Acute Medicine: A Handbook for Nurse Practitioners 急症医学：从业护士手册 下载 极速 rtf epub 在线 word txt pdf

Traditional Doctor / Nurse boundaries are being eroded with nurses expanding their sphere of practice to encompass assessment skills and enable them to manage total episodes of patient care with true autonomy (DOH 2000). More recently we have seen the emergence of Nurse Practitioners undertaking this advanced level of health assessment in the acute medical arena. This book will support the decision-making process and treatment that can be offered by these individuals.

Acute Medicine – A Handbook for Nurse Practitionersis an up-to-date, practical and comprehensive guide, offering invaluable information and advice on the management of acute medical conditions. Key features include:

Assessment, investigation, diagnosis and management of the most acute medical conditions

A guide through the management of the patient and identification of priorities for treatment

Legal, professional and ethical issues faced by nurses working at an advanced level

Role development

The development of protocols and prescribing

Examples of Clinical Management Plans for the supplementary

prescriber and Patient Group Directions to support practice

Written by an experienced Consultant Nurse in Acute Medicine, this engaging book will serve as a text from which the busy and highly skilled nurse can refer to for information on assessment, diagnosis and management of acute medical conditions.

Preface

Introduction

1 Patient Assessment

Communication

History taking

The functional enquiry

The physical assessment

General inspection

Respiratory examination

Cardiovascular examination

Gastrointestinal examination

Neurological examination

Musculoskeletal examination

Post examination

Conclusion

2 Emergencies

Anaphylaxis

Cardio-respiratory arrest

Ethical Issues

3 Acute Poisoning and Drug Overdose

Deliberate self-harm

Paracetamol overdose

Aspirin overdose

Tricyclic antidepressant overdose

Heroin overdose

Alcohol overdose

The National Institute for Clinical Excellence (NICE) self-harm guideline

Alcohol withdrawal

Drug withdrawal

4 Infection

Sepsis and septic shock

Meningitis

Infective endocarditis

Gastroenteritis

Urinary tract infection (UTI)

Fever in the returning traveller

Hot swollen joints

Antimicrobial resistance

5 Respiratory Conditions

Asthma

Chronic obstructive pulmonary disease (COPD)

Pulmonary embolism

Community and hospital acquired pneumonia

Pneumothorax

Type I respiratory failure

Type II respiratory failure

6 Cardiovascular Conditions

Acute coronary syndromes (ACS)

Stable angina

Unstable angina

Non-ST elevation myocardial infarction

ST elevation myocardial infarction

DIGAMI

Arrhythmias

Bradycardia

Tachycardia

Atrial fibrillation (AF)

Cardiac failure

Deep vein thrombosis (DVT)

Aortic dissection

Cardiac tamponade

7 Gatrointestinal Conditions

Upper gastrointestinal bleeding (GI bleed)

Variceal bleeding

Acute liver failure with encephalopathy

Acute ulcerative colitis and crohn's disease

8 Metabolic Conditions

Diabetic ketoacidosis (DKA)

……

9 Neurological Conditons

10 Renovascular Conditions

11 Elderly Care

12 Haematological Conditions

13 Advanced Practice

Appendices

Glossary

Index

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书籍介绍

This book provides Nurse Practitioners working in the field of Acute Medicine with an up to date, practical, and comprehensive guide to the management of acute medical patients. It serves as a text from which the busy highly skilled nurse can obtain information on assessment, diagnosis, and management of acute medical conditions. It identifies priorities for treatment and guides the reader through the management of the patient. Wherever possible the latest published guidelines have been included. The final chapter of the book considers the legal, professional and ethical issues faced by nurses working at an advanced level. The issues of role development, the development of protocols and prescribing are considered.