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Thelan's Critical Care Nursing : Diagnosis and Management,9780323032483
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Thelan's Critical Care Nursing : Diagnosis and Management

by
ISBN13:

9780323032483

ISBN10:
0323032486
Format:
Hardcover
Pub. Date:
11/11/2005
Publisher(s):
Mosby
List Price: $89.95
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Summary

This classic resource for critical care nursing is now a full-color text that provides a thorough examination of all the important aspects of critical care nursing with more appealing illustrations and design elements. Organized in ten units around alterations in body systems, this texts depth and scope will appeal to both novice and expert, while instructors praise its comprehensiveness and depend on its clinical relevance to inform their teaching and practice. Special Feature list located in the inside front and back covers provide a quick reference for finding this information. Clinical Applications promote student learning and critical thinking by illustrating the clinical course of a patient experiencing the history, clinical manifestations, treatment, and outcomes discussed. Data Collection feature incorporates information that should be included as part of the patients history. Nursing Diagnoses feature fosters critical thinking and decision making in a boxed menu of nursing diagnoses, complete with specific etiologic or related factors. Nursing Interventions Classification (NIC) feature lists the important nursing actions for a variety of nursing interventions that would be commonly incorporated in the management of a critically ill patient requiring a specific therapeutic management. Patient Education feature list the special topics that should be taught to the patient and family to prepare them for discharge. Pharmacologic Management Tables outline the common medications, along with any special considerations, used in treatment of the different disorders presented in the text. Full-color design and illustrations visually enhance the text. Evidence-Based Collaborative Practice feature highlights important research based articles on important topics like diabetic ketoacidosis, coronary artery disease and stable angina, and severe sepsis to help students understand the clinical significance of the problem. Patient Safety Alert feature highlights any safety issue for the learner that is specific and related to the chapter discussion as well as prepares the learner for important clinical situations. Collaborative Management boxes focus on the aspects of multidisciplinary care in the management of patients in the critical care setting. These are found in the nursing management sections, where appropriate, and are a numbered box. Pulmonary Disorders chapter now covers SARS. Neurologic Alterations chapters are restructured to three chapters in the unit. Organ Donation and Transplantation chapter now has important information on organ donation and procurement process.

