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Essential Clinical Procedures E-Book

Essential Clinical Procedures E-Book

Richard W. Dehn | David P. Asprey

(2013)

Additional Information

Abstract

Written by foremost experts in the field, the 3rd Edition of Essential Clinical Procedures presents the latest common diagnostic and treatment-related procedures that you need to know as a physician assistant! Clear and concise, this medical reference book leads you step-by-step through over 70 techniques commonly seen in primary care and specialist settings, equipping you to deliver the best and safest care to your patients.

  • Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.
  • Visualize procedures and other important concepts clearly through over 300 high-quality illustrations.
  • Ensure the safe execution of procedures with a focus on patient preparation and the proper use of instruments, as well as highlighted warnings to alert you to potential dangers that can occur when performing various treatments.
  • Be fully prepared for any situation with guidance on the possible complications, rationales, and precautions behind many common procedures.
  • Understand the ins and outs of nonprocedural issues, including informed consent, standard precautions, patient education, and procedure documentation.
  • Get all the hands-on guidance you need to provide safe and effective care to your patients with Essential Clinical Procedures!
  • Understand the "must-know" aspects of the most commonly seen conditions with a systematic presentation featuring consistent headings and supporting color images.
  • Quickly access core information through high-yield margin notes and consistent formatting across all chapters.
  • Stay abreast of the latest procedures with a brand-new chapter and images on Reduction of the Shoulder/Finger Subluxations, plus many other updates throughout.

 


Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC IFC1
Essential Clinical Procedures iii
Copyright iv
Acknowledgments v
Preface vii
Contributors ix
Contents xiii
Chapter 01 - Informed Consent 1
References 6
Bibliography 6
Chapter 02 - Standard Precautions 7
Background and History 7
Body Substance Isolation 8
Universal Precautions 9
Standard Precautions 9
Gloves, Gowns, Masks, and Other Protective Barriers as Part of Universal Precautions 13
The Application of Standard Precautions in Clinical Procedures 14
References 14
Bibliography 15
Chapter 03 - Sterile Technique 17
Background and History 17
Principles of Sterile Technique 17
Surgical Hand Scrub 18
Materials for the Hand Scrub 19
Materials to Prepare the Procedure Site 20
Materials for Draping a Patient and the Procedure Site 21
Special Considerations 23
References 24
Chapter 04 - Blood Pressure Measurement 25
Background and History 25
Indications 27
Contraindications 27
Potential Complications 27
Essential Anatomy and Physiology 27
Patient Preparation 29
Time of Measurement 29
Materials for Blood Pressure Measurement 29
Special Considerations 32
Materials For Measuring Orthostatic Blood Pressure 34
Follow-Up Care and Instructions 35
References 35
Chapter 05 - Venipuncture 37
Background and History 37
Indications 37
Contraindications 38
Potential Complications 38
Essential Anatomy and Physiology 39
Patient Preparation 40
Materials 41
Special Considerations 46
Follow-Up Care and Instructions 47
References 47
Bibliography 47
Chapter 06 - Obtaining Blood Cultures 48
Background and History 48
Indications 49
Contraindications 49
Potential Complications 49
Review of Essential Anatomy and Physiology 49
Patient Preparation 50
Materials 51
Special Considerations 52
Follow-Up Care and Instructions 52
References 52
Bibliography 53
Chapter 07 - Inserting Intravenous Catheters 54
Background and History 54
Indications 54
Contraindications 55
Potential Complications 55
Essential Anatomy and Physiology 56
Patient Preparation 56
Materials 58
Special Considerations 61
Follow-Up Care and Instructions 61
References 62
Chapter 08 - Arterial Puncture 63
Background and History 63
Indications 63
Contraindications 64
Potential Complications 65
Essential Anatomy and Physiology 66
Patient Preparation 67
Materials 67
Special Considerations 69
Follow-Up Care and Instructions 70
Reference 70
Bibliography 70
Chapter 09 - Injections 71
Background and History 71
Indications 72
Contraindications 72
Potential Contraindications 72
Potential Complications 72
Essential Anatomy and Physiology 73
Patient Preparation 74
Materials 77
Special Considerations 82
Follow-Up Care and Instructions 83
References 83
Chapter 10 - Recording an Electrocardiogram 85
Background and History 85
Indications 85
Contraindications 87
Potential Complications 87
Essential Anatomy and Physiology 87
Patient Preparation 89
Materials 92
Special Considerations 92
Follow-Up Care and Instructions 92
References 93
Bibliography 93
Chapter 11 - Exercise Stress Testing 94
Procedure Goals and Objectives 94
Background and History 94
Indications 95
Contraindications 97
Essential Anatomy and Physiology 99
Patient Preparation 100
Special Considerations 107
Follow-Up Care 108
References 108
Bibliography 109
Chapter 12 - Endotracheal Intubation 110
Background and History 110
Indications 110
Contraindications 111
Potential Complications 111
Essential Anatomy and Physiology 112
Patient Preparation 113
Materials 117
Follow-Up Care and Instructions 126
References 126
Bibliography 126
Chapter 13 - Office Pulmonary Function Testing 127
Background and History 127
Indications 128
Contraindications and Patient Considerations 128
Economics 129
Potential Complications 129
Essential Anatomy and Physiology 130
Patient Preparation 132
Materials 132
Special Considerations 135
Follow-Up Care and Instructions 136
References 137
Bibliography 138
Chapter 14 - Nasogastric Tube Placement 139
Background and History 139
Indications 139
Contraindications 140
Potential Complications 140
Essential Anatomy and Physiology 141
Patient Preparation 142
Materials 142
Special Considerations 144
Follow-Up Care and Instructions 145
Reference 145
Bibliography 145
Chapter 15 - Lumbar Puncture 146
Background and History 146
Indications 146
Contraindications 147
Potential Complications 147
Essential Anatomy and Physiology 148
Patient Preparation 149
Materials 150
Special Considerations 153
Follow-Up Care and Instructions 154
References 155
Chapter 16 - Urinary Bladder Catheterization 156
Background and History 156
Indications 156
Contraindications 158
Potential Complications 158
Essential Anatomy and Physiology 158
Patient Preparation 159
Materials 160
Types of Catheters 160
Catheter Size Requirements 161
Follow-Up Care and Instructions 165
Bibliography 165
Chapter 17 - Epistaxis and Nasal Foreign Body Removal 166
Contraindications 168
Potential Complications 168
Essential Anatomy and Physiology 168
Cause of Nasal Bleeding and Pathophysiology 169
Patient Preparation 169
Materials 170
Follow-Up Care and Instructions 175
Contraindications 175
Essential Anatomy and Physiology 175
Materials 175
Follow-Up Care and Instructions 177
References 177
Chapter 18 - The Pelvic Examination and Obtaining a Routine Papanicolaou Smear 179
Background and History 179
Indications 179
Contraindications 180
Potential Complications 180
Essential Anatomy and Physiology 180
Patient Preparation 185
Special Considerations 193
Follow-Up Care And Instructions 193
Interpretation of the Pap Smear 194
References 195
Bibliography 195
Chapter 19 - Reduction of the Shoulder/Finger Subluxations 196
Indication 196
Clinical Symptoms 197
Diagnosis 197
Materials 198
Potential Complications 198
Treatment 198
Follow-Up Care and Instructions 199
Background and History 199
Indication 200
Clinical Symptoms 200
Referral Decisions 201
References 202
Bibliography 202
Chapter 20 - Joint and Bursal Aspiration 203
Background and History 203
Indications 204
Contraindications 204
Potential Complications 204
Essential Anatomy and Pathophysiology: Joint Aspiration 205
Patient Preparation: Joint Aspiration 206
Follow-Up Care and Instructions: Joint Aspiration 211
Essential Anatomy and Physiology: Bursal Aspiration 211
Patient Preparation: Bursal Aspiration 213
Follow-Up Care and Instructions: Bursal Aspiration 214
References 215
Bibliography 215
Chapter 21 - Casting and Splinting 216
Background and History 216
Indications 220
Contraindications 220
Potential Complications 221
Expected Outcomes 222
Essential Anatomy and Physiology 222
Patient Preparation 223
Materials 223
Materials Used for Applying a Short-Arm Cast 226
