Efnisyfirlit

• 1 Emergency department basics
• What is emergency nursing?
• Meet the emergency nurse
• What do you do?
• Where do you work?
• What makes you special?
• Advocacy
• Stuck in the middle
• Clinical judgment
• Why be critical?
• Always asking questions
• Caring practice
• Collaboration
• Cultural diversity
• Keep an open mind
• Education
• Staff as students
• Becoming an emergency nurse
• Learning by doing
• Gaining credentials
• Help wanted
• Safety first
• What’s in it for me?
• Nursing responsibilities
• Assessment
• Planning
• What’s the problem?
• Implementation
• A call to intervene
• Evaluation
• Emergency essentials
• Information station
• Danger details
• Patient particulars
• Injuries sustained
• Vital vitals
• Systematic systems
• Primary survey
• A is for airway
• B is for breathing
• C is for circulation
• D is for disability
• E is for exposure and environment
• Secondary survey
• F is for family matters/full set of vital signs/focused adjuncts
• G for give comfort measures
• H is for history and head-to-toe assessment
• Triage
• Once divided
• Stay in touch
• Interprofessional teamwork
• The whole goal
• Team huddle
• Working with registered nurses
• The buddy system
• Working with doctors
• Working with advanced practice nurses
• The roles of a lifetime
• On a role
• Working with licensed practical nurses
• Working with respiratory therapists
• Respiration-related roles
• Clinical tools
• Clinical pathways
• Follow the path
• Tried and true
• Outlines and timelines
• Practice guidelines
• Let an expert be your guide
• The evidence is in
• Consider the source
• Protocols
• First things first
• Input from experts
• Transport
• Not so simple
• Interfacility transport
• ED on wheels (or wings)
• Movin’ out
• Cha-ching
• Intrafacility transport
• Movin’ in
• Communication
• All in the know
• Family matters
• Best practices
• Best for all concerned
• Emergency research
• Share and share alike
• Evidence-based care
• An evidence-based example
• First, last, and always
• Quick quiz
• Scoring
• Selected references
• 2 Holistic care
• What is holistic health care?
• A new dimension
• Holistic care issues
• Patient and family issues
• Family ties
• Slipping on emotional turmoil
• Circle out of round
• Unprepared for the worst
• Lend a hand
• Lend an ear, too
• Because you asked
• Living with the decision
• Cultural considerations
• Consider culture
• Cognitive issues
• Fair to compare
• It’s a factor
• Invasion of personal space
• Medications
• Pain control issues
• Help is at hand
• Don’t be fooled
• Choose a tool
• Silent suffering
• Body and mind
• Pain particulars
• Pharmacologic pain management
• Nonpharmacologic pain management
• Sensory input
• Too much or too little
• Ethical issues
• The value of values
• Code of ethics
• Unsolvable mysteries
• A question of quality
• Consulting the committee
• Who decides?
• Where there’s a will, there’s a law
• It takes two
• Standards deviation
• Donations accepted
• Quick quiz
• Scoring
• Selected references
• 3 Neurologic emergencies
• Understanding neurologic emergencies
• Assessment
• Check the records
• History
• Friends and family fill in
• Current health
• Common concerns
• Details, please
• Physical examination
• Top-to-bottom examination
• No easy answers
• Three-part exam
• Descriptions and definitions
• Looking at LOC
• It’s hard to say
• Language changes
• When, then who
• Thought content
• Insight on insight
• Lost in emotion
• Under pressure
• Get on some other nerves
• See about sight
• Funny face
• Bouncing and spinning
• Check the pipes
• Shrug it off
• Test tongue toughness
• This might hurt
• Acts of strength
• Grace and gait
• Extreme coordination
• Present and absent actions
• Superficially speaking
• Write it down
• Diagnostic tests
• Imaging studies
• Steady, Freddie
• Computed tomography spine scanning
• Computed tomography brain scanning
• Sharper images
• Other tests
• Why do it?
