AACN Essentials of Progressive Care Nursing 4th edition by Suzannne Burns, Sarah Delagado ISBN 1260116735 978-1260116731

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ISBN 10: 1260116735 
ISBN 13: 978-1260116731
Author: Suzannne Burns, Sarah Delagado 

Succinct, complete guidance on how to safely and competently care for adult progressive care patients and their families – written by top clinical experts

Endorsed by the American Association of Critical-Care Nurses (AACN), this acclaimed textbook sets the standard for progressive care nursing education. Recognizing the learner’s need to assimilate foundational knowledge before attempting to master more complex progressive care nursing concepts, the book features a practical building-block organization that starts with the basics and logically moves on to advanced topics.

Bolstered by helpful tables and Essential Content cases, AACN Essentials of Progressive Care Nursing, Fourth Edition is an essential tool for clinicians at the point of care, and those preparing for PCCN® certification in progressive care nursing.

AACN Essentials of Progressive Care Nursing is divided into four sections:

• The Essentials presents essential information that clinicians must understand to provide safe, competent nursing care to progressive care patients, regardless of their underlying medical diagnoses.
• Pathologic Conditions covers pathologic conditions and management strategies commonly encountered among adult, progressive care patients.
• Advanced Concepts in Caring for the Progressive Care Patient presents advanced progressive care concepts or pathologic conditions that are less common or require more specialized management.
• Key Reference Information features normal laboratory and diagnostic values; pharmacology tables; and summary tables of cardiac rhythms, ECG characteristics, and treatment guides.

Learning aids include Knowledge Competencies to gauge progress, Principles of Management to summarize key concepts, and “Essential Content” case studies with questions and answers to further reinforce the learners’ knowledge.

AACN Essentials of Progressive Care Nursing 4th Table of contents:

Section I. The Essentials

1. Assessment of Progressive Care Patients and Their Families

Assessment Framework

Prearrival Assessment

Arrival Quick Check

Comprehensive Initial Assessment

Ongoing Assessment

Patient Safety Considerations in Admission Assessments

Prearrival Assessment: Before the Action Begins

Admission Quick Check Assessment

Airway and Breathing

Circulation and Cerebral Perfusion

Chief Complaint

Drugs and Diagnostic Tests

Equipment

Comprehensive Initial Assessment

Past Medical History

Social History

Physical Assessment by Body System

Transition/Discharge Planning

Ongoing Assessment

Principles of Management

Selected Bibliography

Progressive Care Assessment

Evidence-Based Practice

2. Planning Care for Progressive Care Patients and Their Families

Interprofessional Plan of Care

Planning Care Through Staffing Considerations

Patient Safety Considerations in Planning Care

Prevention of Common Complications

Physiologic Instability

Venous Thromboembolism

Hospital-Acquired Infections

Pressure Injury

Sleep Pattern Disturbance

Falls

Psychosocial Impact

Patient and Family Education

Assessment of Learning Readiness

Strategies to Address Patient and Family Education

Outcome Measurement

Family-Centered Care

Transporting the Progressive Care Patient

Assessment of Risk for Complications

Level of Care Required During Transport

Preparation

Transport

Interfacility Transfers

Transitioning to the Next Stage of Care

Supporting Patients and Their Families During the Dying Process

Principles of Management

Selected Bibliography

Patient and Family Needs

Infection Control

Patient and Family Education

Psychological Problems

Sleep Deprivation

Transport of Critically Ill Patients

Evidence-Based Practice

3. Interpretation and Management of Basic Cardiac Rhythms

Basic Electrophysiology

ECG Waveforms, Complexes, and Intervals

P Wave

QRS Complex

T Wave

U Wave

PR Interval

ST Segment

QT Interval

Basic Electrocardiography

Cardiac Monitoring

Determination of the Heart Rate

Determination of Cardiac Rhythm

Common Dysrhythmias

Rhythms Originating in the Sinus Node

Normal Sinus Rhythm

Sinus Bradycardia

Sinus Tachycardia

Sinus Dysrhythmia

Sinus Arrest

Dysrhythmias Originating in the Atria

Premature Atrial Complexes

Wandering Atrial Pacemaker and Multifocal Atrial Tachycardia

Atrial Tachycardia

Atrial Flutter

Atrial Fibrillation

Supraventricular Tachycardia (SVT)

