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A Nurse's Survival Guide to Acute Medical Emergencies

By: Contributor(s): Publication details: Edinburgh Elsevier 2019Edition: 3rd EditionDescription: 464 pagesISBN:
  • 9780702076664
Subject(s): NLM classification:
  • WB 105
Contents:
Introduction: Immediate assessment of the critically ill ABCDE: Immediate assessment and intervention Early warning: Track and Trigger National Early Warning Score Communication – NEWS and SBAR Cardiology View less > Acute severe breathlessness Cardiac failure Heart muscle damage Valvular disease Rhythm disturbance Types of heart failure Left heart failure Right heart failure Congestive cardiac failure Right heart failure and COPD Diastolic heart failure Clinical features and management of cardiac failure Acute left ventricular failure Acute on chronic congestive cardiac failure Ischaemic heart disease Chest pain Acute coronary syndromes, NSTEMIs and Unstable Angina Sudden cardiac death Atrial fibrillation and arterial emboli Causes of atrial fibrillation Importance of atrial fibrillation Complications of atrial fibrillation Diagnosis of atrial fibrillation Management of atrial fibrillation Infective endocarditis Drugs in the management of acute heart disease Respiratory medicine View less > The breathless patient: the general approach Respiratory failure Type I and Type II respiratory failure Principles of treatment Acute severe asthma Mechanisms Assessment of acute severe asthma Management of acute severe asthma Chronic obstructive pulmonary disease Mechanisms Management of acute exacerbations of COPD Non-invasive ventilation Pneumonia Assessment The severity score in pneumonia: CURB-65 Management of pneumonia Antibiotics Spontaneous pneumothorax Nursing the patient with a chest drain Acute neurological problems View less > Ensuring the safety of the patient Prioritising the initial management: GCS and ABCDE Managing ‘medical’ and ‘neurological’ coma Responding to neurological deterioration Stroke and stroke-like emergencies Cerebral infarction Transient ischaemic attacks Intracerebral haemorrhage Subarachnoid haemorrhage Subdural haemorrhage Extradural haemorrhage Nursing the patient with a stroke: the first 24 h Meningococcal meningitis Acute severe headache Subarachnoid haemorrhage Lumbar puncture Sudden loss of consciousness: faints and fits The basic mechanisms: syncope The basic mechanisms: epileptic seizures Pseudoseizures (non-epileptic seizures) Acute paralysis of the lower limbs Spinal cord compression Guillain–Barré syndrome Gastroenterology View less > Nausea and vomiting underlying mechanisms Nausea and vomiting in acute medical conditions Acute upper gastrointestinal haemorrhage Management of upper gastrointestinal haemorrhage Portal hypertension and the management of oesophageal varices Acute liver failure and hepatic encephalopathy Acute jaundice Acute abdominal pain Acute diarrhoea: sources and courses Infective diarrhoea Clostridium difficile diarrhoea Infective diarrhoea versus acute ulcerative colitis Medical conditions presenting with gastrointestinal symptoms Diabetic complications View less > Diabetes on the Acute Medical Unit: the general approach Normal blood sugar control and the nature of diabetes An overview of Type I and Type II diabetes Acute medical conditions associated with diabetes Diabetic renal disease Diabetic neuropathy Cardiovascular disease Cerebrovascular disease Peripheral vascular disease Blood sugar control in adverse medical situations Variable Rate Intravenous Insulin Infusion (VRIII) or GKI DIGAMI regimen Diabetic Keto Acidosis (DKA) Hyperosmolar non-ketotic diabetic coma (HONK) Hypoglycaemia Infective complications in diabetes: the acute diabetic foot Thromboembolic disease View less > Thrombosis and thromboembolisation Mechanisms Superficial thrombophlebitis Deep vein thrombosis Pulmonary thromboembolism Tests to identify thromboembolic disease Management of pulmonary thromboembolism Nursing the patient with a suspected DVT Other causes of a swollen painful leg Cellulitis Necrotising fasciitis Management of a DVT Anticoagulation therapy Deliberate self-harm, alcohol and substance abuse View less > Deliberate self-harm General principles Care of the unconscious patient: ABCDE The patient who refuses treatment Specific overdoses Benzodiazepines Paracetamol poisoning Antidepressant overdose Carbon monoxide poisoning Alcohol abuse Acute alcohol-withdrawal syndrome Cocaine 303 Ecstasy Heroin abuse Needle stick injuries Hospital-acquired methicillin-resistant Staphylococcus aureus infections Violent incidents The ‘social admission’ View less > Common errors and omissions in the admission of elderly patients Taking a history from the patient Taking a history from a third party Falls The cause of falls Assessment after a fall Immobility Immediate safety of the patient: ABCDE Assessing the cause: establish the full history Delirium Dementia Nursing home admissions Ethical issues and the elderly sick The emergency admission of patients with a terminal disease Multisystem failure View less > Shock: the basic mechanisms Cardiogenic shock Hypovolaemic shock Redistributive (low-resistance) shock Acute severe hypotensive collapse The importance of immediate resuscitation Ensuring adequate oxygen delivery to vital organs Oxygen therapy The blood pressure Inserting a CVP line Fluid challenge Surviving sepsis Anaphylactic reaction Emergency blood transfusion in shock Transfusion reactions Massive blood transfusion Acute kidney injury Management: resuscitation begin with ‘ABCDE’ Emergency (acute renal failure) management of hyperkalaemia Establishing a management plan Sudden collapse and cardiac arrest Chain of survival Basic life support After basic life support Do not attempt resuscitation Bereavement on the Acute Medical Unit Emerging problems: outbreaks and deliberate releases – SARS, toxins and biological agents View less > How infection spreads Severe acute respiratory syndrome Case definition of SARS Other emerging infections Unusual illnesses – deliberate release of infectious and chemical agents Deliberate release of infectious agents General principles Examples of potential pathogens and initial symptoms Poisoning with nerve agents Key nursing skills in outbreaks and deliberate releases Index
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Holdings
Item type Current library Shelving location Call number Status Date due Barcode Item holds
General Book General Book Kuakarun Nursing Library Shelving Cart WB 105 H245 2019 (Browse shelf(Opens below)) Available 0000045361
Total holds: 0

