Read UNIT I text version

AACN Procedure Manual for Critical Care Table of Contents

Edited by Debra J. Lynn-McHale Karen K. Carlson UNIT I

Pulmonary System . . . . . . . . . . . . . . . . . . . 1

Kathleen M. Vollman

SECTION Thoracic Cavity Management

3

95

16 17 18

1 11 17 21 24 27 31 37

Autotransfusion

Julianne M. Deutsch

95 99 109 117 123 127 141 145 151

SECTION Airway Management

1

Performing Chest Tube Placement AP

Denise M. Lawrence

1

Assisting with Chest Tube Placement

Catherine Freismuth Robinson

1 2 3 4 5 6 7 8 9 10 11

Performing Endotracheal Intubation AP

Cindy Goodrich

19 20 21 22 23 24

Chest Tube Removal AP

Peggy Kirkwood

Assisting with Endotracheal Intubation

Julianne M. Deutsch

Assisting with Chest Tube Removal

Catherine Freismuth Robinson

Endotracheal Tube Care

Julianne M. Deutsch

Closed Chest Drainage System

Catherine Freismuth Robinson

Performing Extubation and Decannulation AP

Kay Knox Greenlee

Performing Needle Thoracostomy AP

Cindy Goodrich

Assisting with Extubation and Decannulation

Kay Knox Greenlee

Performing Thoracentesis AP

William Barefoot

Nasopharyngeal Airway Insertion

Kay Knox Greenlee

Assisting with Thoracentesis

William Barefoot and Karen K. Carlson

Oropharyngeal Airway Insertion

Kay Knox Greenlee

Oxygen Tank Preparation and Setup

Sandra L. Schutz

SECTION Ventilatory Management

4

155 155 158 161 164

Endotracheal or Tracheostomy Tube Suctioning

Marianne Chulay

25

41 49 56

Arterial-Venous Oxygen Difference Calculation

Suzanne M. Burns

Tracheal Tube Cuff Care

Kay Knox Greenlee

26 27 28

Auto-PEEP Calculation

Suzanne M. Bums

Tracheostomy Tube Care

Kay Knox Greenlee

Measurement of Compliance and Resistance

Suzanne M. Burns

Manual Self-Inflating Resuscitation Bag

Suzanne M. Burns

SECTION Special Pulmonary Procedures

2

12 13 14 15

64 64 71

29

Continuous End-Tidal Carbon Dioxide Monitoring

Vicki S. Good

Indices of Oxygenation: Alveolar-Arterial Oxygen Difference, Partial Pressure of Arterial Oxygenation to Fraction of Inspired Oxygen Ratio, Partial Pressure of Arterial Oxygen to Alveolar Oxygen Ratio 170

Suzanne M. Burns

Continuous Mixed Venous Oxygen Saturation Monitoring

Jan M. Headley

30 31

Shunt Calculation

Suzanne M. Burns

175

Oxygen Saturation Monitoring by Pulse Oximetry

Sandra L. Schutz

77 83

Ventilatory Management-Volume and Pressure Modes

Suzanne M. Burns

178

Manual Pronation Therapy

Published by W. B. Saunders Company © 2001

Page 1 of 5

AACN Procedure Manual for Critical Care Table of Contents 32

Standard Weaning Criteria: Negative Inspiratory Pressure, Positive Expiratory Pressure, Spontaneous Tidal Volume, and Vital Capacity

Suzanne M. Burns

47

191 196

Temporary Transvenous and Epicardial Pacing

Francine E. Paschall and Ellen Strauss McErlean

285

33

Weaning Procedure

Suzanne M. Burns

SECTION Circulatory Assist Devices

7

299 299

48

205 205 205 211 219 224

Intra-aortic Balloon Pump Management

Debra J. Lynn-McHale

UNIT II

Cardiovascular System . , . . . . . . . . . . . . ... SECTION Cardiac Emergencies

