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MOSBY'S NURSING PDQ FOR CRITICAL CARE
Mosby's Nursing PDQ for Critical Care
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By
Susan Stillwell, MSN, RN, CNE, Clinical Associate Professor, Arizona State University, College of Nursing, Tempe, AZ

Description
This convenient quick-reference guide offers complete coverage of topics related to the acute care management of patients in the critical care setting. The spiral-bound format provides quick, easy access to information on disorders, treatment, assessment, monitoring, and drug therapy. It also features helpful formulas, laboratory values, and scoring tools.

Contents


PAIN/VITAL SIGNS

Pain
Harmful effects of unrelieved pain
Pain Assessment Factors
Pain Rating Scales
Pediatric Pain Assessment
Wong-Baker FACES Pain Rating Scale
FLACC Scale
Vital Signs
Temperature
Conversion
First Line of Defense to Infection
Pediatric Vital Signs
Estimation of Systolic Blood Pressure and Diastolic Blood Pressure in the Pediatric Patient
Pulse
Respirations
Blood Pressure
Auscultatory Gap
Pulsus Paradoxus
Pulse Pressure
Mean Arterial Pressure
Cultural and Developmental Aspects
Cultural Assessment
Erickson?s Stages of Life Cycle


CARDIOVASCULAR

Pulse
Classification of Pulse Strength
Variations in Arterial Pulse
Cardiac Auscultatory sites
Heart Sounds
Heart Sounds in Relation to the ECG
Scale for Pitting Edema
Variations in Arterial Pulse
Cardiac Auscultatory Sites
Differentiating Heart Sounds
Murmur Grading Scale
Characteristics of Heart Murmurs
Defibrillation Versus Cardioversion
Defibrillation
Cardioversion
Postprocedure Monitoring
Intra-Aortic Balloon Pump/Counterpulsation
Effects of Counterpulsation
Inflation and Deflation of Intraaortic Balloon Pump
Postinsertion Complications
Pacemaker Code
Pacemaker Code – Temporary Pacemakers
Classification of Hemorrhage
Effect of Cardiovascular Drugs on Hemodynamics
ECG
ECG Paper
Electrocardiograph Lead Placement
Lead II.
Lead MCL1
Five-Lead System
Right Chest Leads
Location of Left and Right Precordial Leads
Lead Uses
Monitoring Ischemia, Injury, and Infarction
Rhythm Strip Determination
Rhythm Determination
Heart Rate
Intervals and Rates
Components of Normal Electrocardiogram
Normal Sinus Rhythm
Dysrhythmias
Sinus Bradycardia
Sinus Tachycardia
Sinus Arrhythmia
Premature Atrial Complex
Atrial Tachycardia
Atrial Flutter
Atrial Fibrillation
Paroxysmal Supraventricular Tachycardia
Junctional Rhythm
Premature Ventricular Complex
Compensatory Pause
Accelerated Idioventricular Rhythm
Ventricular Tachycardia
Ventricular fibrillation
Torsade de Pointes
First-Degree AV block
Second-Degree AV block (Type I)
Second-Degree AV block (Type II)
Third-Degree heart block
Emergency Cardiac Drugs
Hexaxial Reference System
Wellen's Syndrome
Differentiating Bundle Branch Block
Wide QRS Tachycardia
ECG Changes and Complications Associated with Myocardial Infarctions


HEMODYNAMIC MONITORING

Pulmonary Artery Pressure Monitoring
Normal Values
Complications Related to PA Catheter
Level the Transducer
Zero the Transducer
Fast Flush Test Procedure – Square Wave Test
Possible Causes of Overdamping
Possible Causes of Underdamping
Pressure Waveforms
Obtaining PA Pressure Readings
Supine
Side-lying
PA pressures
PAWP
Svo2 Monitoring
Normal
Significant value
Factors affecting oxygen supply and demand
Troubleshooting Invasive Hemodynamic Monitoring Lines
Radial Arterial Line
Precannulation
Postcannulation


PULMONARY

Respiratory Patterns
Location of Lobes of the Lung
Location of Normal Breath Sounds
Lung Conditions and Expected Sounds
Respiratory Patterns
Auscultate all Lung Fields
Breath Sounds and Adventitious Sounds
Blood Gases – Adult
Pediatric Normal Values for Arterial Blood Gases
Capillary Sampling for Blood Gas Analysis in Infants
Acid Base Imbalances
Oxygen Delivery Devices
Chest Radiograph
Location of Structures on a Posterior-Anterior Chest Radiograph
Location of Structures on a Lateral View Chest Radiograph
Chest Radiograph with Pulmonary Artery Catheter, Endotracheal Tube, Right Chest Tube, Left Chest Tube, Mediastinal Tube, and Nasogastric Tube
Normal Findings on Chest Radiograph
Abnormal Radiographic Findings
Gas Exchange Process
Factors Affecting Oxygen Delivery and Consumption
Lung Volumes and Capacities
Chest Tube
Securing the Airway, Endotracheal Intubation and Mechanical Ventilation
Airways
Insertion of Airways
Endotracheal Intubation
Tube Placement
Mechanical Ventilation
Lung-Protective Ventilation Strategies
Mechanical Ventilation Monitoring
Possible Causes of Ventilator Alarms
Weaning and Extubation
Weaning Criteria
Terminal Weaning


