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CHAPTE R 5 Nursing Care Goals 192
Sleep Promoting Interventions 193
The Health Care Providers’ Sleep 197
Atherosclerosis, Inflammation, and Acute Summary 197
Coronary Syndrome 111
Bradley E. Aouizerat • Polly E. Gardner • CHAPTER 9
Gaylene Altman
Physiologic Adaptations with Aging 204
Introduction 111
Barbara S. Levine
Mechanisms that Regulate Coronary Blood Flow 111
Causes of Myocardial Ischemia and Infarction 112 General Physiologic Changes 204
Risk Factors for Coronary Artery Disease 122 Cardiovascular Changes 206
Incidence of Myocardial Ischemia 122 Respiratory Changes 208
Incidence of Myocardial Infarction 124 Renal Changes 209
Implications for Nurses 126 Hepatic Changes 209
Effects of Aging on Pharmacokinetics 209
C HAPTE R 6 Summary 210
Hematopoiesis, Coagulation, and
Bleeding 132
Nancy Munro
PA R T III
Hematopoietic Cells 132
Hemostasis 135
Coagulation—Inflammation Link 138 Assessment of Heart Disease 211
Bleeding Disorders 139
Clotting Disorders 143 C HAPTER 10
C HAPTE R 7
History Taking and Physical Examination 211
Fluid and Electrolyte and Acid–Base Balance Barbara S. Levine
and Imbalance 153 Cardiovascular History 211
Linda Felver Physical Assessment 216
Principles of Fluid Balance 153 C HAPTER 11
Extracellular Fluid Volume Balance 154
Osmolality Balance 156 Laboratory Tests Using Blood 245
Principles of Electrolyte Balance 157
Susan L. Reed
Electrolyte Imbalances 157
Summary Fluid and Electrolytes 165 Blood Specimen Collection 245
Principles of Acid–Base Balance 166 Biochemical Markers of Myocardial Injury 249
Acid–Base Imbalances 167 Blood Lipids 253
Summary of Acid-Base 172 Additional Laboratory Tests Associated with Cardiac Disease 253
Hematologic Studies 256
C H A PTE R 8 Coagulation Studies 257
Arterial Blood Gases 259
Sleep 177 Blood Chemistries 259
Kathy P. Parker • Rebecca A. Gary • Selected Chemistries 261
Blood Cultures 263
Sandra B. Dunbar
Serum Concentration of Selected Drugs263
Introduction 177
Normal Sleep 177 CH A PTER 12
Sleep Physiology180
Clinical Evaluation, Diagnosis, and Approaches 182 Radiologic Examination of the Chest 267
Impaired Sleep, Sleep Disorders, and Excessive Daytime
Jon S. Huseby • Denise Ledoux
Sleepiness 183
Sleep in Patients with Cardiovascular Disease 188 How X-Rays Work 267
Cardiac Events in Sleep 192 Interpretation of Chest Radiographs267

