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A Nurse's Survival Guide to Acute Medical Emergencies Updated Edition: A Nurse's Survival Guide

Autor Richard N. Harrison
en Limba Engleză Paperback – 10 dec 2018
Are you a nurse, a physician's associate or a medical student in an acute or emergency unit?
This is your indispensable primer of acute medical care - a pocket guide to caring for patients with acute medical conditions.
This book will help you to
  • care for patients in the first critical 24 hours of admission
  • manage patients using the most up-to-date evidence based approach
  • understand the most common emergency medical conditions and their underlying disease mechanisms
  • handle the patient's assessment , understand the observations and manage their disease
  • easily obtain clear practical advice
  • know what to tell the patient and relatives using jargon-free language
  • access information on SARS, avian influenza and bio-terrorism
This updated edition
  • contains improved sections on stroke care, diabetes and sepsis,
  • introduces the NEWS 2 observation chart
  • has revised its case histories in line with current practice
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Specificații

ISBN-13: 9780702076664
ISBN-10: 070207666X
Pagini: 464
Ilustrații: 54 illustrations (54 in full color)
Dimensiuni: 152 x 229 x 15 mm
Greutate: 0.75 kg
Ediția:3
Editura: Elsevier
Seria A Nurse's Survival Guide


Public țintă

Undergraduate nursing students, newly registered nurses, post-registration nurses
Allied health professionals and students

