ICU/Critical Care/ICU Care


My husband is 63 with emphysema contacted a viral infection called Wegener's. His lungs and kidney have failed 4 weeks ago to Wegener's. He has spent 14 days in ICU and still on Ventilator, which is now down to 60%, feeding tube and receives dialysis. Why is he removed from ICU when his condition is still critical. To recover from Wegener's takes 3 to 4 months. Since being sent to private room we have found his feeding tube shut off a few times and he has lost a lot of weight.

Dear Violet,

From your description, it sounds like he is on a step down unit. It must be a large medical center. A step down unit is for patients who still need life support, but are no longer in the critical stage of their illness. Speak to the nursing supervisor regarding his nursing care. Unfortunately, you will need to act as his patient advocate, as well as his wife. Wishing you all the best.  

ICU/Critical Care

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Dr. Pamela M. Cipriano, DNP, ACNP-BC


My name is Dr. Cipriano. I am able to answer questions regarding critical care issues including the cardiac system, pulmonary system, gastrointestinal system, gallbladder, small bowel obstructions, crohn's disease, diverticulitis, general abdominal surgery, ventilator management, ARDS, dehydration, heart failure, kidney failure, shock. pneumona, surgical complications, disease process.


I am a Hospitalist at a local hospital and in the emergency department. I am on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors.

Society of Hospital Medicine American College of Nurse Practitioners Connecticut Advance Practice Nurse Society

Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

Awards and Honors
Golden Key Honor Society; Merit Award Recipient; Scholarship Recipient

Past/Present Clients
Trained at Hartford Hospital, Hartford, CT - Open Heart Cardiac Intensive Care Post Anesthesia Care Unit & Radiology Internship Interned at MD Anderson Cancer Center in Texas Trained at St. Mary's Hospital, Waterbury, CT - emergency Department & Hospitalist Program

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