Page 11 - Critical Care Nursing Demystified

x CONTENTS

CHAPTER 3 Care of the Patient With Critical Cardiac and Vascular Needs 85
Anatomy and Physiology of the Cardiovascular System 86
Assessment Skills 90
Collaborative Diagnostic and Laboratory Tools 97
Advanced Procedural Skills 111
Cardiovascular Medications Used in Critical Care 112
Medical CV Conditions Requiring Critical Care 118
Surgical CV Conditions Requiring Critical Care 143
Review Questions 157
Answers 160

CHAPTER 4 Care of the Patient With Critical Cardiac Rhythm Disturbance Needs 163
Assessment Skills 164
Cardiac Electrophysiology 166
How Does Cardiac Monitoring Really Work? 166
So What Do These Systems “See”? 168
So How Does a Nurse Do Detective Work on
These Rhythm Strips? 175
Types of Basic Rhythms 181
Where Do 12-Lead ECGs Enter the Picture? 190
Medications That Help With Rhythm Stabilization 192 Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
Special Cardiac Devices to Help Maintain the
Patient’s Rhythm 193
Cardiac Arrest: Your Worst Nightmare 202
Review Questions 204
Answers 206
CHAPTER 5 Care of the Patient With Neurological Needs 209
Introduction 210
Anatomy and Physiology of the Nervous System 210
Neurological Needs: Assessment 217
Assessing Motor Movements—Strength and
Coordination 220
Normal Pupils 223
Assessment of Eye Movements (EOMs) or
Extraocular Movements 225
Oculocephalic Reflex or Doll’s Eyes Movements 225
Oculovestibular Reflex or Cold Caloric Test 225
Respiratory Patterns 226
Additional Assessments 226
Palpation 227
Percussion—Deep Tendon Reflexes 227
Other Responses 229