Additional Information
Book Details
Abstract
Vascular Nursing remains the only clinical reference devoted solely to the nursing care of patients with peripheral vascular disorders. This thoroughly updated and revised text provides a comprehensive overview of vascular disease and presents specific nursing management strategies for each vascular disorder. Valuable for practitioners in both the inpatient and the outpatient setting, the fourth edition includes information on the new minimally invasive endoluminal surgery that is replacing traditional surgery. New technology for diagnostic evaluation of vascular disease and non-operative management of vascular disease is covered in detail.
- Offers a comprehensive reference on vascular care, with thorough coverage of developments in pathophysiology, evaluation, and management—including the current understanding of hematologic and biochemical factors in vascular disease.
- Details state-of-the art diagnostic procedures and imaging techniques.
- Describes the latest interventional approaches, including radiologic and endovascular techniques.
- Incorporates clinical pathways to facilitate the coordination of effective and economical patient care and documentation.
- Serves as an effective review tool for the certification exam in vascular nursing.
- Offers 300 illustrations, including over 150 photographs of conditions, procedures, and outcomes.
- Features expert contributors from the field of vascular nursing to provide clinical currency and relevancy.
- Significantly updated throughout for current practices, including new minimally invasive surgical approaches, new technologies, new diagnostics, procedures, and expanded outpatient and home care.
- More than 100 new illustrations.
- Reflects an increased focus on risk factor reduction and illness prevention.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Vascular Nursing | iii | ||
| Copyright Page | iv | ||
| Table of Contents | xv | ||
| Contributors | v | ||
| Reviewers | viii | ||
| Foreword | ix | ||
| Preface | xi | ||
| Acknowledgments and Dedication | xiii | ||
| PART ONE: BASIC CONSIDERATIONS | 1 | ||
| Chapter 1. The Arterial System | 3 | ||
| ANATOMY AND PHYSIOLOGY OF BLOOD VESSELS AND LYMPHATICS | 3 | ||
| PERIPHERAL RESISTANCE AND BLOOD PRESSURE | 5 | ||
| ARTERIAL OCCLUSIVE DISEASE | 7 | ||
| ANEURYSM DISEASE | 7 | ||
| PATHOBIOLOGY OF ARTERIAL DISEASE | 8 | ||
| NONATHEROSCLEROTIC ETIOLOGIES | 11 | ||
| CONCLUSION | 17 | ||
| REFERENCES | 17 | ||
| Chapter 2.\rThe Venous System | 21 | ||
| VENOUS ANATOMY | 21 | ||
| VENOUS PHYSIOLOGY | 26 | ||
| PATHOPHYSIOLOGY | 28 | ||
| REFERENCES | 31 | ||
| Chapter\r3. Lymphedema | 33 | ||
| ANATOMY AND PHYSIOLOGY | 33 | ||
| PATHOPHYSIOLOGY | 33 | ||
| CLASSIFICATION | 35 | ||
| EVALUATION AND DIAGNOSIS | 35 | ||
| MEDICAL THERAPY | 36 | ||
| PATIENT EDUCATION | 44 | ||
| SURGICAL THERAPY | 45 | ||
| REFERENCES | 46 | ||
| PART TWO: PERIOPERATIVE EVALUATION AND MANAGEMENT | 47 | ||
| Chapter 4.\rClinical Assessment of the Vascular System | 49 | ||
| PREPARATION FOR HISTORY AND PHYSICAL EXAMINATION | 49 | ||