Cuprins

Abbreviations
  1. Introduction: Immediate assessment of the critically ill ABCDE: Immediate assessment and intervention
    Early warning: Track and Trigger
    National Early Warning Score
    Communication - NEWS and SBAR
  2. CardiologyAcute severe breathlessness
    Cardiac failure
    Heart muscle damage
    Valvular disease
    Rhythm disturbance
    Types of heart failure
    Left heart failure
    Right heart failure
    Congestive cardiac failure
    Right heart failure and COPD
    Diastolic heart failure
    Clinical features and management of cardiac failure
    Acute left ventricular failure
    Acute on chronic congestive cardiac failure
    Ischaemic heart disease
    Chest pain
    Acute coronary syndromes, NSTEMIs and Unstable Angina
    Sudden cardiac death
    Atrial fibrillation and arterial emboli
    Causes of atrial fibrillation
    Importance of atrial fibrillation
    Complications of atrial fibrillation
    Diagnosis of atrial fibrillation
    Management of atrial fibrillation
    Infective endocarditis
    Drugs in the management of acute heart disease
  3. Respiratory medicineThe breathless patient: the general approach
    Respiratory failure
    Type I and Type II respiratory failure
    Principles of treatment
    Acute severe asthma
    Mechanisms
    Assessment of acute severe asthma
    Management of acute severe asthma
    Chronic obstructive pulmonary disease
    Mechanisms
    Management of acute exacerbations of COPD
    Non-invasive ventilation
    Pneumonia
    Assessment
    The severity score in pneumonia: CURB-65
    Management of pneumonia
    Antibiotics
    Spontaneous pneumothorax
    Nursing the patient with a chest drain
  4. Acute neurological problemsEnsuring the safety of the patient
    Prioritising the initial management: GCS and ABCDE
    Managing 'medical' and 'neurological' coma
    Responding to neurological deterioration
    Stroke and stroke-like emergencies
    Cerebral infarction
    Transient ischaemic attacks
    Intracerebral haemorrhage
    Subarachnoid haemorrhage
    Subdural haemorrhage
    Extradural haemorrhage
    Nursing the patient with a stroke: the first 24 h
    Meningococcal meningitis
    Acute severe headache
    Subarachnoid haemorrhage
    Lumbar puncture
    Sudden loss of consciousness: faints and fits
    The basic mechanisms: syncope
    The basic mechanisms: epileptic seizures
    Pseudoseizures (non-epileptic seizures)
    Acute paralysis of the lower limbs
    Spinal cord compression
    Guillain-Barré syndrome
  5. GastroenterologyNausea and vomiting underlying mechanisms
    Nausea and vomiting in acute medical conditions
    Acute upper gastrointestinal haemorrhage
    Management of upper gastrointestinal haemorrhage
    Portal hypertension and the management of oesophageal varices
    Acute liver failure and hepatic encephalopathy
    Acute jaundice
    Acute abdominal pain
    Acute diarrhoea: sources and courses
    Infective diarrhoea
    Clostridium difficile diarrhoea
    Infective diarrhoea versus acute ulcerative colitis
    Medical conditions presenting with gastrointestinal symptoms
  6. Diabetic complicationsDiabetes on the Acute Medical Unit: the general approach
    Normal blood sugar control and the nature of diabetes
    An overview of Type I and Type II diabetes
    Acute medical conditions associated with diabetes
    Diabetic renal disease
    Diabetic neuropathy
    Cardiovascular disease
    Cerebrovascular disease
    Peripheral vascular disease
    Blood sugar control in adverse medical situations
    Variable Rate Intravenous Insulin Infusion (VRIII) or GKI
    DIGAMI regimen
    Diabetic Keto Acidosis (DKA)
    Hyperosmolar non-ketotic diabetic coma (HONK)
    Hypoglycaemia
    Infective complications in diabetes: the acute diabetic foot
  7. Thromboembolic diseaseThrombosis and thromboembolisation
    Mechanisms
    Superficial thrombophlebitis
    Deep vein thrombosis
    Pulmonary thromboembolism
    Tests to identify thromboembolic disease
    Management of pulmonary thromboembolism
    Nursing the patient with a suspected DVT
    Other causes of a swollen painful leg
    Cellulitis
    Necrotising fasciitis
    Management of a DVT
    Anticoagulation therapy
  8. Deliberate self-harm, alcohol and substance abuseDeliberate self-harm
    General principles
    Care of the unconscious patient: ABCDE
    The patient who refuses treatment
    Specific overdoses
    Benzodiazepines
    Paracetamol poisoning
    Antidepressant overdose
    Carbon monoxide poisoning
    Alcohol abuse
    Acute alcohol-withdrawal syndrome
    Cocaine 303 Ecstasy
    Heroin abuse
    Needle stick injuries
    Hospital-acquired methicillin-resistant Staphylococcus aureus infections
    Violent incidents
  9. The 'social admission'Common errors and omissions in the admission of elderly patients
    Taking a history from the patient
    Taking a history from a third party
    Falls
    The cause of falls
    Assessment after a fall
    Immobility
    Immediate safety of the patient: ABCDE
    Assessing the cause: establish the full history
    Delirium
    Dementia
    Nursing home admissions
    Ethical issues and the elderly sick
    The emergency admission of patients with a terminal disease
  10. Multisystem failureShock: the basic mechanisms
    Cardiogenic shock
    Hypovolaemic shock
    Redistributive (low-resistance) shock
    Acute severe hypotensive collapse
    The importance of immediate resuscitation
    Ensuring adequate oxygen delivery to vital organs
    Oxygen therapy
    The blood pressure
    Inserting a CVP line
    Fluid challenge
    Surviving sepsis
    Anaphylactic reaction
    Emergency blood transfusion in shock
    Transfusion reactions
    Massive blood transfusion
    Acute kidney injury
    Management: resuscitation begin with 'ABCDE'
    Emergency (acute renal failure) management of hyperkalaemia
    Establishing a management plan
    Sudden collapse and cardiac arrest
    Chain of survival
    Basic life support
    After basic life support
    Do not attempt resuscitation
    Bereavement on the Acute Medical Unit
  11. Emerging problems: outbreaks and deliberate releases - SARS, toxins and biological agents
How infection spreads
Severe acute respiratory syndrome
Case definition of SARS
Other emerging infections
Unusual illnesses - deliberate release of infectious and chemical agents
Deliberate release of infectious agents
General principles
Examples of potential pathogens and initial symptoms
Poisoning with nerve agents
Key nursing skills in outbreaks and deliberate releases
Index