Nurse's Survival Guide To The Acute Medical Emergencies

Item Information
Item#: 9780702076664
Edition 03
Author Harrison & Daly
Cover Paperback
On Hand 1
On Order 0

Are you a nurse, a physician's associate or a medical student in an acute or emergency unit?This is your indispensable primer of acute medical care - a pocket guide to caring for patients with acute medical conditions.This book will help you tocare for patients in the first critical 24 hours of admissionmanage patients using the most up-to-date evidence based approachunderstand the most common emergency medical conditions and their underlying disease mechanismshandle the patient's assessment , understand the observations and manage their diseaseeasily obtain clear practical adviceknow what to tell the patient and relatives using jargon-free languageaccess information on SARS, avian influenza and bio-terrorismThis updated editioncontains improved sections on stroke care, diabetes and sepsis,introduces the NEWS 2 observation charthas revised its case histories in line with current practice

Table of Contents
eviationsIntroduction: Immediate assessment of the critically illABCDE: Immediate assessment and interventionEarly warning: Track and TriggerNational Early Warning ScoreCommunication - NEWS and SBARCardiology Acute severe
eathlessnessCardiac failureHeart muscle damageValvular diseaseRhythm disturbanceTypes of heart failureLeft heart failureRight heart failureCongestive cardiac failureRight heart failure and COPDDiastolic heart failureClinical features and management of cardiac failureAcute left ventricular failureAcute on chronic congestive cardiac failure Ischaemic heart diseaseChest painAcute coronary syndromes, NSTEMIs and Unstable AnginaSudden cardiac deathAtrial fi
illation and arterial emboliCauses of atrial fi
illationImportance of atrial fi
illationComplications of atrial fi
illationDiagnosis of atrial fi
illationManagement of atrial fi
illationInfective endocarditisDrugs in the management of acute heart diseaseRespiratory medicine The
eathless patient: the general approachRespiratory failureType I and Type II respiratory failurePrinciples of treatmentAcute severe asthmaMechanismsAssessment of acute severe asthmaManagement of acute severe asthma Chronic obstructive pulmonary diseaseMechanismsManagement of acute exacerbations of COPDNon-invasive ventilationPneumoniaAssessmentThe severity score in pneumonia: CURB-65Management of pneumoniaAntibioticsSpontaneous pneumothoraxNursing the patient with a chest drainAcute neurological problems Ensuring the safety of the patientPrioritising the initial management: GCS and ABCDEManaging medical' and neurological' comaResponding to neurological deteriorationStroke and stroke-like emergenciesCere
al infarctionTransient ischaemic attacksIntracere
al haemorrhageSubarachnoid haemorrhageSubdural haemorrhageExtradural haemorrhageNursing the patient with a stroke: the first 24 hMeningococcal meningitisAcute severe headacheSubarachnoid haemorrhageLumbar punctureSudden loss of consciousness: faints and fitsThe basic mechanisms: syncopeThe basic mechanisms: epileptic seizuresPseudoseizures (non-epileptic seizures)Acute paralysis of the lower limbsSpinal cord compressionGuillain-Barré syndromeGastroenterology Nausea and vomiting underlying mechanismsNausea and vomiting in acute medical conditionsAcute upper gastrointestinal haemorrhageManagement of upper gastrointestinal haemorrhagePortal hypertension and the management of oesophageal varicesAcute liver failure and hepatic encephalopathyAcute jaundiceAcute abdominal painAcute diarrhoea: sources and coursesInfective diarrhoeaClostridium difficile diarrhoeaInfective diarrhoea versus acute ulcerative colitisMedical conditions presenting with gastrointestinal symptomsDiabetic complications Diabetes on the Acute Medical Unit: the general approachNormal blood sugar control and the nature of diabetesAn overview of Type I and Type II diabetesAcute medical conditions associated with diabetesDiabetic renal diseaseDiabetic neuropathyCardiovascular diseaseCere
ovascular diseasePeripheral vascular diseaseBlood sugar control in adverse medical situationsVariable Rate Intravenous Insulin Infusion (VRIII) or GKIDIGAMI regimenDiabetic Keto Acidosis (DKA)Hyperosmolar non-ketotic diabetic coma (HONK)HypoglycaemiaInfective complications in diabetes: the acute diabetic footThromboembolic disease Thrombosis and thromboembolisationMechanismsSuperficial thrombophlebitisDeep vein thrombosisPulmonary thromboembolismTests to identify thromboembolic diseaseManagement of pulmonary thromboembolismNursing the patient with a suspected DVTOther causes of a swollen painful legCellulitisNecrotising fasciitisManagement of a DVTAnticoagulation therapyDeliberate self-harm, alcohol and substance abuse Deliberate self-harmGeneral principlesCare of the unconscious patient: ABCDEThe patient who refuses treatmentSpecific overdosesBenzodiazepinesParacetamol poisoningAntidepressant overdoseCarbon monoxide poisoningAlcohol abuseAcute alcohol-withdrawal syndromeCocaine 303 EcstasyHeroin abuseNeedle stick injuriesHospital-acquired methicillin-resistant Staphylococcus aureus infectionsViolent incidentsThe social admission' Common errors and omissions in the admission of elderly patientsTaking a history from the patientTaking a history from a third partyFallsThe cause of fallsAssessment after a fallImmobilityImmediate safety of the patient: ABCDEAssessing the cause: establish the full historyDeliriumDementiaNursing home admissionsEthical issues and the elderly sickThe emergency admission of patients with a terminal diseaseMultisystem failure Shock: the basic mechanismsCardiogenic shockHypovolaemic shockRedistributive (low-resistance) shockAcute severe hypotensive collapseThe importance of immediate resuscitationEnsuring adequate oxygen delivery to vital organsOxygen therapyThe blood pressureInserting a CVP lineFluid challengeSurviving sepsisAnaphylactic reactionEmergency blood transfusion in shockTransfusion reactionsMassive blood transfusionAcute kidney injuryManagement: resuscitation begin with ABCDE'Emergency (acute renal failure) management of hyperkalaemiaEstablishing a management planSudden collapse and cardiac arrestChain of survivalBasic life supportAfter basic life supportDo not attempt resuscitationBereavement on the Acute Medical UnitEmerging problems: out
eaks and deliberate releases - SARS, toxins and biological agents How infection spreadsSevere acute respiratory syndromeCase definition of SARSOther emerging infectionsUnusual illnesses - deliberate release of infectious and chemical agentsDeliberate release of infectious agentsGeneral principlesExamples of potential pathogens and initial symptomsPoisoning with nerve agentsKey nursing skills in out
eaks and deliberate releasesIndex