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Thelan's critical care nursing : diagnosis and management / Linda D. Urden, Kathleen M. Stacy, Mary E. Lough [editors].

Contributor(s): Urden, Linda Diann | Stacy, Kathleen M | Lough, Mary E.
Material type: TextTextPublisher: St. Louis, Mo. : Mosby/Elsevier, c2006Edition: 5th ed.Description: xxvi, 1247 p. : ill. (chiefly col.) ; 29 cm. + 1 CD-ROM (4 3/4 in.).ISBN: 9780323032483; 0323032486; 9789996019791 (CD-ROM); 9996019799 (CD-ROM).Other title: Critical care nursing.Subject(s): Intensive care nursing | Emergency nursingAdditional physical formats: Online version:: Thelan's critical care nursing.DDC classification: 616.028 Other classification: 44.63
Contents:
unit I. Foundations of critical care nursing -- 1. Critical care nursing practice -- Overview -- History of critical care -- Contemporary critical care -- Critical care nursing roles -- Critical care professional organizations -- Critical care nursing standards -- Evidence-based nursing practice -- Holistic critical care nursing -- Nursing's unique role in health care -- Interdisciplinary planning for care -- Regulatory issues in critical care -- 2. Ethical issues -- Differences between morals and ethics -- Ethical principles -- Scarce resources in critical care -- Withholding and withdrawing treatment -- Medical futility-- Ethics as a foundation for nursing practice -- Ethical decision making in critical care -- Strategies for promotion of ethical decision making -- 3. Legal issues -- Overview -- Assessment failures -- Planning failures -- Implementation failures -- Evaluation failures -- 4. Patient/family education -- Challenges in acute care in patient/family education -- What is education? -- Step 1 : assessment -- Step 2 : education plan of care development -- Step 3 : implementation -- Step 4 : outcome evaluation -- Step 5 : documentation -- Factors that affect the teaching-learning process -- Preparing the patient/family for transfer -- 5. Psychosocial alterations -- Psychosocial alterations, coping mechanisms, and management -- Holistic nursing practice -- Effects of stress on mind/body interactions -- Anxiety as a response to stress -- Anxiety and pain -- Self-concept -- Powerlessness -- Hopelessness -- Spiritual distress -- Mental status changes requiring evaluation -- Suicide -- Coping -- Coping mechanisms -- Coping assessment -- Enhancing the coping process -- Care of specific populations -- 6. Sleep alterations and management -- Normal human sleep -- Chronobiology -- Pharmacology -- Abnormal sleep -- 7. Nutrition alterations and management -- Nutrient metabolism -- Implications of undernutrition for the sick or stressed patient -- Assessing nutritional status -- Nutrition and cardiovascular alterations -- Nutrition and neurologic alterations -- Nutrition and renal alterations -- Nutrition and gastrointestinal alterations -- Nutrition and endocrine alterations -- Administering nutrition support -- Evaluating response to nutrition support -- 8. Pain and pain management -- Importance of pain assessment -- A definition and description of pain -- Physiology of pain -- Biologic stress response -- A framework for pain assessment -- Pain assessment -- Patient barriers to pain assessment and management -- Health professional barriers to pain assessment and management -- Organizational barriers to pain assessment and management -- Pain management -- Pharmacologic control of pain -- Delivery methods -- Nonpharmacologic methods of pain management -- 9. Agitation and sedation management -- Patient agitation and need for sedation/analgesia -- Assessing level of sedation -- Complications of sedation -- Selecting medications for sedation -- Managing drug dependence and withdrawal -- Assessing for delirium -- Preventing agitation and delirium -- Collaborative management -- 10. End-of-life issues -- End-of-life experience in critical care -- Ethical/legal issues -- Comfort care -- Prognostication -- Communication and decision making -- Culture and religious influences -- Hospice -- Withdrawal or withholding of treatment -- Palliative care -- Symptom management -- Near death awareness -- Withdrawal of mechanical ventilation -- Professional issues/health care settings -- Organ donation -- Family care -- Collaborative care --
