AACN Essentials of Critical Care Nursing (3rd Edition) - download pdf or read online

By Suzanne Burns

ISBN-10: 0071822798

ISBN-13: 9780071822794

Concise but thorough tips on easy methods to effectively and accurately deal with grownup, significantly unwell sufferers and their households

Endorsed via the yankee organization of Critical-Care Nurses (AACN) and written by way of most sensible medical specialists in serious care nursing, this textbook covers all of the must-know info at the care of grownup, seriously sick sufferers and their households. Supported by way of beneficial tables and algorithms, the book's useful, building-block association starts off with the fundamentals earlier than continuing to extra advanced strategies. AACN necessities of severe Care Nursing comprises crucial content material present in ECCO (Essentials of serious Care Orientation, a web application provided via AACN), key details essential to effectively organize for CCRN certification in severe care nursing, and lots more and plenty extra. AACN necessities of severe Care Nursing is split into 4 sections:

THE ESSENTIALS — provides middle details that new clinicians needs to comprehend to supply secure, useful nursing care to all severely ailing sufferers, despite their underlying scientific diagnoses

PATHOLOGICAL CONDITIONS — covers pathologic stipulations and administration innovations in general encountered between grownup severe care sufferers

ADVANCED suggestions IN taking care of THE severely in poor health PATIENT — strikes past the necessities and provides complicated serious care recommendations or pathologic stipulations which are much less universal or extra really good than anticipated in severe care perform

KEY REFERENCE INFORMATION — positive factors general laboratory and diagnostic values, algorithms for complex cardiac existence aid, troubleshooting publications for hemodynamic tracking, precis tables of serious care medications, and cardiac rhythms and remedy guides

Learning aids comprise wisdom talents that may be used to gauge growth and "Essential Content" case stories with questions and solutions to extra toughen your wisdom.

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Die sicherlich schwerwiegendste atemmechanische Veranderung ist die durch den geringen Tubusdurchmesser bedingte WiderstandserhOhung. Bei Sauglingen und Kleinkindem wurde gefunden, dass der Gesamtwiderstand nach Extubation im Mittel um 44% abnimmt, d. h. bei tracheal intubierten Kindem entfiillt nahezu die Halfte des gesamten Stromungswiderstandes auch bei ruhiger Atmung auf den Endotrachealtubus. Um die Ventilation aufrechtzuerhalten, muss das intubierte Kind die Diaphragmaaktivitat stark erhohen, was die Gefahr der Ermudung ("diaphragmatic fatigue") entsprechend stark erhoht: Man hat bei Kindem nach Extubation eine mittlere Abnahme der Diaphragmaaktivitat um nahezu 30% gefunden.

Bei laminarer Stromung ist der Stromungswiderstand konstant. Bei voll entwickelter laminarer Stromung ist das Stromungsprofil, d. h. die Geschwindigkeitsverteilung parabelfiirmig. Bei turbulenter Stromung (Abb. 3-7 unteres Diagramm). Den Ubergang zwischen beiden Teilen markiert der kritische Fluss Vkrit • Db eine Stromung laminar bleibt oder turbulent wird, hangt davon ab, ob die an den Stromungsteilchen angreifenden Tragheitskrafte oder die Reibungskrafte (Zahigkeitskrafte) iiberwiegen. Die von dem englischen Physiker Reynolds (1842-1912) zum ersten Mal angegebene (und nach ihm benannte) Reynolds-Zahl Re gibt das Verhaltnis von Tragheitskraften zu Reibungskraften an (Reibungskrafte werden nach dem Newton-Reibungsgesetz, die Tragheitskrafte werden nach dem Newton-Grundgesetz der Mechanik abgeleitet).

Ln) und fOr Exspiration (~PETT,EX) markiert. Die Pfeilrichtung geht jeweils yom Atemwegsdruck zum Trachealdruck. Die aufwiirts gerichteten Pfeile markieren die Inspiration, die abwiirts gerichteten Pfeile markieren die Exspiration den Atlas der Atemkurven ganz konsequent der gemessene Atemwegsdruck und der gemessene Trachealdruck abgebildet. Die Differenz in Druckrichtung zwischen der Paw-V-Schleife und der Ptrach-V-Schleife ist gleich dem flussabhangigen Druckabfall tiber dem Endotrachealtubus.

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AACN Essentials of Critical Care Nursing (3rd Edition) by Suzanne Burns

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