• Contraindications and cautions
• Treatments
• Heads up!
• Surgery
• Be ready before and after
• Condition and complexity count
• Common disorders
• Traumatic brain injury
• To put it bluntly
• Open and exposed
• Case closed
• May be surgical
• The supportive nurse
• Metabolic medicine
• Seizure watch
• Increased intracranial pressure
• Tip the scales
• What to avoid
• Seizures
• Primary and secondary
• Who’s affected . . .
• . . . and how
• Increase O2 or else
• For tonic–clonic seizures
• When medications don’t work . . .
• Continuous
• Tonic–clonic seizure interventions
• Spinal cord injury
• Dangerous damage
• Specifically speaking
• Distention prevention
• Stroke
• The sooner the better
• Number three
• Risk factor facts
• Ischemic stroke
• Hemorrhagic stroke
• Left is right and right is left
• Go with the flow
• Drugs of choice
• Drugs for acute stroke management
• Under the knife
• Multiple monitors
• Anticonvulsant, antiplatelet, anticoagulation
• Subarachnoid hemorrhage
• Women are more prone
• Without warning
• Making the grade
• Watch out
• Rebound effects
• Quick quiz
• Scoring
• Selected references
• 4 Cardiac emergencies
• Understanding cardiac emergencies
• Assessment
• Health history
• Where, what, and why?
• In their own words
• Physical examination
• The heart of it
• First impressions
• Check the chest
• Arms and legs, too
• Light the way
• Neck next
• Then go for the jugular
• Palpate the potentials
• Refill, please
• And compare
• Regular and equal
• What a thrill!
• Border patrol
• Erb and friends
• Upward, downward, zigward, zagward
• 1, 2, 3, 4, and more
• Listen for the “dub”
• Listen for the “lub”
• Auscultation awareness!
• Kentucky galloper
• Tennessee walker
• What S4 says
• Location, location, and . . . timing
• Pinpoint its presence
• Pitch
• Pattern
• Quality
• Intensity
• Rubbed the wrong way
• Bruits
• Bothersome bruits
• Diagnostic tests
• Cardiac monitoring
• A test with 12 views
• Up, down, and across . . .
• . . . from top to bottom . . .
• . . . and, finally, horizontal
• Cardiac marker studies
• Release those enzymes!
• Heart enzymes
• Echocardiography
• Echocardiography aka Echo
• Motion mode
• Echo in 2-D
• TEE combination
• Echo abnormalities
• Hemodynamic monitoring
• Getting involved
• PAP purposes
• PAP’s parts
• PAP and PAOP procedures
• Irritation prevention
• Cardiac output monitoring
• On the rocks or room temperature
• To be continued
• Better assessor
• Treatments
• Drug therapy
• Classified by chemical
• Which receptor
• Mimicking norepinephrine and epinephrine
• Doing it like dopamine
• Excitatory or inhibitory
• How heartening
• Rapid rates
• Fascinating rhythm
• Impending impulses
• Classified information
• Not very discriminating
• Reducing resistance
• Selective (or not)
• Highly discriminating
• Intrinsically sympathetic
• Widely effective
• Selective or nonselective
• Reduce demand, increase supply
• The top three
• Antiangina effect
• Reducing resistance
• Down with everything
• Preventing passage
• Rate reduction
• Conduction reduction
• Benefits vs. risks
• Four classes plus . . .
• No (para)sympathy
• Rhythmic risks
• Make a IB line for the ventricle
• Slowing the seeds of conduction
• Receptor blockers
• Strength reducers
• One way to two way
• Depressing the pacemaker
• Low is good
• Anticlumping
• No new clots
• Circulate freely
• A long history
• Know the program
• Where and how
• Calcium stoppers
• Direct dial
• Without ACE inhibition
• With ACE inhibition
• Less water, less work
• Slower rate
• The short and long of it
• Boosting output
• High potency, big risk
• In the loop
• Potassium-sparing effects
• Sodium stoppers
• Stability with time
• Surgery
• Why bypass?