unit II. Special populations -- 11. The pediatric patient in the adult critical care unit -- Respiratory system -- Cardiovascular system -- Nervous system -- Gastrointestinal system/fluids/nutrition -- Pain management -- Psychosocial issues of the child and family -- 12. High-risk and critical care in obstetric issues -- Risks to fetal development -- Physiologic alterations in pregnancy -- Physiologic changes during labor and delivery -- Cardiac disease -- Hypertensive disease -- Obstetric disseminated intravascular coagulation -- Pulmonary dysfunction -- Trauma -- Neurologic dysfunction -- 13. Gerontologic alterations and management -- Cardiovascular system -- Pulmonary system -- Renal system -- Gastrointestinal system -- Central nervous system -- Immune system -- Changes in pharmacokinetics and pharmacodynamics -- Physical examination and diagnostic procedures -- 14. Perianesthesia management -- Selection of anesthesia -- General anesthesia -- Anesthetic agents -- Perianesthesia assessment and care -- Management of postanesthesia problems and emergencies --
unit III. Cardiovascular alterations -- 15. Cardiovascular anatomy and physiology -- Anatomy -- Physiology -- 16. Cardiovascular clinical assessment -- History -- Physical examination -- 17. Cardiovascular diagnostic procedures -- Laboratory assessment -- Diagnostic procedures -- 18. Cardiovascular disorders -- Coronary artery disease -- Myocardial infarction -- Sudden cardiac death -- Heart failure -- Cardiomyopathy -- Pulmonary hypertension -- Endocarditis -- Valvular heart disease -- Atherosclerotic diseases of the aorta -- Peripheral arterial disease -- Carotid artery disease -- Venous thromboembolism -- Hypertensive emergency -- 19. Cardiovascular therapeutic management -- Temporary pacemakers -- Permanent pacemakers -- Implantable cardioverter defibrillator -- Fibrinolytic therapy -- Catheter interventions for coronary artery disease -- Balloon valvotomy -- Cardiac surgery -- Mechanical circulatory assist devices -- Vascular surgery -- Effects of cardiovascular drugs --
unit IV. Pulmonary alterations -- 20. Pulmonary anatomy and physiology -- Thorax -- Conducting airways -- Respiratory airways -- Pulmonary blood and lymph supply -- Ventilation -- Respiration -- Ventilation/perfusion relationships -- Gas transport -- 21. Pulmonary clinical assessment -- History -- Physical examination -- Assessment findings of common disorders -- 22. Pulmonary diagnostic procedures -- Laboratory studies -- Diagnostic procedures -- Bedside monitoring -- 23. Pulmonary disorders -- Acute respiratory failure -- Acute lung injury -- Pneumonia -- Aspiration pneumonitis -- Pulmonary embolism -- Status asthmaticus -- Air leak disorders -- Thoracic surgery -- Long-term mechanical ventilator dependence -- 24. Pulmonary therapeutic management -- Oxygen therapy -- Artificial airways -- Invasive mechanical ventilation -- Noninvasive mechanical ventilation -- Position therapy -- Pharmacology --
unit V. Neurologic alterations -- 25. Neurologic anatomy and physiology -- Divisions of the nervous system -- Microstructure of the nervous system -- Central nervous system -- 26. Neurologic clinical assessment and diagnostic procedures -- Clinical assessment -- Diagnostic procedures -- Laboratory studies -- Bedside monitoring -- 27. Neurologic disorders and therapeutic management -- Coma -- Stroke -- Guillain-Barré syndrome -- Craniotomy -- Intracranial hypertension -- Pharmacologic agents --