| ASSESSMENT OF THE ARTERIAL SYSTEM | 50 | ||
| ASSESSMENT OF THE VENOUS SYSTEM | 66 | ||
| SUMMARY | 70 | ||
| REFERENCES | 70 | ||
| Chapter 5.\rNoninvasive Vascular Testing | 73 | ||
| INSTRUMENTATION | 73 | ||
| VENOUS TESTING: ACUTE VENOUS DISEASE | 75 | ||
| VENOUS TESTING: CHRONIC VENOUS DISEASE | 77 | ||
| ARTERIAL TESTING: LOWER EXTREMITY | 79 | ||
| ARTERIAL TESTING: UPPER EXTREMITY | 84 | ||
| CAVERNOSAL DUPLEX IMAGING: TESTING FOR IMPOTENCE | 86 | ||
| ABDOMINAL DUPLEX IMAGING | 87 | ||
| CEREBROVASCULAR TESTING | 89 | ||
| QUALITY CONTROL | 91 | ||
| REFERENCES | 93 | ||
| Chapter 6.\rPercutaneous Endovascular Intervention and Imaging Techniques | 97 | ||
| OVERVIEW OF INTERVENTIONAL RADIOLOGY AND ENDOVASCULAR NURSING | 98 | ||
| VENOGRAPHY | 104 | ||
| BALLOON ANGIOPLASTY AND STENTING | 105 | ||
| TRANSCATHETER THROMBOLYSIS AND THROMBECTOMY | 111 | ||
| TRANSCATHETER EMBOLIZATION | 116 | ||
| PERCUTANEOUS INFERIOR VENA CAVA FILTER PLACEMENT | 117 | ||
| TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNTS | 119 | ||
| DIAGNOSTIC ULTRASOUND | 120 | ||
| COMPUTED TOMOGRAPHY | 121 | ||
| MAGNETIC RESONANCE IMAGING AND ANGIOGRAPHY | 122 | ||
| REFERENCES | 124 | ||
| Chapter 7.\rIntraoperative Nursing Care of the Vascular Patient | 127 | ||
| INTRAOPERATIVE CARE | 127 | ||
| CAROTID ENDARTERECTOMY | 132 | ||
| AORTIC SURGERY: ELECTIVE | 134 | ||
| AORTIC SURGERY: EMERGENT | 138 | ||
| FEMORAL ARTERY RECONSTRUCTION | 142 | ||
| VASCULAR PROSTHETIC GRAFTS | 146 | ||
| THROMBOLYTIC AGENTS | 152 | ||
| CONCLUSION | 152 | ||
| ACKNOWLEDGMENTS | 152 | ||
| REFERENCES | 152 | ||
| Chapter 8.\rMedications Used in Vascular Patients | 153 | ||
| ANTICOAGULANTS | 153 | ||
| ANTIPLATELET AGENTS | 162 | ||
| ANTITHROMBOTIC AGENTS | 164 | ||
| MISCELLANEOUS DRUGS | 166 | ||
| SUMMARY | 168 | ||
| REFERENCES | 168 | ||
| Chapter 9.\rThrombotic Disorders in Vascular Patients | 171 | ||
| INHERITED THROMBOTIC DISORDERS | 172 | ||
| ACQUIRED THROMBOTIC DISORDERS | 175 | ||
| PREOPERATIVE EVALUATION FOR HYPERCOAGULABILITY | 179 | ||
| MANAGEMENT OF ANTICOAGULATION IN THE PERIOPERATIVE PERIOD | 180 | ||
| REFERENCES | 180 | ||
| PART THREE: ARTERIAL DISEASES | 185 | ||
| Chapter 10.\rVascular Medicine and Peripheral Arterial Disease Rehabilitation | 187 | ||
| A COMPREHENSIVE VASCULAR MEDICINE APPROACH TO PERIPHERAL ARTERIAL DISEASE | 188 | ||
| PAD REHABILITATION | 198 | ||
| CONCLUSION | 208 | ||
| REFERENCES | 210 | ||
| Chapter 11.\rSurgery of the Aorta | 215 | ||
| ANATOMY AND FUNCTION | 215 | ||
| AORTIC ANEURYSM | 216 | ||
| AORTIC OCCLUSIVE DISEASE | 218 | ||
| AORTIC DISSECTION | 221 | ||
| PERIOPERATIVE CARE | 225 | ||
| EARLY COMPLICATIONS AND NURSING INTERVENTIONS | 229 | ||
| LATE OUTCOME | 229 | ||
| SUMMARY | 234 | ||
| REFERENCES | 234 | ||
| Chapter 12.\rEndovascular Repair of Aortic Aneurysms | 237 | ||
| PATIENT SELECTION | 238 | ||
| DEVICES | 240 | ||
| ENDOGRAFT IMPLANTATION | 241 | ||
| COMPLICATIONS | 241 | ||
| PERIOPERATIVE NURSING CARE | 244 | ||
| PATIENT FOLLOW-UP | 246 | ||
| COST OF ENDOVASCULAR REPAIR | 246 | ||
| ADDITIONAL USES OF AORTIC ENDOVASCULAR REPAIR | 247 | ||
