Additional Information
Book Details
Abstract
Awarded second place in the 2017 AJN Book of the Year Awards in the Critical Care-Emergency Nursing category. Provide the best possible emergency cardiovascular care — using the newest ECC guidelines! ACLS Study Guide, 5th Edition offers a complete, full-color overview of advanced cardiovascular life support. An easy-to-read approach covers everything from airway management to cardiac arrest rhythms and their management, electrical therapy, acute coronary syndromes, and acute stroke. In addition to the latest ACLS treatment algorithms, this edition includes case studies and hundreds of full-color photos and illustrations.
- Â Case studies present common, realistic clinical situations, helping you learn and apply skills in cardiac rhythm interpretation, medication administration, and other essential interventions.
- Â ACLS Pearls boxes offer brief explanations of complex topics and useful tips for clinical practice.
- Â End-of-chapter quizzes include answers and rationales, helping you learn and remember the most important information.
-  Easy-to-understand approach simplifies your study of advanced cardiac life support, thanks to Barbara Aehlert’s unique, conversational writing style.
- NEW! UPDATED content centers on evidence-based practice recommendations, including the 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care and the 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations.Â
- Â NEW! Improved format integrates all case studies into the appropriate chapters, so that you can apply concepts immediately to real-world situations.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| ACLS Study Guide | iii | ||
| Copyright | iv | ||
| Preface to the Fifth Edition | v | ||
| Acknowledgments | vii | ||
| Reviewers for the Fifth Edition | ix | ||
| About the Author | xi | ||
| Contents | xiii | ||
| Chapter 1: Emergency Cardiovascular Care | 1 | ||
| Introduction | 1 | ||
| Sudden Cardiac Death | 2 | ||
| Out-of-Hospital Cardiac Arrest | 4 | ||
| In-Hospital Cardiac Arrest | 5 | ||
| Chain of Survival | 5 | ||
| Out-of-Hospital Chain of Survival | 5 | ||
| Early Recognition and Activation | 6 | ||
| Early Cardiopulmonary Resuscitation | 6 | ||
| Rapid Defibrillation | 6 | ||
| Effective Advanced Life Support | 8 | ||
| Integration of Post-Cardiac Arrest Care | 8 | ||
| In-Hospital Chain of Survival | 8 | ||
| Surveillance and Prevention | 8 | ||
| Notification and Response | 9 | ||
| Cardiopulmonary Resuscitation | 9 | ||
| Prompt Defibrillation | 9 | ||
| Intra-Arrest and Post-Cardiac Arrest Care | 9 | ||
| Cardiopulmonary Resuscitation | 10 | ||
| Physiology of Chest Compressions | 10 | ||
| Barriers to Effective Cardiopulmonary Resuscitation | 10 | ||
| Feedback during Cardiopulmonary Resuscitation | 11 | ||
| Mechanical Chest Compression Devices | 12 | ||
| Patient Assessment | 14 | ||
| Primary Survey | 15 | ||
| Responsive Patient | 15 | ||
| Airway | 15 | ||
| Breathing | 16 | ||
| Circulation | 16 | ||
| Disability/Defibrillation | 16 | ||
| Exposure | 16 | ||
| Unresponsive Patient | 16 | ||
| Secondary Survey | 17 | ||
| References | 20 | ||
| Chapter 2: Airway Management | 23 | ||
| Introduction | 23 | ||
| Anatomy Review | 25 | ||
| Upper Airway | 25 | ||
| Lower Airway | 27 | ||
| The Patient with Respiratory Compromise | 28 | ||
| Patient Assessment | 29 | ||
| Pulse Oximetry | 29 | ||
| Carbon Dioxide Monitoring | 30 | ||
| Oxygen Delivery Devices | 32 | ||
| Nasal Cannula | 33 | ||
| Simple Face Mask | 34 | ||
| Partial Rebreather Mask | 35 | ||
| Nonrebreather Mask | 36 | ||
| Manual Airway Maneuvers | 37 | ||
