Concise yet thorough guidance on how to safely and competently care for adult progressive care patients and their families Endorsed by the American Association of Critical-Care Nurses (AACN) and written by top clinical experts in acute and progressive care nursing, this textbook covers all the must-know details on the care of adult progressive care patients and their families. Supported by helpful tables and algorithms, the book's practical, building-block organization starts with the basics before proceeding to more complex concepts. The AACN Essentials of Progressive Care Nursing includes essential information to successfully prepare for PCCN certification in progressive care and much more! The AACN Essentials of Progressive Care Nursing is divided into four sections:
THE ESSENTIALS — presents information that clinicians must understand to provide safe, competent nursing care to the majority of progressive care patients, regardless of their underlying medical diagnoses
PATHOLOGICAL CONDITIONS — covers pathologic conditions and management strategies commonly encountered among adult, progressive care patients
ADVANCED CONCEPTS IN CARING FOR THE PROGRESSIVE CARE PATIENT — presents advanced progressive care concepts or pathologic conditions that are less common or more specialized than expected in adult progressive care
KEY REFERENCE INFORMATION — features normal laboratory and diagnostic values; pharmacology tables; algorithms for advanced cardiac life support; and summary tables of cardiac rhythms, ECG characteristics, and treatment guides

lgli/Suzanne M. Burns - AACN Essentials of Progressive Care Nursing (2014, ).pdf

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Aacn essentials of progressive care nursing; ed. by suzanne m. burns

Suzanne M. Burns, American Association of Critical-Care Nurses (AACN), Marianne Chulay

