AACN essentials of critical care nursing / [edited by] Sarah A. Delgado.

Format:

Book

Contributor:

Delgado, Sarah A., editor.

Series:

McGraw-Hill's AccessAPN

Language:

English

Subjects (All):

Intensive care nursing.

Intensive care nursing--Outlines, syllabi, etc.

Critical Care Nursing--methods.

Critical Illness--nursing.

Nursing.

Critical Care Nursing.

Education, Nursing.

Medical Subjects:

Critical Care Nursing--methods.

Critical Illness--nursing.

Nursing.

Critical Care Nursing.

Education, Nursing.

Genre:

Outlines and syllabi.

Physical Description:

1 online resource (xx, 635 pages) : illustrations (some color)

Edition:

Fifth edition.

Other Title:

American Association of Critical-Care Nurses essentials of critical care nursing

Essentials of critical care nursing

Place of Publication:

New York : McGraw Hill, [2024]

Language Note:

In English.

Summary:

"This text provides the reader with evidence-informed content about the care of critically ill patients and their families. Written by nursing experts, this book sets a standard for critical care nursing education, supports preparation for national certifications, and can be a resource to address uncertainty in patient care delivery. The organization of the text recognizes the learner's need to assimilate foundational knowledge before attempting to master more complex critical care nursing concepts. In addition, the American Association of Critical-Care Nurses affirms this book's value to the AACN community and especially to clinicians at the point of care. As the editor, I am grateful for the time and effort that AACN's team put forth in providing this validation. The title continues to carry AACN's name, as it has since the first edition. As critical care continues to evolve, the skills and knowledge that nurses leverage will also change. The constant element will be nurses' profound commitment to learning and translating that learning to optimal patient outcomes. This 5th edition, like its predecessors, meets nurses in their journey to learn, supports their pursuit of validation through certification, and offers a resource for direct patient care"-- Provided by publisher.

Contents:

Section I. The Essentials

1. Assessment of Critically Ill Patients and Their Families

Assessment Framework

Prearrival Assessment

Admission Quick Check

Comprehensive Initial Assessment

Ongoing Assessment(s)

Patient Safety Considerations in Admission Assessments

Prearrival Assessment: Before the Action Begins

Admission Quick Check Assessment: The First Few Minutes

Airway and Breathing

Circulation and Cerebral Perfusion

Chief Complaint

Drugs and Diagnostic Tests

Equipment

Past Medical History

Social History

Physical Assessment by Body System

Psychosocial Assessment

Ongoing Assessment

Principles of Management

Selected Bibliography

Critical Care Assessment

Evidence-Based Practice

2. Planning Care for Critically Ill Patients and Their Families

Interprofessional Plan of Care

Planning Care through Staffing Considerations

Patient Safety Considerations in Planning Care

Prevention of Common Complications

Physiologic Instability

Venous Thromboembolism

Hospital-Acquired Infections

Pressure Injury

Sleep Pattern Disturbance

Psychosocial Impact

Patient and Family Education

Assessment of Learning Readiness

Strategies to Address Patient and Family Education

Principles for Educational Outcome Monitoring

Family-Centered Care

Receiving Assurance

Remaining Near the Patient

Receiving Information

Being Comfortable

Having Support Available

Family Visitation

Transporting the Critically Ill Patient

Assessment of Risk for Complications

Level of Care Required During Transport

Preparation

Transport

Transitioning to the Next Stage of Care.

Supporting Patients and Families During the Dying Process

Patient and Family Needs

Infection Prevention and Control

Psychosocial Support

Sleep Deprivation

Transport of Critically Ill Patients

3. Interpretation and Management of Basic Cardiac Rhythms

Basic Electrophysiology

Ecg Waveforms, Complexes, and Intervals

P Wave

QRS Complex

T Wave

U Wave

PR Interval

ST Segment

QT Interval

Basic Electrocardiography

Cardiac Monitoring

Determination of The Heart Rate

Determination of Cardiac Rhythm

Common Dysrhythmias

Rhythms Originating in the Sinus Node

Normal Sinus Rhythm

Sinus Bradycardia

Sinus Tachycardia

Sinus Dysrhythmia

Sinus Node Dysfunction

Sinus Pause and Sinus Arrest (Failure of the Sinus Node to Fire)

Tachycardia-Bradycardia (Tachy-Brady) Syndrome

Dysrhythmias Originating in the Atria

Premature Atrial Complexes

Wandering Atrial Pacemaker and Multifocal Atrial Tachycardia

Atrial Tachycardia

Atrial Flutter

Atrial Fibrillation

Supraventricular Tachycardia

Dysrhythmias Originating in the Atrioventricular Junction

Premature Junctional Complexes

Junctional Rhythm, Accelerated Junctional Rhythm, and Junctional Tachycardia

Dysrhythmias Originating in the Ventricles

Premature Ventricular Complexes

Idioventricular Rhythm and Accelerated Idioventricular Rhythm

Ventricular Tachycardia

Ventricular Fibrillation

Ventricular Asystole

Atrioventricular Blocks

First-Degree Atrioventricular Block

Second-Degree Atrioventricular Block

High-Grade Atrioventricular Block

Third-Degree Atrioventricular Block (Complete Block)

Temporary Pacing

Indications

Transvenous Pacing

Epicardial Pacing.

