AACN Procedure Manual for Critical Care - Pageburst E-Book on VitalSource (Retail Access Card)

Edited by

  • Debra Lynn-McHale Wiegand, PhD, RN, CCRN, FAAN, Assistant Professor, University of Maryland School of Nursing, Baltimore, Maryland; Staff Nurse, Surgical Cardiac Care Unit, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania


    This is a Pageburst digital textbook; The AACN Procedure Manual for Critical Care, 6th Edition presents procedures for the critical care environment in an illustrated, consistent, and step-by-step format. The Procedures and Patient Monitoring sections are presented in a tabular format that includes special considerations and rationales for each intervention. References have been meticulously reviewed to ensure that the most authoritative and timely standards of practice are used. Additionally, the references supporting care recommendations are identified according to the latest AACN Evidence Leveling System to ensure that you have a complete understanding of the strength of the evidence base.
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    Book information

    • Published: October 2010
    • Imprint: SAUNDERS
    • ISBN: 978-1-4557-3626-3

    Table of Contents

    UNIT I Pulmonary System

    Section One

    Airway Management: Michael W. Day

    1. Combitube Insertion and Removal AP

    2. Endotracheal Intubation (Perform) AP

    3. Endotracheal Intubation (Assist)

    4. Endotracheal Tube and Oral Care

    5. Extubation/Decannulation (Perform) AP

    6. Extubation/Decannulation (Assist)

    7. Laryngeal Mask Airway AP

    8. Emergency Cricothyroidotomy (Perform) NEW!

    9. Emergency Cricothyroidotomy (Assist) NEW!

    10. Nasopharyngeal Airway Insertion

    11. Oropharyngeal Airway Insertion

    12. Suctioning: Endotracheal or Tracheostomy Tube

    13. Tracheal Tube Cuff Care

    14. Tracheostomy Tube Care

    Section Two

    Special Pulmonary Procedures: Michael W. Day

    15. Continuous End-Tidal Carbon Dioxide Monitoring

    16. Continuous Venous Oxygen Saturation Monitoring

    17. Oxygen Saturation Monitoring by Pulse Oximetry

    18. Pronation Therapy

    Section Three

    Thoracic Cavity Management: Michael W. Day

    19. Autotransfusion

    20. Chest Tube Placement (Perform) AP

    21. Chest Tube Placement (Assist)

    22. Chest Tube Removal (Perform) AP

    23. Chest Tube Removal (Assist)

    24. Closed Chest Drainage System

    25. Needle Thoracostomy (Perform) AP

    26. Thoracentesis (Perform) AP

    27. Thoracentesis (Assist)

    Section Four

    Ventilatory Management: Michael W. Day

    28. Noninvasive Ventilation (CPAP and BiPAP Masks) NEW!

    29. Arterial-Venous Oxygen Content Difference (a-v DO2) and Oxygen Transport (Delivery) and Consumption Calculations

    30. Auto-PEEP Calculation

    31. Compliance and Resistance Measurement

    32. Manual Self-Inflating Resuscitation Bag

    33. Indices of Oxygenation

    34. Shunt Calculation

    35. Invasive Mechanical Ventilation (Through an Artificial Airway)---Volume and Pressure Modes36. Standard Weaning Criteria-Negative Inspiratory Pressure, Positive End-Expiratory Pressure, Spontaneous Tidal Volume, Vital Capacity, and Rapid Shallow Breathing Index

