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    Understanding the essentials of critical care nursing / Kathleen Ouimet Perrin, Carrie Edgerly MacLeod.

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    • Title:Understanding the essentials of critical care nursing / Kathleen Ouimet Perrin, Carrie Edgerly MacLeod.
    •    
    • Author/Creator:Perrin, Kathleen Ouimet, author.
    • Other Contributors/Collections:MacLeod, Carrie Edgerly, author.
    • Published/Created:NY, NY : Pearson, [2018]

    • Holdings

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    • Library of Congress Subjects:Intensive care nursing.
    • Edition:Third edition.
    • Description:xvi, 623 pages : color illustrations ; 28 cm
    • Notes:Includes bibliographical references and index.
    • ISBN:9780134146348 paperback
      0134146344 paperback
    • Contents:Machine generated contents note: Abbreviations
      Learning Outcomes
      Critical Care Environment
      Trends in Critical Care Units
      Characteristics of the Critical Care Environment
      Safety
      Role of the Critical Care Nurse
      Competencies of Critical Care Nurses as Defined by the AACN in the Synergy Model
      Interdisciplinary Nature of Delivery of Care in Critical Care Environments
      Communication
      Ethical and Legal Issues in the Delivery of Critical Care
      Ethical Dilemmas
      Issues with Both Legal and Ethical Aspects
      End-of-Life Issues
      Legal Issues
      Factors Affecting the Well-Being of Critical Care Nurses
      Moral Distress
      Compassion Satisfaction/Fatigue
      Job Satisfaction
      Critical Care Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Characteristics of Critically Ill Patients
      Synergy Model-Patient Characteristics
      Concerns of Critically Ill Patients
      Communication
      Comfort
      Sedation: Guiding Principles
      Prevention and Treatment of Delirium
      Basic Physiologic Needs of Critically Ill Patients
      Sleep
      Nutrition
      Mobility
      Needs of Families of Critically Ill Patients
      How Critical Care Nurses Best Meet the Needs of Patients' Families
      Critically Ill Patient Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Anatomy and Physiology Review
      Physiology
      Types of Respiratory Failure
      Building Technology Skills for Respiratory Failure
      Oxygen Administration
      Oxygen Delivery
      Mechanical Ventilation
      Nursing Care: Noninvasive Mechanical Ventilation
      Enhancing Comfort
      Promoting Safety
      Providing Nutrition
      Invasive Mechanical Ventilation
      Complications of Mechanical Ventilation
      Nursing Care for the Mechanically Ventilated Patient
      Enhancing Communication
      Acute Lung Injury and Acute Respiratory Distress Syndrome
      Pathophysiology
      Patient History and Assessment
      Pharmacological Support
      Nutrition
      Respiratory Failure Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Basic Electrophysiology
      Properties of Cardiac Cells
      Basic Electrophysiology-Cardiac Action Potential
      Refractory Periods
      Cardiac Conduction System
      Electrocardiogram
      Leads
      ECG Paper
      ECG Waveforms
      Interpreting Cardiac Rhythm
      Hemodynamic Consequences of Dysrhythmias
      Sinus Rhythms and Dysrhythmias
      Sinus Rhythm
      Sinus Arrhythmia
      Sinus Bradycardia
      Sinus Tachycardia
      Sick Sinus Syndrome
      Atrial Dysrhythmias
      Premature Atrial Complexes
      Supraventricular Tachycardia
      Atrial Flutter
      Atrial Fibrillation
      Atrioventricular Dysrhythmias and Blocks
      Premature Junctional Complexes
      Junctional Escape Rhythm
      First-Degree Atrioventricular Block
      Second-Degree Atrioventricular Blocks
      Second-Degree Atrioventricular Block, Mobitz Type I (Wenckebach)
      Second-Degree Atrioventricular Block, Mobitz Type II
      Bundle Branch Block
      Ventricular Dysrhythmias
      Premature Ventricular Complexes
      Ventricular Escape Rhythm (Idioventricular Rhythm)
      Ventricular Tachycardia
      Ventricular Fibrillation
      Ventricular Asystole
      Pulseless Electrical Activity
      Building Technology Skills
      Defibrillation and Cardioversion
      Pacemakers
      Implantable Cardioverter-Defibrillator
      Radiofrequency Catheter Ablation
      MAZE Procedure
      Cardiac Mapping
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Heart Anatomy and the Cardiac Cycle
      Cardiac Cycle: Diastole and Systole
      Concepts in Basic Hemodynamics
      Blood Pressure
      Cardiac Output
