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[null,"1.","Record Nr.",null,"UNINA9910154767703321"]
[null,null,"Autore",null,"Wagner Kathleen Dorman"]
[null,null,"Titolo",null,"High-acuity nursing / / Kathleen Dorman Wagner, Melanie G. Hardin-Pierce"]
[null,null,"Pubbl/distr/stampa",null,"Boston : , : Pearson, , [2015]"]
[{"$nulls":4},"©2015"]
[null,null,"ISBN",null,"1-292-07341-1"]
[null,null,"Edizione",null,"[Sixth edition, global edition.]"]
[null,null,"Descrizione fisica",null,"1 online resource (976 pages) : illustrations (some color), tables"]
[null,null,"Collana",null,"Always learning"]
[null,null,"Disciplina",null,"610.73068"]
[null,null,"Soggetti",null,"Critical care medicine"]
[null,null,"Lingua di pubblicazione",null,"Inglese"]
[null,null,"Formato",null,"Materiale a stampa"]
[null,null,null,"Livello bibliografico","Monografia"]
[null,null,null,"Note generali","Includes index."]
[null,null,null,"Nota di bibliografia","Includes bibliographical references and index."]
[null,null,"Nota di contenuto",null,"Cover -- Title Page -- Contents -- About the Authors -- Thank You -- Preface -- Part One Introduction to High-Acuity Nursing -- Chapter 1 High-Acuity Nursing -- High-Acuity Environment -- Resource Allocation -- Use of Technology in High-Acuity Environments -- Healthy Work Environment -- Ensuring Patient Safety in High-Acuity Environments -- Chapter 2 Holistic Care of the Patient and Family -- Impact of Acute Illness on Patient and Family -- Coping with Acute Illness -- Patient- and Family-Centered Care -- Cultural Diversity -- Palliativeand End-of-Life Care -- Environmental Stressors -- Chapter 3 The Older Adult High-Acuity Patient -- Introduction to the Aging Patient -- Neurologic and Neurosensory Systems Changes -- Cardiovascular and Pulmonary Systems Changes -- Integumentary and Musculoskeletal Systems Changes -- Gastrointestinal and Genitourinary Systems Changes -- Endocrine and Immune System Changes -- Cognitive Conditions Impacting Hospitalization -- Factors Impacting Hospitalization -- Geriatric Assessment Tools for the High-Acuity Nurse -- High-Risk Injuries and Complications of Trauma -- Special Considerations: A Culture of Caring and End-of-Life Care -- Part Two Therapeutic Support of the High-Acuity Patient -- Chapter 4 Acute Pain Management -- The Multifaceted Nature of Pain -- Acute Pain in the High-Acuity Patient -- Pain Assessment -- Management of Acute Pain -- Issues in Inadequate Treatment of Acute Pain -- Monitoring for Opioid-Induced Respiratory Depression -- Pain Management in Special Patient Populations -- Moderate Sedation/Analgesia -- Chapter 5 Nutrition Support -- Nutrition Alterations in the High-Acuity Patient -- Nutritional Alterations in Specific Disease States -- Enteral Nutrition -- "]
[{"$nulls":4},"Total Parenteral Nutrition -- Refeeding Considerations -- Chapter 6 Mechanical Ventilation."]
[{"$nulls":4},"Determining the Need for Ventilatory Support -- Required Equipment for Mechanical Ventilation -- Types of Mechanical Ventilators -- Commonly Monitored Ventilator Settings -- Noninvasive Alternatives to Mechanical Ventilation -- Major Complications of Mechanical Ventilation -- Artificial Airway Complications -- Care of the Patient Requiring Mechanical Ventilation -- Weaning the Patient from the Mechanical Ventilator -- Chapter 7 Introduction to Hemodynamic Monitoring -- Introduction to Hemodynamic Parameters -- Noninvasive and Minimally Invasive Hemodynamic Technologies -- Introduction to Pulmonary Artery Catheters -- Pulmonary Artery Catheter Insertion and Measurements -- Right Atrial and Ventricular Pressures -- Pulmonary Artery and Pulmonary Artery Wedge Pressures -- Vascular Resistance and Stroke Work -- Chapter 8 Basic Cardiac Rhythm Interpretation -- Cellular Membrane Permeability -- Cardiac Conduction and the Electrocardiogram -- Basic Interpretation Guidelines -- Risk Factors for Development of Dysrhythmias -- Sinus Dysrhythmias -- Atrial Dysrhythmias -- Junctional Dysrhythmias -- Ventricular Dysrhythmias -- Conduction Abnormalities -- Pharmacologic and Countershock Interventions and Nursing Implications -- Electrical Therapy -- Chapter 9 Complex Wound Management -- Anatomy and Physiology of the Skin and Effects of Wounds -- Wound Physiology -- Factors that Affect Wound Healing -- Clinical Assessment of Wound Healing -- Principles of Wound Management -- Wound Infections: Etiology, Diagnosis, and Treatment -- Necrotizing Soft-tissue Infections -- Enterocutaneous Fistulas -- Pressure Ulcers -- Part Three Pulmonary -- Chapter 10 Determinants and Assessment of Pulmonary Function -- Mechanics of Breathing-Ventilation -- Pulmonary Gas Exchange-Respiration and Diffusion -- Pulmonary Gas Exchange-Perfusion -- Acid-Base Physiology and Disturbances."]