Dysrhythmias Originating in the Atrioventricular Junction

Premature Junctional Complexes

Junctional Rhythm, Accelerated Junctional Rhythm, and Junctional Tachycardia

Dysrhythmias Originating in the Ventricles

Premature Ventricular Complexes

Idioventricular Rhythm and Accelerated Idioventricular Rhythm (AIVR)

Ventricular Tachycardia

Ventricular Fibrillation

Ventricular Asystole

Atrioventricular Blocks

First-Degree Atrioventricular Block

Second-Degree Atrioventricular Block

High-Grade Atrioventricular Block

Third-Degree Atrioventricular Block (Complete Block)

Temporary Pacing

Indications

Transvenous Pacing

Epicardial Pacing

Components of a Pacing System

Basics of Pacemaker Operation

Initiating Transvenous Ventricular Pacing

Initiating Epicardial Pacing

External (Transcutaneous) Pacemakers

Defibrillation and Cardioversion

Defibrillation

Automatic External Defibrillators

Cardioversion

Selected Bibliography

Evidence-Based Practice

4. Hemodynamic Monitoring

Hemodynamic Parameters

Cardiac Output

Components of Cardiac Output/Cardiac Index

Stroke Volume and Stroke Volume Index

Ejection Fraction

Factors Affecting Stroke Volume/Stroke Volume Index

Basic Components of Hemodynamic Monitoring Systems

Pulmonary Artery Catheter

Arterial Catheter

Pressure Tubing

Pressure Transducer

Pressure Amplifier

Pressure Bag and Flush Device

Alarms

Obtaining Accurate Cvp and Arterial Values

Zeroing the Transducer

Leveling the Transducer to the Catheter Tip

Ensuring Accurate Waveform Transmission

Insertion and Removal of Catheters

Central Venous Catheters

Arterial Catheters

Obtaining and Interpreting Hemodynamic Waveforms

Patient Positioning

Interpretation

Artifacts in Hemodynamic Waveforms: Respiratory Influence

Continuous Mixed and Central Venous Oxygen Monitoring (Svo2/Scvo2)

Svo2/Scvo2 Monitoring Principles

Minimally Invasive Hemodynamic Monitoring

Thoracic Bioimpedance/Bioreactance

Pulse Contour Measurement

Ambulatory Pulmonary Artery Pressure Monitoring

Selected Bibliography

Hemodynamic Monitoring

Minimally Invasive Hemodynamic Monitoring

Therapeutics

Evidence-Based Practice Guidelines

5. Airway and Ventilatory Management

Diagnostic Tests, Monitoring Systems, and Respiratory Assessment Techniques

Arterial Blood Gas Monitoring

Venous Blood Gas Monitoring

Pulse Oximetry

Assessing Pulmonary Function

Airway Management

Oropharyngeal Airway

Nasopharyngeal Airway

Laryngeal Mask Airway

Esophageal Tracheal Airway

Artificial Airways

Endotracheal Suctioning

Extubation

Oxygen Therapy

Complications

Oxygen Delivery

Basic Ventilatory Management

Indications

General Principles

Patient-Ventilator System

Modes

Complications of Mechanical Ventilation

Weaning From Short-Term Mechanical Ventilation

Weaning From Long-Term Mechanical Ventilation

Respiratory Fatigue, Rest, and Conditioning

Wean Trial Protocols

Other Protocols for Use

Critical Pathways

Systematic Institutional Initiatives for the Management of the LTMV Patient Population

