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| AACN PROCEDURE MANUAL FOR CRITICAL CARE
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Fifth Edition
Edited By
Debra Lynn-McHale Wiegand, RN, MSN, CS, CCRN, Predoctoral Fellow, International Center of Research for Women, Children and Families, University of Pennsylvania,
Philadelphia, PA; Staff Nurse, Surgical Cardiac Care Unit, Thomas Jefferson University Hospital, Philadelphia, PA
Karen Carlson, RN, MN, CCNS, Critical Care Clinical Nurse Specialist, Carlson Consulting Group, Bellevue, WA; Clinical Faculty, Department of Biobehavioral Nursing, University of Wahington, Seattle, WA
By
. American Association of Critical-Care Nu
Description
AACN Procedure Manual for Critical Care offers comprehensive coverage of procedures unique to the critical care environment. This edition
is thoroughly revised, updated, and expanded to reflect the current state of critical care nursing practice. Information is presented
in a highly illustrated step-by-step format with supporting rationales for each step of every procedure. This resource also emphasizes
evidence-based practice and provides complete coverage of the latest clinical studies.
Contents
UNIT I. Pulmonary System
Section 1: Airway Management
1. Combitube Insertion and Removal AP NEW!
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 AP NEW!
8. Nasopharyngeal Airway Insertion
9.
Oropharyngeal Airway Insertion
10. Suctioning – Endotracheal or Tracheostomy Tube
11. Tracheal Tube Cuff Care
12. Tracheostomy
Tube Care
Section 2: Special Pulmonary Procedures
13. Continuous End-Tidal Carbon Dioxide Monitoring
14. Continuous
Mixed Venous Oxygen Saturation
15. Oxygen Saturation Monitoring by Pulse Oximetry
16. Manual Pronation Therapy
Section 3:
Thoracic Cavity Management
17. Autotransfusion
18. Chest Tube Placement (Perform) AP
19. Chest Tube Placement (Assist)
20.
Chest Tube Removal (Perform) AP
21. Chest Tube Removal (Assist)
22. Closed Chest Drainage System
23. Needle Thoracostomy (Perform)
AP
24. Thoracentesis (Perform) AP
25. Thoracentesis (Assist)
Section 4: Ventilatory Management
26. Arterial-Venous
Oxygen Difference Calculation
27. Auto-PEEP Calculation
28. Compliance and Resistance Measurement
29. Manual Self-Inflating
Resuscitation Bag
30. Oxygenation Indices
31. Shunt Calculation
32. Ventilatory Management – Volume and Pressure Modes
33.
Weaning Criteria (Negative Inspiratory Pressure, Positive End-Expiratory Pressure, Spontaneous Tidal Volume, Vital Capacity Measurement)
34.
Weaning Process
UNIT II. Cardiovascular System
Section 5: Cardiac Emergencies
35. Automated External
Defibrillation
36. Cardioversion
37. Defibrillation (External)
38. Defibrillation (Internal)
39. Emergent Open Sternotomy
(Perform) AP
40. Emergent Open Sternotomy (Assist)
41. Pericardiocentesis (Perform) AP NEW!
42. Pericardiocentesis (Assist)
Section
6: Cardiac Pacemakers
43. Atrial Electrogram
44. Atrial Overdrive Pacing (Perform) AP
45. Epicardial Pacing Wire Removal
AP NEW!
46. Implantable Cardioverter Defibrillator
47. Permanent Pacing (Assessing Function)
48. Temporary Transcutanous (External)
Pacing
49. Temporary Transvenous Pacemaker Insertion (Perform) AP
50. Temporary Transvenous and Epicardial Pacing
Section
7: Circulatory Assist Devices
51. Intraaortic Balloon Pump Management
52. External Counterpressure with Pneumatic Antishock
Garments
53. Ventricular Assist Devices
Section 8: Electrocardiographic Leads and Cardiac Monitoring
54. Electrophysiologic
Monitoring: Hardwire and Telemetry
55. Extra Electrocardiographic Leads: Right Precordial and Left Posterior Leads
56. Continuous
ST Segment Monitoring
57. Twelve-Lead Electrocardiogram
Section 9: Hemodynamic Monitoring
58. Arterial Catheter Insertion
(Perform) AP
59. Arterial Catheter Insertion (Assist), Care and Removal
60. Blood Sampling from Arterial Catheter
61. Blood
Sampling from Central Venous Catheters NEW!
62. Blood Sampling from Pulmonary Catheter
63. Cardiac Output Measurement Techniques
(invasive)
64. Central Venous Catheter Removal
65. Central Venous Catheter Site Care
66. Central Venous / Right Atrial Pressure
Monitoring
67. Esophageal Doppler Monitoring of Aortic Blood Flow: Probe Insertion NEW!
68. Esophageal Doppler Monitoring of
Aortic Blood Flow: Care and Removal NEW!
69. Left Atrial Catheter, Care and Assisting with Removal
70. Non-invasive Hemodynamic
Monitoring: Impedance Cardiography
71. Pulmonary Artery Catheter Insertion (Perform) AP
72. Pulmonary Artery Catheter Insertion
(Assist) and Pressure Monitoring
73. Pulmonary Artery Catheter Removal
74. Pulmonary Artery Catheter and Pressure Lines, Troubleshooting
75.
