
Acute Cardiac Care
Beschreibung
Rezensionen / Stimmen
"An excellent and versatile text and would have no hesitation in recommending it as a resource to students and colleagues alike." (British Journal of Cardiac Nursing, March 2010)Weitere Details
Weitere Ausgaben
Personen
Inhalt
- Cover
- Contents
- Contributors
- Foreword
- Preface
- 1 Mechanics of the Cardiovascular System
- Overview
- Basic heart anatomy
- The cardiac cycle
- Cardiac output
- Conclusion
- 2 Regulation of Cardiac and Vascular Function
- Overview
- Central nervous system regulation of the cardiovascular system
- Vasomotor control
- Baroreceptors
- Chemoreceptors
- Humoral control
- Electrolytes
- Conclusion
- 3 Cardiac Electrophysiology
- Overview
- Cardiac cells
- The action potential
- The action potential in non-pacemaker cells
- The cardiac conduction system
- The electrocardiogram
- Conclusion
- 4 The Coronary Circulation
- Overview
- The coronary circulation
- The left main coronary artery
- The LAD artery
- The LCX or CX artery
- The right coronary artery
- Collateral circulation
- Microvascular circulation
- Coronary venous circulation
- 5 Risk Factors for Cardiovascular Disease
- Overview
- Classification of risk factors for CVD
- Biomedical risk factors
- Behavioural risk factors
- Psychosocial risk factors
- Conclusion
- 6 Populations at Risk
- Overview
- Risk factors for CVD
- Clarifying risk
- Risk assessment tools
- Populations at increased risk
- Targeting treatment
- Using what we know
- Conclusion
- 7 Evidence-Based Practice
- Overview
- The need for change
- Evidence-based practice
- Barriers to the evidence
- Conclusion
- 8 Ethics of Research in Acute Cardiac Care
- Overview
- Evidence-based medicine and clinical trials
- Informed consent for trial participation
- What is an ethical dilemma?
- Genetic research
- Considering an offer for the unit to participate in a clinical trial
- Ethical issues in marketing and pricing of new pharmaceutical agents
- Conclusion
- 9 Cardiovascular Assessment
- Overview
- Health history
- Physical examination
- Conclusion
- 10 Electrocardiogram Interpretation
- Overview
- Normal sequence of depolarisation and repolarisation
- Theoretical basis of electrocardiography
- Determining the cardiac axis
- Determination of heart rate and electrocardiographic intervals
- Chamber enlargement
- Bundle branch block
- ECG changes related to myocardial ischaemia and infarction
- Obtaining a 12-lead ECG
- Conclusion
- 11 Cardiac Monitoring
- Overview
- ECG monitoring systems and lead formats
- Indications for arrhythmia monitoring
- Nursing considerations in the care of the patient with ECG monitoring
- 12 Laboratory Tests
- Overview
- Generic laboratory tests
- Electrolytes
- Renal function
- Glucose measurement
- Lipid profiles
- Complete blood examination
- Clotting screen
- Biochemical markers
- Markers of myocardial necrosis
- Cardiac natriuretic peptides
- C-reactive protein
- Conclusion
- 13 Diagnostic Procedures
- Overview
- Chest X-ray
- Cardiac catheterisation (angiogram)
- Echocardiography
- Stress testing
- Magnetic resonance imaging
- Computerised tomography
- Electrophysiology studies
- Conclusion
- 14 Sudden Cardiac Death
- Overview
- Definitions
- Burden of disease and risk factors for SCD
- Sudden death in the young (including athletes)
- Structural abnormalities
- Cardiomyopathies and SCD
- Genetic syndromes and SCD
- Conclusion
- 15 Out-of-Hospital Cardiac Arrest and Automated External Defibrillation
- Overview
- Out-of-hospital cardiac arrest
- Hazards to the victim and rescuer
- Recognition of cardiac arrest and BLS
- Automated external defibrillation
- Conclusion
- 16 Ethical Issues in Resuscitation
- Overview
- Guiding ethical principles in resuscitation
- Futility
- Rights of the individual versus the needs of society
- Patient perceptions of resuscitation
- Introducing the DNR conversation
- Witnessed resuscitation
- Withdrawal of treatment
- Organ donation
- Training and research with the newly dead
- 17 Pathogenesis of Acute Coronary Syndromes
- Overview
- Acute coronary syndrome
- Atherosclerosis
- Endothelial dysfunction
- Plaque disruption
