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End-Tidal Carbon Dioxide as a Measure of Stress Response to Clustered Nursing Interventions in Neurologic Patients

Author(s): Laura Genzler, RN, BSN, Pamela Jo Johnson, MPH, PhD, Neha Ghildayal, BSB, Sarah Pangarakis, APRN, BC, RN, and Sue Sendelbach, RN, PhD, CCNS

Contact Hours: 1.00

CERP A: 1.00

Expires May 01, 2017

Topics: Pulmonary, Neurology

Population: Adult

Role: Staff

Member: Free
NonMember: $10.00

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Activity Summary

Guidelines recommend rest periods between nursing interventions for patients with a neurologic diagnosis but do not specify a safe number of interventions.


  • Discuss nursing recommendations for patients with a neurological diagnosis and end-tidal carbon dioxide level/intracranial pressure (ETCO2/ICP) changes.
  • Describe the physiological stress response to clustered nursing interventions in neurological patients receiving mechanical ventilation.
  • Discuss the importance of clustering nursing activities to minimize increased ICP and ETCO2 changes.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. Approval of a continuing education activity does not imply endorsement by AACN or ANCC of any commercial products displayed or discussed in conjunction with the activity.


The American Association of Critical-Care Nurses (AACN) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC's) Commission on Accreditation. ANCC Provider Number 0012 (60 min contact hour). AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing California Provider number CEP01036 contact hours (50 min contact hour).

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