unit VI. Renal alterations -- 28. Renal anatomy and physiology -- Macroscopic anatomy -- Vascular anatomy -- Microscopic structure and function -- Nervous system innervation -- Processes of urine formation -- Functions of the kidneys -- Fluid balance -- Factors controlling fluid balance -- Electrolyte balance -- 29. Renal clinical assessment and diagnostic procedures -- History -- Physical examination -- Additional assessment parameters -- Laboratory assessment -- Radiologic assessment -- Kidney biopsy -- 30. Renal disorders and therapeutic management -- Acute renal failure -- Acute tubular necrosis -- Assessment and diagnosis -- "At risk" disease states and acute renal failure -- Renal replacement therapy, dialysis --
unit VII. Gastrointestinal alterations -- 31. Gastrointestinal anatomy and physiology -- Mouth -- Esophagus -- Stomach -- Small intestine -- Large intestine -- Accessory organs -- 32. Gastrointestinal clinical assessment and diagnostic procedures -- Clinical assessment -- History -- Physical examination -- Laboratory studies -- Diagnostic procedures -- 33. Gastrointestinal disorders and therapeutic management -- Acute gastrointestinal hemorrhage -- Acute pancreatitis -- Fulminant hepatic failure -- Gastrointestinal surgery -- Therapeutic management --
unit VIII. Endocrine alterations -- 34. Endocrine anatomy and physiology -- Pancreas -- Pituitary gland and hypothalamus -- Thyroid gland -- 35. Endocrine clinical assessment and diagnostic procedures -- Pancreas -- Pituitary gland -- Thyroid gland -- 36. Endocrine disorders and therapeutic management -- Neuroendocrinology of stress and critical illness -- Diabetes mellitus -- Diabetic ketoacidosis -- Hyperglycemic hyperosmolar state -- Diabetes insipidus -- Syndrome of inappropriate secretion of antidiuretic hormone -- Thyroid storm -- Myxedema coma --
unit IX. Multisystem alterations -- 37. Trauma -- Mechanisms of injury -- Phases of trauma care -- Specific trauma injuries -- Complications of trauma -- Special considerations -- 38. Shock -- Shock syndrome -- Hypovolemic shock -- Cardiogenic shock -- Anaphylactic shock -- Neurogenic shock -- Severe sepsis and septic shock -- 39. Systemic inflammatory response syndrome and multiple organ dysfunction syndrome -- The inflammatory response -- Multiple organ dysfunction syndrome -- Nursing management of high-risk patients -- Experimental approaches in SIRS and MODS -- 40. Burns -- Anatomy and functions of the skin -- Pathophysiology and etiology of burn injury -- Classification of burn injuries -- Initial emergency burn management -- Special management considerations -- Burn nursing diagnoses and management -- Rehabilitation phase -- 41. Organ donation and transplantation -- Introduction -- Organ donation -- Recovery of organs -- Immunology of transplant rejection -- Heart transplantation -- Heart-lung transplantation -- Single-lung and double-lung transplantations -- Liver transplantation -- Kidney transplantation -- Pancreas transplantation -- 42. Hematologic disorders and oncologic emergencies -- Overview of coagulation and fibrinolysis -- Disseminated intravascular coagulation -- Thrombocytopenia -- Heparin-induced thrombocytopenia -- Tumor lysis syndrome -- Hospital-acquired anemia of the critically ill --
unit X. Nursing management plans -- Appendix.
Summary: Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.
List(s) this item appears in: Nursing Collection
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Item type Current location Call number Status Date due Barcode
Book University of Texas At Tyler
Oversized Books - 3rd Floor
RT120.I5 C752 2006 (Browse shelf) Available 0000001780527