McGraw-Hill School Education Group

Irwin Professional Publishing

McGraw Hill / Medical

McGraw Hill LLC

Oracle Press

McGraw Hill LLC Professional Division, New York, 2014

3rd ed, Chicago, Ill, c2014, c2010, c2006

United States, United States of America

3rd ed, New York, 2014

3RD ed, NORWALK, 2014

3, 2014-05-16

lg1593489

producers:
Adobe PDF Library 9.9

Cover 1
Title Page 3
Copyright Page 4
Contents 9
Contributors 19
Reviewers 21
Preface 23
Section I. The Essentials 25
1. Assessment of Progressive Care Patients and Their Families 27
Assessment Framework 27
Prearrival Assessment: Before the Action Begins 29
Arrival Quick Check Assessment 29
Comprehensive Initial Assessment 32
Ongoing Assessment 39
Selected Bibliography 40
2. Planning Care for Progressive Care Patients and Their Families 41
Multidisciplinary Plan of Care 42
Planning Care Through Staffing Considerations 42
Patient Safety Considerations in Planning Care 43
Prevention of Common Complications 44
Patient and Family Education 48
Family-Focused Care 49
Transporting the Progressive Care Patient 51
Transitioning to the Next Stage of Care 55
Supporting Patients and Their Families During the Dying Process 55
Selected Bibliography 55
3. Interpretation and Management of Basic Cardiac Rhythms 57
Basic Electrophysiology 57
ECG Waveforms, Complexes, and Intervals 58
Basic Electrocardiography 59
Cardiac Monitoring 59
Determination of the Heart Rate 62
Determination of Cardiac Rhythm 62
Common Arrhythmias 63
Rhythms Originating in the Sinus Node 63
Arrhythmias Originating in the Atria 65
Arrhythmias Originating in the Atrioventricular Junction 74
Arrhythmias Originating in the Ventricles 75
Atrioventricular Blocks 79
Temporary Pacing 82
Defibrillation and Cardioversion 86
Selected Bibliography 88
4. Hemodynamic Monitoring 91
Hemodynamic Parameters 91
Basic Components of Hemodynamic Monitoring Systems 98
Obtaining Accurate CVP and Arterial Values 100
Insertion and Removal of Catheters 102
Obtaining and Interpreting Hemodynamic Waveforms 105
Continuous Mixed and Central Venous Oxygen Monitoring (Svo[sub(2)]/Scvo[sub(2)]) 110
Minimally Invasive Hemodynamic Monitoring 111
Selected Bibliography 112
5. Airway and Ventilatory Management 117
Tests, Monitoring Systems and Respiratory Assessment Techniques 117
Airway Management 125
Oxygen Therapy 131
Basic Ventilatory Management 134
Selected Bibliography 153
6. Pain and Sedation Management 157
Physiologic Mechanisms of Pain 157
Responses to Pain 159
Pain Assessment 160
A Multimodal Approach to Pain Management 160
Nonsteroidal Anti-Inflammatory Drugs 160
Opioids 162
Epidural Analgesia 165
Cutaneous Stimulation 167
Distraction 167
Imagery 167
Relaxation Techniques 168
Special Considerations for Pain Management in the Elderly 169
Sedation 169
Selected Bibliography 173
7. Pharmacology 175
Medication Safety 175
Medication Administration Methods 176
Central Nervous System Pharmacology 177
Cardiovascular System Pharmacology 185
Antibiotic Pharmacology 191
Pulmonary Pharmacology 193
Gastrointestinal Pharmacology 194
Renal Pharmacology 196
Hematologic Pharmacology 197
Immunosuppressive Agents 201
Special Dosing Considerations 202
Selected Bibliography 203
8. Ethical and Legal Considerations 205
The Foundation for Ethical Decision Making 205
The Process of Ethical Analysis 212
Contemporary Ethical Issues 212
Building an Ethical Environment 217
Selected Bibliography 218
Section II. Pathologic Conditions 221
9. Cardiovascular System 223
Special Assessment Techniques, Diagnostic Tests, and Monitoring Systems 223
Pathologic Conditions 227
Selected Bibliography 252
10. Respiratory System 255
Special Assessment Techniques, Diagnostic Tests, and Monitoring Systems 255
Pathologic Conditions 262
Selected Bibliography 282
11. Multisystem Problems 285
Pathologic Conditions 285
Overdoses 292
Complex Wounds and Pressure Ulcers 297
Healthcare Acquired Infections 298
Selected Infectious Diseases 300
Selected Bibliography 300
12. Neurologic System 303
Special Assessment Techniques and Diagnostic Tests 303
Diagnostic Testing 309
Intracranial Pressure 313
Acute Ischemic Stroke 316
Hemorrhagic Stroke 320
Seizures 321
Infections of the Central Nervous System 322
Neuromuscular Diseases 323
Selected Bibliography 324
13. Hematologic and Immune Systems 327
Special Assessment Techniques, Diagnostic Tests, and Monitoring Systems 327
Pathologic Conditions 330
Selected Bibliography 338
14. Gastrointestinal System 341
Pathologic Conditions 341
Nutritional Support for Acutely Ill Patients 361
Selected Bibliography 367
15. Renal System 373
Special Assessment Techniques, Diagnostic Tests, and Monitoring Systems 373
Pathologic Conditions 373
Renal Replacement Therapy 382
Selected Bibliography 387
16. Endocrine System 389
Special Assessment Techniques, Diagnostic Tests, and Monitoring Systems 389
Pathologic Conditions 391
Selected Bibliography 403
17. Trauma 405
Specialized Assessment Techniques, Diagnostic Tests, and Monitoring Systems 405
Common Injuries in the Trauma Patient 411
Complications of Traumatic Injury in Severe Multisystem Trauma 417
Psychological Consequences of Trauma 419
Selected Bibliography 420
Section III. Advanced Concepts in Caring for the Critically Ill Patient 421
18. Advanced ECG Concepts 423
The 12-Lead Electrocardiogram 423
Advanced Arrhythmia Interpretation 442
ST-Segment Monitoring 451
Cardiac Pacemakers 453
Selected Bibliography 462
19. Advanced Cardiovascular Concepts 465
Pathologic Conditions 465
Selected Bibliography 490
20. Advanced Neurologic Concepts 493
Subarachnoid Hemorrhage 493
Traumatic Brain Injury 498
Traumatic Spinal Cord Injury 503
Brain Tumors 511
Special Procedures: Invasive Monitoring of Intracranial Pressure 513
Special Procedures: Management of a Patient With a Lumbar Drain 515
Selected Bibliography 515
Section IV. Key Reference Information 517
21. Normal Values Table 519
22. Pharmacology Tables 521
23. Advanced Cardiac Life Support Algorithms 535
24. Cardiac Rhythms, ECG Characteristics, and Treatment Guide 539
Index 547
A 547
B 549
C 549
D 551
E 552
F 553
G 553
H 553
I 554
J 555
K 555
L 555
M 555
N 556
O 556
P 557
Q 558
R 559
S 559
T 560
U 561
V 561
W 562
X 562
Z 562

2022-03-08