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Core Curriculum for Progressive Care Nursing - E-Book

Core Curriculum for Progressive Care Nursing - E-Book

(2009)

Additional Information

Book Details

Abstract

The only reference focused on progressive care nursing, this complete reference includes all of the key information you need to know for success in practice and on the PCCN certification exam. Expert authors from the American Association of Critical-Care Nurses provide the most authoritative content on caring for patients in step-down, intermediate and telemetry units and prepare you to treat patients from every phase of progressive care. Plenty of illustrations and easy-reference tables clarify difficult concepts and make it easy to review content quickly.

  • AACN authorship ensures you receive the most accurate and dependable information available from the same group that administers the PCCN examination.
  • Comprehensive coverage including everything from basic to advanced concepts makes this an essential resource for nurses of any level of expertise.
  • Content most likely to be on the exam is highlighted to help you study more efficiently.
  • The latest, most authoritative references categorized by disorder make it easy to find resources for further research.
  • Concise outline format with organization by body system helps you quickly locate information.
  • Priority organization presents nursing management information in order of clinical priority.
  • Content written from a collaborative care perspective includes medical management and interventions integrated throughout the text.
  • User-friendly two-color design clarifies difficult concepts and makes illustrations and tables easy to understand.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Core Curriculum for Progressive Care Nursing iii
Copyright Page iv
Expert Panel v
Preface vii
Acknowledgments ix
Introduction xi
Definition xi
Location of Progressive Care Patients xi
Educational Requirements xi
Evidence-Based Practice xii
Staffing xiii
Progressive Care Job Analysis xiii
PCCN Certification Credential xiii
About the Text xiii
References xiv
Contents xv
Chapter 1: Professional Caring and Ethical Practice 1
American Association of Critical-Care Nurses: Mission, Vision, and Values 1
Mission 1
Vision 1
Values 1
Synergy of Caring 2
What Nurses Do 2
What Progressive Care Nurses Do 2
The Environment of Progressive Care 2
The “Synergy“ of the AACN Synergy Model for Patient Care 5
AACN Synergy Model for Patient Care 5
Origin of the Synergy Model for Patient Care 5
Purpose 5
Overview of the Synergy Model 5
Application of the Synergy Model 15
General Legal Considerations Relevant to Progressive Care Nursing Practice 16
State Nurse Practice Acts 16
Scope of Practice 16
Standards of Care 16
Certification in a Specialty Area 17
Professional Liability 17
Documentation 20
Good Samaritan Laws 22
Ethical Clinical Practice 22
Foundation of Ethical Nursing Practice 22
Emergence of Clinical Ethics 23
Standard Ethical Theory 24
Ethical Principles 24
Common Ethical Distinctions 25
Informed Consent and Patient Self-Determination 26
Clinical Ethics Assessment 31
Nurse’s Role as Patient Advocate and Moral Agent 32
References and bibliography 37
Legal Aspects of Care 39
Ethical Aspects of Care 40
Chapter 2: The Pulmonary System 41
Systemwide Elements 41
Physiologic Anatomy 41
Patient Assessment 60
Patient Care 76
Specific Patient Health Problems 98
Acute Respiratory Failure 98
Acute Lung Injury 102
Chronic Obstructive Pulmonary Disease 104
Asthma and Status Asthmaticus (Severe Asthmatic Attack) 107
Pulmonary Embolism 110
Pneumothorax 112
Acute Pneumonia 115
Pulmonary Aspiration 119
Pulmonary Problems in Surgical Patients 121
Obstructive Sleep Apnea 122
References and bibliography 124
Physiologic Anatomy 124
Patient Assessment 124
Patient Care 125
Acute Respiratory Failure 125
Acute Lung Injury 125
Chronic Obstructive Pulmonary Disease 126
Asthma and Status Asthmaticus (SevereAsthmatic Attack) 126
Pulmonary Embolism 127
Acute Pneumonia 127
Pulmonary Aspiration 128
Obstructive Sleep Apnea Syndrome 128
Chapter 3: The Cardiovascular System 129
Systemwide Elements 129
Physiologic Anatomy 129
Patient Assessment 142
Patient Care 178
Specific Patient Health Problems 181
Coronary Artery Disease 181
Chronic Stable Angina Pectoris 185
Acute Coronary Syndromes: Unstable Angina Pectoris and Non-ST-Segment Elevation Myocardial Infarction 191
ST-Segment Elevation Myocardial Infarction 196
Heart Failure 202
Pericardial Disease 210
Myocarditis 214
Infective Endocarditis 216
Cardiomyopathy 221
End-Stage Heart Disease 226
Basic Dysrhythmias for Progressive Care 229
Mitral Regurgitation 241
Mitral Stenosis 244
Aortic Regurgitation 246
Aortic Stenosis 249
Atrial Septal Defect 252
