Wilkins' Clinical Assessment in Respiratory Care

9th Edition - March 25, 2021
Author: Albert J. Heuer
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 6 9 6 9 9 - 9
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 6 9 7 0 0 - 2

Master the patient assessment skills you need to provide effective respiratory care! Wilkins' Clinical Assessment in Respiratory Care, 9th Edition prepares you to assist physician… Read more

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Master the patient assessment skills you need to provide effective respiratory care! Wilkins' Clinical Assessment in Respiratory Care, 9th Edition prepares you to assist physicians in the decision-making process regarding treatment, evaluation of the treatment’s effectiveness, and determining if changes in the treatment need to be made. Chapters are updated to reflect the latest standards of practice and the newest advances in technology. From lead author Dr. Albert Heuer, a well-known educator and clinician, this market-leading text also aligns content with National Board for Respiratory Care exam matrices to help you prepare for success on the NBRC’s CRT and RRT credentialing exams.

Cover image
Title page
Table of Contents
Copyright
Dedication
Contributors
Reviewers
Preface
List of Tables
List of Illustrations
1. Preparing for the patient encounter
Individualized care
Patient involvement
Provider collaboration
Key points
Assessment questions
Bibliography
2. The medical history and the interview
Patient interview
Cardiopulmonary history and comprehensive health history
Reviewing the patient’s medical record
Assessment standards for patients with pulmonary dysfunction
Key points
Assessment questions
Bibliography
3. Cardiopulmonary symptoms
Cough
Sputum production
Hemoptysis
Shortness of breath (dyspnea)
Chest pain
Dizziness and fainting (syncope)
Swelling of the ankles (dependent edema)
Fever, chills, and night sweats
Headache, altered mental status, and personality changes
Snoring and daytime somnolence (sleepiness)
Gastroesophageal reflux
Key points
Assessment questions
Bibliography
4. Vital signs
Obtaining vital signs and clinical impression
Frequency of vital signs measurement
Telemedicine and digital recording of vital signs
Monitoring vital sign trends
Comparing vital signs information
Height and weight
General clinical presentation
Temperature
Pulse
Respiratory rate and pattern
Blood pressure
Key points
Assessment questions
Bibliography
5. Fundamentals of physical examination
Examination of the head and neck
Lung topography
Examination of the thorax
Examination of the precordium
Examination of the abdomen
Examination of the extremities
Key points
Assessment questions
Bibliography
6. Neurologic assessment of the respiratory patient
Functional neuroanatomy
Assessment of consciousness
Mini-mental state examination
Cranial nerve examination
Sensory examination
Motor examination
Deep tendon, superficial, and brainstem reflexes
Coordination, balance, and gait examination
Vital organ function and the neurologic system
Ancillary testing of the neurologic system
Declaration of brain death
Key points
Assessment questions
Bibliography
7. Clinical laboratory studies
Clinical laboratory overview
Hematology
Chemistry
Microbiology
Histology and cytology
Skin testing
Recommended laboratory tests
Key points
Assessment questions
Bibliography
8. Interpretation of blood gases
Indications for blood gas and oximetry analysis
Sampling and measurement
Assessment of oxygenation
Assessment of acid-base balance
Simple acid-base imbalances
Combined acid-base disturbances
Mixed acid-base disturbances
Ensuring valid measurement and use of blood gas data
Systematic interpretation of blood gases
Key points
Assessment questions
Bibliography
9. Pulmonary function testing
Lung volumes and capacities
Spirometry
Static lung volumes
Diffusing capacity of the lung (DLCO)
Specialized tests
Infection control
Key points
Assessment questions
Bibliography
10. Chest imaging
Production of the radiograph
Indications for the chest radiograph examination
Radiographic views
Evaluation of the chest radiograph
Clinical and radiographic findings in lung diseases
Postprocedural chest radiograph evaluation
Computed tomography
Magnetic resonance imaging
Radionuclide lung scanning
Positron emission tomography
Pulmonary angiography
Chest ultrasound
Fluoroscopy
Interventional radiology
Radiation safety
Key points
Assessment questions
Bibliography
11. Interpretation of the electrocardiogram
What is an electrocardiogram?
What is the value of an electrocardiogram?
When should an electrocardiogram be obtained?
Cardiac anatomy and physiology
Causes and manifestations of dysrhythmias
Important abbreviations and acronyms
Basic electrocardiogram waves
Electrocardiogram leads
Steps of electrocardiogram interpretation
Normal sinus rhythm
Identification of common dysrhythmias
Evidence of cardiac ischemia, injury, or infarction
Assessing chest pain
Electrocardiogram patterns with chronic lung disease
Key points
Assessment questions
Bibliography
12. Assessment of the neonatal and pediatric patient
Assessment of the newborn
Assessment of the older infant and child
Assessment of the critically ill infant and child
Key points
Assessment questions
Bibliography
13. Assessment of the older patient
Patient-clinician interaction
Age-related sensory deficit
Aging of the organ systems
Patient assessment
Diagnostic tests
Comprehensive geriatric assessment
Key points
Assessment questions
Bibliography
14. Respiratory monitoring in the intensive care unit
Ventilatory assessment
Evaluation of oxygenation
Monitoring tissue oxygen delivery and utilization
Key points
Assessment questions
Bibliography
15. Assessment of hemodynamic pressures
Arterial pressure monitoring
Central venous pressure monitoring
Indications for pulmonary artery pressure monitoring
Central line bundle
Alternative tools for hemodynamic monitoring
Key points
Assessment questions
Bibliography
16. Assessment of cardiac output
Cardiac output
Venous return
Measures of cardiac output and pump function
Determinants of pump function
Methods of measuring cardiac output
Key points
Assessment questions
Bibliography
17. Flexible fiberoptic bronchoscopy
Characteristics and capabilities of the bronchoscope
Indications for bronchoscopy
Complications of bronchoscopy
Preparation
Procedure
Specimen collection and processing
Postprocedure considerations
Outpatient versus inpatient bronchoscopy
Role of the respiratory therapist
Key points
Assessment questions
Bibliography
18. Nutrition assessment of patients with respiratory disease
Malnutrition and the pulmonary system
Effect of pulmonary disease on nutritional status
Interdependence of respiration and nutrition
Respiratory system and nutritional needs
Metabolism
Nutritional requirements
Methods of meeting nutritional requirements
Nutritional assessment
Role of the respiratory therapist in nutritional assessment
Key points
Assessment questions
Bibliography
19. Assessment of sleep and breathing
Normal stages of sleep
Physiology during sleep
Sleep disorders
Evaluation of sleep disorders
Physical examination
Sleep disordered breathing
Key points
Assessment questions
Bibliography
20. Assessment of the home care patient
Importance of respiratory home care
The home care patient
Home care assessment tools and resources
Role and qualifications of the home care respiratory therapist
Assessment and the home visit
Telemedicine, telemonitoring, and eHealth
Discharging the patient
Key points
Assessment questions
Bibliography
21. Documentation of the patient assessment
Introduction to clinical documentation
Advances in documentation and information technology
Types of medical records formats
Organizing patient information
Charting methods
Key points
Assessment questions
Bibliography
Glossary
Index
Abbreviations

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Albert J. Heuer