PeriAnesthesia Nursing : A Critical Care Approach

by Drain

• ISBN13: 9780721692579
• ISBN10: 0721692575
• Edition: 4th
• Format: Hardcover
• Copyright: 2003-03-10
• Publisher: Saunders

Summary

This highly regarded resource is the only book available to provide comprehensive clinical content tailored specifically to perianesthesia nurses. The new fourth edition of this standard text carefully integrates nursing and pharmacologic interventions with detailed pathophysiology. Focusing on research, documentation, and psychosocial considerations, it provides a complete resource for practice and serves as outstanding preparation for ASPAN certification. Important information is provided on the current policies and issues affecting perianesthesia nursing practice. In-depth coverage of pathophysiology for all body systems is integrated with nursing and pharmacologic interventions. Discussions of the various types of anesthetic agents include the physiology of action and the appropriate nursing interventions to be anticipated in the PACU. Advice on special considerations is included for patients with conditions such as malignant hyperthermia, substance abuse, sickle cell anemia, and cardiac arrest. IV agents and regional anesthesia are comprehensively discussed. Eight new chapters provide updated content on: the use and educational implications of anesthesia simulators (Chapter 4). managed care and its impact on perianesthesia nursing (Chapter 5). legal issues surrounding perianesthesia care (Chapter 6). the most critical ethical considerations of the PACU (Chapter 7). the most important physiologic considerations related to fluid, electrolytes, and acid-base balance (Chapter 12). the details of patient evaluation and preparation from the preoperative perspective (Chapter 24). aspects of perianesthesia care for the laser/laparoscopic surgical patient (Chapter 44). types of bioterrorism and the impact bioterrorism could have on the PACU (Chapter 52).

Table of Contents

SECTION I The Postanesthesia Care Unit
Space Planning and Basic Equipment Systems	1	(10)
Perianesthesia Nursing as a Specialty	11	(19)
Management and Policies	30	(15)
Crisis Resource Management in the PACU	45	(9)
Managed Care and Its Impact on the PACU	54	(10)
Legal Issues in the PACU	64	(13)
Ethics of Health Care in the PACU	77	(16)
SECTION II Physiologic Considerations in the PACU
The Nervous System	93	(32)
The Cardiovascular System	125	(25)
The Respiratory System	150	(39)
The Renal System	189	(12)
Fluid and Electrolytes	201	(12)
The Endocrine System	213	(8)
The Hepatobiliary and Gastrointestinal System	221	(10)
The Integumentary System	231	(7)
The Immune System	238	(10)
SECTION III Concepts in Anesthetic Agents
Basic Principles of Pharmacology	248	(28)
Inhalation Anesthesia	276	(16)
Nonopioid Intravenous Anesthetics	292	(12)
Opioid Intravenous Anesthetics	304	(13)
Muscle Relaxants	317	(22)
Local Anesthetics	339	(7)
Regional Anesthesia	346	(8)
SECTION IV Nursing Care in the PACU
Transition from the Operating Room to the PACU	354	(6)
Assessment and Monitoring of the Perianesthesia Patient	360	(33)
Care of the Perianesthesia Patient	393	(16)
Assessment and Management of the Airway	409	(13)
Pain Management in the PACU	422	(11)
Care of the Ear, Nose, Throat, Neck, and Maxillofacial Surgical Patient	433	(19)
Care of the Ophthalmic Surgical Patient	452	(13)
Care of the Thoracic Surgical Patient	465	(8)
Care of the Cardiac Surgical Patient	473	(20)
Care of the Vascular Surgical Patient	493	(13)
Care of the Orthopedic Surgical Patient	506	(11)
Care of the Neurosurgical Patient	517	(31)
Care of the Thyroid and Parathyroid Surgical Patient	548	(3)
Care of the Gastrointestinal, Abdominal, and Anorectal Surgical Patient	551	(15)
Care of the Genitourinary Surgical Patient	566	(15)
Care of the Obstetric and Gynecologic Surgical Patient	581	(9)
Care of the Breast Surgical Patient	590	(10)
Care of the Plastic Surgical Patient	600	(7)
Care of the Thermally Injured Patient	607	(8)
Care of the Ambulatory Surgical Patient	615	(12)
Care of the Laser/Laparoscopic Surgical Patient	627	(15)
SECTION V Special Considerations
Care of the Patient with Chronic Disorders	642	(19)
Care of the Pediatric Patient	661	(21)
Care of the Geriatric Patient	682	(6)
Care of the Pregnant Patient	688	(9)
Care of the Substance Abuser	697	(9)
Care of the Patient with Thermal Imbalance	706	(8)
Care of the Shock Trauma Patient	714	(16)
Bioterrorism and Its Impact on the PACU	730	(5)
Cardiopulmonary Resuscitation in the PACU	735