    37. Weaning Process

    38. Peripheral Nerve Stimulators

    UNIT II Cardiovascular System

    Section Five

    Cardiac Emergencies: Debra Wiegand

    39. Automated External Defibrillation

    40. Cardioversion

    41. Defibrillation (External)

    42. Defibrillation (Internal) AP

    43. Emergent Open Sternotomy (Perform) AP

    44. Emergent Open Sternotomy (Assist)

    45. Pericardiocentesis (Perform) AP

    46. Pericardiocentesis (Assist)

    Section Six

    Cardiac Pacemakers: Debra Wiegand

    47. Atrial Electrogram

    48. Atrial Overdrive Pacing (Perform) AP

    49. Epicardial Pacing Wire Removal AP

    50. Implantable Cardioverter-Defibrillator

    51. Permanent Pacemaker (Assessing Function)

    52. Temporary Transcutanous (External) Pacing

    53. Temporary Transvenous Pacemaker Insertion (Perform) AP

    54. Temporary Transvenous and Epicardial Pacing

    Section Seven

    Circulatory Assist Devices: Debra Wiegand

    55. Intraaortic Balloon Pump Management

    56. Ventricular Assist Devices

    Section Eight

    Electrocardiographic Leads and Cardiac Monitoring: Debra Wiegand

    57. Electrophysiologic Leads and Cardiac Monitoring

    58. Extra Electrocardiographic Leads: Right Precordial and Left Posterior Leads

    59. Continuous ST-Segment Monitoring

    60. Twelve-Lead Electrocardiogram

    Section Nine

    Hemodynamic Monitoring: Debra Wiegand

    61. Arterial Catheter Insertion (Perform) AP

    62. Arterial Catheter Insertion (Assist), Care and Removal

    63, Arterial Pressure-Based Cardiac Output Monitoring

    6. Blood Sampling From an Arterial Catheter

    65, Blood Sampling from a Central Venous Catheter

    66. Blood Sampling From a Pulmonary Artery Catheter

    67. Cardiac Output Measurement Techniques (Invasive)

    68. Central Venous Catheter Removal

    69. Central Venous Catheter Site Care

    70. Central Venous/Right Atrial Pressure Monitoring

    71. Left Atrial Catheter: Care and Assisting With Removal

    72. Pulmonary Artery Catheter Insertion (Perform) AP

    73. Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring

    74. Pulmonary Artery Catheter Removal

    75. Pulmonary Artery Catheter and Pressure Lines, Troubleshooting

    76. Single- and Multiple-Pressure Transducer Systems

    Section Ten

    Special Cardiac Procedures: Debra Wiegand

    77. Arterial and Venous Sheath Removal AP

    78. Pericardial Catheter Management

    79. Transesophageal Echocardiography (Assist)

    Section Eleven

    Vascular Access: Debra Wiegand

    80. Arterial Puncture AP

    81. Central Venous Catheter Insertion (Perform) AP

    82. Central Venous Catheter Insertion (Assist)

    83. Implantable Venous Access Device: Access, Deaccess, and Care AP

    84. Intraosseous Devices

    85. Peripherally Inserted Central Catheter AP

    UNIT III Neurologic System

    Section Twelve

    Neurologic Monitoring: Patricia A. Blissitt

    86. Bispectral Index Monitoring

    87. Brain Tissue Oxygenation Monitoring: Insertion (Assist), Care, and Troubleshooting

    88. Intracranial Bolt and Fiberoptic Catheter Insertion (Assist), Intracranial Pressure Monitoring, Care, Troubleshooting, and Removal

    89. Combination Intraventricular/Fiberoptic Catheter Insertion (Assist) and Monitoring

    90. Jugular Venous Oxygen Saturation Monitoring: Insertion (Assist), Care, Troubleshooting, and Removal

    91. Lumbar Subarachnoid Catheter Insertion (Assist) for Cerebral Spinal Fluid Pressure Monitoring and Drainage

    92. Intraventricular Catheter with External Transducer for Cerebrospinal Fluid Drainage and Intracranial Pressure Monitoring93. Transcranial Doppler Monitoring AP

    Section Thirteen

    Special Neurologic Procedures: Pat Blissitt

    94. External and Intravascular Warming/Cooling Devices

    95. Lumbar Puncture (Perform) AP

    96 Lumbar Puncture (Assist)

    Section Fourteen

    Traction Management: Patricia A. Blissitt

    97. Application of Tongs or Halo Ring for Use in Cervical Traction

    98. Halo Ring and Vest Care

    99. Pin Site Care: Cervical Tongs and Halo Pins

    100. Cervical Traction Maintenance

    Section Fifteen

    Pain Management: Patricia A. Blissitt

    101. Epidural Catheters: Assisting with Insertion and Pain Management

    102. Patient-Controlled Analgesia

    103. Peripheral Nerve Blocks: Assisting with Insertion and Pain Management

    UNIT IV Gastrointestinal System

    Section Sixteen

    Special Gastrointestinal Procedures: Eleanor Fitzpatrick

    104. Esophagogastric Tamponade Tube

    105. Gastric Lavage in Hemorrhage and Overdose

    106. Intraabdominal Pressure Monitoring

    107. Paracentesis (Perform) AP

    108. Paracentesis (Assist)

    109. Peritoneal Lavage (Perform) AP

    110. Peritoneal Lavage (Assist)

    111. Endoscopic Therapy

    UNIT V Renal System

    Section Seventeen

    Renal Replacement: Teresa Preuss

    112. Continuous Renal Replacement Therapies

    113. Hemodialysis

    114. Peritoneal Dialysis

    UNIT VI Hematologic System

    Section Eighteen

    Fluid Management: Teresa Preuss

    115. Use of a Massive Transfusion Device and a Pressure Infusor BagSection NineteenSpecial Hematologic Procedures: Teresa Preuss

    116. Apheresis and Therapeutic Plasma Exchange (Assist)

    117. Bone Marrow Biopsy and Aspiration (Perform) AP

    118. Bone Marrow Biopsy and Aspiration (Assist)

    UNIT VII Integumentary System

    Section TwentyBurn Wound Management: Mary Beth Makic

    119. Donor Site Care

    120. Burn Wound Care

    121. Skin Graft Care

    Section Twenty-One

    Special Integumentary Procedures: Mary Beth Makic

    122. Intracompartmental Pressure Monitoring AP

    123. Pressure Redistribution Surfaces: Continual Lateral Rotation Therapy and Rotorest Lateral Rotation Surface

    124. Wound Closure AP

    125. Suture and Staple Removal

    Section Twenty-Two

    Wound Management: Mary Beth Makic

    126. Cleaning, Irrigating, Culturing, and Dressing an Open Wound

    127. D├ębridement: Pressure Ulcers, Burns, and Wounds AP

    128. Wound Management with Excessive Drainage

    129. Drain Removal

    130. Fecal Containment Devices and Bowel Management System NEW!

    131. Negative-Pressure WoundTherapy

    UNIT VIII Nutrition: Eleanor Fitzpatrick

    132. Small-Bore Feeding Tube Insertion Using an Electromagnetic Guidance System (CORTRAK®) NEW!

    133. Percutaneous Endoscopic Gastrostomy (PEG), Gastrostomy, or Jejunostomy Tube Care

    134. Small-Bore Feeding Tube Insertion and Care

    UNIT IX End of Life: Debra Wiegand

    135. Determination of Death in Adult Patients AP

    136. Organ Donation: Identification of Potential Organ Donors, Request for Organ Donation, and Care of the Organ Donor

    137. Cardiac Donation

    138. Withholding and Withdrawing Life-Sustaining Therapy

    UNIT X Calculating Medication Doses: Eleanor Fitzpatrick

    139. Calculating Doses, Flow Rates, and Administration of Continuous Intravenous Infusions