[{"$nulls":4},"Arterial Blood Gases -- Focused Respiratory Nursing History and Assessment -- Pulmonary Function Evaluation -- Noninvasive and Invasive Monitoring of Gas Exchange -- Chapter 11 Alterations in Pulmonary Function -- Review of Restrictive and Obstructive Pulmonary Disorders -- Acute Respiratory Failure -- Acute Respiratory Distress Syndrome -- Pulmonary Embolism -- Acute Respiratory Infections -- Thoracic Surgery and Chest Tubes -- The Standard Respiratory Plan of Care -- Part Four Cardiovascular -- Chapter 12 Determinants and Assessment of Cardiac Function -- Review of the Cardiopulmonary System -- Review of Heart Anatomy -- Determinants of Cardiac Output -- Review of Blood Pressure -- Assessment of Cardiac Function -- Cardiovascular Diagnostic Procedures -- Chapter 13 Alterations in Cardiac Function -- Valvular Heart Disease -- Heart Failure -- Hypertension -- Hypertensive Crises -- Aortic Aneurysm -- Chapter 14 Alterations in Myocardial Tissue Perfusion -- Pathophysiology of Atherosclerosis/Coronary Artery Disease -- Etiologic Factors for Coronary Artery Disease -- Clinical Presentation of Impaired Myocardial Tissue Perfusion -- Diagnostic Tests for Alterations in Myocardial Tissue Perfusion -- Impaired Myocardial Tissue Perfusion: Acute Coronary Syndromes -- Collaborative Interventions to Restore Myocardial Tissue Perfusion -- Part Five Neurologic -- Chapter 15 Determinants and Assessment of Cerebral Perfusion -- Selective Neurological Anatomy and Physiology -- Intracranial and Cerebral Perfusion Pressures -- Assessment of Cerebral Tissue Perfusion -- Diagnostic Procedures -- Chapter 16 Mentation and Sensory Motor Complications of Acute Illness -- Decreased Level of Consciousness, Abnormal Mentation, and Anxiety -- Delirium and Coma -- Disorders "]
[{"$nulls":4},"of Movement -- Seizure Complications in High-Acuity Patients -- Chapter 17 Acute Stroke Injury."]
[{"$nulls":4},"Definition and Classifications of Strokes -- Pathophysiology of Stroke -- Risk Factors for Stroke -- Assessment and Diagnosis of Stroke -- Acute Stroke Management -- Hospital Management and Secondary Prevention in the Acute Phase -- Chapter 18 Traumatic Brain Injury -- Mechanisms of Brain Injury and Skull Fractures -- Decreased Intracranial Adaptive Capacity -- Focaland Diffuse Brain Injuries -- Assessment and Diagnosis -- Collaborative Management of Traumatic Brain Injury -- Nursing Management -- Complications Associated with Increased Intracranial Pressure -- Chapter 19 Acute Spinal Cord Injury -- Spinal Cord Anatomy and Physiology -- Spinal Cord Injury -- Diagnosis and Assessment of Spinal Cord Injury -- Stabilization and Management of Spinal Cord Injury in the Acute Care Phase -- High-Acuity Nursing Care of the Patient with a Spinal Cord Injury -- Part Six Gastrointestinal -- Chapter 20 Determinants and Assessment of Gastrointestinal Function -- The Gastrointestinal Tract -- Gut Defenses -- The Liver -- The Exocrine Pancreas -- Diagnostic Tests -- Nursing Assessment -- Chapter 21 Alterations in Gastrointestinal Function -- Incidence and Clinical Manifestations of Acute GI Bleeding -- Acute Upper GI Bleeding Due to Ulcers -- Acute Upper GI Bleeding Due to Nonulcer Etiologies -- Acute Lower GI Bleeding -- Management of Acute Gastrointestinal Bleeding -- Acute Intestinal Obstruction -- Intraabdominal Hypertension and Abdominal Compartment Syndrome -- Chapter 22 Alterations in Liver Function -- Introduction to Acute Liver Failure -- Diagnosis and Treatment Strategies -- Complications and Treatment Strategies -- The High-Acuity Patient with Chronic Liver Disease -- Nursing Considerations -- Chapter 23 Alterations in Pancreatic Function -- Pathophysiologic Basis of Acute Pancreatitis -- Diagnosing Acute Pancreatitis."]