Table of Contents

Unit I Foundations of Critical Care Nursing
Critical Care Nursing Practice
3(11)
Overview
3(1)
History of Critical Care
3(1)
Contemporary Critical Care
4(1)
Critical Care Nursing Roles
4(1)
Critical Care Professional Organizations
5(1)
Critical Care Nursing Standards
5(1)
Evidence-Based Nursing Practice
5(1)
Holistic Critical Care Nursing
6(2)
Nursing's Unique Role in Health Care
8(1)
Interdisciplinary Planning for Care
9(3)
Regulatory Issues in Critical Care
12(2)
Ethical Issues
14(8)
Differences Between Morals and Ethics
14(1)
Ethical Principles
14(2)
Scarce Resources in Critical Care
16(1)
Withholding and Withdrawing Treatment
17(1)
Medical Futility
17(1)
Ethics As a Foundation for Nursing Practice
17(1)
Ethical Decision Making in Critical Care
18(2)
Strategies for Promotion of Ethical Decision Making
20(2)
Legal Issues
22(17)
Overview
23(1)
Assessment Failures
23(1)
Planning Failures
24(1)
Implementation Failures
24(3)
Evaluation Failures
27(12)
Patient/Family Education
39(19)
Challenges in Acute Care in Patient/Family Education
39(1)
What Is Education?
39(1)
Step 1: Assessment
40(4)
Step 2: Education Plan of Care Development
44(3)
Step 3: Implementation
47(5)
Step 4: Outcome Evaluation
52(1)
Step 5: Documentation
53(1)
Factors That Affect the Teaching-Learning Process
54(1)
Preparing the Patient/Family for Transfer
55(3)
Psychosocial Alterations
58(22)
Psychosocial Alterations, Coping Mechanisms, and Management
58(1)
Holistic Nursing Practice
58(1)
Effects of Stress on Mind/Body Interactions
59(2)
Anxiety As a Response to Stress
61(1)
Anxiety and Pain
61(1)
Self-Concept
62(1)
Powerlessness
63(1)
Hopelessness
64(1)
Spiritual Distress
65(1)
Mental Status Changes Requiring Evaluation
65(4)
Suicide
69(1)
Coping
70(1)
Coping Mechanisms
70(2)
Coping Assessment
72(1)
Enhancing the Coping Process
72(2)
Care of Specific Populations
74(6)
Sleep Alterations and Management
80(14)
Normal Human Sleep
80(3)
Chronobiology
83(1)
Pharmacology
84(1)
Abnormal Sleep
85(9)
Nutrition Alterations and Management
94(30)
Nutrient Metabolism
94(2)
Implications of Undernutrition for the Sick or Stressed Patient
96(1)
Assessing Nutritional Status
97(4)
Nutrition and Cardiovascular Alterations
101(3)
Nutrition and Neurologic Alterations
104(1)
Nutrition and Renal Alterations
105(2)
Nutrition and Gastrointestinal Alterations
107(2)
Nutrition and Endocrine Alterations
109(1)
Administering Nutrition Support
110(9)
Evaluating Response to Nutrition Support
119(5)
Pain and Pain Management
124(28)
Importance of Pain Assessment
124(1)
A Definition and Description of Pain
124(1)
Physiology of Pain
125(2)
Biologic Stress Response
127(2)
A Framework for Pain Assessment
129(1)
Pain Assessment
130(4)
Patient Barriers to Pain Assessment and Management
134(2)
Health Professional Barriers to Pain Assessment and Management
136(1)
Organizational Barriers to Pain Assessment and Management
136(1)
Pain Management
136(1)
Pharmacologic Control of Pain
136(6)
Delivery Methods
142(3)
Nonpharmacologic Methods of Pain Management
145(7)
Agitation and Sedation Management
152(10)
Patient Agitation and Need for Sedation/Analgesia
152(1)
Assessing Level of Sedation
152(2)
Complications of Sedation
154(1)
Selecting Medications for Sedation
155(3)
Managing Drug Dependence and Withdrawal
158(1)
Assessing for Delirium
158(1)
Preventing Agitation and Delirium
159(1)
Collaborative Management
160(2)
End-of-Life Issues
162(15)
End-of-Life Experience in Critical Care
162(2)
Ethical/Legal Issues
164(1)
Comfort Care
164(1)
Prognostication
164(1)
Communication and Decision Making
165(1)
Culture and Religious Influences
165(1)
Hospice
165(1)
Withdrawal or Withholding of Treatment
165(1)
Palliative Care
166(1)
Symptom Management
166(1)
Near Death Awareness
167(1)
Withdrawal of Mechanical Ventilation
167(1)
Professional Issues/Health Care Settings