• CABG varieties
• Repair review
• Plaque, meet Balloon
• Take two aspirins and call me . . .
• Other treatments
• Electrifying experience
• Repeat, repeat, and repeat again
• In sync
• Positively speaking
• Adjustable
• Act early and quickly
• Charge!! And discharge!
• Rhythm restoration
• Dire straits
• Proper placement
• Now to pacing
• Set the beat
• Them bones, them bones
• Check back with the vitals
• Common disorders
• Acute coronary syndrome
• Plaque’s place
• Degree and duration
• It hurts when I do this
• My, my, MI pain
• And many more
• MI relief
• Patency protection
• Treating the heart
• Aortic aneurysm
• Thin and thinner
• Wide vessel, slow flow
• Blood forces
• When symptoms arise
• Acute expansion
• Emergency measures
• ABGs and arterial lines
• Rupture response
• Cardiac arrest
• Cardiac arrhythmias
• Asymptomatic to catastrophic
• Organized by origin and effects
• A matter of degree
• That’s not all
• Cardiac contusion
• And also . . .
• Close watch
• No if hypo
• Cardiac tamponade
• Pericardial pressure
• That’s not all
• When pressure is low
• Keep an eye on the increase
• Heart failure
• When the left loses its faculties
• When right goes wrong
• Blame it on the left
• Just can’t pump enough
• It all goes to swell from here
• Compromising situation
• Kidneys’ contributions
• Counteracting hormone
• Later, on the left
• On the right side
• Pump up the potassium
• Hypertensive emergency
• Rapid rise
• Faulty mechanisms
• Up with pressure
• Maintaining flow
• Taking control
• Regulating reabsorption
• Strain for the brain
• Check the head
• Kidney-related consequences
• Slow pressure cuts
• Much monitoring
• Check in on output
• Quick quiz
• Scoring
• Selected references
• 5 Respiratory emergencies
• Understanding respiratory emergencies
• Assessment
• History
• Cover all the bases
• Pain provocations
• Pillow talk
• Don’t forget to ask
• Sleep disturbance
• Daytime drowsiness
• Sputum production
• Hemoptysis
• Wheezing
• Previous health status
• Family history
• Lifestyle patterns
• Physical examination
• Four steps
• Back, then front
• Beauty in symmetry
• A new angle
• Muscles in motion
• Raising a red flag
• Count on it
• Don’t be blue
• Finger findings
• Leaky lungs
• Probing palpation pain
• Feeling for fremitus
• Evaluating symmetry
• Warning signs
• Sites and sounds
• Warning sounds
• Detecting diaphragm movement
• Auscultation preparation
• Be firm
• Detect the unexpected
• Adventitious sounds
• Diagnostic tests
• Pulse oximetry
• Shedding light on the subject
• Note denotation
• Poisoning precludes pulse oximetry
• End-tidal carbon dioxide monitoring (capnography)
• In-lightened
• Crunching the numbers
• ABG analysis
• ABCs of ABGs
• Valuable values
• A sample scenario
• Seesaw systems
• What’s in a name?
• Sputum analysis
• Bronchoscopy
• To remove and evaluate
• Chest X-ray
• More is better
• X-ray vision
• Magnetic resonance imaging
• View that’s see-through
• Thoracic computed tomography scan
• CT in 3-D
• Ventilation–perfusion scan
• Two-tined test
• V/Q caveat
• Pulmonary angiography
• More reliable, more risks
• Postprocedure procedures
• Treatments
• Drug therapy
• Reversing obstruction
• Inhalation therapy
• Aerosol treatments
• Goes with the flows
• Other talents
• Through the nose
• Not so positive
• After the fact
• Conversation stopper
• Open up
• Be quick about it
• Not for everyone
• Through the nose
• A conscious choice
• Difficult and damaging
• Confirm ETT placement
• When to ventilate
• Accentuate the positive
• Be alarmed
• Be extra vigilant
• Fully equipped
• Concentrate on concentration
• Surgery
• Gotta have some negative pressure
• Emergency or planned procedure
• Afterward
• Common disorders
• Airway obstruction
• It’s anatomical
• Inhalation injuries
• When it’s a little . . .
