Critical Care Skills: A Clinical Handbook / Edition 1

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This portable reference describes 120 critical care techniques in clear, no-nonsense language. It covers the major critical care nursing skills related to various body systems, as well as intravenous therapy, wound management, special procedures, and specimen collection.

"'...developed and used by faculty from the Critical Care & Trauma Nurse Internship at Parkland Memorial Hospital... details 60 of the most commonly perfomred skills, their purpose, and the equipment used."

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Editorial Reviews

Doody's Review Service
Reviewer: Joyce B. Vazzano, BS, MS (Johns Hopkins University School of Nursing)
Description: This second edition handbook presents clear and easy to follow steps for 45 critical care technical procedures. There are numerous (black-and-white) illustrations, references and "pearls of wisdom" for each procedure, in addition to "note call-outs" that provide a wide variety of information for each procedure and "caution call-outs" that alert the reader to sensitive issues and possible adverse affects of a procedure. The first edition was published in 1996.
Purpose: The purpose is to be a bedside reference for practicing critical care nurses, whether they be novices or advanced practitioners. It is also intended to be useful for nursing faculty, both in the university and hospital setting. This worthy objective that is accomplished in this book.
Audience: According to the author, the book is intended for both practicing critical care nurses and instructors in both the university and hospital setting. This is an appropriate resource for both groups. All six authors are colleagues in the Parkland Memorial Hospital Critical Care and Trauma Nurse Internship, which is a structured educational program that prepares new baccalaureate nursing graduates for critical care practice, and Barbara Clark Mims Associates, which is a continuing education provider for critical care nurses. They are credible authorities.
Features: This book covers procedures critical care nurses will be involved with in the ICU setting according to the pulmonary, cardiovascular, gastrointestinal, and musculoskeletal systems. It also covers wound management, IV therapy, special procedures, and specimen collection. Topics new to this edition include noninvasive ventilation, ST segment monitoring, intra-abdominal pressure monitoring, brain tissue oxygen monitoring, BIPAP, partial non-rebreathing mask, tracheostomy collar, and continuous venovenous hemofiltration dialysis. Each section is thorough and easy to understand. The purpose of the procedure is clearly stated. Multiple notes are indicated in each section to provide quick access to information related to each procedure and its value, purpose, and equipment needed. The procedures are outlined in a step-by-step approach that result in optimal practice. Appropriate figures and tables are included. Cautions are marked with an alert sign (!) to warn the clinician of possible problems for which to monitor. Information on what needs to be documented for each procedure is included. At the end of each procedure, "pearls" assist the clinician with tips and important cognitive information relevant to each skill. There are three appendixes: abbreviation/symbol list, laboratory values, and clinical calculations that are nice references. A shortcoming of this book is that there are no color pictures, which would be beneficial.
Assessment: This is an excellent up-to-date clinical handbook. It is clearly written and comprehensive. The intended audience of critical care nurses and instructors is appropriately targeted. The six authors are experts in their field. In order to provide nurses with state-of-the-art practices based on current research, a new edition is justified.
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Product Details

  • ISBN-13: 9780721645193
  • Publisher: Elsevier Health Sciences
  • Publication date: 5/31/1996
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 637
  • Product dimensions: 5.82 (w) x 8.35 (h) x 1.14 (d)

Table of Contents

1 Chest Tubes 3
2 Endotracheal Tube 19
3 Mechanical Ventilation 38
4 Neuromuscular Blockade in the Ventilated Patient 83
5 Oropharyngeal Airway 94
6 Oxygen Delivery Devices 99
7 Peripheral Nerve Stimulator 110
8 Pulse Oximetry 117
9 Tracheostomy Care 122
10 Arterial Pressure Monitoring 131
11 Cardiac Monitoring 145
12 Cardiac Output 157
13 Central Venous Catheter 168
14 Defibrillation and Synchronized Cardioversion 181
15 Doppler 194
16 Intra-Aortic Balloon Counterpulsation 196
17 Left Atrial Pressure Monitoring 218
18 Obtaining a 12-Lead ECG 221
19 Preparing a Pressure Monitoring Flush System and Transducer 224
20 Pulmonary Artery Pressure Monitoring 228
21 Right Ventricular Ejection Fraction/Volumetric Oximetry TD Catheter 261
22 Temporary Epicardial Pacing 273
23 Temporary Transvenous Pacemaker 279
24 Transcutaneous Pacing 330
25 Administration of Blood and Blood Components 339
26 Administration of Albumin/Plasma Protein Fraction 350
27 Dosage Calculation of Intravenous Drug Infusions 353
28 Insertion and Maintenance of an Intravenous Cannula 358
29 Intravenous Push Medication Administration 370
30 Administration of Parenteral Nutrition 374
31 Enteral Nutrition 383
32 Esophagogastric Tube 388
33 Nasogastric Tube 399
34 Cervical Immobilization 419
36 Skeletal Traction 425
37 Burn Wound Management 435
38 Escharotomy/Fasciotomy 471
39 Wound Drainage Systems 475
40 Continuous Arteriovenous Hemofiltration and Continuous Arteriovenous Hemodialysis 485
41 Epidural Analgesia 508
42 Intracranial Pressure Monitoring 533
43 Culture Specimen Collection 565
44 Obtaining an Arterial Blood Gas Specimen: Radial Artery and Dorsalis Pedis Puncture 576
45 Obtaining Blood for Type and Crossmatch 581
Appendix A Abbreviation/Symbol List 583
Appendix B Laboratory Values 586
Appendix C Clinical Calculations 589
Index 595
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