Essential Clinical Procedures E-Book , livre ebook

Essential Clinical Procedures
Third Edition

Richard W. Dehn, MPA, PA-C
Professor and Chair, Department of Physician Assistant Studies, College of Health and Human Services, Northern Arizona University Phoenix Biomedical Campus, Phoenix, Arizona

David P. Asprey, PhD, PA-C
Professor and Chair, Department of Physician Assistant Studies and Services
Assistant Dean, Office of Student Affairs and Curriculum, Carver College of Medicine, University of Iowa, Iowa City, Iowa
Saunders
Table of Contents
Cover image
Title page
Copyright
Acknowledgments
Preface
Contributors
Chapter 1: Informed Consent
Chapter 2: Standard Precautions
Background and History
Body Substance Isolation
Universal Precautions
Standard Precautions
Gloves, Gowns, Masks, and Other Protective Barriers as Part of Universal Precautions
The Application of Standard Precautions in Clinical Procedures
Chapter 3: Sterile Technique
Background and History
Principles of Sterile Technique
Surgical Hand Scrub
Materials for the Hand Scrub
Materials to Prepare the Procedure Site
Materials for Draping a Patient and the Procedure Site
Special Considerations
Chapter 4: Blood Pressure Measurement
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Time of Measurement
Materials for Blood Pressure Measurement
Special Considerations
Materials For Measuring Orthostatic Blood Pressure
Follow-Up Care and Instructions
Chapter 5: Venipuncture
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials
Special Considerations
Follow-Up Care and Instructions
Chapter 6: Obtaining Blood Cultures
Background and History
Indications
Contraindications
Potential Complications
Review of Essential Anatomy and Physiology
Patient Preparation
Materials
Special Considerations
Follow-Up Care and Instructions
Chapter 7: Inserting Intravenous Catheters
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials
Special Considerations
Follow-Up Care and Instructions
Chapter 8: Arterial Puncture
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials
Special Considerations
Follow-Up Care and Instructions
Chapter 9: Injections
Background and History
Indications
Contraindications
Potential Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials
Special Considerations
Follow-Up Care and Instructions
Chapter 10: Recording an Electrocardiogram
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials
Special Considerations
Follow-Up Care and Instructions
Chapter 11: Exercise Stress Testing
Background and History
Indications
Contraindications
Essential Anatomy and Physiology
Patient Preparation
Special Considerations
Follow-Up Care
Chapter 12: Endotracheal Intubation
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Follow-Up Care and Instructions
Chapter 13: Office Pulmonary Function Testing
Background and History
Indications
Contraindications and Patient Considerations
Economics
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials
Special Considerations
Follow-Up Care and Instructions
Chapter 14: Nasogastric Tube Placement
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials
Special Considerations
Follow-Up Care and Instructions
Chapter 15: Lumbar Puncture
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials
Special Considerations
Follow-Up Care and Instructions
Chapter 16: Urinary Bladder Catheterization
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials
Types of Catheters
Catheter Size Requirements
Follow-Up Care and Instructions
Chapter 17: Epistaxis and Nasal Foreign Body Removal
Epistaxis
Contraindications
Potential Complications
Essential Anatomy and Physiology
Cause of Nasal Bleeding and Pathophysiology
Patient Preparation
Materials
Follow-Up Care and Instructions
Nasal Foreign Body Removal
Contraindications
Essential Anatomy and Physiology
Materials
Follow-Up Care and Instructions
Chapter 18: The Pelvic Examination and Obtaining a Routine Papanicolaou Smear
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials
Special Considerations
Follow-Up Care And Instructions
Interpretation of the Pap Smear
Chapter 19: Reduction of the Shoulder/Finger Subluxations
Shoulder Subluxation or Dislocation
Indication
Clinical Symptoms
Diagnosis
Materials
Potential Complications
Treatment
Follow-Up Care and Instructions
Finger Subluxation or Dislocation
Indication
Clinical Symptoms
Referral Decisions
Chapter 20: Joint and Bursal Aspiration
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Pathophysiology: Joint Aspiration
Patient Preparation: Joint Aspiration
Materials Used for Performing Joint and Bursal Aspiration
Follow-Up Care and Instructions: Joint Aspiration
Essential Anatomy and Physiology: Bursal Aspiration
Patient Preparation: Bursal Aspiration
Follow-Up Care and Instructions: Bursal Aspiration
Chapter 21: Casting and Splinting
Background and History
Indications
Contraindications
Potential Complications
Expected Outcomes
Essential Anatomy and Physiology
Patient Preparation
Materials
Materials Used for Applying a Short-Arm Cast
Materials Used for Applying a Short-Leg Cast
Materials Used for Applying a Short-Arm Ulnar Gutter Splint
Materials Used for Applying a Short-Leg Posterior Mold Splint
Materials Used for Applying a Lower Leg Sugar Tong Splint
Follow-Up Care and Instructions
Chapter 22: Local Anesthesia
Background and History
Essential Anatomy and Physiology
Indications
Contraindications
Potential Complications
Patient Preparation
Materials Used for Administering Anesthetics
Follow-Up Care and Instructions
Chapter 23: Wound Closure
Background and History
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials Used for Performing Irrigation, Cleansing, and Debridement
Materials Used to Perform Suturing
Special Considerations
Materials Used for Using Skin Staplers
Materials Used for Applying Wound Adhesives
Follow-Up Care and Instructions for Sutured or Stapled Wounds
Follow-Up Care and Instructions for Adhesive-Closed Wounds
Example of a Wound Closure Procedure Note
Chapter 24: Dermatologic Procedures
Biopsy
Indications
Contraindications
Potential Complications
Essential Anatomy and Physiology
Patient Preparation
Materials Used to Perform a Shave or Saucerization Biopsy
Materials Used to Perform a Snip Biopsy
Materials Used to Perform a Curettage
Follow-Up Care and Instructions
Punch Biopsy
Contraindications
Potential Complications
Patient Preparation
Materials Used to Perform a Punch Biopsy
Follow-Up Care and Instructions
Excisional Biopsy
Potential Complications
Patient Preparation
Materials Used to Perform an Excisional Biopsy
Special Considerations
Follow-Up Care and Instructions
Electrosurgery
Indications
Contraindications
Potential Complications
Patient Preparation
Materials Used to Perform Electrosurgery
Follow-Up Care and Instructions
Acne Surgery
Indications
Contraindications
Potential Complications
Patient Preparation
Materials Used to Perform Acne Surgery
Follow-Up Care and Instructions
Chapter 25: Incision and Drainage of an Abscess
Background and History
Indications
Contraindication