Introduction: Immediate assessment of the critically ill
ABCDE: Immediate assessment and intervention

Early warning: Track and Trigger

National Early Warning Score

Communication – NEWS and SBAR

Cardiology
View less >

Acute severe breathlessness

Cardiac failure

Heart muscle damage

Valvular disease

Rhythm disturbance

Types of heart failure

Left heart failure

Right heart failure

Congestive cardiac failure

Right heart failure and COPD

Diastolic heart failure

Clinical features and management of cardiac failure

Acute left ventricular failure

Acute on chronic congestive cardiac failure

Ischaemic heart disease

Chest pain

Acute coronary syndromes, NSTEMIs and Unstable Angina

Sudden cardiac death

Atrial fibrillation and arterial emboli

Causes of atrial fibrillation

Importance of atrial fibrillation

Complications of atrial fibrillation

Diagnosis of atrial fibrillation

Management of atrial fibrillation

Infective endocarditis

Drugs in the management of acute heart disease

Respiratory medicine
View less >

The breathless patient: the general approach

Respiratory failure

Type I and Type II respiratory failure

Principles of treatment

Acute severe asthma

Mechanisms

Assessment of acute severe asthma

Management of acute severe asthma

Chronic obstructive pulmonary disease

Mechanisms

Management of acute exacerbations of COPD

Non-invasive ventilation

Pneumonia

Assessment

The severity score in pneumonia: CURB-65

Management of pneumonia

Antibiotics

Spontaneous pneumothorax

Nursing the patient with a chest drain

Acute neurological problems
View less >

Ensuring the safety of the patient

Prioritising the initial management: GCS and ABCDE

Managing ‘medical’ and ‘neurological’ coma

Responding to neurological deterioration

Stroke and stroke-like emergencies

Cerebral infarction

Transient ischaemic attacks

Intracerebral haemorrhage

Subarachnoid haemorrhage

Subdural haemorrhage

Extradural haemorrhage

Nursing the patient with a stroke: the first 24 h

Meningococcal meningitis

Acute severe headache

Subarachnoid haemorrhage

Lumbar puncture

Sudden loss of consciousness: faints and fits

The basic mechanisms: syncope

The basic mechanisms: epileptic seizures

Pseudoseizures (non-epileptic seizures)