      Tissue Oxygen Supply and Demand
      Hemodynamics Technology and Nursing Responsibilities
      Overview of Pressure Monitoring Systems
      Arterial Pressure Monitoring
      Central Venous Pressure Monitoring
      Pulmonary Artery Pressure Monitoring
      Waveform Interpretation and Management
      Right Atrial Pressure
      Right Ventricular Pressure
      Pulmonary Artery Pressures
      Cardiac Output Measurement
      Cardiodynamic Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Pathophysiology, Classifications, and Risk Factors of Acute Coronary Syndromes
      Risk Factors for Acute Coronary Syndrome
      Nonmodifiable and Other Contributing Risk Factors
      Angina Pectoris
      Classification
      Myocardial Infarction (MI)
      Manifestations, Diagnostic Testing, and Collaborative Care of the Patient with Acute Coronary Syndrome
      Focused Assessment and Management
      Diagnostic Criteria
      Invasive Therapy/Interventions
      Reperfusion Therapy
      Percutaneous Transluminal Coronary Intervention
      Coronary Artery Bypass Grafting
      Minimally Invasive Direct Coronary Artery Bypass
      Transmyocardial Laser Revascularization (TMR)
      Innovative Therapies
      Complications
      Heart Failure
      Cardiogenic Shock
      Dysrhythmias
      Pericarditis and Post-Pericardiotomy Syndrome
      Acute Coronary Syndrome Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Pathophysiology of Heart Failure
      Pathophysiology
      Systolic/Diastolic Dysfunction and Left/Right Ventricular Failure
      Classifications and Etiologies
      Systolic Versus Diastolic Heart Failure
      Focused Assessment of the Patient
      Diagnostic Criteria
      Collaborative Management Strategies
      Nonpharmacological Measures
      Pharmacological Measures
      Acute Decompensated Heart Failure (ADHF)
      Building Technology Skills
      Intra-Aortic Balloon Pump
      Implantable Cardioverter Defibrillator
      Cardiac Resynchronization Therapy (CRT)
      Ventricular Assist Devices (VAD)
      Heart Failure Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Pathophysiology of Shock
      Hypovolemic Shock
      Cardiogenic Shock
      Distributive Shock
      Obstructive Shock
      Hypovolemic Shock: Assessment and Management
      Assessment
      Cardiogenic Shock: Assessment and Management
      Assessment
      Distributive Shock: Assessment and Management
      Septic Shock
      Neurogenic Shock
      Anaphylactic Shock
      Obstructive Shock
      Assessment
      Building Technology Skills
      Rapid Infuser
      Why/Why Not?
      Case Study 8.1
      Case Study 8.2
      Case Study 8.3
      Case Study 8.4
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Factors Impacting Trauma Patients' Survival
      Mechanisms of Injury
      Types of Injuries
      Trimodal Distribution of Trauma Deaths
      Trauma Center Classifications
      Assessment and Management Upon Hospital Arrival
      Beginning the Triage Process
      Priorities of Care-Primary Assessment Overview
      Secondary Assessment: Overview
      Trauma Scoring Systems
      Detailed Description of the Primary Survey
      Assessment and Management of Airway and Breathing
      A: Airway
      B: Breathing
      Ineffective Breathing
      Building Technology Skills
      Technological Requirements
      Nursing Responsibilities
      Assessment and Management of Circulation
      Absent Circulation
      Ineffective Circulation
      Shock
      Damage Control Resuscitation
      Access and Fluids
      Blood
      Massive Transfusion Protocols (MTPs)
      Ineffective Circulation Due to Cardiac Tamponade
      Assessment and Management of D: Disability
      Spinal Cord Injuries
      E: Expose the Patient
      Abdominal Trauma
      Detailed Description of the Secondary Assessment
      F: Full Set of Vital Signs
      G: Stands for Give Comfort Measures
      H: History and Head to Toe Assessment
      Trauma Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Intracranial Pressure
      Metabolic Activity of the Brain
      Monro-Kellie Hypothesis
      Cerebral Perfusion Pressure (CPP)
      Increased Intracranial Pressure
      Assessment of a Patient with a Potential for Increased Intracranial Pressure
      Glasgow Coma Scale
      Pupillary Function
      Motor Assessment
      Selected Cranial Nerve Assessment
      Evaluation of Brainstem Functioning
      Clinical Findings Associated with Increased Intracranial Pressure
      Building Technology Skills
      Primary Cause of Increased Intracranial Pressure: Traumatic Brain Injury
      Predisposing or Risk Factors