Single and Multiple Pressure Transducer Systems
Section 10: Special Cardiac Procedures
76. Arterial and Venous Sheath
Removal AP
77. Pericardial Catheter Management
78. Transesophageal Echocardiography (Assist) NEW!
Section 11: Vascular
Access
79. Arterial Puncture AP
80. Central Venous Catheter Insertion (Perform) AP
81. Central Venous Catheter Insertion
(Assist)
82. Implantable Venous Accessing Device: Access, Deaccess and Care AP NEW!
83. Peripheral Intravenous Catheter Insertion
84.
Peripherally Inserted Central Catheter (PICC) AP
85. Venipuncture
UNIT III. Neurologic System
Section
12: Neurologic Monitoring
86. Bi-Spectral Index Monitoring NEW!
87. Brain Tissue Oxygenation Monitoring NEW!
88. Intracranial
Bolt Insertion (Assist), Care, and Troubleshooting
89. Intraventricular Catheter Insertion (Assist), Care, and Troubleshooting
90.
Jugular Venous Oxygen Saturation (SVO2) Monitoring: Insertion (Assist), Care, and Removal
91. Lumbar Subarachnoid Catheter Insertion
for Cerebral Spinal Fluid Pressure Monitoring and Drainage
92. Neurological Monitoring System NEW!
93. Transcranial Doppler Monitoring
AP
Section 13: Special Neurologic Procedures
94. Cerebrospinal Fluid Drainage Assessment
95. External Warming / Cooling
Devices
96. Ice-Water Caloric Testing for Vestibular Dysfunction (Assist)
97. Lumbar Punctures (Perform) AP
98. Lumbar and Cisternal
Punctures (Assist)
Section 14: Traction Management
99. External Fixation Device Insertion (Assist)
100. Halo Traction
Care
101. Tong and Pin Care
102. Traction Maintenance
Section 15: Pain Management
103. Epidural Catheters
104.
Peripheral Nerve Stimulators
105. Patient Controlled Analgesia NEW!
106. Major Nerve Sheath Infusions: Femoral, Intrapleural,
and Tibial NEW!
UNIT IV. Gastrointestinal System
107. Esophagogastric Tamponade Tube
108. Gastric Lavage
in Hemorrhage and Overdose
109. Gastric Tonometry NEW!
110. Intra-abdominal Pressure Monitoring
111. Nasogastric Tube Insertion,
Care, and Removal
112. Paracentesis (Perform) AP
113. Paracentesis (Assist)
114. Peritoneal Lavage (Perform) AP
115. Peritoneal
Lavage (Assist)
116. Scleral Endoscopic Therapy
UNIT V. Renal System
Section 16: Renal Replacement
117.
Continuous Renal Replacement Therapies
118. Hemodialysis
119. Peritoneal Dialysis
Section 17: Special Renal Procedures
120.
Apheresis, Plasmapheresis and Plasma Exchange (Assist)
UNIT VI. Hematologic System
Section 18: Fluid Management
121.
Blood and Blood Component Administration
122. Blood Pump Use
123. Continuous Arteriovenous Rewarming
124. Massive Transfusion
Devices
125. Transfusion Reaction Management
Section 19: Special Hematologic Procedures
126. Bone Marrow Biopsy and
Aspiration (Perform) AP
127. Bone Marrow Biopsy and Aspiration (Assist)
128. Determination of Microhematocrit via Centrifuge
UNIT
VII. Integumentary System
Section 20: Burn Wound Management
129. Donor Site Care
130. Burn Wound Care
131.
Skin Graft Care
Section 21: Special Integumentary Procedures
132. Intracompartmental Pressure Monitoring
133. Pressure
Reducing Devices: Lateral Rotation Therapy
134. Wound Closure AP
135. Suture Removal NEW!
Section 22: Wound Management
136.
Cleaning, Irrigating, Culturing, and Dressing an Open Wound
137. Debridement: Pressure Ulcers, Burns, and Wounds AP NEW!
138.
Dressing Wounds with Drains
139. Drain Removal
140. Pouching a Wound
141. Vacuum Assisted Closure (VAC) System for Wounds
NEW!
UNIT VIII. Nutrition
142. Enteral Nutrition
143. Parenteral Nutrition
144. Percutaneous Endoscopic
Gastrostomy (PEG), Gastrostomy, or Jejunostomy Tube Care
145. Small-Bore Feeding Tube Insertion and Care
UNIT IX. End of
Life
146. Advance Directives
147. Determination of Death AP
148. Care of Organ Donors
149. Identification of Potential
Organ Donors
150. Request for Organ Donation
151. Non-Heart Beating Organ Donation NEW!
152. Withholding/Withdrawing Life
Sustaining Treatment
UNIT X. Calculating Medication Doses
153. Calculating Doses, Flow Rates, and Administration
of Continuous Intravenous Infusions
| Bibliographic details |
Paperback, 1280 pages, publication date: APR-2005
ISBN-13: 978-0-7216-0452-7
ISBN-10: 0-7216-0452-8
Imprint: SAUNDERS
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029/241
Last update: 30 Nov 2009
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