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P Preface to the 6th Edition
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Cardiac Nursing continues to be the reference book for nurses bleeding; fluid and electrolyte and acid—base balances and im-
caring for patients who have or are at risk for developing cardiac balances; sleep; and aging.
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disease. Cardiac Nursing, Sixth Edition, provides the basic and
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adv anced nurse with the most compr ehensiv e evidence based P A R T THREE: ASSESSMENT OF HEAR T DISEASE
advanced nurse with the most comprehensive evidence-based
PART THREE: ASSESSMENT OF HEART DISEASE.
practice information. We believe that bedside nurses, clinical Includes chapters on history taking and physical examination;
nurse specialists, nurse practitioners, nurse educators, and nurse laboratory tests; radiologic examination of the chest; echocardio-
researchers all will benefit from the content in this edition. We graphy; nuclear imaging, magnetic resonance imaging, and com-
also support the Scope and Standards for Cardiovascular Nurs- puted tomography imaging; electrocardiography; arrhythmias
ing from the Task Force of Cardiovascular Nursing Organization and conduction disturbances; heart rate variability; cardiac
Representatives, the summary of which appears on p. xi. electrophysiologic procedures; exercise testing; cardiac
catheterization; and hemodynamic monitoring.
About This Edition
PART FOUR: PATHOPHYSIOLOGY AND MANAGEMENT
Global perspectives of cardiovascular disease have been enhanced OF HEART DISEASE. Includes chapters on acute coronary syn-
in all chapters where appropriate and by the addition of a new drome; interventional cardiology techniques; heart failure and car-
chapter on global cardiovascular health (Chapter 43), which en- diogenic shock; cardiac surgery; mechanical assist devices; sudden
hances the usefulness and generalizability of the content. A ma- cardiac death and cardiac arrest; pacemakers and implantable de-
jority of the national clinical protocols were replaced with fibrillators; acquired valvular heart disease; pericardial, myocardial,
evidence-based protocols. Numerical citations were reintroduced and endocardial disease; and congenital heart disease.
to allow for more rapid identification of content related to spe-
cific areas. One new chapter on mechanical assist devices (Chapter PART FIVE: HEALTH PROMOTION AND DISEASE
26) has been added. Other chapters, for example, Chapter 5 on PREVENTION. Includes chapters on the assessment and
pathophysiology of atherosclerosis and acute coronary syndrome management of coronary heart disease risk factors and disease
and Chapter 24 on heart failure and cardiogenic shock, have prevention; psychosocial interventions; smoking cessation and
been combined and reorganized to allow for more comprehen- relapse prevention; hypertension; hyperlipidemia; activity and
sive coverage of the materials. There have been many changes in exercise; obesity; diabetes and metabolic syndrome; adherence;
the care of cardiac patients since the fifth edition. Thus, all chap- complementary and alternative medicine; disease management
ters have been updated to reflect the most current evidence- models; and global cardiovascular health.
based practice guidelines.
The Tradition of Excellence
Content and Organization
The sixth edition continues our tradition of excellence in nurs-
The emphasis on health promotion, health maintenance, and ing care found in the previous five editions by having more than
disease management has been maintained throughout the text. 90% of the chapters written by cardiac nursing experts. The “red
By adding, reorganizing, and revising chapters and content, the book” maintains our nursing philosophy by organizing the con-
sixth edition will help all cardiac nurses provide care more confi- tent within the framework of the nursing process and includes
dently and effectively within the changing health care and eco- numerous nursing care plans. Where possible, the rationale and
nomic environment across all practice settings. There are five evidence for treatments and interventions are included.
parts in this edition: We sincerely appreciate all the comments we received about
the previous editions. We hope you find that the sixth edition
PART ONE: ANATOMY AND PHYSIOLOGY. Includes lives up to our standard of excellence of the past five editions
chapters on anatomy and physiology, cardiopulmonary circu- and that it becomes your primary reference source for cardiac
lation, and the regulation of cardiac output and blood nursing.
pressure.
Susan L. Woods, PhD, RN, FAHA, FAAN
PART TWO: PHYSIOLOGIC AND PATHOPHYSIOLOGIC Erika S. Sivarajan Froelicher, MA, MPH, PhD, RN, FAAN
RESPONSES. Includes chapters on genetics; atherosclerosis and Sandra Adams (Underhill) Motzer, PhD, RN, FAHA, FAAN
acute coronary syndrome; hematopoiesis, coagulation, and Elizabeth J. Bridges, PhD, RN, CCNS, FCCM, FAAN
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