168(1)
Organ Donation
168(1)
Family Care
169(2)
Collaborative Care
171(6)
Unit II Special Populations
The Pediatric Patient in the Adult Critical Care Unit
177(28)
Respiratory System
177(9)
Cardiovascular System
186(7)
Nervous System
193(3)
Gastrointestinal System/Fluids/Nutrition
196(3)
Pain Management
199(1)
Psychosocial Issues of the Child and Family
200(5)
High-Risk and Critical Care in Obstetric Issues
205(22)
Risks to Fetal Development
205(1)
Physiologic Alterations in Pregnancy
205(4)
Physiologic Changes During Labor and Delivery
209(1)
Cardiac Disease
210(3)
Hypertensive Disease
213(3)
Obstetric Disseminated Intravascular Coagulation
216(1)
Pulmonary Dysfunction
217(2)
Trauma
219(4)
Neurologic Dysfunction
223(4)
Gerontologic Alterations and Management
227(22)
Cardiovascular System
227(4)
Pulmonary System
231(2)
Renal System
233(1)
Gastrointestinal System
234(1)
Central Nervous System
235(2)
Immune System
237(1)
Changes in Pharmacokinetics and Pharmacodynamics
238(1)
Physical Examination and Diagnostic Procedures
239(10)
Perianesthesia Management
249(30)
Selection of Anesthesia
249(1)
General Anesthesia
249(1)
Anesthetic Agents
250(5)
Perianesthesia Assessment and Care
255(7)
Management of Postanesthesia Problems and Emergencies
262(17)
Unit III Cardiovascular Alterations
Cardiovascular Anatomy and Physiology
279(23)
Anatomy
279(12)
Physiology
291(11)
Cardiovascular Clinical Assessment
302(17)
History
302(1)
Physical Examination
302(17)
Cardiovascular Diagnostic Procedures
319(108)
Laboratory Assessment
319(9)
Diagnostic Procedures
328(99)
Cardiovascular Disorders
427(76)
Coronary Artery Disease
427(12)
Myocardial Infarction
439(16)
Sudden Cardiac Death
455(4)
Heart Failure
459(9)
Cardiomyopathy
468(3)
Pulmonary Hypertension
471(2)
Endocarditis
473(3)
Valvular Heart Disease
476(5)
Atherosclerotic Diseases of the Aorta
481(4)
Peripheral Arterial Disease
485(3)
Carotid Artery Disease
488(3)
Venous Thromboembolism
491(3)
Hypertensive Emergency
494(9)
Cardiovascular Therapeutic Management
503(64)
Temporary Pacemakers
503(10)
Permanent Pacemakers
513(2)
Implantable Cardioverter Defibrillator
515(2)
Fibrinolytic Therapy
517(6)
Catheter Interventions for Coronary Artery Disease
523(8)
Balloon Valvotomy
531(1)
Cardiac Surgery
532(12)
Mechanical Circulatory Assist Devices
544(6)
Vascular Surgery
550(2)
Effects of Cardiovascular Drugs
552(15)
Unit IV Pulmonary Alterations
Pulmonary Anatomy and Physiology
567(20)
Thorax
567(3)
Conducting Airways
570(3)
Respiratory Airways
573(2)
Pulmonary Blood and Lymph Supply
575(2)
Ventilation
577(4)
Respiration
581(1)
Ventilation/Perfusion Relationships
582(1)
Gas Transport
582(5)
Pulmonary Clinical Assessment
587(17)
History
587(1)
Physical Examination
587(8)
Assessment Findings of Common Disorders
595(9)
Pulmonary Diagnostic Procedures
604(13)
Laboratory Studies
604(6)
Diagnostic Procedures
610(4)
Bedside Monitoring
614(3)
Pulmonary Disorders
617(40)
Acute Respiratory Failure
617(5)
Acute Lung Injury
622(6)
Pneumonia
628(4)
Aspiration Pneumonitis
632(3)
Pulmonary Embolism
635(3)
Status Asthmaticus
638(2)
Air Leak Disorders
640(4)
Thoracic Surgery
644(4)
Long-Term Mechanical Ventilator Dependence
648(9)
Pulmonary Therapeutic Management
657(34)
Oxygen Therapy
657(3)
Artificial Airways
660(10)
Invasive Mechanical Ventilation
670(10)
Noninvasive Mechanical Ventilation
680(2)
Position Therapy
682(2)
Pharmacology
684(7)
Unit V Neurologic Alterations
Neurologic Anatomy and Physiology
691(29)
Divisions of the Nervous System
691(1)
Microstructure of the Nervous System
691(6)
Central Nervous System
697(23)
Neurologic Clinical Assessment and Diagnostic Procedures
720(25)
Clinical Assessment
720(11)
Diagnostic Procedures
731(7)
Laboratory Studies
738(1)
Bedside Monitoring
738(7)
Neurologic Disorders and Therapeutic Management
745(42)
Coma
745(3)
Stroke
748(18)
Guillain-Barre Syndrome