Includes bibliographical references and index.

unit I. Foundations of critical care nursing -- 1. Critical care nursing practice -- Overview -- History of critical care -- Contemporary critical care -- Critical care nursing roles -- Critical care professional organizations -- Critical care nursing standards -- Evidence-based nursing practice -- Holistic critical care nursing -- Nursing's unique role in health care -- Interdisciplinary planning for care -- Regulatory issues in critical care -- 2. Ethical issues -- Differences between morals and ethics -- Ethical principles -- Scarce resources in critical care -- Withholding and withdrawing treatment -- Medical futility-- Ethics as a foundation for nursing practice -- Ethical decision making in critical care -- Strategies for promotion of ethical decision making -- 3. Legal issues -- Overview -- Assessment failures -- Planning failures -- Implementation failures -- Evaluation failures -- 4. Patient/family education -- Challenges in acute care in patient/family education -- What is education? -- Step 1 : assessment -- Step 2 : education plan of care development -- Step 3 : implementation -- Step 4 : outcome evaluation -- Step 5 : documentation -- Factors that affect the teaching-learning process -- Preparing the patient/family for transfer -- 5. Psychosocial alterations -- Psychosocial alterations, coping mechanisms, and management -- Holistic nursing practice -- Effects of stress on mind/body interactions -- Anxiety as a response to stress -- Anxiety and pain -- Self-concept -- Powerlessness -- Hopelessness -- Spiritual distress -- Mental status changes requiring evaluation -- Suicide -- Coping -- Coping mechanisms -- Coping assessment -- Enhancing the coping process -- Care of specific populations -- 6. Sleep alterations and management -- Normal human sleep -- Chronobiology -- Pharmacology -- Abnormal sleep -- 7. Nutrition alterations and management -- Nutrient metabolism -- Implications of undernutrition for the sick or stressed patient -- Assessing nutritional status -- Nutrition and cardiovascular alterations -- Nutrition and neurologic alterations -- Nutrition and renal alterations -- Nutrition and gastrointestinal alterations -- Nutrition and endocrine alterations -- Administering nutrition support -- Evaluating response to nutrition support -- 8. Pain and pain management -- Importance of pain assessment -- A definition and description of pain -- Physiology of pain -- Biologic stress response -- A framework for pain assessment -- Pain assessment -- Patient barriers to pain assessment and management -- Health professional barriers to pain assessment and management -- Organizational barriers to pain assessment and management -- Pain management -- Pharmacologic control of pain -- Delivery methods -- Nonpharmacologic methods of pain management -- 9. Agitation and sedation management -- Patient agitation and need for sedation/analgesia -- Assessing level of sedation -- Complications of sedation -- Selecting medications for sedation -- Managing drug dependence and withdrawal -- Assessing for delirium -- Preventing agitation and delirium -- Collaborative management -- 10. End-of-life issues -- End-of-life experience in critical care -- Ethical/legal issues -- Comfort care -- Prognostication -- Communication and decision making -- Culture and religious influences -- Hospice -- Withdrawal or withholding of treatment -- Palliative care -- Symptom management -- Near death awareness -- Withdrawal of mechanical ventilation -- Professional issues/health care settings -- Organ donation -- Family care -- Collaborative care --

unit II. Special populations -- 11. The pediatric patient in the adult critical care unit -- Respiratory system -- Cardiovascular system -- Nervous system -- Gastrointestinal system/fluids/nutrition -- Pain management -- Psychosocial issues of the child and family -- 12. High-risk and critical care in obstetric issues -- Risks to fetal development -- Physiologic alterations in pregnancy -- Physiologic changes during labor and delivery -- Cardiac disease -- Hypertensive disease -- Obstetric disseminated intravascular coagulation -- Pulmonary dysfunction -- Trauma -- Neurologic dysfunction -- 13. Gerontologic alterations and management -- Cardiovascular system -- Pulmonary system -- Renal system -- Gastrointestinal system -- Central nervous system -- Immune system -- Changes in pharmacokinetics and pharmacodynamics -- Physical examination and diagnostic procedures -- 14. Perianesthesia management -- Selection of anesthesia -- General anesthesia -- Anesthetic agents -- Perianesthesia assessment and care -- Management of postanesthesia problems and emergencies --

unit III. Cardiovascular alterations -- 15. Cardiovascular anatomy and physiology -- Anatomy -- Physiology -- 16. Cardiovascular clinical assessment -- History -- Physical examination -- 17. Cardiovascular diagnostic procedures -- Laboratory assessment -- Diagnostic procedures -- 18. Cardiovascular disorders -- Coronary artery disease -- Myocardial infarction -- Sudden cardiac death -- Heart failure -- Cardiomyopathy -- Pulmonary hypertension -- Endocarditis -- Valvular heart disease -- Atherosclerotic diseases of the aorta -- Peripheral arterial disease -- Carotid artery disease -- Venous thromboembolism -- Hypertensive emergency -- 19. Cardiovascular therapeutic management -- Temporary pacemakers -- Permanent pacemakers -- Implantable cardioverter defibrillator -- Fibrinolytic therapy -- Catheter interventions for coronary artery disease -- Balloon valvotomy -- Cardiac surgery -- Mechanical circulatory assist devices -- Vascular surgery -- Effects of cardiovascular drugs --

unit IV. Pulmonary alterations -- 20. Pulmonary anatomy and physiology -- Thorax -- Conducting airways -- Respiratory airways -- Pulmonary blood and lymph supply -- Ventilation -- Respiration -- Ventilation/perfusion relationships -- Gas transport -- 21. Pulmonary clinical assessment -- History -- Physical examination -- Assessment findings of common disorders -- 22. Pulmonary diagnostic procedures -- Laboratory studies -- Diagnostic procedures -- Bedside monitoring -- 23. Pulmonary disorders -- Acute respiratory failure -- Acute lung injury -- Pneumonia -- Aspiration pneumonitis -- Pulmonary embolism -- Status asthmaticus -- Air leak disorders -- Thoracic surgery -- Long-term mechanical ventilator dependence -- 24. Pulmonary therapeutic management -- Oxygen therapy -- Artificial airways -- Invasive mechanical ventilation -- Noninvasive mechanical ventilation -- Position therapy -- Pharmacology --