      Pathophysiology and Manifestations of Primary Brain Injuries
      Severe Traumatic Brain Injury
      Complications
      Recovery
      Primary Causes of Increased Intracranial Pressure: Meningitis and Seizures
      Meningitis
      Risk Factors
      Pathophysiology
      Manifestations
      Assessment
      Seizures
      Predisposing Conditions or Risk Factors
      Intracranial Dysfunction Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Cerebral Disorders
      Anatomy and Physiology Review
      Brain Tumors
      Complications
      Recovery
      Cerebrovascular Disorders
      Cerebral Vascular Accident
      Risk Factors
      Pathophysiology
      Hemorrhagic Stroke
      Ischemic Stroke
      Patient History and Assessment
      Determining Diagnosis
      Contents note continued: Collaborative Care after Diagnosis Is Determined
      Ischemic Stroke
      Invasive and Surgical Management
      Hemorrhagic Stroke
      Intracerebral Hemorrhages
      Subarachnoid Hemorrhages
      Recovery
      Cerebral or Cerebrovascular Disorder Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Anatomy and Physiology Review
      Liver Anatomy
      Liver Physiology
      Alcohol Withdrawal Syndrome
      Alcohol Use Disorders
      Assessment and Management of the Patient with Alcohol Withdrawal Syndrome
      Risk Assessment for Alcohol Withdrawal Syndrome
      Prevention of Complications
      Acute Liver Failure
      Etiology of Acute Liver Failure
      Assessment: Acetaminophen Toxicity/Acute Liver Failure
      Chronic Liver Failure
      Alterations in Structure and Function Occurring in Cirrhosis
      Portal Hypertension
      Building Technology Skills
      Paracentesis
      Purpose
      Indications and Expected Outcomes
      Technological Requirements
      Nursing Responsibilities
      Complications of Portal Hypertension: Variceal Bleeding
      Building Technology Skills
      Transjugular Intrahepatic Portosystemic Shunt (TIPS)
      Surgery
      Balloon Tamponade
      Prevention of Initial and Recurrent Bleeding from Esophageal Varices
      Complication of Portal Hypertension: Hepatic Encephalopathy (HE)
      Prevention of Infection
      Alcohol Withdrawal/Liver Failure Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Anatomy and Physiology Review
      Gastrointestinal Tract
      Patient With Gastrointestinal Bleeding
      Predisposing Factors and Causes of Gastrointestinal Hemorrhage
      Manifestations of Gastrointestinal Bleeding
      Other Diagnostic Tests
      Surgical Consult
      Identification and Prevention of Recurrent Bleeding
      Risks for Recurrent Gastrointestinal Bleeding
      Prevention of Complications
      Pancreatitis
      Acute Pancreatitis
      Anatomy and Physiology Review
      Patient with Pancreatitis
      Predisposing Factors and Causes of Acute Pancreatitis
      Determination of the Severity of Pancreatitis
      Collaborative and Nursing Care of the Patient with Severe Pancreatitis
      Assessment of Hypovolemia
      Maintain Hemodynamic Stability and Normovolemia
      Building Technology Skills
      Endoscopic Retrograde Cholangiopancreatography (ERCP)
      Prevention of Complications
      Acute Gastrointestinal Bleed and Pancreatitis Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Physiology and Pathophysiologies of Glucose Metabolism
      Carbohydrate Metabolism
      Fat Metabolism
      Protein Metabolism
      Function of Insulin
      Type 1 Diabetes
      Type 2 Diabetes
      Hyperglycemia in Critical Illness
      Stress Hormones
      Alterations in Glucose Metabolism and Insulin Resistance
      Inflammatory Effect of Hyperglycemia
      Glucose Target Range
      Metabolic Syndrome and Impaired Glucose Tolerance
      Focused Assessment of a Patient with the Disorder
      Diagnostic Criteria
      Prevention and Detection of Common or Life-Threatening Complications
      Pathophysiology of Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar Nonketotic Syndrome
      Diabetic Ketoacidosis
      Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS)
      Precipitating Factors of Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar Nonketotic Syndrome
      Focused Assessment of a Patient with Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar Nonketotic Syndrome
      Diagnostic Criteria
      Prevention and Detection of Common or Life-Threatening Complications
      Insulin Administration
      Continuous Glucose Monitoring
      Insulin Pump
      Insulin Pens
      Injection Aids
      New Technologies
      Problems in Glucose Metabolism Summary
      Why/Why Not?
