Critical Care Nursing: Diagnosis and Management

Description

Get a firm understanding and mastery of the unique issues and procedures involved in critical care nursing with Critical Care Nursing: Diagnosis and Management, 8th Edition. Praised for its comprehensive coverage and clear organization,　this market-leading text offers a great foundation in the realities and challenges of today’s critical care unit that’s perfect for both nursing students and practicing nurses alike. This new edition also features enhanced integration of QSEN and interprofessional collaborative practice, plus expanded coverage of leadership, post-ICU outcomes and highly contagious infections. Revamped case studies, Patient Teaching boxes, Evidence-Based Practice boxes, Patient Safety Alerts, and other learning tools further develop your critical thinking skills and prepare you for success in high-acuity, progressive, and critical care settings.

Table of Contents

1.  Preface
2. Acknowledgments
3. Unit I. Foundations of Critical Care Nursing
4. 1. Critical Care Nursing Practice
   1. Overview
   2. History of Critical Care
   3. Critical Care Nursing
   4. Contemporary Critical Care
   5. Critical Care Nursing Roles
   6. Critical Care Professional Accountability
   7. Evidence-Based Nursing Practice
   8. Holistic Critical Care Nursing
   9. Complementary and Alternative Therapies
   10. Technology in Critical Care
   11. Interprofessional Collaborative Practice
   12. Interdisciplinary Care Management Models and Tools
   13. Quality, Safety, and Regulatory Issues in Critical Care
   14. Healthy Work Environment
   15. Summary
5. 2. Ethical Issues
   1. Differences Between Morals and Ethics
   2. Ethical Principles
   3. Conflicting Principles, Paternalism, and Medical Futility
   4. Professional Nursing Ethics and the Nursing Code of Ethics
   5. Situational and Organizational Ethical Decision Making in Critical Care
   6. SFNO Model for Deliberation of Ethical Problems
   7. Strategies for Promotion of Ethical Decision Making
   8. Summary
6. 3. Legal Issues
   1. Overview
   2. Administrative Law: Professional Regulation
   3. Tort Law: Negligence and Professional Malpractice, Intentional Torts
   4. Constitutional Law: Patient Decision Making
   5. Legal Issues Looking Forward
   6. Summary
7. 4. Genetic Issues
   1. Genetics and Genomics
   2. Genetic and Genomic Structure and Function
   3. Genetic Inheritance
   4. Obtaining Information About Genetics and Genomics
   5. Genetics in Critical Care
   6. Genetics, Genomics, and Nursing
   7. Human Genetics Key Terms
   8. Summary
8. 5. Patient and Family Education
   1. Challenges of Patient and Family Education
   2. Education
   3. Step 1: Assessment
   4. Step 2: Education Plan Development
   5. Step 3: Implementation
   6. Step 4: Evaluation
   7. Step 5: Documentation
   8. Factors that Affect the Teaching-Learning Process
   9. Informational Needs of Families in Critical Care
   10. Preparation of the Patient and Family for Transfer from Critical Care
   11. Summary
9. 6. Psychosocial Alterations and Management
   1. Stress
   2. Posttraumatic Stress Disorder
   3. Anxiety
   4. Alterations in Self-Concept
   5. Risk for Compromised Human Dignity
   6. Spiritual Challenges in Critical Care
   7. Coping with Stress and Illness
   8. Useful Psychosocial Skills
   9. Patients with Psychiatric Disorders
   10. Nurse Self-Care
   11. Summary
10. 7. Nutrition Alterations and Management
    1. Nutrient Metabolism
    2. Assessing Nutrition Status
    3. Implications of Undernutrition for Sick or Stressed Patients
    4. Nutrition Support
    5. Nutrition and Cardiovascular Alterations
    6. Nutrition and Pulmonary Alterations
    7. Nutrition and Neurologic Alterations
    8. Nutrition and Renal Alterations
    9. Nutrition and Gastrointestinal Alterations
    10. Nutrition and Endocrine Alterations
    11. Summary
11. 8. Pain and Pain Management
    1. Importance of Pain Assessment
    2. Definition and Description of Pain
    3. Pain Assessment
    4. Pain Management
    5. Summary
12. 9. Sedation, Agitation, Delirium Management
    1. Sedation
    2. Agitation
    3. Delirium
    4. Alcohol Withdrawal Syndrome and Delirium Tremens
    5. Collaborative Management
    6. Summary
13. 10. End-of-Life Care
    1. End-of-Life Experience in Critical Care
