High-Acuity Nursing -- Pearson eText

Kathleen Wagner, EdD, MSN, RN, is now faculty emerita, having recently retired from the University of Kentucky College of Nursing after many years of teaching pathophysiology, pathopharmacology, and high-acuity nursing to undergraduate nursing students. She was also the educational consultant for the Undergraduate Nursing Program at the University of Kentucky. She has a doctorate in instructional systems design and continues to work on a team developing web-based clinical simulations for nursing students.Melanie Hardin-Pierce, DNP, RN, APRN, ACNP-BC, is a tenured associate professor in the University of Kentucky College of Nursing, where she has over 30 years of experience as a critical care nurse and has taught high-acuity nursing to undergraduate and graduate nursing students. She currently teaches in the Doctor of Nursing Practice program and is the Coordinator of the Adult Geriatric Acute Care Nurse Practitioner DNP Option. In addition to teaching, she has been active in curriculum development in both baccalaureate and graduate nursing programs. She earned her Doctor of Nursing Practice degree at the University of Kentucky, having studied oral health in mechanically ventilated patients. She is a board-certified acute care nurse practitioner who practices as a critical care intensivist in the Veterans Health Administration Medical Center, Cooper Drive Division, Lexington. She is active in research of critically ill, mechanically ventilated patients; evidence-based practice; and interdisciplinary collaboration.Darlene Welsh, PhD, MSN, RN, is Associate Professor, BSN Program Director, and Assistant Dean of Undergraduate Faculty Affairs at the University of Kentucky College of Nursing. Dr. Welsh earned a PhD in Educational Psychology and an MS in Nursing from the University of Kentucky. Her experiences in the care of critically ill patients include direct patient care, the conduct of research, and supervision of undergraduate and graduate students. Her research interests center on the provision of dietary instruction for patients with heart failure and interprofessional education for clinicians.

• Brief Contents PART 1: INTRODUCTION TO HIGH-ACUITY NURSING High-Acuity NursingHolistic Care of the Patient and FamilyPalliative and End-of-life CareThe Older Adult High-Acuity PatientPART 2: THERAPEUTIC SUPPORT OF THE HIGH-ACUITY PATIENT Acute Pain ManagementNutrition SupportMechanical VentilationBasic Hemodynamic MonitoringBasic Cardiac Rhythm MonitoringComplex Wound ManagementPART 3: PULMONARY Determinants and Assessment of Pulmonary FunctionAlterations in Pulmonary FunctionPART 4: CARDIOVASCULAR Determinants and Assessment of Cardiac FunctionAlterations in Cardiac FunctionAlterations in Myocardial Tissue PerfusionPART 5: NEUROLOGIC Determinants and Assessment of Cerebral FunctionMentation and Sensory Motor Complications of Acute IllnessAcute Stroke InjuryTraumatic Brain InjuryAcute Spinal Cord InjuryPART 6: GASTROINTESTINAL Determinants and Assessment of Gastrointestinal FunctionAlterations in Gastrointestinal FunctionAlterations in Liver FunctionAlterations in Pancreatic FunctionPART 7: FLUID AND ELECTROLYTES Determinants and Assessment of Fluid and Electrolyte BalanceAlterations in Fluid and Electrolyte BalanceAlterations in Kidney FunctionPART 8: HEMATOLOGIC Determinants and Assessment of Hematologic FunctionAlterations in Red Blood Cell Function and HemostasisAlterations in White Blood Cell Function and Oncologic EmergenciesPART 9: NUTRITION AND METABOLISM Determinants and Assessment of Nutrition and Metabolic FunctionMetabolic Response to StressDiabetic CrisesPART 10: MULTISYSTEM DYSFUNCTION Determinants and Assessment of OxygenationMultiple TraumaAcute Burn InjuryShock StatesMultiple Organ Dysfunction SyndromeSolid Organ and Hematopoietic Stem Cell Transplantation