Acute paralysis of the lower limbs

Spinal cord compression

Guillain–Barré syndrome

Gastroenterology
View less >

Nausea and vomiting underlying mechanisms

Nausea and vomiting in acute medical conditions

Acute upper gastrointestinal haemorrhage

Management of upper gastrointestinal haemorrhage

Portal hypertension and the management of oesophageal varices

Acute liver failure and hepatic encephalopathy

Acute jaundice

Acute abdominal pain

Acute diarrhoea: sources and courses

Infective diarrhoea

Clostridium difficile diarrhoea

Infective diarrhoea versus acute ulcerative colitis

Medical conditions presenting with gastrointestinal symptoms

Diabetic complications
View less >

Diabetes on the Acute Medical Unit: the general approach

Normal blood sugar control and the nature of diabetes

An overview of Type I and Type II diabetes

Acute medical conditions associated with diabetes

Diabetic renal disease

Diabetic neuropathy

Cardiovascular disease

Cerebrovascular disease

Peripheral vascular disease

Blood sugar control in adverse medical situations

Variable Rate Intravenous Insulin Infusion (VRIII) or GKI

DIGAMI regimen

Diabetic Keto Acidosis (DKA)

Hyperosmolar non-ketotic diabetic coma (HONK)

Hypoglycaemia

Infective complications in diabetes: the acute diabetic foot

Thromboembolic disease
View less >

Thrombosis and thromboembolisation

Mechanisms

Superficial thrombophlebitis

Deep vein thrombosis

Pulmonary thromboembolism

Tests to identify thromboembolic disease

Management of pulmonary thromboembolism

Nursing the patient with a suspected DVT

Other causes of a swollen painful leg

Cellulitis

Necrotising fasciitis

Management of a DVT

Anticoagulation therapy

Deliberate self-harm, alcohol and substance abuse
View less >

Deliberate self-harm

General principles

Care of the unconscious patient: ABCDE

The patient who refuses treatment

Specific overdoses

Benzodiazepines

Paracetamol poisoning

Antidepressant overdose

Carbon monoxide poisoning

Alcohol abuse

Acute alcohol-withdrawal syndrome

Cocaine 303 Ecstasy

Heroin abuse

Needle stick injuries

Hospital-acquired methicillin-resistant Staphylococcus aureus infections

Violent incidents

The ‘social admission’
View less >

Common errors and omissions in the admission of elderly patients

Taking a history from the patient

Taking a history from a third party

Falls

The cause of falls

Assessment after a fall

Immobility

Immediate safety of the patient: ABCDE

Assessing the cause: establish the full history

Delirium

Dementia

Nursing home admissions

Ethical issues and the elderly sick

The emergency admission of patients with a terminal disease

Multisystem failure
View less >

Shock: the basic mechanisms

Cardiogenic shock

Hypovolaemic shock

Redistributive (low-resistance) shock

Acute severe hypotensive collapse

The importance of immediate resuscitation

Ensuring adequate oxygen delivery to vital organs

Oxygen therapy

The blood pressure

Inserting a CVP line

Fluid challenge

Surviving sepsis

Anaphylactic reaction

Emergency blood transfusion in shock

Transfusion reactions

Massive blood transfusion

Acute kidney injury

Management: resuscitation begin with ‘ABCDE’

Emergency (acute renal failure) management of hyperkalaemia

Establishing a management plan

Sudden collapse and cardiac arrest

Chain of survival

Basic life support

After basic life support

Do not attempt resuscitation

Bereavement on the Acute Medical Unit

Emerging problems: outbreaks and deliberate releases – SARS, toxins and biological agents
View less >

How infection spreads

Severe acute respiratory syndrome

Case definition of SARS

Other emerging infections

Unusual illnesses – deliberate release of infectious and chemical agents

Deliberate release of infectious agents

General principles

Examples of potential pathogens and initial symptoms

Poisoning with nerve agents

Key nursing skills in outbreaks and deliberate releases

Index

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