Components of a Pacing System

Basics of Pacemaker Operation

Initiating Transvenous Ventricular Pacing

Initiating Epicardial Pacing

External (Transcutaneous) Pacemakers

Defibrillation and Cardioversion

Defibrillation

Automatic External Defibrillators

Cardioversion

4. Hemodynamic Monitoring

Overview

Anatomy and Physiology

Cardiac Output

Components of Cardiac Output/Cardiac Index

Stroke Volume and Stroke Volume Index

Ejection Fraction

Factors Affecting Stroke Volume/Stroke Volume Index

Blood Pressure

Diastolic Blood Pressure

Diastolic Shock Index

Arterial Catheters

Basic Components of Hemodynamic Monitoring Systems

Pressure Tubing

Pressure Transducer

Pressure Amplifier

Pressure Bag and Flush Device

Alarms

Obtaining Accurate Hemodynamic Values

Leveling the Transducer

Zeroing the Transducer

Ensuring Accurate Waveform Transmission

Pulmonary Artery Catheters

Obtaining and Interpreting Hemodynamic Waveforms

Patient Positioning

Interpretation

Artifacts in Hemodynamic Waveforms: Respiratory Influence

Invasive Cardiac Output Monitoring

Continuous Mixed and Central Venous Oxygen Monitoring

Monitoring Principles (Technical)

Selected Examples of Clinical Applications

Less Invasive Hemodynamic Monitoring

Noninvasive Hemodynamic Technology

Noninvasive Assessment

Passive Leg Raise Maneuver

Pressure Responders

Peripheral Perfusion

Capillary Refill Time (CRT)

Application of Hemodynamic Parameters

Low Cardiac Output States

Left Ventricular Dysfunction

Hypovolemia

High Cardiac Output States

Hemodynamic Monitoringâ€"General

Blood Pressure Monitoring

PA Catheter

CVP

SpO2

SvO2/ScvO2

ETCO2/Pa-vCO2

Wireless/Remote Monitoring.

Less-Invasive CO Monitoring

NIRS/StO2

Functional Hemodynamics

PLR

Dynamic Elastance (Pressure Responders)

Peripheral Vasopressors

Evidence-Based Practice Guidelines (Update)

5. Airway and Ventilatory Management

Diagnostic Tests, Monitoring Systems, and Respiratory Assessment Techniques

Arterial Blood Gas Monitoring

Venous Blood Gas Monitoring

Pulse Oximetry

Assessing Pulmonary Function

Airway Management

Oropharyngeal Airway

Nasopharyngeal Airway

Laryngeal Mask Airway

Artificial Airways

Endotracheal and Tracheostomy Suctioning

Extubation

Decannulation

Oxygen Therapy

Complications

Oxygen Delivery

Basic Ventilatory Management

General Principles

Modes

Complications of Mechanical Ventilation

Weaning from Short-Term Mechanical Ventilation

Weaning from Prolonged Mechanical Ventilation

Respiratory Fatigue, Rest, and Conditioning

Wean Trial Protocols

Other Protocols for Use

Critical Pathways

Systematic Institutional Initiatives for the Management of the PMV Patient Population

Troubleshooting Ventilators

Nutrition

Communication

Maximizing Oxygenation, Ventilation, and Patient-Ventilator Synchrony

Maintain a Patent Airway

Monitor Oxygenation and Ventilation Status Frequently

Physiotherapy and Monitoring

Maintain Oxygenation and Ventilatory Support at All Times

Weaning from Mechanical Ventilation

Preventing Complications

Maximizing Communication

Reducing Anxiety and Providing Psychosocial Support

General Critical Care

COVID-19

Ventilator Management

Evidence-Based Resources

6. Pain, Sedation, and Neuromuscular Blockade Management.

Physiologic Mechanisms of Pain

Peripheral Mechanisms

Spinal Cord Integration

Central Processing

Responses to Pain

Pain Assessment

A Multimodal Approach to Pain Management

Nonsteroidal Anti-Inflammatory Drugs

Side Effects

Opioids

Intravenous Opioids

Patient-Controlled Analgesia

Switching from IV to Oral Opioid Analgesia

Epidural Analgesia

Epidural Opioids

Epidural Local Anesthetics

Non-Pharmacological Pain Management

Cutaneous Stimulation

Distraction

Imagery

Relaxation Techniques

Deep Breathing and Progressive Relaxation

Presence

Special Considerations for Pain Management in Older Adults

Assessment

Interventions

Principles of Pain Management

Sedation

Analgosedation

Reasons for Sedation

Goals and Management of Sedation

Management of Continuous Sedation

Sedative Medications

Sedation Considerations During Drug Shortages

Issues Related to Sedation

Neuromuscular Blockade

Neuromuscular Blocking Agents

Monitoring and Management

Principles of Management for the Use of Sedatives and Neuromuscular Blocking Agents

Pain Management

Sedation and Neuromuscular Blockade

Evidence-Based Practice Guidelines

7. Pharmacology

Medication Safety

Medication Administration Methods

Intravenous

Intramuscular or Subcutaneous

Oral

Sublingual

Intranasal

Transdermal

Central Nervous System Pharmacology

Sedatives

Analgesics

Anticonvulsants

Cardiovascular System Pharmacology

Miscellaneous Agents

Parenteral Vasodilators

Antiarrhythmics

Vasodilators and Remodeling Agents

Vasopressor Agents

Inotropic Agents

Antibiotic Pharmacology

Vancomycin

Pulmonary Pharmacology

Albuterol

Levalbuterol

Ipratropium.

Gastrointestinal Pharmacology.

Notes:

Includes bibliographical references and index.

Description based on print version record.

Other Format:

Print version: Burns, Suzanne M. AACN Essentials of Critical Care Nursing, Fifth Edition

ISBN:

1-264-26989-7

978-1-264-26988-4