Clinical Medical-Surgical Nursing : A Decision-Making Reference

by George-Gay & Chernecky

• ISBN13: 9780721685328
• ISBN10: 0721685323
• Edition: 1st
• Format: Paperback
• Copyright: 2002-01-24
• Publisher: Saunders

Summary

This clinical reference promotes critical thinking and emphasizes client care by helping the reader make the best possible decisions for 130 medical-surgical conditions and procedures. For each condition, it provides a summary of pathophysiology and focuses on specific nursing interventions, based upon research and real-world practice. An A-to-Z organization within chapters, thumb tabs, a consistent format, and specially designed icons make this a quick access, easy-to-use reference.

Table of Contents

Part I Decision-Making
Basic Decision-Making	2	(37)
Standards of Nursing	2	(5)
Vital Parameters	7	(10)
Expedited Physical Assessment	17	(7)
First Aid for Injuries	24	(15)
Decision-Making for Fluid Therapy	39	(38)
Intravenous Fluids	39	(9)
Venous Access Devices	48	(16)
Blood and Blood Product Administration	64	(13)
Decision-Making for Wounds and Drainage Systems	77	(21)
Wound Care	77	(7)
Wound Drainage Systems	84	(3)
Ostomies	87	(5)
Gastrointestinal Drainage Systems	92	(6)
Decision-Making for Bedside Specimen Collection	98	(17)
Gastric Specimen Collection and Lavage	98	(3)
Urine Specimen Collection	101	(4)
Sputum Specimen Collection	105	(4)
Blood Glucose Specimen Collection and Monitoring	109	(6)
Decision-Making for Oxygenation Alterations	115	(27)
Assessment of Oxygenation	115	(9)
Oxygen Delivery Devices	124	(4)
Tracheostomy Care	128	(7)
Chest Drainage Systems	135	(7)
Decision-Making for Renal Alterations	142	(24)
Renal Assessment	142	(3)
Hemodialysis	145	(9)
Peritoneal Dialysis	154	(6)
Renal Transplantation	160	(6)
Decision-Making for Neurologic Alterations	166	(23)
Neurologic Assessment	166	(11)
Increased Intracranial Pressure	177	(6)
Pathologic Brain Lesions	183	(6)
Decision-Making for Cardiovascular Alterations	189	(32)
Cardiac Assessment	189	(7)
Vascular Assessment	196	(4)
Basic Electrical Conduction	200	(6)
Telemetry Monitoring	206	(4)
12-Lead Electrocardiogram	210	(11)
Decision-Making for Nutritional Alterations	221	(38)
Nutritional Assessment	221	(7)
Daily Requirements	228	(7)
Diets and Supplements	235	(7)
Parenteral Nutrition	242	(7)
Enteral Nutrition	249	(10)
Decision-Making for Immunologic Alterations	259	(15)
Assessment	259	(6)
Immunocompromised Host	265	(4)
Isolation Precautions	269	(5)
Decision-Making for Common Laboratory Data	274	(38)
Red Blood Cell Counts	274	(8)
White Blood Cell Count with Differential	282	(8)
Electrolytes	290	(9)
Laboratory Data Related to Infection	299	(5)
Laboratory Data Related to Renal Function	304	(8)
Decision-Making for Pharmacology	312	(106)
Analgesia	312	(8)
Anticoagulants	320	(12)
Antidepresants	332	(4)
Antihypertensives	336	(12)
Anti-Infectives	348	(10)
Antiseizure Medications	358	(7)
Digestive Tract Medications	365	(10)
Diuretics	375	(9)
Insulins	384	(8)
Respiratory Drugs	392	(11)
Sedatives	403	(5)
Adrenocorticosteroids	408	(10)
Part II Applied Decision-Making
Respiratory	418	(28)
Asthma	418	(5)
Bronchitis	423	(5)
Emphysema	428	(4)
Pneumonia	432	(6)
Tuberculosis	438	(8)
Cardiac	446	(41)
Angina	446	(5)
Cardiogenic Shock	451	(5)
Heart Failure	456	(11)
Coronary Artery Disease	467	(5)
Myocardial Infarction	472	(9)
Rheumatic Heart Disease	481	(6)
Vascular	487	(60)
Aortic Aneurysm	487	(7)
Buerger's Disease	494	(6)
Deep Vein Thrombosis	500	(9)
Hypertension	509	(10)
Hypovolemic Shock	519	(7)
Peripheral Vascular Disease	526	(5)
Raynaud's Disease	531	(6)
Thrombophlebitis	537	(4)
Varicose Veins	541	(6)
Gastrointestinal-Lower	547	(48)
Appendicitis	547	(2)
Cirrhosis	549	(7)
Food Poisoning	556	(4)
Hepatitis	560	(8)
Inflammatory Bowel Disease	568	(8)
Hernias	576	(4)
Intestinal Obstructions	580	(6)
Obesity	586	(4)
Peritonitis	590	(5)
Gastrointestinal-Upper	595	(29)
Cholelithiasis and Cholecystitis	595	(7)
Hiatal Hernia	602	(7)
Pancreatitis	609	(6)
Peptic Ulcer	615	(9)
Endocrine	624	(20)
Diabetes Mellitus	624	(7)
Hyperparathyroidism	631	(3)
Hyperthyroidism	634	(4)
Hypoparathyroidism	638	(2)
Hypothyroidism	640	(4)
Neurologic	644	(49)
Alzheimer's Disease	644	(5)
Cerebrovascular Accident	649	(8)
Guillain-Barre Syndrome	657	(5)
Meningitis	662	(4)
Multiple Sclerosis	666	(5)
Myasthenia Gravis	671	(4)
Parkinsonism	675	(5)
Seizures	680	(6)
Spinal Cord Injury	686	(7)
Psychosocial Health	693	(27)
Alcohol Withdrawal Syndrome	693	(3)
Depression	696	(7)
Drug Overdose and Poisoning	703	(6)
Mental/Emotional Abuse	709	(5)
Suicidal Ideation	714	(6)
Musculoskeletal	720	(44)
Arthritis and Joint Replacement	720	(9)
Fractures	729	(13)
Gout	742	(7)
Osteoporosis	749	(4)
Systemic Lupus Erythematosus	753	(11)
Immunologic	764	(26)
Human Immunodeficiency Virus	764	(9)
Allergies	773	(7)
Cancer and Solid Tumors	780	(10)
Hematologic	790	(14)
Anemia	790	(4)
Leukemia	794	(5)
Sickle Cell Disease	799	(5)
Sensory	804	(26)
Cataracts	804	(5)
Conjunctivitis	809	(6)
Glaucoma	815	(9)
Meniere's Disease	824	(6)
Urinary	830	(30)
Neurogenic Bladder	830	(10)
Renal Calculi	840	(7)
Renal Failure	847	(9)
Urinary Tract Infection	856	(4)
Reproductive	860	(19)
Benign Prostatic Hypertrophy	860	(6)
Pelvic Inflammatory Disease	866	(4)
Sexually Transmitted Diseases	870	(9)
Bibliography	879	(54)
Index	933