[{"$nulls":4},"Nursing Assessment of the Patient with Acute Pancreatitis -- Complications of Acute Pancreatitis -- Medical Management -- Nursing Care of the Patient with Acute Pancreatitis -- Part Seven Fluid and Electrolytes -- Chapter 24 Determinants and Assessment of Fluid and Electrolyte Balance -- Body Fluid Composition and Distribution -- Regulation of Fluid Balance -- Assessment of Fluid Balance -- Electrolytes -- Assessment of Electrolyte Balance -- Chapter 25 Alterations in Fluid and Electrolyte Balance -- Fluid Volume Deficit -- Fluid Volume Excess -- Sodium Imbalances -- Calcium Imbalances -- Potassium Imbalances -- Magnesium Imbalances -- Phosphorus/ Phosphate Imbalances -- Chapter 26 Acute Kidney Injury -- Pathophysiology of Acute Kidney Injury -- Diagnosisand Assessment of Acute Kidney Injury -- Medical Treatment -- Renal Replacement Therapy -- Nursing Care of the Patient with Acute Kidney Injury -- Chronic Kidney Failure in the High-Acuity Patient -- Part Eight Hematologic -- Chapter 27 Determinants and Assessment of Hematologic Function -- Review of Anatomy and Physiology -- Erythrocytes-The Cellular Component of Oxygen Transport -- Innate (Natural) Immunity -- Adaptive (Acquired) Immunity -- Antigens and Antigen-Antibody Response -- Hemostasis -- Assessment of Hematologic Function -- Chapter 28 Alterations in Red Blood Cell Function and Hemostasis -- Acute Anemias -- Sickle Cell Disease-A Disorder of Abnormal RBCs -- Polycythemia: A Disorder of Excessive RBCs -- Thrombocytopenia: A Problem of Hemostasis -- Disseminated Intravascular Coagulation: A Problem of Hemostasis -- Nursing Assessment of the Patient with Problems of Erythrocytes or Hemostasis -- Chapter 29 Alterations in White Blood Cell Function and Oncologic Emergencies -- Neutropenia -- Disorders of Hyperactive Immune "]
[{"$nulls":4},"Response: Hypersensitivity."]
[{"$nulls":4},"Disorders of Hyperactivity Immune Response: Autoimmunity."]
[null,null,null,"Sommario/riassunto","For courses on high-acuity nursing intended to serve undergraduate nursing students, novice nurses, novice critical-care nurses, and home-health nurses.     The most focused, up-to-date, easy-to-understand guide to high-acuity nursing in all care settings.     High-Acuity Nursing, Sixth Edition brings together the knowledge needed to care for adult patients with complex conditions and unpredictable outcomes, across settings ranging from critical care to high-skill long-term facilities. It makes critical pathophysiological concepts clinically applicable to high-acuity patients; enhances students' clinical decision-making skills; provides extensive and immediate feedback; and supports self-paced learning. This tightly focused guide has been substantially reorganized to reflect faculty and student feedback. This edition adds bulleted chapter summaries; NCLEX-style posttest items; updated Emerging Evidence boxes; coverage of oncological emergencies, hypertensive crises, and acute aortic problems; adult doses in Related Pharmacotherapy boxes; and a brand-new chapter on complications associated with metabolic stress response.     Teaching and Learning Experience    This book is designed to help learners rapidly gain mastery and confidence. It provides:   Focused coverage of topics specifically related to high-acuity nursing: Helps learners gain command of crucial content without ever feeling overwhelmed by its volume and complexity  Links pathophysiological principles and clinical care: Helps learners translate pathophysiological principles into care decisions, and understand the rationale for those decisions  Learner-focused \"active learning\" with strong pedagogical support: \"Chunks\" complex information into small, discrete sections, provides quizzes after each section to ensure mastery, and offers extensive pedagogical support"]
[{"$nulls":4},"for more effective study."]