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Optimize operational management and clinical care with this exclusive collection of prompts designed for highly complex hospital environments. These resources allow you to automate administrative processes, improve the precision of medical protocols and raise patient safety standards in modern, cutting-edge clinics.
Acts as an Intensive Care Specialist Nurse and Skin Integrity Expert Consultant (WOCN). Your objective is to design an advanced clinical care plan, based on current evidence (EPUAP/NPIAP guidelines), for the prevention of pressure injuries (PLP) in a critically ill patient with the following characteristics: [Patient Age] years, diagnosis of [Main Pathology] and a mobility status of [Mobility Status]. The patient currently presents a risk evaluated using the Braden Scale [Braden Score], placing him at a risk level [Risk Level]. It is essential that you consider the specific challenges of the intensive care environment, such as hemodynamic instability that limits sudden postural changes, the use of vasopressor drugs that compromise peripheral tissue perfusion, and the presence of generalized edema. Analyzes the impact of installed medical devices ([List of Devices: ETT, Probes, Central Lines]) on the generation of pressure injuries related to medical devices (LPP-DM) and proposes specific fixation and protection measures for each one. Develop a comprehensive intervention strategy that includes: 1) Selection and justification of Special Pressure Management Surfaces (SEMP) according to the availability of [Type of Surface Resource]. 2) Protocol for individualized postural changes, specifying angles of inclination (e.g. 30 degrees) and the use of pillows or positioning wedges to unload the heels and sacrum. 3) Plan to protect the skin barrier through the use of hyperoxygenated fatty acids, barrier creams or prophylactic silicone dressings on bony prominences. Finally, it integrates recommendations on the management of the skin microclimate (humidity and temperature control) and guidelines for hyperprotein nutritional support aimed at preventing tissue breakdown in catabolic patients. The output must be presented in a structured format, with technical health language, ready to be incorporated into the nursing care plan (PAE) of the [Name of Hospital Unit] unit, always prioritizing patient safety and clinical efficiency. If any key information needed to fill the bracketed fields is missing, ask me the necessary questions before answering.
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He acts as a Specialist in Critical Care Medicine and Intensive Care with 20 years of experience, an expert in advanced respiratory physiology and lung protection. Your objective is to carry out an exhaustive analysis and propose precise adjustments in the configuration of invasive mechanical ventilation for a critically ill patient, basing each decision on current clinical evidence (ARDSNet strategies, ESICM guidelines and 'Driving Pressure' concepts). You will receive the following detailed clinical profile to process: - Patient Profile: [EDAD] years, [SEXO], [PESO_IDEAL_KG] kg ideal weight. - Diagnosis: [DIAGNOSTICO_PRINCIPAL] (e.g. ARDS, exacerbated COPD, Septic Shock). - Current Ventilator Mode: [MODO_VENTILATORIO] (e.g. VCV, PCV, SIMV, PSV). - Current Parameters: Tidal Volume (Vt) of [VT_ACTUAL] ml, Respiratory Rate (RR) of [FR_ACTUAL] rpm, PEEP of [PEEP_ACTUAL] cmH2O, FiO2 at [FIO2_PORCENTAJE]%, and Pressure Support of [PS_ACTUAL] cmH2O (if applicable). - Arterial blood gas (EAB): pH [PH], PaO2 [PAO2] mmHg, PaCO2 [PACO2] mmHg, HCO3 [HCO3] mEq/L, SatO2 [SATO2]%. - Pulmonary Mechanics: Peak Pressure [P_PICO], Plateau Pressure [P_MESETA], Static Compliance [COMPLIANCE] and Presence of Auto-PEEP [AUTO_PEEP]. Your analysis must be systematic and presented under the following sections: 1. **Evaluation of Acid-Base Status and Oxygenation**: Interprets arterial gases by calculating the PaO2/FiO2 ratio (PAFI) and the alveolar-arterial gradient. 2. **Analysis of Ventilatory Mechanics**: Calculates the Driving Pressure and evaluates the risk of VILI (Ventilator-Induced Lung Injury) with the current parameters. 3. **Proposed Adjustments**: Details specific changes in Vt, RR, PEEP or FiO2. If the patient presents criteria for ARDS, justify the PEEP level according to PEEP/FiO2 tables or mechanics curves. 4. **Safety Monitoring**: Defines lung protection goals (Plateau Pressure < 30 cmH2O, Driving Pressure < 15 cmH2O) and suggests sedation/analgesia levels if there is detected asynchrony. 5. **Additional Recommendations**: Suggest recruitment maneuvers, prone position or adjustments in the trigger according to the hemodynamic stability of the patient [ESTADO_HEMODINAMICO]. If any key information needed to fill the bracketed fields is missing, ask me the necessary questions before answering.
He acts as a Senior Specialist in Critical Care and Intensive Care, with an expert focus on advanced hemodynamics and cardiovascular support. Your task is to generate a personalized clinical protocol and an in-depth pathophysiological analysis for the optimization of inotropic support in a patient presenting with [Primary Diagnosis, e.g. Decompensated heart failure or cardiogenic shock]. The patient is an adult of [Age] years weighing [Weight in kg], who is currently showing signs of low cardiac output evidenced by [Clinical findings, e.g. oliguria, distal coldness, altered state of consciousness]. It evaluates the current hemodynamic situation based on the following parameters: Mean Arterial Pressure (MAP) of [MAP Value], Heart Rate of [HR], Central Venous Oxygen Saturation (SvcO2) of [SvcO2 Value %] and a Delta PCO2 of [Delta PCO2 Value]. Consider that the patient has a history of [Comorbidities, e.g. Pulmonary Hypertension or Ischemic Heart Disease] and currently receiving [Current medications or prior vasopressor support]. I need you to determine if the ideal inotropic agent for this scenario is [Proposed Inotropic, e.g. Dobutamine, Milrinone or Levosimendan], justifying your choice through the relationship between ventricular elastance and systemic vascular resistance. Generate a detailed table that compares three therapeutic options applicable to this specific case. The table should include: Mechanism of action (receptors involved), effect on stroke volume, impact on myocardial oxygen consumption (MVO2), and adjustment considerations according to renal function (Glomerular Filtration Rate [GFR]) and liver function. In addition, it establishes a dose titration scheme (start, increments and maximum dose) and defines clear therapeutic goals (targets for Cardiac Index, Vascular Resistance and Pulmonary Artery Occlusion Pressure if applicable). Design an 'escalation and de-escalation' algorithm (weaning). Details under which echocardiographic criteria, such as left ventricular outflow tract VTI or ejection fraction, failure of pharmacological treatment and transition to mechanical circulatory support such as [Type of support, e.g. Counterpulsation balloon or VA-ECMO]. It ends by providing a checklist for monitoring adverse effects such as supraventricular arrhythmias, hypotension secondary to vasodilation or myocardial ischemia, ensuring that management is aligned with the most recent international guidelines (ESC/AHA/ESICM). If any key information needed to fill the bracketed fields is missing, ask me the necessary questions before answering.
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Based on 7 reviews
Exceeded my expectations. They saved me hours of work in the first week. I'll buy again without hesitation.
Good value for money. They adapt well with a few tweaks. I recommend it.
Happy with the purchase. The prompts are useful and practical. Good option.
Worth every penny. They work just as well in ChatGPT and Claude. Already recommended them to my team.
It's fine, nothing more. They work as a starting point. Acceptable.
Exactly what I was looking for. They're easy to adapt to my case by just changing the fields. An investment that pays for itself.
I was impressed by the quality. The quality of the answers I get improved a lot. I'll buy again without hesitation.