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Elsevier Health Sciences
Emergency Nursing Procedures / Edition 2

Emergency Nursing Procedures / Edition 2


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Emergency Nursing Procedures / Edition 2

Emergency Nursing Procedures, 4th Edition is the most comprehensive emergency nursing reference available, providing step-by-step guidance for nearly 200 emergency nursing procedures with detailed illustrations that visually reinforce techniques and guide you through the procedures. Expert emergency nurses from across the country provide a national perspective and address regional differences in this practical, portable manual. This thoroughly updated 4th edition... Keeps you up to date with current practices and adds 4 new procedures: umbilical vessel cannulation, pelvic splinting, peripheral nerve stimulator (twitch monitor), and methotrexate for ectopic pregnancy, Helps you treat specialized patient populations with specific guidelines and procedures for pediatric and geriatric patients where appropriate, Emphasizes research-based practice drawn from the latest evidence to help you ensure the best outcomes for your patients, Reflects the latest Joint Commission patient safety requirements to help you maintain patient safety in emergency situations, Includes a redesigned index for easier access to information in the fast-paced emergency environment, Puts essential information at your fingertips with a consistent format and convenient, portable size.

Product Details

ISBN-13: 9780721675893
Publisher: Elsevier Health Sciences
Publication date: 05/17/1999
Edition description: Older Edition
Pages: 641
Product dimensions: 8.50(w) x 10.98(h) x (d)

