Monitoring the Critically Ill Patient / Edition 3

by Philip Jevon, Beverley Ewens, Jagtar Singh Pooni

Overview

Monitoring the Critically Ill Patient is an invaluable, accessible guide to caring for critically ill patients on the general ward. Now fully updated and improved throughout, this well-established and handy reference guide text assumes no prior knowledge and equips students and newly-qualified staff with the clinical skills and knowledge they need to confidently monitor patients at risk, identify key priorities, and provide prompt and effective care.

This new edition includes the following five new chapters:

• Monitoring the critically ill child
• Monitoring the critically ill pregnant patient
• Monitoring the patient with infection and related systemic inflammatory response
• Monitoring a patient receiving a blood transfusion
• Monitoring pain

Product Details

ISBN-13:	9781444337471
Publisher:	Wiley
Publication date:	04/16/2012
Series:	Essential Clinical Skills for Nurses Series , #19
Edition description:	3rd ed.
Pages:	384
Product dimensions:	4.80(w) x 7.30(h) x 0.70(d)

About the Author

Philip Jevon is Resuscitation Officer/Clinical Skills Lead, Manor Hospital, Walsall. He is Honorary Clinical Lecturer at Birmingham Medical School, and Editor of The British Journal of Resuscitation

Beverley Ewens is Nurse Manager in Critical Care at Joondalup Health Campus, Perth, Western Australia. She is an ALS instructor and Course Director for the ALERT course at Walsall.

Table of Contents

Foreword vii

Preface ix

Contributors xi

1 Recognition and Management of the Deteriorating Patient 1

2 Assessment of the Critically Ill Patient 25

3 Monitoring Respiratory Function 39

4 Monitoring Cardiovascular Function 1: ECG Monitoring 91

5 Monitoring Cardiovascular Function 2: Haemodynamic Monitoring 115

6 Monitoring Neurological Function 154

7 Monitoring Renal Function 177

8 Monitoring Gastrointestinal Function 197

9 Monitoring Hepatic Function 209

10 Monitoring Endocrine Function 218

11 Monitoring Nutritional Status 231

12 Monitoring Temperature 244

13 Monitoring Pain 258

14 Monitoring a Patient Receiving a Blood Transfusion 267

15 Monitoring the Patient with Infection and Related Systemic Inflammatory Response 281

16 Monitoring the Critically Ill, Pregnant Patient 302

17 Monitoring the Critically Ill Child 320

18 Monitoring During Transport 336

19 Record Keeping 346

Index 355

Editorial Reviews

This would be a helpful guide for nurses working in any acute setting; acute wards, coronary care, critical care outreach or the emergency department. It is also a good introductory tool for critical care nurses explaining the principles of assessment, different types of invasive monitoring and waveforms and so on.”  (Nursing Times, 17 October 2012)

From the Publisher

Reviewer: Cynthia Cummings, EdD, RN, CHSE, CNE (University of North Florida Brooks College of Health)
Description: This book outlines the body systems, methods of monitoring those systems, and how to identify critical changes in patients. It includes some examples and pictures of equipment and some pertinent case studies. This edition adds information on monitoring patients receiving blood transfusions, patients with systemic inflammatory response syndrome (SIRS), pregnant patients, and critically ill children.
Purpose: It is intended as an aid to nurses caring for critically ill patients. It attempts to provide an overview of all systems and how to best care for patients at risk. Although these are worthy objectives, I do not feel the book is needed or that it meets the needs of nurses in the acute care setting.
Audience: Novice nurses caring for critically ill patients are the intended audience.
Features: The book covers all of the body systems and highlights monitoring and identification of problems. The beginning chapters cover rapid response identification areas. The book does a good job covering the main areas of respiratory and cardiac functioning as well as the new additions on SIRS and caring for pregnant patients. The major shortcoming of the book is that it is really a recapitulation of content found in medical-surgical and critical care books. It also is dull, lacking color and highlights. As a U.K.-authored book, it references acronyms and equipment not necessarily familiar to a U.S. audience.
Assessment: This is mainly a brief outline of the major body systems and, while it provides some good information, it reiterates information that nurses should already be aware of. The material on the use of ventilators and hemodynamic monitoring is good, but it could be highlighted and delineated in a more reader-friendly format. The book could be more colorful, providing color pictures of new equipment, highlighting important areas and new research, and providing more examples for the care of critically ill patients. It could omit the areas that should be common knowledge.

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