    2. Ethical and Legal Issues
    3. Comfort Care
    4. Decision Making
    5. Withdrawal or Withholding of Treatment
    6. Palliative Care
    7. Withdrawal of Mechanical Ventilation
    8. Professional Issues
    9. Organ Donation
    10. Family Care
    11. Collaborative Care
    12. Summary
14. Unit II. Cardiovascular Alterations
15. 11. Cardiovascular Anatomy and Physiology
    1. Anatomy
    2. Physiology
    3. Summary
16. 12. Cardiovascular Clinical Assessment
    1. History
    2. Physical Examination
    3. Summary
17. 13. Cardiovascular Diagnostic Procedures
    1. Hemodynamic Monitoring
    2. Electrocardiography
    3. Laboratory Tests
    4. Diagnostic Procedures
    5. Summary
18. 14. Cardiovascular Disorders
    1. Coronary Artery Disease
    2. Myocardial Infarction
    3. Sudden Cardiac Death
    4. Heart Failure
    5. Cardiomyopathy
    6. Pulmonary Hypertension
    7. Endocarditis
    8. Valvular Heart Disease
    9. Atherosclerotic Diseases of the Aorta
    10. Peripheral Artery Disease
    11. Carotid Artery Disease
    12. Venous Thromboembolism
    13. Hypertensive Emergency
    14. Summary
19. 15. Cardiovascular Therapeutic Management
    1. Pacemakers
    2. Implantable Cardioverter Defibrillators
    3. Fibrinolytic Therapy
    4. Eligibility Criteria
    5. Catheter-Based Interventions for Coronary Artery Disease
    6. Cardiac Surgery
    7. Mechanical Circulatory Support
    8. Vascular Surgery
    9. Effects of Cardiovascular Medications
    10. Summary
20. Unit III. Pulmonary Alterations
21. 16. Pulmonary Anatomy and Physiology
    1. Thorax
    2. Conducting Airways
    3. Respiratory Airways
    4. Pulmonary Blood and Lymph Supply
    5. Ventilation
    6. Respiration
    7. Ventilation/Perfusion Relationships
    8. Gas Transport
    9. Summary
22. 17. Pulmonary Clinical Assessment
    1. History
    2. Focused Clinical Assessment
    3. Assessment Findings of Common Disorders
    4. Summary
23. 18. Pulmonary Diagnostic Procedures
    1. Laboratory Studies
    2. Diagnostic Procedures
    3. Bedside Monitoring
    4. Summary
24. 19. Pulmonary Disorders
    1. Acute Lung Failure
    2. Acute Respiratory Distress Syndrome
    3. Pneumonia
    4. Aspiration Pneumonitis
    5. Acute Pulmonary Embolism
    6. Status Asthmaticus
    7. Air Leak Disorders
    8. Long-Term Mechanical Ventilator Dependence
    9. Summary
25. 20. Pulmonary Therapeutic Management
    1. Oxygen Therapy
    2. Artificial Airways
    3. Invasive Mechanical Ventilation
    4. Noninvasive Ventilation
    5. Positioning Therapy
    6. Thoracic Surgery
    7. Pharmacology
    8. Summary
26. Unit IV. Neurologic Alterations
27. 21. Neurologic Anatomy and Physiology
    1. Divisions of the Nervous System
    2. Microstructure of the Nervous System
    3. Central Nervous System
    4. Summary
28. 22. Neurologic Clinical Assessment and Diagnostic Procedures
    1. History
    2. Focused Clinical Assessment
    3. Diagnostic Procedures
    4. Laboratory Studies
    5. Multimodal Bedside Monitoring
    6. Summary
29. 23. Neurologic Disorders and Therapeutic Management
    1. Stroke
    2. Coma
    3. Guillain-Barré Syndrome
    4. Craniotomy
    5. Intracranial Hypertension
    6. Pharmacologic Agents
    7. Summary
30. Unit V. Kidney Alterations
31. 24. Kidney Anatomy and Physiology
    1. Macroscopic Anatomy
    2. Vascular Anatomy
    3. Microscopic Structure and Function
    4. Nervous System Innervation
    5. Urine Formation
    6. Functions of the Kidneys
    7. Fluid Balance
    8. Electrolyte Balance
    9. Summary
32. 25. Kidney Clinical Assessment and Diagnostic Procedures
    1. History
    2. Physical Examination
    3. Additional Assessments
    4. Laboratory Assessment
    5. Urine Toxicology Screen
    6. Imaging Studies
    7. Kidney Biopsy
    8. Summary
33. 26. Kidney Disorders and Therapeutic Management
    1. Acute Kidney Injury
    2. Definitions of Acute Kidney Injury
    3. Assessment and Diagnosis
    4. At-Risk Disease States and Acute Kidney Injury
    5. Renal Replacement Therapy: Dialysis
    6. Summary
34. Unit VI. Gastrointestinal Alterations
35. 27. Gastrointestinal Anatomy and Physiology
    1. Mouth
    2. Esophagus
    3. Stomach
    4. Small Intestine
    5. Large Intestine
    6. Accessory Organs
    7. Summary