Table of Contents

Assessment Procedures
Primary Assessment   Jean A. Proehl     2
Secondary Assessment   Jean A. Proehl     5
Airway Procedures
Airway Positioning   Donna York Clark     10
Airway Foreign Object Removal   Donna York Clark     12
Oral Airway Insertion   Donna York Clark     17
Nasal Airway Insertion   Donna York Clark     19
Laryngeal Mask Airway   Donna York Clark     22
General Principles of Endotracheal Intubation   Donna York Clark     27
Rapid Sequence Intubation   Donna York Clark     34
Oral Endotracheal Intubation   Donna York Clark     39
Nasotracheal Intubation   Donna York Clark     42
Retrograde Intubation   Donna York Clark     45
Extubation   Donna York Clark     50
Combitube Airway   Andrew J. Bowman     52
Cricothyrotomy   Andrew J. Bowman     58
Percutaneous Transtracheal Ventilation   Garrett K. Chan     65
Tracheostomy   Garrett K. Chan     70
Breathing Procedures
Positioning the Dyspneic Patient   Teresa L. Will     77
Drawing Arterial Blood Gases   Teresa L. Will   Jean A. Proehl     79
Capillary Blood Gases   Garrett K. Chan     85
Pulse Oximetry and Carbon Monoxide Oximetry   Mike D. McMahon     87
Assessing Pulsus Paradoxus   Teresa L. Will     92
Peak Expiratory Flow Measurement   Teresa L. Will     94
End-Tidal Carbon Dioxide Detection and Monitoring   Mike D. McMahon     98
Oxygen Therapy
General Principles of Oxygen Therapy and Oxygen Delivery Devices   Andrew J. Bowman     106
Application and Removal of Oxygen Tank Regulators   Andrew J. Bowman     113
Noninvasive Assisted Ventilation   Garrett K. Chan     118
T-piece   Garrett K. Chan     126
Pharyngeal Suctioning   Teresa L. Will     132
Nasotracheal Suctioning   Teresa L. Will   Jean A. Proehl     135
Endotracheal or Tracheostomy Suctioning   Teresa L. Will   Jean A. Proehl     139
Mouth-to-Mask Ventilation   Ruth L. Schaffler     148
Bag-Mask Ventilation   Teresa L. Will     152
Anesthesia Bag Ventilation   Teresa L. Will     156
Mechanical Ventilators   Renee Semonin Holleran   Michael Rouse   Lori Carpenter     160
Inhalation Therapy
Nebulizer Therapy   Margo E. Layman   Jean A. Proehl     170
Metered-Dose Inhaler   Margo E. Layman     173
Pleural Decompression
Emergency Needle Thoracentesis   Deborah A. Upton     178
Chest Tube Insertion   Deborah A. Upton     181
Management of Chest-Drainage Systems   Deborah A. Upton     188
One-Way Valve   Deborah A. Upton     191
Chest-Drainage Bottles   Deborah A. Upton     193
Chest-Drainage Devices: Emerson   Deborah A. Upton     198
Chest-Drainage Devices: Pleur-Evac   Deborah A. Upton     202
Chest-Drainage Devices: Argyle   Deborah A. Upton     209
Chest-Drainage Devices: Atrium   Deborah A. Upton     214
Thoracentesis   Deborah A. Upton     219
Circulation Procedures
Positioning the Hypotensive Patient   Maureen T. Quigley     224
Doppler Ultrasound for Assessment of Blood Pressure and Peripheral Pulses   Maureen T. Quigley     226
Measuring Postural Vital Signs   Margo E. Layman     229
Pneumatic Antishock Garment   Renee Semonin Holleran     232
Therapeutic Phlebotomy   Maureen T. Quigley     237
Pericardiocentesis   Andrew A. Galvin     240
Emergency Thoracotomy and Internal Defibrillation   Andrew A. Galvin   Jean A. Proehl     244
Electrocardiographic Monitoring   Mike D. McMahon     251
12-, 15-, and 18-Lead Electrocardiograms   Mike D. McMahon     256
Continuous ST-Segment Monitoring   Mike D. McMahon     261
Phlebotomy for Laboratory Specimens   June F. Stacey     266
Blood Glucose Monitoring   Daun A. Smith     273
Vascular Access
Peripheral Intravenous Cannulation   Margo E. Layman   Jean A. Proehl     278
Rapid-Infusion Catheter Exchange   Renee Semonin Holleran     283
External Jugular Venous Access   Renee Semonin Holleran     286
Subclavian Venous Access   Renee Semonin Holleran     289
Internal Jugular Venous Access   Renee Semonin Holleran     294
Femoral Venous Access   Renee Semonin Holleran     299
Venous Cutdown   Renee Semonin Holleran     303
Intraosseous Access   Renee Semonin Holleran     306
Umbilical Vessel Cannulation   Tamara Bleak     314
Accessing Preexisting Central Venous Catheters   Robin A. Scott     322
Accessing Implanted Vascular Port Devices   Robin A. Scott     331
Declotting Central Venous Access Devices   Ruth Altherr Rench   Teresa L. Will     338
Blood Product Administration
Administration of Blood Products   Robin A. Scott     344
Blood Filters   Robin A. Scott     354
Massive Transfusion   Robin A. Scott     356
Blood and Fluid Warmers   Andrew J. Bowman     361
Blood and Fluid Pressure Infusers   Andrew J. Bowman     372
General Principles of Autotransfusion   Deborah A. Upton     378
Autotransfusion Devices: Pleur-Evac   Deborah A. Upton     381
Autotransfusion Devices: Argyle   Deborah A. Upton     384
Autotransfusion Devices: Atrium   Deborah A. Upton     388
Electrical Therapy
Defibrillation   Mike D. McMahon     396
Synchronized Cardioversion   Mike D. McMahon     400
Automatic External Defibrillator Operation   Mike D. McMahon     406
Emergency Management of the Patient with an Implantable Cardioverter-Defibrillator   Mike D. McMahon     410
Cardiac Pacing
Transcutaneous Cardiac Pacing   Mike McMahon     416
Temporary Transvenous Pacemaker Insertion   Patricia A. DeWitt     423
Invasive Hemodynamic Monitoring
Central Venous Pressure Monitoring   June F. Stacey     436
Arterial Line Insertion and Monitoring   Lucinda W. Rossoll     441
Pulmonary Artery Catheter Insertion   Lucinda W. Rossoll     450
Neurologic Procedures
Positioning the Patient with Increased Intracranial Pressure   Ruth L. Schaffler     462
Lumbar Puncture   June F. Stacey     466
Intracranial Pressure Monitoring   Renee Semonin Holleran     472
Burr Holes   Daun A. Smith     478
Tongs or Open-back Halo for Cervical Traction   Daun A. Smith     483