NEURO

Components of Neuro Assessment for Patients with Spinal Cord and Head Injury
Cranial Nerve Evaluation
Spinal Cord Assessment of Major Muscle Groups
Dermatomes
Complete Spinal Cord Segmental Lesion and Corresponding Acute Functional Loss
Scale for Deep Tendon Reflexes
Muscle Strength Scale
Brain Attack – Clinical Manifestations Related to Left Versus Right Hemisphere Involvement
Glasgow Coma Scale
Posturing
Pupillary Size in Millimeters
Sedation
Ramsay Scale
Commonly Used Pharmacologic Agents
Neuromuscular Blockade
Interpretation of Train of Four Using Peripheral Nerve Stimulator
Train of Four Monitoring for Patients Receiving Neuromuscular Blockade
Interpretation of the Train of Four
Tyipcal Properties and IV Dosing of Nondepolarizing NBDS
Herniation
Pressures
Factors that Increase ICP
ICP Monitoring
Location of Foramen of Monroe
ICP Waveform
Assessing Brainstem Function Using the DERM Mnemonic
Determining Brain Death


GI/GU/ENDO

Topography of Abdomen
Nutritional Assessment
Bowel Sounds
Clinical Manifestations of Acute Gastric Perforation
Balloon Tamponade with Sengstaken-Blakemore Tube
Fluid Volume Status
Clinical Manifestations Associated with Volume Disturbances
Fluid/Electrolyte Imbalances
Renal Replacement Therapies
Classification of Hepatic Encephalopathy
Comparison of DKA and HHNS
Insulin Infusion
Clinical Manifestations of Thyroid Storm Versus Myxedema Coma
Clinical Manifestations of Adrenal Insufficiency and Cushings
Clinical Manifestations of Syndrome of Inappropriate Antidiuretic Hormones Versus Diabetes Insipidus


PEDIATRICS

Essential Assessment Checks
Infant Glasgow Coma Scale
Signs of Increased Intracranial Pressure
Normal Pediatric Cardiac Output and Stroke Volume
Signs of Poor Systemic Perfusion
Circulating Blood Volume
Signs of Respiratory Distress
Normal Values for Arterial Blood Gases
Capillary Sampling for Blood Gas Analysis
Fluid Maintenance Requirements in Children
Significant Weight Gain or Loss
Caloric Requirements in Children
Pediatric Equipment Sizes
Suggested Intravenous Catheter Sizes for Children
Preferred Sites for Intravenous Access in Infants
Suggestions for PA Catheter Sizes
Estimation of Pediatric Endotracheal Tube Size
Estimation of Suction Catheter Size
Rule of Sixes for Preparing Variable Concentrations of Vasoactive Drugs
Pediatric Drugs and Doses
IM Injections According to Age Group
Growth and Development
Infant Reflexes


OBSTETRICS

Fetal Development
Physiologic Changes during Pregnancy
Hemodynamic Values in Pregnancy
Arterial Blood Gas Values during Pregnancy
Renal Studies
Hematologic Studies
Pulmonary Volume and Capacities
Select Obstetric Risk Factors for Multiple Organ Dysfunction Syndrome
Maternal Assessment
Labor/Delivery
Fetal Assessment
FHR Characteristics and Patterns
Assessment of Baseline FHR
Interventions for Emergencies
Abruptio Placenta/Placenta Previa Findings
Preeclampsia Distinctions
Assessment of Uterine Activity
Newborn


LAB VALUES

Complete Blood Cell Count with Differential
Routine Blood Chemistry
Coagulation Studies
Hepatic Function Panel
Lipid Studies
Pancreatic Studies
Thyroid Studies
Cardiac Enzymes
Serum Markers for Acute MI
Acute Renal Failure and Related Laboratory Values
Anion Gap
B-type Natriuretic Peptide
CSF Analysis
Therapeutic Drug Levels
Drug Calculations
To Determine Drug Concentration in mg/ml or mcg/ml
To Determine the Amount of Drug in One Milliliter
To Calculate mcg/kg/min
To Calculate the Amount of Fluid to Infuse
Body Surface Area Nomogram
Formulas
Alveolar Air Equation
Alveolar Air Equation or A-a Gradient
Anion Gap
Arterial-Alveolar Oxygen Tension Ratio
Arterial Oxygen Content
Arteriovenous Oxygen Content Difference
Arterial Oxygen Delivery or Oxygen Transport
Arterial Oxygen Delivery Index
Basal Energy Expenditure or Harris-Benedict Equation
Total Energy Expenditure
Body Water Deficit
Cardiac Output
Cardiac Output (Fick Method)
Cardiac Index
Cerebral Perfusion Pressure
Coronary Perfusion Pressure
Dynamic Compliance
Ejection Fraction
Expected Pao2
Glomerular Filtration Rate
Left Ventricular Stroke Work Index
Mean Arterial Pressure
Osmolality
Oxygen Consumption
Oxygen Consumption Index
Oxygen utilization Coefficient or Oxygen Extraction Ratio
Physiologic Shunt
Pulmonary Vascular Resistance
Pulmonary vascular Resistance Index
Pulse Pressure
Rate Pressure Product
Respiratory Quotient
Right Ventricular Stroke Work Index
Static Compliance
Stroke Volume
Stroke Volume Index
Systemic Vascular Resistance
Systemic Vascular Resistance Index
Venous Oxygen Content
Burns
Rule of Nines
Berkow Formula for Calculating % Body Surface Area Burns
Fluid Resuscitation

Bibliographic details
Paperback, 192 pages, publication date: MAR-2005
ISBN-13: 978-0-323-03428-9
ISBN-10: 0-323-03428-4
Imprint: MOSBY


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Last update: 10 Sep 2009
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