unit V. Neurologic alterations -- 25. Neurologic anatomy and physiology -- Divisions of the nervous system -- Microstructure of the nervous system -- Central nervous system -- 26. Neurologic clinical assessment and diagnostic procedures -- Clinical assessment -- Diagnostic procedures -- Laboratory studies -- Bedside monitoring -- 27. Neurologic disorders and therapeutic management -- Coma -- Stroke -- Guillain-Barré syndrome -- Craniotomy -- Intracranial hypertension -- Pharmacologic agents --

unit VI. Renal alterations -- 28. Renal anatomy and physiology -- Macroscopic anatomy -- Vascular anatomy -- Microscopic structure and function -- Nervous system innervation -- Processes of urine formation -- Functions of the kidneys -- Fluid balance -- Factors controlling fluid balance -- Electrolyte balance -- 29. Renal clinical assessment and diagnostic procedures -- History -- Physical examination -- Additional assessment parameters -- Laboratory assessment -- Radiologic assessment -- Kidney biopsy -- 30. Renal disorders and therapeutic management -- Acute renal failure -- Acute tubular necrosis -- Assessment and diagnosis -- "At risk" disease states and acute renal failure -- Renal replacement therapy, dialysis --

unit VII. Gastrointestinal alterations -- 31. Gastrointestinal anatomy and physiology -- Mouth -- Esophagus -- Stomach -- Small intestine -- Large intestine -- Accessory organs -- 32. Gastrointestinal clinical assessment and diagnostic procedures -- Clinical assessment -- History -- Physical examination -- Laboratory studies -- Diagnostic procedures -- 33. Gastrointestinal disorders and therapeutic management -- Acute gastrointestinal hemorrhage -- Acute pancreatitis -- Fulminant hepatic failure -- Gastrointestinal surgery -- Therapeutic management --

unit VIII. Endocrine alterations -- 34. Endocrine anatomy and physiology -- Pancreas -- Pituitary gland and hypothalamus -- Thyroid gland -- 35. Endocrine clinical assessment and diagnostic procedures -- Pancreas -- Pituitary gland -- Thyroid gland -- 36. Endocrine disorders and therapeutic management -- Neuroendocrinology of stress and critical illness -- Diabetes mellitus -- Diabetic ketoacidosis -- Hyperglycemic hyperosmolar state -- Diabetes insipidus -- Syndrome of inappropriate secretion of antidiuretic hormone -- Thyroid storm -- Myxedema coma --

unit IX. Multisystem alterations -- 37. Trauma -- Mechanisms of injury -- Phases of trauma care -- Specific trauma injuries -- Complications of trauma -- Special considerations -- 38. Shock -- Shock syndrome -- Hypovolemic shock -- Cardiogenic shock -- Anaphylactic shock -- Neurogenic shock -- Severe sepsis and septic shock -- 39. Systemic inflammatory response syndrome and multiple organ dysfunction syndrome -- The inflammatory response -- Multiple organ dysfunction syndrome -- Nursing management of high-risk patients -- Experimental approaches in SIRS and MODS -- 40. Burns -- Anatomy and functions of the skin -- Pathophysiology and etiology of burn injury -- Classification of burn injuries -- Initial emergency burn management -- Special management considerations -- Burn nursing diagnoses and management -- Rehabilitation phase -- 41. Organ donation and transplantation -- Introduction -- Organ donation -- Recovery of organs -- Immunology of transplant rejection -- Heart transplantation -- Heart-lung transplantation -- Single-lung and double-lung transplantations -- Liver transplantation -- Kidney transplantation -- Pancreas transplantation -- 42. Hematologic disorders and oncologic emergencies -- Overview of coagulation and fibrinolysis -- Disseminated intravascular coagulation -- Thrombocytopenia -- Heparin-induced thrombocytopenia -- Tumor lysis syndrome -- Hospital-acquired anemia of the critically ill --

unit X. Nursing management plans -- Appendix.

Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.

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