Abdominal and Genitourinary Procedures
Diagnostic Peritoneal Lavage   Jean A. Proehl     490
Paracentesis   June F. Stacey     495
Intraabdominal Pressure Monitoring   Lucinda W. Rossoll     497
Insertion of Orogastric and Nasogastric Tubes   Lucinda W. Rossoll     501
Gastric Lavage for Gastrointestinal Bleeding   Joni Hentzen Daniels     507
Gastric Lavage for Removal of Toxic Substances   Robin A. Scott     510
Whole Bowel Irrigation   Andrew J. Bowman     514
Balloon Tamponade of Gastroesophageal Varices   Jean A. Proehl     517
Diagnostic Bladder Ultrasound   Lucinda W. Rossoll     525
Urinary Bladder Catheterization   Lucinda W. Rossoll     529
Suprapubic Urine Aspiration   Lucinda W. Rossoll     536
Suprapubic Catheter Insertion   Lucinda W. Rossoll     539
Pelvic Examination   Lucinda W. Rossoll     543
Assessing Fetal Heart Tones   June F. Stacey     548
Emergency Childbirth   June F. Stacey     550
Dilatation and Curettage   Robin A. Scott     558
Musculoskeletal Procedures
Spinal Immobilization   Kyle Madigan     564
Helmet Removal   Kyle Madigan     572
General Principles of Splinting   Ruth L. Schaffler     574
Ring Removal   Kyle Madigan     580
Body Jewelry Removal   Kyle Madigan     584
Vacuum Splints   Ruth L. Schaffler     588
Air Splints   Ruth L. Schaffler     591
Traction Splints   Ruth L. Schaffler     593
Pelvic Splinting   Jean A. Proehl     601
Sling Application   Ruth L. Schaffler     606
Shoulder Immobilization   Ruth L. Schaffler     610
Knee Immobilization   Ruth L. Schaffler     614
Finger Immobilization   Jean A. Proehl     618
Plaster and Fiberglass Splinting   Karen Sue Hoyt     622
Removal and Bivalving of Casts   Margo E. Layman     634
Elastic Bandage Application   Margo E. Layman     636
Skeletal Traction   Jean A. Proehl     639
Heat Therapy   Daun A. Smith     642
Cold Therapy   Daun A. Smith     643
Measuring Compartmental Pressure   Jean A. Proehl     645
Measuring and Fitting for Ambulation Aids   Margo E. Layman     652
Patient Teaching for Ambulation Aids   Margo E. Layman     656
Arthocentesis and Intraarticular Injection   Andrew A. Galvin     662
Integumentary Procedures
Wound Cleansing and Irrigation   Joni Hentzen Daniels     668
Wound Anesthesia: Local Infiltration and Topical Agents   Maureen T. Quigley     673
Digital Block   Joni Hentzen Daniels     679
Intravenous Regional Anesthesia   Joni Hentzen Daniels   Jean A. Proehl     686
Fishhook Removal   Daun A. Smith     691
Wound Care for Amputations   Jean A. Proehl     695
Surgical Tape Closures   Jean A. Proehl     698
Skin Adhesive   Jean A. Proehl     701
Suture Removal   Maureen T. Quigley     704
Staple Removal   Maureen T. Quigley     707
Minor Burn Care   Joni Hentzen Daniels     709
Escharotomy   Joni Hentzen Daniels     717
Incision and Drainage   Margo E. Layman     721
Measures to Reverse Hyperthermia   Daun A. Smith   Jean A. Proehl     726
Measures to Reverse Hypothermia   Daun A. Smith     729
Heat Lamp   Daun A. Smith     734
Forced Air Warming Blanket   Daun A. Smith     736
Warm/Cool Water-Circulating Blankets   Daun A. Smith     738
Continuous Arteriovenous Rewarming   Daun A. Smith     740
Ophthalmic Procedures
Assessing Visual Acuity   Maureen T. Quigley     748
Contact Lens Removal   Margo E. Layman     752
Eye Irrigation   Maureen T. Quigley     755
Fluorescein Staining of Eyes   Maureen T. Quigley     761
Ophthalmic Foreign Body Removal   Joni Hentzen Daniels     764
Instillation of Eye Medications   Maureen T. Quigley     770
Eye Patching   Maureen T. Quigley     773
Tonometry   Joni Hentzen Daniels     777
Immobilization of an Ophthalmic Foreign Body   Joni Hentzen Daniels     783
Otic Procedures
Instillation of Ear Medications   Daun A. Smith     788
Ear Wick Insertion   Margo E. Layman     789
Ear Irrigation   June F. Stacey     792
Otic Foreign Body Removal   Daun A. Smith     796
Cerumen Removal   Daun A. Smith     801
Nasal Procedures
Topical Vasoconstrictors for Epistaxis   Daun A. Smith     806
Electrical and Chemical Cautery for Epistaxis   Daun A. Smith     808
Anterior Packing for Epistaxis   Daun A. Smith     810
Posterior Packing for Epistaxis   Daun A. Smith     815
Balloon Catheters for Epistaxis   Daun A. Smith     819
Nasal Foreign Body Removal   Daun A. Smith     822
Dental and Throat Procedures
Indirect Laryngoscopy   Garrett K. Chan     826
Esophageal Foreign Body Removal   Joni Hentzen Daniels     828
Tooth Preservation and Replantation   K. Sue Hoyt     832
Medication Administration
Nitrous Oxide Administration   Jean A. Proehl     838
Sedation   Andrew A. Galvin     842
Peripheral Nerve Stimulator   Patricia Kunz Howard     846
Streptokinase Administration   Teresa L. Will     850
TNK-tPA Administration for Acute Myocardial Infarction   Ruth Altherr Rench   Teresa L. Will     855
tPA Administration for Acute Myocardial Infarction or Pulmonary Embolus   Ruth Altherr Rench   Teresa L. Will     861
tPA Administration for Acute Ischemic Stroke   Ruth Altherr Rench   Teresa L. Will     868
Reteplase Administration for Acute Myocardial Infarction   Teresa L. Will     873
High-dose Steroids for Spinal Cord Injury   Daun A. Smith     878
Administration of Methotrexate for Ectopic Pregnancy   Daun A. Smith     881
Miscellaneous Procedures
Drug and Alcohol Specimen Collection   Renee Semonin Holleran     886
Preservation of Evidence   Renee Semonin Holleran     889
Sexual Assault Examination   Renee Semonin Holleran     894
Collection of Bite Mark Evidence   Ruth L. Schaffler     901
Application of Restraints   Teresa L. Will   Jean A. Proehl     906
Preparing and Restraining Children for Procedures   Daun A. Smith     912
Decontamination   Andrew A. Galvin     917
Preparation for Interfacility Ground or Air Transport   Renee Semonin Holleran     922

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