• When it’s a lot . . .
• And when it’s way too much . . .
• Submersion injury
• Pneumothorax
• Open book
• Closed call
• Every breath hurts
• Further findings
• Did we mention the tension?
• With trauma
• With less lung collapse
• With more lung collapse
• With tension
• Status asthmaticus
• Asthma overview
• Making things worse
• Outside factors
• Factors within
• Constricting factors
• Irritants in the workplace
• Genetic messes
• A potent mix
• Attachment disorder
• A not-so-good goblet
• Bucking bronchos
• Quick quiz
• Scoring
• Selected references
• 6 Gastrointestinal emergencies
• Understanding GI emergencies
• Assessment
• Health history
• Previous health status
• Further questions
• Physical examination
• In order, please
• General inspection
• To striae or not to striae
• Follow the clock
• Do you hear what I hear?
• Tube tip
• Sound class
• Sound off
• Percussion precaution
• Tympany and dullness
• Light palpation
• Deep palpation
• Percussion discussion
• Palpation problem
• Diagnostic tests
• Abdominal X-ray
• Reading the rays
• Colonoscopy
• Postprocedure
• CT scan
• Scads of scans
• Ultrasound
• EGD
• Fecal studies
• MRI
• MRI mire
• Peritoneal fluid analysis
• Peritoneal through paracentesis
• During . . .
• . . . and after
• Treatments
• Drug therapy
• How fast?
• GI intubation
• Rarely seen
• Fluid watch
• When it’s done
• Dealing with obstruction
• Common disorders
• Abdominal trauma
• An explosive situation
• To put it bluntly
• Other considerations
• Trauma physics
• Buckle up
• Have a look-see
• Acute GI bleeding
• Maybe multiple morbidities
• Upper causes
• Lower causes
• Source signs
• Signs and symptoms
• Don’t forget oxygen
• Appendicitis
• . . . and then later
• Cholecystitis
• Bad to the stone
• Diverticulitis
• Packed in the sac
• Severe steps
• Quick quiz
• Scoring
• Selected references
• 7 Musculoskeletal emergencies and wound management
• Understanding musculoskeletal emergencies
• Assessment
• Health history
• Any ouchies?
• Out-of-joint, fractured, or all muscle
• What goes in
• Physical assessment
• First thing’s first
• With feeling
• A watchful eye
• Assessing the bones and joints
• Is the TMJ A-OK?
• Check the neck
• Head circles and chin-ups
• Spine-tingling procedure
• Lift and rotate
• Flex and extend
• Swing into position
• Up to the elbows
• Rotate and flap
• Lift a finger; make a fist
• At arm’s length
• Hip, hip, hooray!
• As the hip turns
• On bended knees
• The ankle angle
• The long and short of it
• Assessing the muscles
• Tuning in to muscle tone
• Wrestling with muscle strength
• Testing the bi’s and tri’s
• Forcing the hand
• Diagnostic tests
• Arthrocentesis
• Telltale findings
• Doing double duty
• CT scan
• Beam me up
• MRI
• Must be your animal magnetism
• X-rays
• Treatments
• Get up and go again
• Drug therapy
• Nonsurgical treatments
• Don’t move a muscle!
• Surgery
• Common disorders
• Amputations (traumatic)
• Compartment syndrome
• Contusions
• History of violence
• Dislocations and fractures
• Trauma and force
• Location and direction
• Relationship and stability
• Don’t go soft on us now
• It’s a hematoma!
• Organization is key
• I’m brand new!
• What’s more . . .
• Inspired casting
• Pelvic plan
• Puncture wounds
• Strains and sprains
• Sprain, sprain, go away!
