma can regconize people and say Ah Ma's heart is no so much power and also diabetes is keeping high. Actaully, i don't have the chance to visit Ah Ma, i'm so worrying because dad keep say when move to the IJN(Institute Jantung Negara;National Heart Institute) only bring us to go visit Ah Ma. I'm thinking Ah Ma sure very thin now. Haiz~

The different between ICU and CCU, from Forum.
ICU generally stands for Intensive Care Unit while CCU stands for Coronary Care Unit. The latter will get ONLY critically ill patients who are there because there is cardiac decompensation. Things that get people admitted to a CCU include: ST-elevation MIs, Cardiogenic shock, severe refractory congestive heart failure, primary malignant arrhythmias, intractable angina requiring balloon pump etc.....all very cardiac things. Patients can be intubated in a CCU, but if they are being intubated, it is only because it's secondary to the real problem which is the heart.

The ICU is for critically ill patients who need blood pressure support or respiratory support but it's not due to a primary cardiac problem. This includes things like septic shock, hypovolemic/hemorrhagic shock, severe pulmonary conditions resulting in respiratory failure (like a bad asthma or COPD exacerbation or a pneumonia), any person who has been revived after a cardiac arrest, fulminant liver failure, large strokes, status epilepticus etc.

CCU meaning critical care unit is somewhat of an antiquated term--you won't hear it as often nowadays. The critical care unit in terms of what you're talking about is basically patients who need extra monitoring that can't be done on the floor (e.g. patients on insulin drips) or patients who are on their way to being intubated, but you may be able to ward it off (e.g. COPD exacerbations you start on BiPAP), but these patients are not sick enough to be in the ICU. You may hear these units referred to as "step up" or "step down" units. "


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