AACN Essentials of Critical Care Nursing: Pocket Handbook

by Chulay, Marianne; Burns, Suzanne M.

• ISBN13: 9780071447720
• ISBN10: 0071447725
• Edition: 1st
• Format: Paperback
• Copyright: 2005-08-17
• Publisher: McGraw-Hill Professional

Summary

This practical, clinically-oriented pocket handbook provides the essential information needed for quick reference in intensive care, coronary care, PACU'¬"s, telementry units, and other critical care settings.

Author Biography

Marianne Chulay RN DNSc FAAN is a Consultant, Clinical Research and Critical Care Nursing in Chapel Hill, NC

Suzanne M. Burns, RN, MSN, RRT, ACNP, CCRN, FAAN, FCCM is Professor of Nursing, Acute and Specialty Care at the University of Virginia, Charlottesville, VA

Table of Contents

Preface	xv
Section 1. Normal Values	1	(6)
1.1 Normal Values Table	2	(5)
Section 2. Assessment	7	(16)
2.1 Prearrival and Admission Quick Check Assessments	8	(1)
2.2 Comprehensive Admission Assessment Requirements	9	(1)
2.3 Suggested Questions for Review of Past History Categorized by Body System	10	(2)
2.4 Ongoing Assessment Template	12	(1)
2.5 System Assessment	13	(1)
2.6 Chest Pain Assessment	14	(1)
2.7 Pain Assessment Tools for Critically Ill Patients	15	(1)
2.8 CAM-ICU Worksheet	16	(2)
2.9 Glasgow Coma Scale	18	(1)
2.10 Sensory Dermatomes	19	(2)
2.11 Edema Rating Scale	21	(1)
2.12 Peripheral Pulse Rating Scale	21	(1)
2.13 Physiologic Effects of Aging	22	(1)
Section 3. Cardiovascular System	23	(102)
3.1 ECG Lead Placement for a Three-Wire System	25	(2)
3.2 ECG Lead Placement for a Five-Wire System	27	(2)
3.3 Twelve-Lead ECG Placement	29	(1)
3.4 Waves, Complexes, and Intervals	30	(1)
3.5 Heart Rate Determination	31	(1)
3.6 Heart Rate Determination Using the Electrocardiogram Large Boxes	32	(1)
3.7 Nomogram for Rate Correction	33	(1)
3.8 Recommended Leads for Continuous ECG Monitoring	34	(2)
3.9 Advantages of Common Monitoring Leads 31
3.10 Evidence-Based Practice: Bedside Cardiac Monitoring for Arrhythmia Detection	36	(1)
3.11 Evidence-Based Practice: ST Segment Monitoring	37	(1)
3.12 Cardiac Rhythms, ECG Characteristics, and Treatment Guide	38	(25)
3.13 Normal 12-Lead ECG Waves	63	(1)
3.14 Normal ST Segment and T Waves	64	(1)
3.15 Zones of Myocardial Ischemia, Injury, and Infarction With Associated ECG Changes	65	(1)
3.16 ECG Patterns Associated With Myocardial Ischemia	66	(1)
3.17 ECG Patterns Associated With Acute Myocardial Injury	67	(1)
3.18 ECG Changes Associated With Myocardial Infarction	68	(1)
3.19 Typical Plasma Profiles	69	(1)
3.20 Clinical Presentation of Myocardial Ischemia and Infarction	70	(2)
3.21 Evidence-Based Practice: ACS-ST Elevation MI and non-ST Elevation MI	72	(1)
3.22 Causes of Axis Deviations	73	(1)
3.23 Pacemaker Codes	74	(1)
3.24 Dual-Chamber Pacing Modes	75	(2)
3.25 Intra-Aortic Balloon Pump Frequency of 1:2	77	(1)
3.26 Intra-Aortic Balloon Pump Frequency of 1:1	77	(1)
3.27 Inaccurate Intra-Aortic Balloon Pump Timing	78	(2)
3.28 Universal Advanced Cardiac Life Support (ACLS) Algorithm	80	(2)
3.29 Algorithm for Ventricular Fibrillation and Pulseness Ventricular Tachycardia	82	(2)
3.30 Algorithm for Pulseness Electrical Activity (PEA)	84	(2)
3.31 Algorithm for Asystole	86	(2)
3.32 Algorithm for Bradycardia (With the Patient Not in Cardiac Arrest)	88	(2)
3.33 Algorithm for Tachycardia-Overview	90	(2)
3.34 Algorithm for Narrow Complex Tachycardia	92	(2)
3.35 Algorithm for Stable Ventricular Tachycardia	94	(2)
3.36 Problems Encountered With Arterial Catheters	96	(2)
3.37 Inaccurate Arterial Pressure Measurements	98	(2)
3.38 Pulmonary Artery Port Functions	100	(1)
3.39 Pulmonary Artery in the Wedge Position	101	(1)
3.40 Referencing and Zeroing the Hemodynamic Monitoring System	102	(1)
3.41 Assessing Damping Concepts From Square Wave Test	103	(1)
3.42 Pressure Waveforms Observed During Pulmonary Artery Catheter Insertion	104	(2)
3.43 Pulmonary Artery Waveform and Components	106	(1)
3.44 Effect of a Mechanical Ventilator Breath on PA Waveform	107	(1)
3.45 Reading End Expiration Before a Spontaneous Breath	108	(1)
3.46 Evidenced-Based Practice: Pulmonary Artery Pressure Measurement	109	(1)
3.47 Problems Encountered With Pulmonary Artery Catheters	110	(6)
3.48 Inaccurate Pulmonary Artery Pressure Measurements	116	(3)
3.49 Troubleshooting Problems With Thermodilution Cardiac Output Measurements	119	(4)
3.50 Common Inotropic Therapies in Treating Abnormal Hemodynamics	123	(1)
3.51 Common Preload Reducers for Abnormal Hemodynamics	123	(1)
3.52 Common Afterload Reducing Agents	124	(1)
Section 4. Respiratory System	125	(32)
4.1 Normal Chest X-Ray	126	(1)
4.2 Mediastinal Structures Visible on a Chest X-Ray	127	(1)
4.3 Acid-Base Abnormalities	128	(1)
4.4 Indications for Mechanical Ventilation	129	(1)
4.5 Traditional Wean Criteria (Pulmonary Specific)	130	(1)
4.6 Burns' Wean Assessment Program (BWAP)	131	(2)
4.7 Algorithm for Managing Ventilator Alarms and/or Acute Respiratory Distress	133	(1)
4.8 Ventilatory Troubleshooting Guide	134	(23)
Section 5. Pharmacology Tables	157	(44)
5.1 Intravenous Medication Administration Guidelines	158	(26)
5.2 Neuromuscular Blocking Agents	184	(3)
5.3 Vasoactive Agents	187	(3)
5.4 Antiarrhythmic Agents	190	(6)
5.5 Therapeutic Drug Monitoring	196	(3)
5.6 Tips for Calculating Intravenous Medication Infusion Rates	199	(2)
Section 6. Neurologic Concepts	201	(6)
6.1 Intracranial Pressure Monitoring Systems	202	(1)
6.2 Intracranial Pressure Waveforms	203	(2)
6.3 Functional Losses from SCI	205	(1)
6.4 Clinical Presentation of Brain Tumors Related to Location	206	(1)
Section 7. Transfer Guidelines	207
7.1 Transport Within the Hospital: Personnel and Equipment Requirements	208	(1)
7.2 Monitoring During Transfer	209	(1)
7.3 Pretransfer Coordination and Communication	210