36. 28. Gastrointestinal Clinical Assessment and Diagnostic Procedures
    1. History
    2. Focused Clinical Assessment
    3. Laboratory Studies
    4. Summary
37. 29. Gastrointestinal Disorders and Therapeutic Management
    1. Acute Gastrointestinal Hemorrhage
    2. Acute Pancreatitis
    3. Acute Liver Failure
    4. Gastrointestinal Surgery
    5. Therapeutic Management
    6. Pharmacologic Agents
    7. Summary
38. Unit VII. Endocrine Alterations
39. 30. Endocrine Anatomy and Physiology
    1. Pancreas
    2. Pituitary Gland and Hypothalamus
    3. Thyroid Gland
    4. Adrenal Gland
    5. Summary
40. 31. Endocrine Clinical Assessment and Diagnostic Procedures
    1. History
    2. Pancreas
    3. Pituitary Gland
    4. Thyroid Gland
    5. Adrenal Gland
    6. Summary
41. 32. Endocrine Disorders and Therapeutic Management
    1. Neuroendocrinology of Stress And Critical Illness
    2. Diabetes Mellitus
    3. Diabetic Ketoacidosis
    4. Hyperglycemic Hyperosmolar State
    5. Diabetes Insipidus
    6. Syndrome of Inappropriate Secretion of Antidiuretic Hormone
    7. Thyroid Storm
    8. Myxedema Coma
    9. Summary
42. Unit VIII. Multisystem Alterations
43. 33. Trauma
    1. Domestic Violence and Trauma
    2. Alcohol and Substance Abuse and Trauma
    3. Mechanism Of Injury
    4. Phases of Trauma Care
    5. Specific Trauma Injuries
    6. Complications of Trauma
    7. Special Considerations
    8. Summary
44. 34. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
    1. Shock Syndrome
    2. Hypovolemic Shock
    3. Cardiogenic Shock
    4. Anaphylactic Shock
    5. Neurogenic Shock
    6. Sepsis and Septic Shock
    7. Multiple Organ Dysfunction Syndrome
    8. Summary
45. 35. Burns
    1. Anatomy and Functions of the Skin
    2. Pathophysiology and Etiology of Burn Injury
    3. Classification of Burn Injury
    4. Initial Emergency Burn Management
    5. Special Management Considerations
    6. Burn Nursing Diagnoses and Management
    7. Stressors of Burn Nursing
    8. Summary
46. 36. Organ Donation and Transplantation
    1. Organ Donation
    2. Immunology of Transplant Rejection
    3. Heart Transplantation
    4. Heart-Lung Transplantation
    5. Single-Lung and Double-Lung Transplantation
    6. Liver Transplantation
    7. Kidney Transplantation
    8. Pancreas Transplantation
    9. Summary
47. 37. Hematologic and Oncologic Emergencies
    1. Overview of Coagulation and Fibrinolysis
    2. Disseminated Intravascular Coagulation
    3. Thrombocytopenia
    4. Heparin-Induced Thrombocytopenia
    5. Sickle Cell Anemia
    6. Tumor Lysis Syndrome
    7. Anemia of Critical Illness
    8. Summary
48. Unit IX. Special Populations
49. 38. The Obstetric Patient
    1. Physiologic Alterations in Pregnancy
    2. Physiologic Changes During Labor and Delivery
    3. Cardiac Disorders in Pregnancy
    4. Hypertensive Disease
    5. Disseminated Intravascular Coagulation
    6. Shock
    7. Pulmonary Dysfunction
    8. Trauma
    9. Postpartum Hemorrhage
    10. Risks to Fetal Development
    11. Summary
50. 39. The Pediatric Patient
    1. Respiratory System
    2. Cardiovascular System
    3. Nervous System
    4. Gastrointestinal System, Fluids, And Nutrition
    5. Pain Management
    6. Psychosocial Issues of the Child and Family
    7. Summary
51. 40. The Older Adult Patient
    1. Chronic Disease in Older Adults
    2. Heart Disease and Age-Related Changes of the Cardiovascular System
    3. Oncologic Issues in Critically Ill Older Adults
    4. Age-Related Changes of the Respiratory System and Pulmonary Disease
    5. Accidents and Trauma in Older Adults
    6. Renal System in Older Adults
    7. Gastrointestinal System in Older Adults
    8. Diabetes in Older Adults
    9. Immune System in Older Adults
    10. Integumentary and Musculoskeletal Systems in Older Adults
    11. Pharmacologic Therapy in Older Adults
    12. Long-Term Complications of Critical Care for Older Adults
    13. Conclusion
52. 41. The Perianesthesia Patient
    1. Selection of Anesthesia
    2. General Anesthesia
    3. Anesthetic Agents
    4. Perianesthesia Assessment and Care
    5. Management of Postanesthesia Problems and Emergencies
    6. Summary
    7. Appendix A. Nursing Management Plans of Care
    8. Appendix B. Physiologic Formulas for Critical Care
    9. Index
    10. Special Features