Troubleshooting Ventilators

Oral Feedings

Communication

Principles of Management

Maximizing Oxygenation, Ventilation, and Patient-Ventilator Synchrony

Maintain a Patent Airway

Monitor Oxygenation and Ventilation Status Frequently

Physiotherapy and Monitoring

Maintain Oxygenation and Ventilatory Support at All Times

Weaning From Mechanical Ventilation

Preventing Complications

Maximizing Communication

Reducing Anxiety and Providing Psychosocial Support

Selected Bibliography

General Critical Care

Ventilator Management

Weaning From Mechanical Ventilation

Communication

Evidence-Based Resources

6. Pain and Sedation Management

Physiologic Mechanisms of Pain

Peripheral Mechanisms

Spinal Cord Integration

Central Processing

Responses to Pain

Pain Assessment

A Multimodal Approach to Pain Management

Nonsteroidal Anti-Inflammatory Drugs

Side Effects

Opioids

Side Effects

Intravenous Opioids

Patient-Controlled Analgesia

Switching From IV to Oral Opioid Analgesia

Epidural Analgesia

Epidural Opioids

Epidural Local Anesthetics

Cutaneous Stimulation

Distraction

Imagery

Relaxation Techniques

Deep Breathing and Progressive Relaxation

Presence

Special Considerations for Pain Management in Older Adults

Assessment

Interventions

Principles of Pain Management

Sedation

Reasons for Sedation

Sedatives

Medications for Delirium

Goals of Sedation, Monitoring, and Management

Principles of Management for the Use of Sedatives

Selected Bibliography

Pain Management

Sedation

Evidence-Based Practice Guidelines

7. Pharmacology

Medication Safety

Medication Administration Methods

Intravenous

Intramuscular or Subcutaneous

Oral

Sublingual

Intranasal

Transdermal

Central Nervous System Pharmacology

Sedatives

Analgesics

Anticonvulsants

Cardiovascular System Pharmacology

Miscellaneous Agents

Parenteral Vasodilators

Antiarrhythmics

Vasodilators and Remodeling Agents

Soluble Guanylate Cyclase Stimulators

Vasopressor Agents

Inotropic Agents

Antibiotic Pharmacology

Aminoglycosides

Vancomycin

Pulmonary Pharmacology

Albuterol

Levalbuterol

Ipratropium

Gastrointestinal Pharmacology

Stress Ulcer Prophylaxis

Acute Peptic Ulcer Bleeding

Variceal Hemorrhage

Renal Pharmacology

Diuretics

Hematologic Pharmacology

Anticoagulants

Factor Xa Inhibitors

Direct Thrombin Inhibitors

Glycoprotein IIb/IIIa Inhibitor

Thrombolytic Agents

Tenecteplase

Immunosuppressive Agents

Cyclosporine

Tacrolimus (FK506)

Sirolimus (Rapamycin)

Special Dosing Considerations

Drug Disposition in Older adults

Therapeutic Drug Monitoring

Selected Bibliography

General

Evidence-Based Practice Guidelines

8. Ethical and Legal Considerations

Types of Ethical Problems

The Foundation for Ethical Decision Making

Professional Codes and Standards

Institutional Policies

Legal Standards

Principles of Ethics

Paternalism

Frameworks for Ethical Analysis

Ethic of Care

Patient Advocacy

The Process of Ethical Analysis

Assessment

Plan

Implementation

Evaluation

Contemporary Ethical Issues

Informed Consent

End-of-Life Issues

Evolving Technology

Building an Ethical Environment

Selected Bibliography

Professional Codes, Standards, and Position Statements

Evidence-Based Guidelines

Online References of Interest: Related to Legal and Ethical Considerations

Section II. Pathologic Conditions

9. Cardiovascular System

Special Assessment Techniques, Diagnostic Tests, and Monitoring Systems

Assessment of Chest Pain

Coronary Angiography

Percutaneous Coronary Interventions

Other Percutaneous Coronary Interventions

Pathologic Conditions

Acute Ischemic Heart Disease

Principles of Management of Acute Ischemic Heart Disease

Electrophysiology Studies

Heart Failure

Shock

Hypertension

Selected Bibliography

General Cardiovascular

Coronary Revascularization

Acute Ischemic Heart Disease

Heart Failure

Hypertension

Evidence-Based Practice Guidelines

10. Respiratory System

Special Assessment Techniques, Diagnostic Tests, and Monitoring Systems

Chest X-Rays

Computed Tomography, Magnetic Resonance Imaging, and Bedside Ultrasonography

CTPA and V/Q Scans

Chest Tubes

Thoracic Surgery and Procedures

Principles of Management for Thoracic Surgery and Procedures

Pathologic Conditions

Acute Respiratory Failure

Acute Respiratory Distress Syndrome

Acute Respiratory Failure in the Patient With Chronic Obstructive Pulmonary Disease (also called COPD Exacerbation)

Acute Respiratory Failure in the Patient With Asthma (also called acute severe asthma)