Materials Used for Applying a Short-Leg Cast 228
Follow-Up Care and Instructions 232
Bibliography 234
Chapter 22 - Local Anesthesia 236
Background and History 236
Essential Anatomy and Physiology 236
Indications 240
Contraindications 240
Potential Complications 241
Patient Preparation 243
Materials Used for Administering Anesthetics 243
Follow-Up Care and Instructions 249
References 249
Chapter 23 - Wound Closure 250
Procedure Goals and Objectives 250
Background and History 250
Indications 250
Contraindications 251
Potential Complications 251
Essential Anatomy and Physiology 251
Patient Preparation 254
Materials Used to Perform Suturing 257
Special Considerations 268
Materials Used for Using Skin Staplers 268
Materials Used for Applying Wound Adhesives 268
Follow-Up Care and Instructions for Sutured or Stapled Wounds 269
Follow-Up Care and Instructions for Adhesive-Closed Wounds 272
Example of a Wound Closure Procedure Note 272
Reference 272
Bibliography 272
Chapter 24 - Dermatologic Procedures 273
Indications 273
Contraindications 274
Potential Complications 275
Essential Anatomy and Physiology 275
Patient Preparation 275
Materials Used to Perform a Snip Biopsy 276
Materials Used to Perform a Curettage 276
Follow-Up Care and Instructions 278
Contraindications 279
Potential Complications 279
Patient Preparation 280
Materials Used to Perform a Punch Biopsy 280
Follow-Up Care and Instructions 282
Potential Complications 283
Patient Preparation 283
Materials Used to Perform an Excisional Biopsy 284
Special Considerations 285
Follow-Up Care and Instructions 285
Indications 286
Contraindications 286
Potential Complications 287
Patient Preparation 287
Materials Used to Perform Electrosurgery 287
Follow-Up Care and Instructions 288
Indications 288
Contraindications 288
Potential Complications 289
Patient Preparation 289
Materials Used to Perform Acne Surgery 289
Follow-Up Care and Instructions 290
References 290
Chapter 25 - Incision and Drainage of an Abscess 291
Procedure Goals and Objectives 291
Background And History 291
Indications 291
Contraindications 291
Potential Complications 292
Essential Anatomy and Physiology 292
Clinical Evaluation 292
Treatment 293
Source of Infection 293
Patient Preparation 294
Materials 294
Special Considerations 298
Pain Relief 299
Follow-Up Care and Instructions 299
Reference 299
Bibliography 300
Chapter 26 - Wound Dressing Techniques 301
Background and History 301
Indications 302
Contraindications 303
Essential Anatomy and Physiology 303
Patient Preparation 306
Materials 306
Follow-Up Care and Instructions 313
Conclusion and Resources 314
References 315
Bibliography 315
Chapter 27 - Cryosurgery 316
Background and History 316
Indications 317
Contraindications 318
Potential Complications 318
Essential Anatomy and Physiology 319
Patient Preparation 319
Materials 320
Special Considerations 322
Follow-Up Care and Instructions 322
References 322
Chapter 28 - Treating Ingrown Toenails 323
Background and History 323
Indications 323
Contraindications 324
Potential Complications 324
Essential Anatomy and Physiology 324
Patient Preparation 325
Materials 325
Follow-Up Care and Instructions 326
References 326
Chapter 29 - Draining Subungual Hematomas 328
Background and History 328
Indications 328
Contraindications 328
Potential Complications 329
Essential Anatomy and Physiology 329
Patient Preparation 330
Materials 330
Special Considerations 331
Follow-Up Care and Instructions 331
Bibliography 332
Chapter 30 - Anoscopy 333
Background and History 333
Indications 333
Contraindications 333
Potential Complications 334
Essential Anatomy and Physiology 334
Patient Preparation 335
Materials 335
Follow-Up Care and Instructions 336
References 337
Bibliography 337
Chapter 31 - Flexible Sigmoidoscopy 338
Background and History 338
Indications 339
Contraindications 340
Potential Complications 340
Essential Anatomy and Physiology 340
Patient Preparation 341
Materials 342
Special Considerations 345
Follow-Up Care and Instructions 345
References 345
Chapter 32 - Removal of Cerumen and Foreign Bodies from the Ear 346
Background and History 346
Indications 347
Contraindications 347
Potential Complications 348
Essential Anatomy and Physiology 348
Patient Preparation 348
Materials 349
Special Considerations 351
Follow-Up Care and Instructions 352
References 352
Chapter 33 - Trauma-Oriented Ocular Examination, Corneal Abrasion, and Ocular Foreign Body Removal 353
Background and History 353
Indications 354
Contraindications 354
Cautions and Considerations 356
Complications 357
Essential Anatomy and Physiology 357
Patient Preparation 359
Materials 359
Special Considerations 365
Follow-Up Care and Instructions 365
References 367
Chapter 34 - Endometrial Biopsy 368
Background and History 368
Indications 369
Contraindications 369
Potential Complications 369
Essential Anatomy and Physiology 370
Patient Preparation 371
Materials 371
Follow-Up Care and Instructions 375
Supplementary and Alternative Procedures 376
References 376
Chapter 35 - Foot Examination of the Patient with Diabetes 377
Background and History 377
Indications 377
Contraindications 378
Potential Complications 378
Essential Anatomy and Physiology 379
Patient Preparation 379
Materials 380
Special Considerations 380
Follow-Up Care and Instructions 380
References 382
Bibliography 383
Chapter 36 - Procedural Sedation 384
Background and History 384
Indications 385
Contraindications 385
Potential Complications 386
Patient Preparation 387
Essential Anatomy and Physiology 387
Materials 388
Monitoring 389
Agents for Procedural Sedation 390
Discharge Criteria 393
References 393
Chapter 37 - Patient Education Concepts* 394
A Model for Patient Education 395
Specific Suggestions for Enhancing the Patient Education Process 399
Other Factors Influencing Patient Education 400
Conclusion 402
References 403
Chapter 38 - Outpatient Coding for Medical Services 404
Background and History 404
Purpose of Accurate Medical Record Documentation 405
The Coding Process 406
Criteria in Selecting the Proper Evaulation and Management Service Codes 407
Medical Decision-Making 412
Summary 415
References 415
Bibilography 416
Chapter 39 - Documentation 417
Background and History 417
Other Points for Consideration in Recording Clinical Procedures 418
Clinical Procedure Notes 419
Clinical Procedure Note Format 420
Conclusion 420
Bibliography 420
Chapter 40 - Giving Sad and Bad News 421
Background and History 421
Indications 421
Preparing to Share Bad News 422
A Procedure for Sharing Bad News 423
Conclusion and Further Thoughts 430
References 430
Bibliography 430
Index 431
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