766(2)
Craniotomy
768(6)
Intracranial Hypertension
774(7)
Pharmacologic Agents
781(6)
Unit VI Renal Alterations
Renal Anatomy and Physiology
787(14)
Macroscopic Anatomy
787(1)
Vascular Anatomy
787(1)
Microscopic Structure and Function
788(2)
Nervous System Innervation
790(1)
Processes of Urine Formation
791(1)
Functions of the Kidneys
792(2)
Fluid Balance
794(2)
Factors Controlling Fluid Balance
796(1)
Electrolyte Balance
796(5)
Renal Clinical Assessment and Diagnostic Procedures
801(12)
History
801(1)
Physical Examination
801(4)
Additional Assessment Parameters
805(2)
Laboratory Assessment
807(4)
Radiologic Assessment
811(1)
Kidney Biopsy
811(2)
Renal Disorders and Therapeutic Management
813(34)
Acute Renal Failure
813(1)
Acute Tubular Necrosis
814(2)
Assessment and Diagnosis
816(2)
``At Risk'' Disease States and Acute Renal Failure
818(10)
Renal Replacement Therapy---Dialysis
828(19)
Unit VII Gastrointestinal Alterations
Gastrointestinal Anatomy and Physiology
847(11)
Mouth
847(1)
Esophagus
847(1)
Stomach
848(2)
Small Intestine
850(2)
Large Intestine
852(1)
Accessory Organs
853(5)
Gastrointestinal Clinical Assessment and Diagnostic Procedures
858(13)
Clinical Assessment
858(1)
History
858(1)
Physical Examination
858(5)
Laboratory Studies
863(1)
Diagnostic Procedures
864(7)
Gastrointestinal Disorders and Therapeutic Management
871(30)
Acute Gastrointestinal Hemorrhage
871(6)
Acute Pancreatitis
877(4)
Fulminant Hepatic Failure
881(4)
Gastrointestinal Surgery
885(4)
Therapeutic Management
889(12)
Unit VIII Endocrine Alterations
Endocrine Anatomy and Physiology
901(9)
Pancreas
901(3)
Pituitary Gland and Hypothalamus
904(3)
Thyroid Gland
907(3)
Endocrine Assessment and Diagnostic Procedures
910(8)
Pancreas
910(2)
Pituitary Gland
912(2)
Thyroid Gland
914(4)
Endocrine Disorders and Therapeutic Management
918(51)
Neuroendocrinology of Stress and Critical Illness
918(9)
Diabetes Mellitus
927(7)
Diabetic Ketoacidosis
934(9)
Hyperglycemic Hyperosmolar State
943(5)
Diabetes Insipidus
948(5)
Syndrome of Inappropriate Secretion of Antidiuretic Hormone
953(3)
Thyroid Storm
956(5)
Myxedema Coma
961(8)
Unit IX Multisystem Alterations
Trauma
969(40)
Mechanisms of Injury
969(1)
Phases of Trauma Care
970(5)
Specific Trauma Injuries
975(28)
Complications of Trauma
1003(3)
Special Considerations
1006(3)
Shock
1009(23)
Shock Syndrome
1009(3)
Hypovolemic Shock
1012(2)
Cardiogenic Shock
1014(3)
Anaphylactic Shock
1017(4)
Neurogenic Shock
1021(2)
Severe Sepsis and Septic Shock
1023(9)
Systemic Inflammatory Response Syndrome and Multiple Organ Dysfunction Syndrome
1032(15)
The Inflammatory Response
1032(2)
Multiple Organ Dysfunction Syndrome
1034(8)
Nursing Management of High-Risk Patients
1042(2)
Experimental Approaches in SIRS and MODS
1044(3)
Burns
1047(29)
Anatomy and Functions of the Skin
1047(1)
Pathophysiology and Etiology of Burn Injury
1048(1)
Classification of Burn Injuries
1049(3)
Initial Emergency Burn Management
1052(4)
Special Management Considerations
1056(3)
Burn Nursing Diagnoses and Management
1059(14)
Rehabilitation Phase
1073(3)
Organ Donation and Transplantation
1076(52)
Introduction
1076(1)
Organ Donation
1076(10)
Recovery of Organs
1086(4)
Immunology of Transplant Rejection
1090(8)
Heart Transplantation
1098(4)
Heart-Lung Transplantation
1102(4)
Single-Lung and Double-Lung Transplantations
1106(2)
Liver Transplantation
1108(9)
Kidney Transplantation
1117(3)
Pancreas Transplantation
1120(8)
Hematologic Disorders and Oncologic Emergencies
1128(73)
Overview of Coagulation and Fibrinolysis
1128(1)
Disseminated Intravascular Coagulation
1129(6)
Thrombocytopenia
1135(1)
Heparin--Induced Thrombocytopenia
1136(3)
Tumor Lysis Syndrome
1139(2)
Hospital-Acquired Anemia of the Critically III
1141(60)
Unit X Nursing Management Plans
Appendix 1201


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