The Integumentary System
FIG. 17.1 Layers of epidermis. (From Monahan FD, et al.: Phipps’ medical-surgical nursing health and illness perspectives, ed 8, St. Louis, MO, 2007, Elsevier.) The granular layer, or stratum granulosum, contains three or…
The Changing Health Care System and Its Implications for the PACU
FIG. 6.1 Uninsured rates among adults ages 19 to 64, 2003 to 2012. (Note: Subgroups may not sum to totals because of rounding.) FPL, Federal poverty level. (From Collins SR, et al: Insuring…
The Immune System
FIG. 18.1 Schematic overview of humoral and cellular immunologic pathways and resulting effector substances or mechanisms of activity. The immunoglobulins are large proteins (molecular weights from 150,000 to 900,000 daltons) with…
Care of the Older Patient
∗ Combined incidence rate of cardiac death and nonfatal myocardial infarction. Adapted from Mukherjee D, Eagle KA: Perioperative cardiac assessment for noncardiac surgery: eight steps to the best possible outcome. Circulation…
Care of the Ambulatory Surgical Patient
!DOCTYPE html> 46 Care of the Ambulatory Surgical Patient Nancy Burden, MS, RN Ambulatory surgery continues to grow, rapidly evolving in both number of patients and complexity of procedures. Providing quality nursing…
Care of the Thyroid and Parathyroid Surgical Patient
FIG. 39.1 Thyroid gland and surrounding anatomic structures. (From Elisha S, et al.: Anesthesia case management for thyroidectomy. AANA J 78(2):152, 2010.) Cardiopulmonary Assessment and Care The nurse should carefully monitor the airway,…
Evidence-Based Practice and Research
EBP, Evidence-based practice; IRB, Institutional Review Board; PICO, patient/population, intervention, comparison, and outcome; PONV, postoperative nausea and vomiting. From Melnyk BM, Fineout-Overholt E: Evidence-based practice in nursing & healthcare: A…
Transition From the Operating Room to the PACU
!DOCTYPE html> 26 Transition From the Operating Room to the PACU Kay A. Ball, BSN, MSA, PhD, RN, CNOR, FAAN The practice of nursing is directed toward the assessment, planning, implementation, and…
Nonopioid Intravenous Anesthetics
!DOCTYPE html> 21 Nonopioid Intravenous Anesthetics Cecil B. Drain, PhD, RN, CRNA, FAAN, FASAHP Intravenous (IV) anesthetics are grouped by primary pharmacologic action into nonopioid and opioid IV agents. The nonopioid agents…
The Endocrine System
FIG. 15.1 Pituitary hormones and their target organs. (From McCance KL, Huether SE: Pathophysiology: the biologic basis for disease in adults and children, ed 7, St. Louis, MO, 2015, Elsevier.) Syndrome of…
