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haemolysis elevated liver enzymes and low incidence of 309 HPS see hepatopulmonary syndrome
platelets (HELLP) syndrome 716, indications for 309–311 HRCNZ see Health Research Council of New
718t, 720b lifestyle issues 319 Zealand
haemorrhage nursing management postoperatively HREC see human research ethics committees
antepartum see antepartum haemorrhage 311–317 HRS see hepatorenal syndrome
intracerebral see intracerebral hemorrhage acute rejection 313, 313t, 318t HSV see herpes simplex virus
obstetric see obstetric haemorrhage acute renal failure 315, 318t Hudson face mask 383
post heart transplantation 315, 318t allograft dysfunction and failure 315–317, human research ethics committees (HREC)
postpartum see postpartum 318t 91–93
subarachnoid 463–464, 464t cardiac tamponade 315, 318t humidification 389
haemorrhagic stroke 463 denervation 317, 318t absolute 389
haemostasis system, pregnancy physiology haemorrhage 315, 318t heated 389
adaptation of 714, 714t hyperacute rejection 313 heat-moisture exchanger 389
haemostatic capability impairment immunosuppression therapy 313–314, relative 389
contributors 299–300 314t Hunt-Hess scale 464t
haemothorax 636 infection 314–315, 318t hybrid 786
HAI see hospital-acquired infection left ventricular dysfunction 316–317, 318t hydrocephalus 448
Hancock II porcine aortic valve 295f rhythm strip 312f hygiene
hand hygiene 120, 120b right ventricular dysfunction 316, 318t basic personal 106–107
handheld technologies 48–49 outcomes from 309 hand 120, 120b
Hawthorne effect 42 surgery forms 311 oral 109–110
HCM see hypertrophic cardiomyopathy heterotopic 311, 312f personal see personal hygiene
HCO 3 see bicarbonate orthotopic 311, 312f hyperacute rejection, of heart
–
HE see hepatic encephalopathy HeartMate®USA 310f transplantation 313
head of bed elevation, invasive mechanical heat exhaustion 786 hypercapnoeic respiratory failure 353–354
ventilation and 402 heat illness 615 hyperglycaemia, critical illness and see diabetes
Health Act 1956 80 heat stroke 786 hyperglycaemic hyperosmolar non-ketotic state
Health and Disability Ethics Committees 91–92 heated humidity (HH) 389 (HHNS) 526, 786
Health Research Council of New Zealand heat-moisture exchanger (HME) 122, 389, 786 treatment of 528t
(HRCNZ) 82, 91–92 HELLP see haemolysis elevated liver enzymes hyperkalaemia, burns and 648
Operational Standard for Ethics and low platelets syndrome hypertension
Committee 82 heparin 114, 786 intracranial 448–449, 449f–450f
healthcare associated infections 121–122, 122b citrate compared to, research vignettes 502b see also intracranial hypertension
health-related quality of life (HRQOL) 57–59 for CRRT 496, 496t post cardiac surgery 296
depression and 63 reversal 300 post heart transplantation 319
measurement of 59–60, 59t hepatic encephalopathy (HE) 518, 786 in pregnancy see preeclampsia
heart disease see coronary heart disease hepatic failure, fulminant 786 hypertensive emergencies 242–243
heart failure 227–241 hepatobiliary changes, pregnancy and 714 hyperthermia 453, 615
causes of 228 hepatopulmonary syndrome (HPS) 519 hypertrophic cardiomyopathy (HCM) 241–242
chronic see chronic heart failure hepatorenal syndrome (HRS) 518, 786 hyperventilation, for intracranial hypertension
congestive, NIV for 390–391 herpes simplex virus (HSV) 465–466 management 452
left ventricular 230, 230t heterotopic heart transplantation 311, 312f hypocalcaemia 569
NYHA functional classification of 231, 233t heterotropic 786 hypocaloric intake 510
pathology of 228 HFNC see high-flow nasal cannulae hypotension
pathophysiology of 229f HFOV see high frequency oscillatory ventilation post cardiac surgery 296–297
prevalence of 227–228 HFPSF see heart failure with preserved systolic sepsis-induced 788
responses to 228–230 function hypothalamic-pituitary-adrenal (HPA) axis 786
Frank-Starling curve 228–229, 229f HH see heated humidity hypothalamus 423–424, 786
neurohormonal 228, 230 HHNS see hyperglycaemic hyperosmolar non- hypothermia 614–615, 628
RAAS 228–229 ketotic state accidental, research vignette 650b–651b
sympathetic nervous system 228, 229f HHS see Department of Health and Human burns and 648
right ventricular 230–231, 230t Services physiological effects of 614t
signs and symptoms of 228 high frequency oscillatory ventilation after SCA 671, 671b, 673b–674b
heart failure with preserved systolic function (HFOV) 401 hypoventilation 381–382
(HFPSF) 236f in children 694 hypovolaemia 542
heart rate high-degree atrioventricular block 261, 261f hypovolaemic shock 542–545
calculation of, on ECG 195 high-flow nasal cannulae (HFNC) 382 blood product adverse reactions 546t
pregnancy and 712 hindbrain 421t–422t clinical manifestations of 542–543
regulation of, autonomic nervous system histamine-2-receptor antagonists (H 2 RAs) 516 collaborative management of 544–545
control and 188–189 HME see heat-moisture exchanger fluid resuscitation in 543
heart sounds, auscultation of 191–192, 191t home-based care 71–72 independent practice in 543–544
first 191 homunculus 423, 424f massive blood transfusion and
second 191 hormonal and neural regulation in renal indicators for 544f
late diastolic 191 system 482–483 physiological derangements of 543f
murmurs 191–192, 192t acid-base regulation 483, 483f nursing practice in 543–545
pericardial rub 191 ADH 482 platelet administration guidelines 545t
stethoscope placement for 191t ANP 483 preload management of 544–545
ventricular gallop 191 electrolyte balance 483 red blood cell administration guidelines
heart transplantation 308–319 endocrine organ role 483 545t
complications from, long-term RAAS 482–483, 482f signs and symptoms of 543t
cardiac allograft vasculopathy 317–318 SNS 482 hypoxaemia 333–334, 334f
hypertension 319 Hospital Anxiety and Depression Scale oxygen optimisation compensatory
malignancy 318 (HADS) 61 mechanisms 334
renal dysfunction 318–319 hospital-acquired infection (HAI) 121–122 refractory 401–402
costs associated with 311 hospital-acquired pneumonia 358–359 ECMO 401–402
history of 308–309 HPA see hypothalamic-pituitary-adrenal axis HFOV 401