| Head Tilt-Chin Lift | 37 | ||
| Jaw Thrust | 38 | ||
| Suctioning | 39 | ||
| Airway Adjuncts | 40 | ||
| Oral Airway | 40 | ||
| Nasal Airway | 42 | ||
| Positive Pressure Ventilation | 44 | ||
| Noninvasive Positive Pressure Ventilation | 44 | ||
| Mouth-to-Mask Ventilation | 45 | ||
| Bag-Mask Ventilation | 47 | ||
| Oxygen Delivery | 47 | ||
| Ventilating with a Bag-Mask Device | 48 | ||
| Troubleshooting Bag-Mask Ventilation | 49 | ||
| Advanced Airways | 49 | ||
| Confirming Endotracheal Tube Placement | 51 | ||
| Esophageal Detector Devices | 51 | ||
| References | 60 | ||
| Chapter 3: Cardiac Anatomy and Electrophysiology | 63 | ||
| Introduction | 63 | ||
| Coronary Arteries | 65 | ||
| Cardiac Cells | 66 | ||
| Cardiac Action Potential | 66 | ||
| Depolarization | 67 | ||
| Repolarization | 67 | ||
| Phases of the Cardiac Action Potential | 67 | ||
| Refractory Periods | 68 | ||
| Conduction System | 69 | ||
| Sinoatrial Node | 69 | ||
| Atrioventricular Node and Bundle | 70 | ||
| Right and Left Bundle Branches | 70 | ||
| Purkinje Fibers | 70 | ||
| The Electrocardiogram | 71 | ||
| Electrodes | 72 | ||
| Leads | 72 | ||
| Frontal Plane Leads | 73 | ||
| Horizontal Plane Leads | 73 | ||
| Electrocardiography Paper | 76 | ||
| Waveforms and Complexes | 76 | ||
| Segments and Intervals | 77 | ||
| Acute Coronary Syndromes | 78 | ||
| Chapter Quiz Answers | 80 | ||
| Multiple Choice | 80 | ||
| Matching | 81 | ||
| References | 81 | ||
| Chapter 4: Cardiac Arrest Rhythms | 83 | ||
| Introduction | 83 | ||
| Cardiac Arrest Rhythms | 84 | ||
| Ventricular Tachycardia | 85 | ||
| Ventricular Fibrillation | 85 | ||
| Asystole | 88 | ||
| Pulseless Electrical Activity | 90 | ||
| Defibrillation | 91 | ||
| Monophasic versus Biphasic Defibrillation | 93 | ||
| Transthoracic Impedance | 94 | ||
| Chest Hair | 94 | ||
| Paddle/Pad Size | 95 | ||
| Paddle/Pad Position | 95 | ||
| Use of Conductive Material | 96 | ||
| Paddle Pressure | 97 | ||
| Selected Energy | 97 | ||
| Defibrillation Procedure | 97 | ||
| Automated External Defibrillation | 99 | ||
| Operation | 99 | ||
| Automated External Cardioverter-Defibrillators | 100 | ||
| Possible Complications | 100 | ||
| The Resuscitation Team | 100 | ||
| Team Leader Responsibilities | 101 | ||
| Team Member Responsibilities | 102 | ||
| Support Roles | 103 | ||
| Resuscitation Efforts | 104 | ||
| Closed-Loop Communication | 105 | ||
| Shockable Rhythms | 105 | ||
| Nonshockable Rhythms | 106 | ||
| Special Resuscitation Situations | 107 | ||
| Known or Suspected Opioid Overdose | 107 | ||
| Cardiac Arrest and Pregnancy | 107 | ||
| Patient Transfer | 107 | ||
| Post-Cardiac Arrest Care | 108 | ||
| Oxygenation and Ventilation | 108 | ||
| Cardiovascular Care | 109 | ||
| Neurologic Care | 110 | ||
| Debriefing | 110 | ||
| Family Notification | 111 | ||
| Conveying Bad News | 111 | ||
| Helping the Caregivers | 112 | ||
| References | 125 | ||
| Chapter 5: Tachycardias | 129 | ||
| Introduction | 129 | ||
| Narrow-QRS Tachycardias | 131 | ||
| Sinus Tachycardia | 131 | ||
| Supraventricular Tachycardia | 132 | ||
| Atrial Tachycardia | 133 | ||
| Vagal Maneuvers | 136 | ||
| Reentrant Tachycardias | 136 | ||
| Atrioventricular Nodal Reentrant Tachycardia | 137 | ||
| Atrioventricular Reentrant Tachycardia | 138 | ||
| Wide-QRS Tachycardias | 140 | ||
| Ventricular Tachycardia | 142 | ||
| Irregular Tachycardias | 143 | ||
| Multifocal Atrial Tachycardia | 143 | ||
| Atrial Flutter | 144 | ||
| Atrial Fibrillation | 145 | ||
| Polymorphic Ventricular Tachycardia | 148 | ||
| Synchronized Cardioversion | 150 | ||
| Procedure | 150 | ||