49 50

5

External Counterpressure with Pneumatic Antishock Garments

Denise M. Lawrence

315 320

34

35

Ventricular Assist Devices

Lee Ann Ruess

Automated External Defibrillation

Charlotte A. Green and Karen K Carlson

Cardioversion

Cynthia Hambach

36 37

38

Defibrillation (External)

Virginia Wilson

SECTION Electrocardiographic Leads and Cardiac Monitoring

8

329

51 52 53 54

Defibrillation (Internal)

Joan M. Vitello-Cicciu, Christine Moriarty, and Kellie Smith

Electrophysiologic Monitoring: Hardwire and Telemetry 329

Mary G. McKinley

Emergent Open Sternotomy (Perform) AP

Deborah G. LaMarr

229 234 238

Extra Electrocardiographic Leads: Right Precordial and Left Posterior Leads

Shu-Fen Wung and Barbara J. Drew

338 349 354

39 40

Emergent Open Sternotomy (Assist)

Deborah G. LaMarr

ST Segment Monitoring

Michele M. Pelter and Mary G. Adams

Pericardiocentesis (Assist)

Ann Louise Jones

Twelve-Lead Electrocardiogram

Mary G. McKinley

SECTION Cardiac Pacemakers

6

243 243 251 257

41 42 43 44 45 46

SECTION Hemodynamic Monitoring

9

361 361

Atrial Electrogram

Teresa Preuss and Debra J. Lynn-McHale

55 56 57 58 59

Arterial Catheter Insertion (Perform) AP

Deborah E. Becker

Overdrive Atrial Pacing AP

Carol Jacobson

Implantable Cardioverter-Defibrillator

Cathy M. Martin, Patricia Gonce Morton, and Michael A. Nace

Arterial Catheter Insertion (Assist), Care and Removal 367

Rose B. Shaffer

Blood Sampling from Arterial Pressure Lines379

Rose B. Shaffer

Permanent Pacemaker (Assessing Function) 264

Francine E. Paschall and Ellen Strauss McErlean

Temporary Transcutaneous (External) Pacing 271

Francine E. Paschall and Ellen Strauss McErlea

Blood Sampling from Pulmonary Artery Line

Teresa Preuss and Debra J. Lynn-McHale

385

Temporary Transvenous Pacemaker Insertion (Perform) AP 278

Deborah E. Becker

Cardiac Output Measurement Techniques (Invasive)

Kathleen Ahern Gould, Colette Hartigan, and Suzanne Farley Keane

389

Published by W. B. Saunders Company © 2001

Page 2 of 5

AACN Procedure Manual for Critical Care Table of Contents

60 61 62 63 64 65 66 67 68 69

Central Venous/Right Atrial Pressure Line Removal 401 Marie Arnone Central Venous/Right Atrial Pressure Line Site Care 405 Marie Arnone Central Venous/Right Atrial Pressure Monitoring 408 Marie Arnone Left Atrial Pressure Line, Care and Assisting with Removal 415 Joan M. Vitello-Cicciu and Donna Rosborough Noninvasive Hemodynamic Monitoring: Impedance Cardiography 421 Kathryn T. Von Rueden Pulmonary Artery Catheter Insertion (Perform) AP 431 Desiree A. Fleck Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring 439 Debra J. Lynn-McHale and Teresa Preuss Pulmonary Artery Pressure Line, Removal 457 Teresa Preuss and Debra J. Lynn-McHale Pulmonary Artery Pressure Lines, Troubleshooting 461 Debra J. Lynn-McHale and Teresa Preuss Single and Multiple Pressure Transducer Systems 472 Marie Arnone

UNIT III

Neurologic System SECTION Neurologic Monitoring 551 551

12

78 79 80 81

Intracranial Bolt Insertion (Assist), Monitoring, Care, Troubleshooting, and Removal Jacqueline Sullivan Intraventricular Catheter Insertion (Assist), