Covid-19: A Critical Care Textbook

1st Edition - April 7, 2021
Authors: Chris Carter, Joy Notter
Language: English
Paperback ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 3 8 3 - 9
eBook ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 5 1 0 - 9

With the major redeployment of staff during the Covid-19 pandemic, this authoritative textbook provides a practical resource for healthcare professionals who may be new to acute an… Read more

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With the major redeployment of staff during the Covid-19 pandemic, this authoritative textbook provides a practical resource for healthcare professionals who may be new to acute and critical care settings.

Written by nurses for nurses, the book will help readers master patient assessment, non-invasive ventilation, the use of high flow nasal oxygenation and renal care. You will learn about the challenges of resuscitation, leadership and responding to a public health emergency, and effective personal protection and hygiene practices.

Covid-19: Critical Care textbook
has been written by experts with frontline experience of working in hospitals during the pandemic and will remain relevant for those responding to future infectious disease outbreaks or waves of Covid-19.

Cover image
Title page
Table of Contents
Copyright
Foreword
List of contributors
Introduction
Chapter 1. Pathophysiology of SARS-CoV-2
Introduction to virology
Coronaviruses in general
SARS-CoV-2
Route of infection
Transmission
Detection
Summary
Chapter 2. Public health emergencies
Introduction
Conclusion
Chapter 3. Critical care nurse leadership
Leadership in critical care
Changing models in critical care nursing
Non-technical skills
Situational awareness
Communication
Decision-making
Teamwork
Task management
Professional accountability, delegation, and responsibility during COVID-19
Conclusion
Chapter 4. Reorganization of critical care services
Critical care before the COVID-19 pandemic
Responding to the COVID-19 pandemic
The role of the critical care nurse and redeployed staff
COVID-19
Personal protective equipment
Delivery of critical care
Leadership
Policies and practice
Summary
Chapter 5. COVID-19 perspectives in low- and low–middle-income countries
Introduction
Critical care service delivery
Conclusion
Chapter 6. Assessment of the critically ill patient
Planning for an assessment
Assessment of the deteriorating ward patient
Assessment of the critically ill patient
Respiratory assessment (airway and breathing)
Cardiovascular assessment
Neurological assessment (disability)
Exposure and essential care
Chapter 7. Non-invasive ventilation and high-flow nasal oxygen in COVID-19
Continuous positive airway pressure
Bilevel positive airway pressure
HFNO
Nursing considerations for patients requiring NIV, HFNO and CPAP
Conclusion
Chapter 8. Invasive ventilation in COVID-19
Invasive ventilation
Volume control and pressure control
Assembly of the ventilator
Care of a patient requiring invasive ventilation
Ventilator-associated pneumonia
Humidification
Improving oxygenation in COVID-19 patients
Early mobilization of mechanically ventilated patients
Weaning from invasive ventilation
Nursing care of a suspected or confirmed COVID-19 patient with a tracheostomy
Conclusion
Chapter 9. Acute respiratory distress syndrome and the prone position in COVID-19
Respiratory failure
Considerations for resource-limited environments
Prone position
Conscious prone position
Turning a conscious patient into the prone position
De-proning
Prone position (unconscious)
Turning a patient into the prone position
Conclusion
Chapter 10. Haemodynamic assessment, monitoring and management
Patient assessment
Electrocardiogram
Interpreting cardiac rhythms
Heart sounds
Transducing
Invasive blood pressure monitoring
Central venous pressure
Neurovascular observations
Central and peripheral capillary refill
Skin integrity, colour and temperature
Oedema
Temperature
Checking for signs of DVT
Advanced haemodynamic monitoring
Pump up the pressure: fluid versus vasopressors
Vasopressor therapy
Double pumping
Sepsis and shock due to COVID-19
Conclusion
Chapter 11. Acute kidney injury
Anatomy and physiology of renal function and fluid balance
Classification of AKI
Prerenal
Intrarenal
Post-renal
Guidelines for practice
Nursing practice
Conclusion
Chapter 12. Neurological care, sedation and pain management
Neurological assessment
Sedation
Neuromuscular blockade
Pain assessment
Non-pharmacological approaches
Pharmacological approaches
Delirium
Conclusion
Chapter 13. Resuscitation in COVID-19
Introduction
Advanced care planning
Professional and patient safety
Recognition of the deteriorating patient
Recognition of cardiac arrest
Calling for help
Assessment of rhythm
Non-shockable rhythms
Shockable rhythms
Defibrillation
Chest compressions
Vascular access
Drugs
Airway management
Reversible causes and aetiology
Communication
Termination of attempt
Post-resuscitative care
Equipment
Debriefing
Conclusion
Chapter 14. Care of the critically ill obstetric patient
Introduction
Conclusion and recommendations
Chapter 15. Providing end-of-life care during the COVID-19 pandemic
End-of-life care in the era of COVID-19
Communication
Withdrawal of treatment
Withdrawing versus withholding
Grief and loss
Heart fingerprint project
Staff health and well-being
Conclusion
Appendix 1. Case studies and self-test questions
Appendix 2. Glossary of terms and blood tests
Index

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Chris Carter

Joy Notter