Ventricular Septal Defect 254
Patent Ductus Arteriosus 257
Coarctation of the Aorta 260
Hypertensive Crisis 262
Aortic and Peripheral Arterial Disease 266
Shock 271
References and bibliography 277
Physiologic Anatomy 277
Patient Assessment 277
Diagnostic Studies 277
Coronary Artery Disease 277
Acute Coronary Syndromes: Unstable Angina Pectoris and Non-ST-Segment Elevation Myocardial Infarction 278
ST-Segment Elevation Myocardial Infarction 278
Pericardial Disease 279
Myocarditis 279
Infective Endocarditis 280
Cardiomyopathy 280
End-Stage Heart Disease 280
Cardiac Trauma 281
Basic Dysrhythmias for Progressive Care 281
Aortic and Peripheral Arterial Disease 282
Shock 283
Chapter 4: The Neurologic System 284
Systemwide Elements 284
Physiologic Anatomy 284
Patient Assessment 314
Patient Care 338
Specific Patient Health Problems 348
Increased Intracranial Pressure 348
Ischemic Stroke 354
Hemorrhagic Stroke 360
Intracranial Aneurysms 364
Arteriovenous Malformations 367
Seizures 371
References and Bibliography 375
Physiologic Anatomy 375
Patient Assessment 375
Patient Care 375
Increased Intracranial Pressure 376
Stroke 376
Intracranial Aneurysms and ArteriovenousMalformations 376
Seizures 377
Chapter 5: The Renal System 378
Systemwide Elements 378
Physiologic Anatomy 378
Patient Assessment 390
Patient Care 396
Specific Patient Health Problems 404
Acute Renal Failure 404
Chronic Renal Failure 415
Electrolyte Imbalances-Potassium Imbalance: Hyperkalemia 420
Electrolyte Imbalances-Potassium Imbalance: Hypokalemia 423
Electrolyte Imbalances-Sodium Imbalance: Hypernatremia 424
Electrolyte Imbalances-Sodium Imbalance: Hyponatremia 426
Electrolyte Imbalances-Calcium Imbalance: Hypercalcemia 427
Electrolyte Imbalances-Calcium Imbalance: Hypocalcemia 429
Electrolyte Imbalances-Phosphate Imbalance: Hyperphosphatemia 430
Electrolyte Imbalances-Phosphate Imbalance: Hypophosphatemia 432
Electrolyte Imbalances-Magnesium Imbalance: Hypermagnesemia 433
Electrolyte Imbalances-Magnesium Imbalance: Hypomagnesemia 434
References and bibliography 435
Physiologic Anatomy 435
Acute Renal Failure 435
Chapter 6: The Endocrine System 437
Systemwide Elements 437
Physiologic Anatomy 437
Pituitary Gland 438
Thyroid Gland 439
Parathyroid Glands 440
Adrenal Glands 440
Pancreas 442
Gonadal Hormones (Testosterone, Estrogen, Progesterone) 443
Patient Assessment 443
Patient Care 447
Specific Patient Health Problems 448
Diabetic Ketoacidosis 448
Hypoglycemic Episode 451
Hyperglycemic, Hyperosmolar Nonketotic Syndrome 452
Diabetes Insipidus 455
Syndrome of Inappropriate Antidiuretic Hormone 457
References and B ibliography 458
Physiologic Anatomy 458
Diabetic Ketoacidosis; Hypoglycemia; Hyperglycemic, Hyperosmolar Nonketotic Syndrome 458
Diabetes Insipidus 458
Syndrome of Inappropriate AntidiureticHormone 458
Chapter 7: Hematologic and Immunologic Systems 459
Systemwide Elements 459
Physiologic Anatomy 459
Patient Assessment 463
Patient Care 477
Specific Patient Health Problems 483
Anemia 483
Thrombocytopenia 485
Hypercoagulable Disorders 487
Neutropenia 488
Organ Transplant and Rejection 489
Immunosuppression 490
HIV Infection 490
References and bibliography 492
Physiologic Anatomy 492
Patient Assessment 492
Specific Patient Health Problems 493
Chapter 8: The Gastrointestinal System 495
Systemwide Elements 495
Physiologic Anatomy 495
Patient Assessment 507
Patient Care 514
Specific Patient Health Problems 516
Acute Abdomen 516
Acute (Fulminant) Liver Failure 518
Chronic Liver Failure: Decompensated Cirrhosis 521
Acute Pancreatitis 525
Gastrointestinal Bleeding 529
Hepatitis 532
Inflammatory Bowel Disease 536
References and bibliography 538
Physiologic Anatomy 538
Patient Assessment 538
Acute Abdomen 538
Acute (Fulminant) Liver Failure 539
Chronic Liver Failure: DecompensatedCirrhosis 539
Acute Pancreatitis 539
Gastrointestinal Bleeding 539
Hepatitis 539
Inflammatory Bowel Disease 540
Chapter 9: Multisystem 541
Systemwide Elements 541
Physiologic Anatomy 541
Patient Assessment 544
Patient Care 547
Anaphylactic Hypersensitivity Reactions 549
References and bibliography 551
Sepsis, Systemic Inflammatory ResponseSyndrome, and Septic Shock 551
Anaphylactic Hypersensitivity Reactions 552
Chapter 10: Aspects of Progressive Care 553
Systemwide Elements 553
Psychosocial Considerations 553
Patient and Family Psychosocial Assessment 558
Psychosocial Care Issues 561
Specific Patient Health Problems 564
Anxiety 564
Pain 565
Delirium (Acute Confusional State) 570
Depression 572
Alcohol Withdrawal 574
Aggression and Violence 575
Suicide 576
Dying Process and Death 578
References and bibliography 580
Psychosocial-General References 580
Patient Care 580
Anxiety 581
Pain 581
Delirium (Acute Confusional State) 582
Depression 582
Alcohol Withdrawal 582
Suicide 582
Dying Process and Death 582
Index 583