Menu Expand
Volume 5, Issue 1, An Issue of Hospital Medicine Clinics, E-Book

Volume 5, Issue 1, An Issue of Hospital Medicine Clinics, E-Book

Jeffrey Glasheen | Mary Anderson

(2015)

Additional Information

Book Details

Abstract

This online Clinics series provides evidence-based answers to clinical questions the practicing hospitalist faces daily. Now entering the fifth volume year of our growing online database, this issue edited by Jeff Glasheen and Mary Anderson, covers essential updates in the following topics: Vascular Access for Hospitalized Patients ,Mechanical and Noninvasive Ventilation,Isolation Precautions,Nephrolithiasis,Fecal Microbiota Transplant, Regional Anesthesia (Peripheral Nerve Blocks and Epidurals),Chemotherapy and Biologic/Targeted Therapies, Procedural Skills for the Hospitalist, Palliative Sedation, and Patient Experience.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors A1
CONSULTING EDITOR A1
EDITORS A1
AUTHORS A1
Contents A4
Preface: A Hospital Away from Home A4
Vascular Access in Hospitalized Patients A4
Invasive Mechanical Ventilation A4
Isolation Precautions in the Inpatient Setting A4
Nephrolithiasis A5
Fecal Microbiota Transplant A5
Regional Anesthesia A5
Chemotherapy Basics for Hospitalists A5
Palliative Sedation Therapy A5
Procedural Skills for Hospitalists A6
Patient Experience A6
HOSPITAL MEDICINE CLINICS A7
FORTHCOMING ISSUES A7
April 2016 A7
July 2016 A7
October 2016 A7
RECENT ISSUES A7
October 2015 A7
July 2015 A7
April 2015 A7
Preface: A Hospital Away from Home A8
Vascular Access in Hospitalized Patients 1
DEFINITIONS 2
EPIDEMIOLOGY 2
PERIPHERAL INTRAVENOUS ACCESS 2
Peripheral Intravenous Catheters 2
Midline Catheters 2
CENTRAL VENOUS ACCESS 5
Nontunneled Catheters 5
Tunneled Catheters 5
Subcutaneous Ports 7
Peripherally Inserted Central Catheters 8
Introducer Sheaths 8
INTRAOSSEOUS ACCESS 12
PERFORMANCE IMPROVEMENT 13
CLINICAL GUIDELINES 14
REFERENCES 14
Invasive Mechanical Ventilation 17
EPIDEMIOLOGY 18
INDICATIONS/CONTRAINDICATIONS 18
APPROACH TO MECHANICAL VENTILATION 18
Procedure Logistics 18
Volume control versus pressure control 19
Pressure support/continuous spontaneous ventilation 20
Pressure-regulated volume control 20
Airway pressure release ventilation 20
Tidal volume 21
TROUBLESHOOTING 23
PERFORMANCE IMPROVEMENT 25
CLINICAL GUIDELINES 25
REFERENCES 26
Isolation Precautions in the Inpatient Setting 30
DEFINITIONS 31
EPIDEMIOLOGY 32
TRANSMISSION-BASED PRECAUTIONS 32
Droplet Precautions 32
Airborne Precautions 35
Contact Precautions 37
PERFORMANCE IMPROVEMENT/IMPLICATIONS 39
CLINICAL GUIDELINES 41
REFERENCES 41
Nephrolithiasis 43
DEFINITIONS 44
EPIDEMIOLOGY 44
HISTORY AND EXAMINATION 46
DIAGNOSIS 48
MANAGEMENT 50
PERFORMANCE IMPROVEMENT 54
CLINICAL GUIDELINES 55
REFERENCES 56
Fecal Microbiota Transplant 58
HISTORY IN MEDICINE 59
EPIDEMIOLOGY 59
INDICATIONS/CONTRAINDICATIONS 60
PATIENT AND DONOR PREPARATION 60
PREPROCEDURE PREPARATION 62
APPROACH AND DELIVERY 64
Nasoenteric Tube 64
Upper Endoscopy 64
Retention Enema 64
Colonoscopy 64
Oral Capsules 65
OUTCOMES AND EVIDENCE 65
REDUCING COMPLICATIONS 66
PERFORMANCE IMPROVEMENT 67
CLINICAL GUIDELINES 67
REFERENCES 67
Regional Anesthesia 71
INTRODUCTION 71
DEFINITIONS 72
EPIDEMIOLOGY 72
MEDICATION SELECTION 73
INDICATIONS/CONTRAINDICATIONS 74
PERIPROCEDURE CARE 76
REDUCING COMPLICATIONS 77
PERFORMANCE IMPROVEMENT 81
CLINICAL GUIDELINES 82
REFERENCES 82
Chemotherapy Basics for Hospitalists 85
DEFINITIONS 85
EPIDEMIOLOGY 87
TYPES OF CHEMOTHERAPY DRUGS 88
Alkylating Agents 88
ANTIMETABOLITES 89
Antitumor Antibiotics 90
TOPOISOMERASE INHIBITORS 91
MITOTIC INHIBITORS 91
COMMON CHEMOTHERAPY REGIMENS 92
ENDOCRINE THERAPY 93
TARGETED THERAPIES 94
IMMUNOTHERAPY 94
MANAGEMENT OF COMPLICATIONS 96
PERFORMANCE IMPROVEMENT 98
CLINICAL GUIDELINES 98
REFERENCES 98
Palliative Sedation Therapy 101
CLINICAL GUIDELINES 102
Definition 102
PREVALENCE 104
OUTCOMES AND EVIDENCE 105
ETHICS AND LEGAL ISSUES 105
PALLIATIVE SEDATION PROCEDURE 108
Preparation 108
APPROACH 109
PERFORMANCE IMPROVEMENT 112
REFERENCES 112
Procedural Skills for Hospitalists 114
BACKGROUND 115
ABDOMINAL PARACENTESIS 115
TECHNIQUE PEARLS 118
Summary of Billing Codes 120
THORACENTESIS 120
TECHNIQUE PEARLS 123
LUMBAR PUNCTURE 124
TECHNIQUE PEARLS 128
Using Ultrasonography in Lumbar Puncture 130
ARTHROCENTESIS 130
TECHNIQUE PEARLS 132
Using the Ultrasonography for Arthrocentesis 132
PERFORMANCE IMPROVEMENT 133
REFERENCES 134
Patient Experience 137
KEY PRINCIPLES 137
Defining Patient Experience 138
Frameworks for Patient Experience 138
GUIDELINES FOR PRACTICE 144
Understanding what Patients Care About Most 144
Enhancing the Patient Communication Toolkit for Providers 145
Other Tools to Enhance Patient Experience 145
Whiteboards 145
Face cards 145
Digital tools 146
Seeking Actionable Feedback 146
Taking a Leadership Role in Health Systems Redesign in Hospitals 147
REFERENCES 147