      Case Study 1
      Case Study 2
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Renal Anatomy, Physiology and Pathology
      Etiologies of Acute Kidney Injury
      Risk Factors for Development of Acute Kidney Injury
      Prerenal Acute Kidney Injury
      Intrinsic Acute Kidney Injury
      Predisposing Conditions
      Pathophysiology and Manifestations
      Assessment of Fluid Volume Status in the Patient with Acute Kidney Injury
      Prioritized Management of Acute Kidney Injury
      Evidence-Based Interventions for Fluid Volume Excess
      Evidenced-Based Interventions For Electrolyte Imbalances
      Removal of Nitrogenous Wastes
      Prevention of Complications
      Building Technology Skills: Renal Replacement Therapies
      Principles of Therapy
      Intermittent Hemodialysis
      Nursing Responsibilities
      Continuous Renal Replacement Therapy
      Nursing Responsibilities
      Peritoneal Dialysis
      Nursing Responsibilities
      Recovery from Acute Kidney Injury
      Acute Kidney Injury Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Review of Basic Immunology
      Eligibility and Care of the Transplant Donor and Family
      Living Donors
      Deceased Donors
      Imminent Death
      Approaches to Obtaining Family Consent for Transplantation of Organs
      Nurses' Role in Organ Donations
      Organ Recipients
      Eligibility Criteria and Evaluation for Specific Organ Transplants
      Kidney Transplantation
      Liver Transplants
      Heart Transplant
      Likelihood of Receiving an Organ from a Deceased Donor
      Immunosuppression and Rejection
      Overview of Rejection
      Donor-Recipient Compatibility Testing
      Immunosuppression
      Induction
      Identification and Management of Rejection
      Infection
      Collaborative Management of the Transplant Recipient
      Kidney Transplant
      Surgical Procedure
      Heart Transplant
      Surgical Procedure
      Post-Operative Problems Related to the Surgical Procedure
      Recovery
      Liver Transplant
      Surgical Procedure
      Recovery
      Psychosocial and Psychological Issues in Transplant Recipients
      Ineffective Management of the Therapeutic Regimen
      Support Groups
      Transplant Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Etiology of Injury
      Thermal Burns
      Electrical Burns
      Chemical Burns
      Radiation Burns
      Burn Classification and Severity
      Size of Injury
      Depth of Injury
      Other Factors Contributing to Burn Severity
      Pathophysiology of Burn Injury
      Integumentary System
      Cardiovascular System Changes
      Respiratory System Changes
      Gastrointestinal System Changes
      Renal System Changes
      Immune System Changes
      Metabolic Changes
      Transfer of the Patient to a Specialized Burn Center
      Patient with Minor Burns
      Patient with a Major Burn
      Resuscitation Phase
      Acute Phase
      Wound Management
      Surgical Management in the Acute Phase
      Rehabilitation Phase
      Burn Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      Introduction
      Inflammatory Immune Response in Septic Shock
      Pathophysiology Review
      Incidence and Prevalence
      International Sepsis Campaign
      Predisposing Factors and Causes
      Prevention of Hospital-Acquired Infections
      Ventilator-Associated Pneumonia Prevention Protocols
      Preventing Central Line Associated-Bloodstream Infections
      Surgical Site Care
      Preventing Urinary Tract Infections
      Assessment of the Septic Patient
      Recognition of the Patient with Systemic Inflammatory Response Syndrome
      Recognition of the Patient with Sepsis
      Recognition of the Patient with Severe Sepsis and Septic Shock
      Diagnostic Criteria
      Collaborative Care of the Patient With Severe Sepsis or Septic Shock
      Severe Sepsis Bundle
      Severe Sepsis Bundle: To Be Completed Within Six Hours of the Time of Presentation
      Severe Sepsis Bundles: Other Supportive Therapies
      Prevention, Detection, and Management of Complications
      Multiple Organ Dysfunction Syndrome (MODS)
      Disseminated Intravascular Coagulation (DIC)
      Sepsis Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References
      Abbreviations
      Learning Outcomes
      End of Life in the ICU
      Review of Some Ethical and Legal Concepts
      Palliative Care
      Categories of Death in the ICU
      Nursing Actions
      Needs of the Families of Dying Patients
      Families Need to Be with the Dying Patient
      Families Want to Be Helpful to the Dying Patient
      Families Need to Be Assured of the Patient's Comfort
      Families Need to Be Informed about the Patient's Condition
      Families Need to Be Comforted and Allowed to Express Their Emotions
      Care of the Patient During Limitation and Withdrawal of Therapy
      Conflict at the End of Life
      Continuation of Life-Sustaining Treatment
      Assisted Death
      End of Life Summary
      Why/Why Not?
      Case Study
      Chapter Review Questions
      References.
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