AACN Essentials of Critical Care Nursing Pocket Handbook, Second Edition Pocket Handbook

Essential Data Critical Care Nurses Must Know Endorsed by the American Association of Critical-Care Nurses, this go-anywhere handbook features tables and figures that encapsulate all the information required to give safe and effective care to critically ill patients. Contents include: Critical Care Drug Tables • Normal Values for Laboratory Tests and Physiologic Parameters • Lists of Assessment Components • Cardiac Rhythms: ECG Characteristics and Treatment Guides, Including Sample Rhythm Strips • 12-Lead ECG Changes in Acute Myocardial Ischemia and Infarct • Troubleshooting Guide for Hemodynamic Monitoring Equipment • Indications for Mechanical Ventilation • Weaning Assessment Tool • ACLS Algorithms. McGraw-Hill Professional Contents 8 Preface 12 Dedication 13 Section 1. Normal Values 14 1.1 Normal Values Table 15 Section 2. Assessment 20 2.1 Summary of Prearrival and Admission Quick Check Assessments 21 2.2 Summary of Comprehensive Admission Assessment Requirements 22 2.3 Suggested Questions for Review of Past History Categorized by Body System 23 2.4 Ongoing Assessment Template 25 2.5 Identification of Symptom Characteristics 26 2.6 Chest Pain Assessment 27 2.7 Pain Assessment Tools Commonly Used in Critically Ill Patients 28 2.8 CAM-ICU Worksheet 29 2.9 Glasgow Coma Scale 31 2.10 Sensory Dermatomes 32 2.11 Edema Rating Scale 34 2.12 Peripheral Pulse Rating Scale 34 2.13 Physiologic Effects of Aging 35 Section 3. ECG Concepts 36 3.1 ECG Lead Placement for a Three-Wire System 38 3.2 ECG Lead Placement for a Five-Wire System 40 3.3 Twelve-Lead ECG Placement 41 3.4 Right Side ECG Chest Lead Placement 42 3.5 Waves, Complexes, and Intervals 43 3.6 Heart Rate Determination 44 3.7 Heart Rate Determination Using the Electrocardiogram Large Boxes 45 3.8 Recommended Leads for Continuous ECG Monitoring 46 3.9 Advantages of Common Monitoring Leads 47 3.10 Evidence-Based Practice: Bedside Cardiac Monitoring for Arrhythmia Detection 48 3.11 Evidence-Based Practice: ST-Segment Monitoring 49 3.12 Cardiac Rhythms, ECG Characteristics, and Treatment Guide 50 3.13 Guidelines for Management of Atrial Fibrillation and Atrial Flutter (Class I Recommendations Only) 74 3.14 Guidelines for Management of Supraventricular Arrhythmias (Class I Recommendations Only) 77 3.15 Guidelines for Management of Ventricular Arrhythmias (Class I Recommendations Only) 80 3.16 Normal 12-Lead ECG Waves 82 3.17 Normal ST Segment and T Waves 83 3.18 Zones of Myocardial Ischemia, Injury, and Infarction with Associated ECG Changes 84 3.19 ECG Patterns Associated with Myocardial Ischemia 85 3.20 ECG Patterns Associated with Acute Myocardial Injury 86 3.21 ECG Changes Associated with Myocardial Infarction 87 3.22 Typical Plasma Profiles 88 3.23 Clinical Presentation of Myocardial Ischemia and Infarction 89 3.24 Evidence-Based Practice: Acute Coronary Syndrome ST-Elevation MI and Non–ST-Elevation MI 91 3.25 Summary of Causes of Axis Deviations 92 3.26 ECG Clues for Differentiating Aberration from Ventricular Ectopy 93 3.27 Pacemaker Codes 94 3.28 Dual-Chamber Pacing Modes 95 Section 4. Cardiovascular Concepts 96 4.1 Intra-Aortic Balloon Pump Frequency of 1:2 98 4.2 Intra-Aortic Balloon Pump Frequency of 1:1 99 4.3 Inaccurate Intra-Aortic Balloon Pump Timing 100 4.4 Advanced Cardiovascular Life Support (ACLS) Pulseless Arrest Algorithm 102 4.5 Advanced Cardiovascular Life Support (ACLS) Bradycardia Algorithm 105 4.6 Advanced Cardiovascular Life Support (ACLS) Tachycardia Algorithm 107 4.7 Problems Encountered with Arterial Catheters 109 4.8 Inaccurate Arterial Pressure Measurements 111 4.9 Pulmonary Artery Port Functions 113 4.10 Leveling of the PA Catheter 114 4.11 Referencing and Zeroing the Hemodynamic Monitoring System 115 4.12 Assessing Damping Concepts from Square Wave Test 116 4.13 Pressure Waveforms Observed during Pulmonary Artery Catheter Insertion 119 4.14 Pulmonary Artery Waveform and Components 121 4.15 Effect of a Mechanical Ventilator Breath on PA Waveform 122 4.16 Reading End Expiration Before a Spontaneous Breath 123 4.17 Evidence-Based Practice: Pulmonary Artery Pressure Measurement 124 4.18 Problems Encountered with Pulmonary Artery Catheters 125 4.19 Inaccurate Pulmonary Artery Pressure Measurements 131 4.20 Troubleshooting Problems with Thermodilution Cardiac Output Measurements 134 4.21 Common Inotropic Therapies in Treating Abnormal Hemodynamics 138 4.22 Common Preload Reducers for Abnormal Hemodynamics 138 4.23 Common Afterload Reducing Agents 139 Section 5. Respiratory Concepts 140 5.1 Normal Chest X-Ray 141 5.2 Mediastinal Structures Visible on a Chest X-Ray 142 5.3 Chest X-Ray of COPD 143 5.4 Chest X-Ray of Pneumothorax 144 5.5 Chest X-Ray of Right Lower Lobe Pneumonia 145 5.6 Chest X-Ray Showing Carina and Right Bronchus 146 5.7 Chest X-Ray with PA Catheter, ET Tube, and Chest Tube 147 5.8 Acid-Base Abnormalities 148 5.9 Indications for Mechanical Ventilation 149 5.10 Pulmonary Specific Wean Criteria Thresholds 150 5.11 Burns’ Wean Assessment Program (BWAP) 151 5.12 Algorithm for Management of Ventilator Alarms and/or Development of Acute Respiratory Distress 153 5.13 Algorithm to Correct Hypoxaemia in an Acute COPD Patient 154 Section 6. Neurologic Concepts 156 6.1 Glasgow Coma Scale 157 6.2 Cranial Nerve Function 158 6.3 Circle of Willis 159 6.4 Incomplete Spinal Cord Injury Syndromes 160 6.5 Spinal Cord Injury–Functional Goals for Specific Levels of Complete Injury 161 6.6 Intracranial Pressure Monitoring Systems 165 Section 7. Pharmacology Tables 166 7.1 Intravenous Medication Administration Guidelines 167 7.2 Neuromuscular Blocking Agents 192 7.3 Vasoactive Agents 195 7.4 Antiarrhythmic Agents 198 7.5 Therapeutic Drug Monitoring 204 7.6 Tips for Calculating IV Medication Infusion Rates 207 0071664084,9780071664080,0071702733,9780071702737 Offering essential data from "AACN Essentials of Critical Care Nursing", this pocket handbook gives the acute care nurse access to crucial information. It is suitable for nurses going through orientation on the hospital floor.