Mosby's PDQ for RN - E-Book

Mosby

Description

Easily locate critical clinical information at a moment's notice with Mosby's PDQ. This easy-to-use, pocket-sized guide is your rapid reference to the hundreds of important nursing facts, formulas, lab values, and procedures you might need in the clinical setting. 10 color coded sections break out key coverage of drugs, emergency care, pediatrics, patient teaching, obstetrics, geriatrics, patient assessment, and more. A special facts sections contains additional information on essential formulas, conversion tables, and abbreviations.

• 10 tabbed, color-coded sections with contents listed on each divider give you quick access to hundreds of essential facts, formulas, lab values, procedures, ECG info, and more within each section.
• Durable and buoyant waterproof paper can be written on and wiped off as needed.
• Handy bookmark/ruler easily slides in and out and includes a variety of important measurements including inches, millimeters, pupillary size, pain rating, and heart rate.
• Pocket size format and spiral binding makes this book easy to carry and use in any clinical setting.
• Commonly used but rarely memorized clinical information, such as charts, graphs, formulas, conversions, and lab values, is included to help you have vital information right on hand to deliver safe and effective nursing care.
• Tabs for obstetric, pediatric, and geriatric information enables you to easily find information to treat these specialized populations.

• Printed on waterproof and stain-resistant paper, this durable reference is tough enough for any clinical setting and will even float if it falls into water.
• A ruler with selected standard measurements slides in and out of the spiral binding and serves as a handy bookmark.
• All information is HIPAA and OSHA compliant to keep you current with the latest practice standards and guidelines.
• A new Geriatrics tab offers quick access to information specific to caring for older adults.
• Vital Signs and Assessment are combined in one section for quick reference.
• New and expanded information on emergency care provides essential guidelines for treating stroke patients, assessing trauma patients, and responding to cardiopulmonary arrest.
• Additional patient teaching resources, such as reliable web sites and cancer screening recommendations, help you communicate more effectively with your patients.

Sujets

• Medical
• Médecine
• Reference
• Nursing

Informations

• Publié par: Mosby
• Date de parution: 10 février 2012
• Nombre de lectures: 2
• EAN13: 9780323084468
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Mosby’s PDQ for RN
Practical • Detailed • Quick
Third Edition

Mosby

ELSEVIER
Table of Contents
Cover image
Title page
Copyright
Reviewers
Make this book work for you!
Chapter 1: PROCEDURES
INFECTION CONTROL
SPECIMEN COLLECTION
BLOOD ADMINISTRATION
GASTROINTESTINAL
GENITOURINARY
RESPIRATORY MANAGEMENT
WOUNDS
Chapter 2: VITAL SIGNS/ASSESSMENT
VITAL SIGNS
HEALTH HISTORY
EXAMINATION
CLINICAL FINDINGS OF COMMON CONDITIONS
Chapter 3: MEDS/IV
DOSE CALCULATORS
Chapter 4: LABS
Chapter 5: EMERGENCY/ECG
CARDIAC
RESPIRATORY
NEUROLOGIC
TRAUMA
EMERGENCY DRUGS
Chapter 6: OBSTETRICS
DELIVERY DATE CALCULATIONS
GRAVIDITY/PARITY (GTPAL)
EXPECTED CHANGES
LABOR/DELIVERY
Fetal Heart Rate Assessment50
NEWBORN
GESTATIONAL COMPLICATIONS
Chapter 7: PEDIATRICS
PROCEDURES/EQUIPMENT
VITAL SIGNS/PAIN25
PEDIATRIC PAIN ASSESSMENT
BLOOD GASES
RESPIRATORY FAILURE
ABUSE ASSESSMENT
DRUGS
Chapter 8: GERIATRICS
ELDER RESOURCES
RISK Assessment Tool for Falls44
Chapter 9: HEALTH MAINTENANCE
ACTIVITY/EXERCISE
NUTRITION
SLEEP
STRESS MANAGEMENT
SCREENING
IMMUNIZATIONS
Chapter 10: FACTS
MEASUREMENT
HEIGHT AND WEIGHT CONVERSION
TEMPERATURE CONVERSION
SOURCES
INDEX
Copyright

3251 Riverport Lane
Maryland Heights, Missouri 63043
Mosby’s PDQ for RN: Practical, Detailed, Quick
ISBN: 978-0-323-08445-1
Copyright © 2013, 2008, 2004 by Mosby, Inc., an imprint of Elsevier Inc.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Rights Department: phone: [phone] (US) or ([phone] (UK); fax: [phone]; e-mail: [e-mail] . You may also complete your request on-line via the Elsevier website at http://www.elsevier.com/permissions .