Principles of Management for Asthma Exacerbations

Interstitial Lung Disease

Pulmonary Arterial Hypertension

Pneumonia

Pulmonary Embolism

Selected Bibliography

Critical Care Management of Respiratory Problems

Chest X-Ray Interpretation

Evidence-Based Practice Resources

11. Multisystem Problems

Sepsis and Septic Shock

Etiology, Risk Factors, and Pathogenesis

Clinical Presentation

Principles of Management of Sepsis and Septic Shock

Overdoses

Etiology, Risk Factors, and Pathophysiology

Principles of Management for Overdose

Pressure Injury

Pressure Injury Stages

Principles of Management of Pressure Injury

Healthcare-Associated Infections

Selected Infectious Diseases

Selected Bibliography

Sepsis and Septic Shock

Overdoses

Pressure Injuries

Healthcare-Associated Infections

Selected Infectious Diseases

12. Neurological System

Special Assessment Techniques and Diagnostic Tests

Level of Consciousness

Glasgow Coma Scale (GCS) and the Full Outline of Unresponsiveness (FOUR) Score

Mental Status

Motor Assessment

Sensation

Cranial Nerve Assessment and Assessment of Brain Stem Function

Vital Sign Alterations in Neurologic Dysfunction

Diagnostic Testing

Computed Tomography (CT)

Magnetic Resonance Imaging

Lumbar Puncture

Cerebral (Catheter) Angiography

Transcranial Doppler Ultrasound

Electroencephalography

Electromyography/Nerve Conduction Studies

Intracranial Pressure

Causes of Increased Intracranial Pressure

Cerebral Blood Flow

Clinical Presentation

Principles of Management of Increased ICP

Acute Ischemic Stroke

Etiology, Risk Factors, and Pathophysiology

Clinical Presentation

Diagnostic Tests

Principles of Management of Acute Ischemic Stroke

Hemorrhagic Stroke

Etiology, Risk Factors, and Pathophysiology

Clinical Presentation

Diagnostic Tests

Principles of Management of Intracerebral Hemorrhage

Seizures

Etiology, Risk Factors, and Pathophysiology

Clinical Presentation

Diagnostic Testing

Principles of Management of Seizures

Infections of the Central Nervous System

Meningitis

Encephalitis

Intracranial Abscess

Neuromuscular Diseases

Myasthenia Gravis

Multiple Sclerosis

Guillain-Barré Syndrome

Amyotrophic Lateral Sclerosis

Selected Bibliography

Assessment and Diagnostic Testing

Intracranial Pressure

Acute Ischemic Stroke and Hemorrhagic Stroke

Seizures

Infections of the Central Nervous System

Neuromuscular Diseases

Evidence-Based Practice

13. Hematologic and Immune Systems

Special Assessment Techniques, Diagnostic Tests, and Monitoring Systems

Complete Blood Count

Red Blood Cell Count

Hemoglobin

Hematocrit

Red Blood Cell Indices

Total White Blood Cell Count

White Blood Cell Differential

Platelet Count

Coagulation Studies

Additional Tests and Procedures

Pathologic Conditions

Anemia

Immunocompromise

Coagulopathies

Selected Bibliography

Anemia

Immunocompromised Patient

Coagulopathy

14. Gastrointestinal System

Pathologic Conditions

Acute Gastrointestinal Bleeding

Liver Failure

Acute Pancreatitis

Intestinal Ischemia

Bowel Obstruction

Bariatric (Weight Reduction) Surgery

Surgical Procedure

Nutritional Support for Acutely Ill Patients

Nutritional Requirements

Nutritional Case: Special Populations

Enteral Nutrition

Selected Bibliography

Upper GI Bleeding

Liver Failure

Acute Pancreatitis

Intestinal Ischemia/Bowel Obstruction

Nutrition

Online References of Interest

Bariatric (Gastric Bypass) Surgery

15. Renal System

Acute Kidney Injury

Physical Assessment

Principles of Management of Acute Kidney Injury

Electrolyte Imbalances

Calcium Imbalance: Hypocalcemia

Principles of Management for Electrolyte Imbalances

Renal Replacement Therapy

Access

Dialyzer/Hemofilters/Dialysate

Procedures

Indications for and Efficacy of Renal Replacement Therapy Modes

General Renal Replacement Therapy Interventions

Principles of Management

Selected Bibliography

General Renal and Electrolyte

Acute Kidney Injury

Renal Replacement Therapy

Web Resources

16. Endocrine System

Pathologic Conditions

Hyperglycemic States

Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar

Acute Hypoglycemia

Summary: Hyperglycemia and Hypoglycemia

Pituitary Gland Function and Associated Disorders

Syndrome of Inappropriate Antidiuretic Hormone Secretion

Diabetes Insipidus

Summary: Pituitary Gland and DI/SIADH

Thyroid Gland Function and Associated Disorders

Hyperthyroidism and Thyroid Storm

Hypothyroidism and Myxedema Coma

Summary: Hyperthyroidism and Thyroid Storm, Hypothyroidism and Myxedema Coma

Adrenal Gland Function and Associated Disorders

Cushing Syndrome

Aldosteronism

Addison Disease and Crisis

Critical Illness-Related Corticosteroid Insufficiency

Pheochromocytoma and Catecholamine Crisis

Summary: Adrenal Gland Dysfunction

Selected Bibliography

Blood Glucose Monitoring

Hyperglycemia, DKA, and HHS

SIADH and Diabetes Insipidus

Hyperthyroidism and Thyroid Storm

Hypothyroidism and Myxedema Coma

Adrenal Gland, Cushing Disease, and Pheochromocytoma

Critical Illness-Related Corticosteroid Insufficiency

17. Trauma

Specialized Assessment

Primary, Secondary, and Tertiary Trauma Surveys

Diagnostic Studies

Mechanism of Injury

Physiologic Consequences of Trauma

Common Injuries in the Trauma Patient

Thoracic Trauma

Abdominal Trauma

Musculoskeletal Trauma

Complications of Traumatic Injury in Severe Multisystem Trauma

General Concepts

Infection, Systemic Inflammatory Response Syndrome, Sepsis/Septic Shock, and Multiple Organ Dysfunction

Acute Respiratory Distress Syndrome

Psychological Consequences of Trauma

Selected Bibliography

General Trauma

Section III. Advanced Concepts

18. Advanced ECG Concepts

The 12-Lead Electrocardiogram

Axis Determination

Bundle Branch Block

Acute Coronary Syndrome

Preexcitation Syndromes

Advanced Dysrhythmia Interpretation

Supraventricular Tachycardias

Polymorphic Ventricular Tachycardias

Differentiating Wide QRS Beats and Rhythms

St-Segment Monitoring

Measuring the ST Segment

Choosing the Best Leads for ST-Segment Monitoring

Cardiac Pacemakers

Evaluating Pacemaker Function

VVI Pacemaker Evaluation

DDD Pacemaker Evaluation

Selected Bibliography

Electrocardiography

Acute Coronary Syndrome

Long QT Syndrome and Brugada Syndrome

Dysrhythmias

Pacemakers

Evidence Based Practice

19. Advanced Cardiovascular Concepts

Pathologic Conditions

Cardiomyopathy

Valvular Heart Disease

Pericarditis

Aortic Aneurysm

Cardiac Transplantation

Ventricular Assist Devices

Selected Bibliography

General Cardiovascular

Cardiomyopathy

Heart Transplantation

Valvular Disorders

Pericarditis

Thoraco-Abdominal Aneurysms

Ventricular Assist Devices

Intraaortic Balloon Pump

Evidence-Based Practice/Guidelines

20. Advanced Neurologic Concepts

Subarachnoid Hemorrhage

Etiology, Risk Factors, and Pathophysiology

Clinical Presentation

Diagnostic Tests

Principles of Management of Aneurysmal Subarachnoid Hemorrhage

Traumatic Brain Injury

Etiology, Risk Factors, and Pathophysiology

Clinical Presentation

Diagnostic Tests

Principles of Management of Traumatic Brain Injury

Traumatic Spinal Cord Injury

Etiology, Risk Factors, and Pathophysiology

Clinical Presentation

Diagnostic Tests

Principles of Management of Acute Spinal Cord Injury

Future Spinal Cord Injury Treatment

Brain Tumors

Etiology, Risk Factors, and Pathophysiology

Clinical Presentation

Diagnostic Tests

Principles of Management of Intracranial Tumors

Special Considerations: Transsphenoidal Resection of Pituitary Tumors

Special Procedures: Invasive Monitoring of Intracranial Pressure

Intracranial Pressure Waveforms

Special Procedures: Management of a Patient with a Lumbar Drain

Selected Bibliography

Subarachnoid Hemorrhage

Traumatic Brain Injury

Spinal Cord Injury

Brain Tumors

Intracranial Pressure Monitoring

Evidence-Based Guidelines

Section IV. Key Reference Information

21. Normal Laboratory Reference Values

22. Pharmacology Tables

23. Cardiac Rhythms, ECG Characteristics, and Treatment Guide

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