| CONCLUSION | 248 | ||
| REFERENCES | 248 | ||
| Chapter 13.\rArterial Reconstruction of the Lower Extremity | 251 | ||
| ANATOMY | 251 | ||
| DIAGNOSTIC EVALUATION | 252 | ||
| ACUTE ARTERIAL ISCHEMIA | 265 | ||
| POTENTIAL COMPLICATIONS AND NURSING MANAGEMENT | 273 | ||
| SUMMARY | 282 | ||
| REFERENCES | 283 | ||
| Chapter 14.\rExtracranial Cerebrovascular Disease | 287 | ||
| ANATOMY OF THE EXTRACRANIAL VASCULAR SYSTEM | 287 | ||
| PATHOPHYSIOLOGY OF THE EXTRACRANIAL VASCULAR SYSTEM | 288 | ||
| CLINICAL MANIFESTATIONS | 291 | ||
| PATIENT EVALUATION | 292 | ||
| MEDICAL AND SURGICAL MANAGEMENT | 295 | ||
| POSTOPERATIVE NURSING CARE | 302 | ||
| POSTOPERATIVE COMPLICATIONS | 303 | ||
| CONCLUSION | 308 | ||
| REFERENCES | 309 | ||
| Chapter 15.\rUpper-Extremity Problems | 311 | ||
| ANATOMY | 311 | ||
| ETIOLOGY AND CLINICAL PRESENTATION | 311 | ||
| HISTORY AND PHYSICAL EXAMINATION | 320 | ||
| DIAGNOSTIC EVALUATION | 322 | ||
| TREATMENT | 326 | ||
| NURSING INTERVENTION | 331 | ||
| SUMMARY | 333 | ||
| REFERENCES | 333 | ||
| Chapter 16. Renovascular Hypertension and Renal Artery Occlusive Disease | 335 | ||
| PATHOPHYSIOLOGY | 337 | ||
| DIAGNOSTIC EVALUATION | 337 | ||
| CURRENT INDICATIONS FOR INTERVENTION | 341 | ||
| THERAPEUTIC OPTIONS | 342 | ||
| NURSING CARE | 347 | ||
| ISCHEMIC NEPHROPATHY | 348 | ||
| CONCLUSION | 349 | ||
| REFERENCES | 349 | ||
| Chapter 17. Mesenteric Ischemia | 351 | ||
| ANATOMY AND PATHOPHYSIOLOGY | 351 | ||
| CLINICAL MANIFESTATIONS | 353 | ||
| DIAGNOSIS | 354 | ||
| TREATMENT | 355 | ||
| NURSING POSTOPERATIVE CARE | 359 | ||
| CONCLUSION | 360 | ||
| REFERENCES | 360 | ||
| PART FOUR: VENOUS DISEASES | 363 | ||
| Chapter 18.\rVenous Thromboembolic Disease | 365 | ||
| VENOUS THROMBOSIS | 365 | ||
| VENOUS THROMBOEMBOLISM PROPHYLAXIS | 371 | ||
| VENOUS THROMBOEMBOLIC EVENTS | 377 | ||
| REFERENCES | 395 | ||
| Chapter 19.\rChronic Venous Disease | 399 | ||
| NORMAL ANATOMY AND PHYSIOLOGY | 399 | ||
| PATHOPHYSIOLOGY AND ETIOLOGY | 401 | ||
| CLINICAL SIGNS AND SYMPTOMS | 404 | ||
| DIAGNOSTIC EVALUATION | 406 | ||
| TREATMENT OPTIONS AND RESULTS | 411 | ||
| NURSING IMPLICATIONS | 419 | ||
| SUMMARY | 423 | ||
| REFERENCES | 423 | ||
| PART FIVE: SPECIFIC PROBLEMS | 427 | ||
| Chapter 20.\rVascular Access | 429 | ||
| ACCESS FOR DIALYSIS | 429 | ||
| CENTRAL VENOUS ACCESS DEVICES | 441 | ||
| SUMMARY | 452 | ||
| REFERENCES | 452 | ||
| Chapter 21. Lower-Extremity Amputation From Arterial Occlusive Disease | 457 | ||
| INDICATIONS FOR AMPUTATION | 457 | ||
| SELECTION OF AMPUTATION LEVEL | 458 | ||
| TYPES OF AMPUTATION | 458 | ||
| PREOPERATIVE MANAGEMENT | 460 | ||
| POSTOPERATIVE MANAGEMENT | 462 | ||
| PROSTHETICS | 474 | ||
| CONCLUSION | 475 | ||
| REFERENCES | 476 | ||
| Chapter 22.\rVascular Trauma | 479 | ||
| SCOPE OF THE PROBLEM | 479 | ||
| PRINCIPLES OF TRAUMA | 479 | ||
| STRATEGIES FOR VASCULAR TRAUMA MANAGEMENT | 480 | ||
| CLASSIFICATION AND MECHANISMS OF INJURIES | 482 | ||
| LOCATION OF INJURIES AND MANAGEMENT | 484 | ||
| COMPARTMENT SYNDROME | 486 | ||
| CONCLUSION | 487 | ||
| REFERENCES | 488 | ||
| Index | 489 |