• Sprain symptoms
• Quick quiz
• Scoring
• Selected references
• 8 Renal, genitourinary, and gynecologic emergencies
• Understanding GU and gynecologic emergencies
• Assessment
• Peruse the record
• Sex-specific
• Health history
• Comfort zone
• Pregnancy clues
• Physical examination
• At ease, please
• Renal red flags
• Behavioral hints
• It’s in the skin
• Leading off: The abdomen and back
• Genitalia concerns
• Diagnostic tests
• Blood studies
• CT scan
• IVP
• KUB radiography
• Laparoscopy
• MRI
• Percutaneous renal biopsy
• Renal angiography
• On closer inspection
• Renal scan
• Ultrasonography
• Urine studies
• Concentrate, concentrate
• Treatments
• Drug therapy
• Nonsurgical procedures
• Basket boomerang
• Fluid watch
• Surgical procedures
• Common disorders
• Kidney trauma
• And that’s not all
• Hemodynamics count
• Wound care
• And that’s not all
• Ovarian cyst
• Poly problems
• Pelvic inflammatory disease
• Upping the ante
• Additional considerations
• Severe situation
• Pyelonephritis
• Antibiotic aid
• Renal calculi
• Sexual assault
• What’s in a name?
• Rape-trauma syndrome
• In good hands
• Collecting evidence
• Medication and follow-up
• Testicular torsion
• Intra vs. extra
• Urinary tract infection
• Quick quiz
• Scoring
• Selected references
• 9 Obstetric emergencies
• Understanding obstetric emergencies
• Meconium-stained amniotic fluid
• Emergency nursing management of meconium-stained amniotic fluid
• Shoulder dystocia
• Emergency nursing management of shoulder dystocia
• Prolapsed umbilical cord
• Emergency nursing management of prolapsed umbilical cord
• Rupture of the maternal uterus
• Emergency nursing management of rupture of the maternal uterus
• Amniotic fluid embolus
• Emergency nursing management of amniotic fluid embolus
• Quick quiz
• Scoring
• Selected references
• 10 Maxillofacial and ocular emergencies
• Understanding maxillofacial and ocular emergencies
• Quickness counts
• Assessment
• Health history
• Eye spy
• Earmark past problems
• Looking at lids
• Conjunctiva
• Corneal matters
• Testing
• Cardinal concerns
• Testing
• A very telling Snellen
• E for everyone else
• Upon closer inspection
• Face and sinuses
• Gums . . .
• . . . and tongues
• Gag order
• Diagnostic tests
• CT scan
• It’s orbital
• Facial X-rays
• Fluorescein angiography
• Fluorescein staining
• Ultrasonography
• Treatments
• Drug therapy
• Ophthalmic agents
• Surgery
• Common disorders
• Chemical burns to the eye
• Corneal abrasion
• To patch or not to patch
• Epistaxis
• Pack it up
• Facial fractures
• Foreign body in the ear
• Orbital fracture
• Retinal detachment
• Soft tissue facial injuries
• Quick quiz
• Scoring
• Selected references
• 11 Psychiatric emergencies
• Understanding psychiatric emergencies
• Medical versus psychiatric?