| Chapter Quiz Answers | 160 | ||
| Multiple Choice | 160 | ||
| Case Study 5-1 Answers | 162 | ||
| Case Study 5-2 Answers | 163 | ||
| References | 165 | ||
| Chapter 6: Bradycardias | 167 | ||
| Introduction | 167 | ||
| Sinus Bradycardia | 169 | ||
| Junctional Escape Rhythm | 169 | ||
| Ventricular Escape Rhythm | 171 | ||
| Atrioventricular Blocks | 172 | ||
| First-Degree Atrioventricular Block | 172 | ||
| Second-Degree Atrioventricular Blocks | 173 | ||
| Second-Degree Atrioventricular Block Type I | 173 | ||
| Second-Degree Atrioventricular Block Type II | 174 | ||
| 2:1 Atrioventricular Block | 175 | ||
| Third-Degree Atrioventricular Block | 176 | ||
| Transcutaneous Pacing | 176 | ||
| Indications | 177 | ||
| Procedure | 178 | ||
| Limitations | 179 | ||
| Possible Complications | 180 | ||
| Chapter Quiz Answers | 187 | ||
| Multiple Choice | 187 | ||
| Completion | 189 | ||
| Case Study 6-1 Answers | 189 | ||
| Case Study 6-2 Answers | 190 | ||
| References | 191 | ||
| Chapter 7: Acute Coronary Syndromes | 193 | ||
| Introduction | 193 | ||
| Pathophysiology of Acute Coronary Syndromes | 194 | ||
| Myocardial Ischemia, Injury, and Infarction | 196 | ||
| Myocardial Ischemia | 196 | ||
| Stable Angina | 197 | ||
| Unstable Angina | 198 | ||
| Prinzmetals Angina | 199 | ||
| Myocardial Injury | 199 | ||
| Myocardial Infarction | 200 | ||
| Patient Evaluation | 201 | ||
| Patient History | 201 | ||
| SAMPLE History | 202 | ||
| OPQRST History | 202 | ||
| Atypical Presentation | 202 | ||
| Physical Examination | 203 | ||
| Electrocardiogram Findings | 204 | ||
| Hyperacute T Waves | 204 | ||
| ST Segment Changes | 204 | ||
| QRS Changes | 205 | ||
| T Wave Inversion | 205 | ||
| Anatomic Location of a Myocardial Infarction | 206 | ||
| Anterior Infarction | 207 | ||
| Lateral Infarction | 209 | ||
| Inferior Infarction | 209 | ||
| Inferobasal Infarction | 211 | ||
| Right Ventricular Infarction | 213 | ||
| Lead aVR | 213 | ||
| Cardiac Biomarkers | 214 | ||
| Imaging Studies | 215 | ||
| Initial Management of Acute Coronary Syndromes | 215 | ||
| Prehospital Management | 215 | ||
| Emergency Department Management | 216 | ||
| Pharmacologic Therapies | 217 | ||
| Nitroglycerin | 217 | ||
| Analgesic Therapy | 217 | ||
| Beta-Blockers | 219 | ||
| Calcium Channel Blockers | 219 | ||
| Lipid Management | 221 | ||
| Renin-Angiotensin-Aldosterone System Inhibitors | 221 | ||
| Antiplatelet Therapy | 221 | ||
| Anticoagulant Therapy | 222 | ||
| Reperfusion Therapies | 224 | ||
| Chapter Quiz Answers | 232 | ||
| Multiple Choice | 232 | ||
| Matching | 233 | ||
| Case Study 7-1 Answers | 233 | ||
| References | 235 | ||
| Chapter 8: Acute Ischemic Stroke | 237 | ||
| Introduction | 237 | ||
| Goal | 237 | ||
| Definition of Stroke | 239 | ||
| Anatomy Review | 239 | ||
| Stroke Types | 240 | ||
| Subarachnoid Hemorrhage | 240 | ||
| Intracerebral Hemorrhage | 241 | ||
| Ischemic Stroke | 242 | ||
| Transient Ischemic Attack | 243 | ||
| Stroke Systems of Care | 243 | ||
| Public Education | 244 | ||
| Emergency Medical Services | 244 | ||
| Prehospital Assessment and Management | 245 | ||
| Stroke Centers | 246 | ||
| Triage and Initial Evaluation | 247 | ||
| Patient History | 247 | ||
| Physical Examination | 247 | ||
| Neurologic Examination | 248 | ||
| Diagnostic Tests | 248 | ||
| Brain Imaging | 249 | ||
| Intravenous Fibrinolysis | 249 | ||
| Other Therapies | 250 | ||
| Best Practices | 250 | ||
| Chapter Quiz Answers | 254 | ||
| Case Study 8-1 Answers | 255 | ||
| References | 256 | ||
| Chapter 9: Post Test | 259 | ||
| References | 276 | ||
| Glossary | 277 | ||
| Index | 281 |