- Inflammation
- Thrombosis
- Vasoconstriction
- Conclusion
- 18 Presentations of Acute Coronary Syndromes
- Overview
- Angina pectoris
- Stable angina
- The acute coronary syndromes
- Global trends in ACS presentations
- Clinical history in ACS
- Physical examination in ACS patients
- The 12-lead electrocardiogram in ACS
- Cardiac markers in ACS
- Clinical assessment and risk stratification in ACS
- Conclusion
- 19 Risk Stratification in Acute Coronary Syndromes
- Overview
- Introduction
- Risk stratification
- Risk stratification guidelines
- Risk scores
- Chest pain units
- Conclusion
- 20 Reducing Time to Treatment
- Overview
- Benefits of early reperfusion
- Identifying and addressing delays
- Conclusion
- 21 Reperfusion Strategies
- Overview
- Pathogenesis of STEMI
- Principles of reperfusion strategies
- Options for reperfusion
- Strategies for reducing treatment time delays
- Detecting and managing failed reperfusion
- Preventing and detecting re-occlusion
- Conclusion
- 22 Adjunct Pharmacological Agents in Acute Coronary Syndromes
- Overview
- Anti-ischaemic therapies
- Antiplatelet and anticoagulant therapy
- Inhibitors of the renin-angiotensin-aldosterone system
- Statins
- Conclusion
- 23 Arrhythmias
- Overview
- Basic electrophysiology
- Mechanisms of arrhythmia generations
- Cardiac monitoring
- Rhythm interpretation
- Determining the rhythm
- Tachyarrhythmias
- Asystole
- Treatment of arrhythmias
- Conclusion
- 24 In-Hospital Resuscitation
- Overview
- Introduction
- Prevention: systems for identifying patients at risk of cardiac arrest
- Early recognition and management of critically ill patients
- In-hospital resuscitation
- Working within your scope of practice
- Audit and data collection
- Conclusion
- 25 Acute Heart Failure
- Overview
- Introduction
- Establishing the diagnosis
- Management specifics
- Refractory AHF
- Dignity, communication and preventing complications: 'back to basics'
- Managing chronic heart failure better to reduce the need for re-hospitalisation
- Conclusion
- 26 Convalescence
- Overview
- Introduction
- Assessment and identification of patient needs
- High risk groups
- Promoting self-management in the convalescent phase
- Particular concerns of spouses and family members
- Accommodating convalescence and discharge planning following an acute cardiac event
- Models of intervention to facilitate convalescence and secondary prevention
- Nursing strategies to promote convalescence
- Palliative care
- Conclusion
- 27 Discharge Planning and Secondary Prevention
- Overview
- Discharge planning
- Secondary prevention
- Provision of secondary prevention
- Components of secondary prevention
- Cardio-protective drug therapy
- Challenges in secondary prevention
- Conclusion
- Index
- A
- B
- C
- D
- E
- F
- G
- H
- I
- J
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- U
- V
- W
- Z
Systemvoraussetzungen
Dateiformat: PDF
Kopierschutz: Adobe-DRM (Digital Rights Management)
Systemvoraussetzungen:
- Computer (Windows; MacOS X; Linux): Installieren Sie bereits vor dem Download die kostenlose Software Adobe Digital Editions (siehe E-Book Hilfe).
- Tablet/Smartphone (Android; iOS): Installieren Sie bereits vor dem Download die kostenlose App Adobe Digital Editions oder die App PocketBook (siehe E-Book Hilfe).
- E-Book-Reader: Bookeen, Kobo, Pocketbook, Sony, Tolino u.v.a.m. (nicht Kindle)
Das Dateiformat PDF zeigt auf jeder Hardware eine Buchseite stets identisch an. Daher ist eine PDF auch für ein komplexes Layout geeignet, wie es bei Lehr- und Fachbüchern verwendet wird (Bilder, Tabellen, Spalten, Fußnoten). Bei kleinen Displays von E-Readern oder Smartphones sind PDF leider eher nervig, weil zu viel Scrollen notwendig ist.
Mit Adobe-DRM wird hier ein „harter” Kopierschutz verwendet. Wenn die notwendigen Voraussetzungen nicht vorliegen, können Sie das E-Book leider nicht öffnen. Daher müssen Sie bereits vor dem Download Ihre Lese-Hardware vorbereiten.
Bitte beachten Sie: Wir empfehlen Ihnen unbedingt nach Installation der Lese-Software diese mit Ihrer persönlichen Adobe-ID zu autorisieren!
Weitere Informationen finden Sie in unserer E-Book Hilfe.