• Specialized members of the psychiatric health care team
• Using the nursing process
• Assessment
• History and physical assessment
• Planning
• Implementation
• Common nursing interventions
• Evaluation
• Common disorders
• Acute psychosis
• Signs and symptoms of acute psychosis
• Nursing interventions for patients with psychotic behavior
• Medication management in psychosis
• Violent, disruptive, aggressive, or excited behaviors
• Maintaining safety with the agitated patient
• Seclusion and restraint in the ED for aggressive or agitated behavior
• Suicidal ideation or attempt
• Suicide and depression
• Warning signs of suicide
• Caring for patients with suicide risk
• Suicide Assessment Five-Step Evaluation and Triage
• Keeping the patient safe
• Acute anxiety states and panic
• Symptoms of acute anxiety and panic disorder
• Treatment approaches and nursing interventions
• Delirium and dementia
• Delirium
• Screening for delirium
• Nursing interventions
• Dementia
• Nursing interventions
• Intoxication and overdose of alcohol
• Alcohol
• Legal limits
• The intoxicating effects of alcohol
• Nursing care of the patient with alcohol intoxication or alcohol overdose
• Intoxication and overdose of stimulants or opioids
• Stimulants
• Nursing care of the patient with stimulant overdose
• Opioids
• Nursing care of the patient with opioid overdose
• Situations of abuse—older adult, child, intimate partner, or human trafficking
• Older adult abuse/neglect
• Child abuse/neglect
• Intimate partner violence
• Human trafficking
• Nursing care for victims of abuse
• Additional interventions for
• Iatrogenic emergencies
• Serotonin syndrome
• Nursing interventions for the patient with serotonin syndrome
• Neuroleptic malignant syndrome
• Medication-induced acute dystonia
• Quick quiz
• Scoring
• Selected references
• 12 Environmental emergencies
• Understanding environmental emergencies
• Assessment
• Diagnostic tests
• Treatments
• Temperature related
• Other treatments
• Suck it up
• Common disorders
• Burns
• It’s electric
• Scorching brews
• Not just a matter of degrees anymore
• For your epidermis only
• Two thicknesses
• Tracking burn traits
• Configure this
• More than just skin deep
• Paging severe burns
• Everything in moderation
• Minor but still important
• Meanwhile, back in the lab
• After stabilization
• Listen to the lungs
• Breathing room
• In and out
• Administration station
• Caustic substance ingestion
• Regular offenders
• Call the pros
• Look, listen, and ask
• Careful preparation
• Hyperthermia
• Feeling hot, hot, hot
• Critical measures
• In addition to the cooldown
• Hypothermia
• Likely candidates
• Temperature dependent
• Cardiac concerns
• Monitoring dependent
• As time goes by
• Frostbite
• Likely candidates
• Stages of frostbite
• Animal and human bites
• Poisoning
• Emesis nemesis
• Enter the IV
• Give the patient some air
• Quick quiz
• Scoring
• Selected references
• 13 Mass casualty and disaster
• Introduction to mass casualty and disaster nursing
• Types of disasters
• Natural disasters
• Man-made disasters
• Natural vs. man-made disasters
• Disaster preparedness
• National Preparedness Goal
• The National Preparedness System
• National Response Framework
• National Incident Management System
• Incident Command System
• Hospital Incident Command System
• Workplace and individual nurse preparation for disaster
• Workplace preparation
• Individual nurse preparedness
• Triage
• Disaster recovery
• Quick quiz
• Scoring
• Selected references
• 14 Shock and multisystem trauma emergencies
• Understanding shock and multisystem trauma emergencies
• Shock to the system
• Here, there, and everywhere
• Assessment
• Primary assessment: Use the alphabet
• Secondary assessment
• Diagnostic tests
• Blood studies
• Less common but important
• Radiologic and imaging studies
• Treatments
• Fluid resuscitation
• Blood transfusion therapy
• Refusin’ transfusion
• Drug therapy
• Surgery
• Common disorders
• Anaphylactic shock
• All about speed
• Here it comes again!
• It’s in the skin
• Looking at ABG
• Eyeing the IV
• Perfusion pointers
• Cardiogenic shock
• Stable but brief
• CO cycle
• Compensation clues
• That’s progress for ya
• No going back
• And just for good measure
• Fascinating rhythm
• I’m going in
• Hypovolemic shock
• Shock sequence
• Capillary cues
• Watch for blood
• Neurogenic shock
• Septic shock
• Truth about consequences
• Hyper . . .
• . . . or hypo
• Ups and downs
• Overload alert!
• Multisystem trauma
• Out of time
• Six degrees of contamination
• Quick quiz
• Scoring
• Selected references
• Appendices and index
• Practice makes perfect
• Glossary
• Index