Care of the Vascular Surgical Patient
1. Obtain the blood pressure in both arms with the patient lying supine. 2. Obtain the blood pressure with a Doppler scan at the dorsalis pedis and posterior tibial pulses…
ANESTHESIA
Care of the Intensive Care Unit Patient in the PACU
FIG. 55.1 Normal intracranial pressure waveform. (From McQuillan KA, et al.: Trauma nursing: from resuscitation through rehabilitation, ed 4, St. Louis, MO, 2009, Elsevier.) FIG. 55.2 Abnormal intracranial pressure waveform. P2 is higher than…
Care of the Shock Trauma Patient
FIG. 54.1 Trauma bay at the NATO Role 3 Multinational Medical Unit. Prehospital Phase During the prehospital phase, vital information regarding the trauma patient’s condition at the scene and MOI reveals…
Care of the Gastrointestinal, Abdominal, and Anorectal Surgical Patient
FIG. 40.1 Digestive system and its associated structures. (From Sole ML, Klein DG, Moseley MJ: Introduction to critical care nursing, ed 7, Philadelphia, PA, 2017, Elsevier.) Herniorrhaphy, Diaphragmatic Replacement of abdominal contents that…
Pain Management
GI, Gastrointestinal. From Pasero C, McCaffery M: Pain assessment and pharmacologic management, St. Louis, MO, 2011, Elsevier. Copyright 1999, Chris Pasero, Margo McCaffery. Used with permission. Some patients have “mixed…
Cardiopulmonary Resuscitation in the PACU
FIG. 57.1 To begin external cardiac compressions, rescuer should place heel of one hand over lower half of patient’s sternum between nipples in center of chest. (Courtesy Department of Nurse Anesthesia, Virginia…
Care of the Patient With Thermal Imbalance
FIG. 53.1 Heat loss mechanisms of radiation, convection, conduction, and evaporation in patients under anesthesia. (From Nagelhout JJ, Plaus KL: Nurse anesthesia, ed 5, St. Louis, MO, 2014, Elsevier.) Conduction Conduction involves…
Care of the Obstetric and Gynecologic Surgical Patient
FIG. 42.1 Sites of implantation of ectopic pregnancies. Order of frequency of occurrence is ampulla, isthmus, interstitium, fimbria, tubo-ovarian ligament, ovary, abdominal cavity, and cervix (external os). (From Lowdermilk DL, Perry SE,…
Care of the Thoracic Surgical Patient
Test Purpose FVC (forced vital capacity): Records maximum amount of air that can be exhaled as quickly as possible after maximum inspiration. Provides an indication of respiratory muscle strength and…
Care of the Ophthalmic Surgical Patient
CHF, Congestive heart failure; CNS, central nervous system; IOP, intraocular pressure; IV, intravenous. From Physician’s Desk Reference. Available at: www.pdr.net. Accessed October 7, 2016. To easily identify the specific classifications…