NOTICE
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Authors assumes any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.
The Publisher
ISBN: 978-0-323-08445-1
Content Strategy Director: Robin Carter
Content Manager: Lauren Lake
Publishing Services Manager: Deborah L. Vogel
Project Manager: Pat Costigan
Design Direction: Teresa McBryan
Interior Design and Composition: MWdesign, Inc.
Book Designer: Ashley Eberts
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Reviewers

Christina D. Keller, RN, MSN
Radford University, Radford, Virginia

Mary Ann Kolis, RN, MSN, ANP-BC
Gateway Technical College, Kenosha, Wisconsin
Make this book work for you!
PROCEDURES

Infection Control
Standard Precautions,
Transmission-Based Precautions,
Specimen Collection
Nasal/Throat Specimens,
Urine specimen,
Venipuncture for Blood Specimen Collection,
Arterial Puncture for Specimen Collection,
Common Blood Collection Tubes,
Blood Administration
Administration of a Blood Transfusion,
Types of Blood Products,
Transfusion Reactions,
Gastrointestinal
Insertion of a Nasogastric Tube,
Administration of Enteral Nutrition (Tube Feeding),
Genitourinary
Insertion of a Urinary Catheter,
Removal of an Indwelling Catheter,
Respiratory Management
Oxygen Delivery Devices,
Artificial Airway Suctioning,
Assessment of a Patient with a Chest Tube,
Pulse Oximetry: Interpretation and Action,
Wounds
Performing a Dressing Change,
SEE ALSO
MEDS/IV
Dose Calculators,
Injections,
IV Therapy,
Insulin Administration,
PEDIATRICS
Airway and Gastric Equipment,
Suctioning,
Intravenous Access,
IM Injection Sites,
Oxygen Administration,


This section describes a variety of nursing procedures. Although not specifically stated, it is expected that the nurse will check physician orders, obtain appropriate equipment, discuss the procedure to be performed with the patient, take appropriate infection control measures (wash hands, wear gloves, etc.), and document each procedure.

INFECTION CONTROL

Standard Precautions 39, 46


Purpose: Used to prevent nosocomial infections—applied to all patients.

• Hand hygiene: Two acceptable methods for hand hygiene:
– Handwashing (HW) with soap and water by rubbing hands together vigorously for 15 seconds covering all surface areas

– Decontamination (D) with alcohol-based hand rub by applying product to palm of one hand and rubbing hands together, covering all surfaces of hands and fingers, until hands are dry
Indications:
– Before and after patient contact, even when gloves are worn (HW or D)
– After contact with objects/equipment in patient environment (HW or D)
– Hands are visibly dirty or contaminated (HW)
– Before and after eating (HW)
– After using restroom (HW)
• Gloves: Worn whenever contact with body fluids is likely.
• Mask and/or eye cover: Worn when splashing of body fluids is likely.
• Gown: Worn when soiling of exposed skin or clothing is likely.
• Needles/sharps: Do not recap or break needles; discard all sharp objects immediately in a puncture-resistant container.
• Properly clean or discard patient care equipment.
• Place contaminated linen in a leak-proof bag.

Transmission-Based Precautions 40, 46 CATEGORY DISEASE BARRIER PROTECTION Airborne precautions Diseases transmitted by small droplet nuclei (smaller than 5 microns), such as measles, chickenpox, TB, etc. Private room; negative airflow of at least six air exchanges per hr; respirator or mask Droplet precautions Diseases transmitted by large droplets from mucous membranes, nose, mouth (larger than 5 microns), such as streptococcal pharyngitis, pertussis, mumps, pneumonic plague, meningococcal pneumonia, etc. Private room; mask when within 3 ft of patient Contact precautions Diseases transmitted by direct patient or environmental contact, such as colonization or infection with drug-resistant organisms, wound infections, herpes simplex, scabies, etc. Private room; gloves; gown

SPECIMEN COLLECTION

Nasal/Throat Specimens 38


Purpose: Obtain nasal or throat specimen for culture.

1. Have patient sit erect in bed and tilt head back.
2. Don gloves; loosen tube top on culture tubes.
3. Collect nasal culture:
a. Have patient blow nose.
b. Assess nasal passages for patency (use nasal speculum if needed).
c. Gently swab any inflamed or purulent areas.
d. Withdraw swab carefully; avoid touching the nasal speculum.
e. Place swab into culture tube and crush ampule in bottom of tube to release culture medium.
f. Ensure that swab tip is immersed in the medium liquid and secure top on the tube.
4. Collect throat culture:
a. Have patient open throat and say “ah.”
b. Assess throat for inflammation and drainage.
c. Use tongue depressor to flatten tongue.
d. Insert swab without touching lips, teeth, tongue, cheeks, or uvula.
e. Gently and quickly swab tonsillar pillars, making contact with inflamed purulent sites.
f. Withdraw swab carefully, avoiding all oral structures.
g. Place swab into culture tube and crush ampule in bottom of tube to release culture medium.
h. Ensure that swab tip is immersed in the medium liquid and secure top on the tube.

Urine Specimen Random specimen

• Patient voids in specimen container.
Document time, label specimen container, send to laboratory. Sterile specimen • Clean catch (female): Instruct patient to clean meatus, void small amount into toilet while separating labia; without interrupting flow, catch urine stream in sterile specimen cup.   • Clean catch (male): Instruct patient to pull back foreskin, clean meatus, void small amount into toilet; without interrupting flow, catch urine stream in sterile specimen cup.   • From indwelling catheter: Clamp tubing distal to collection port. After 15-30 minutes, clean collection port with alcohol, then aspirate urine from tubing us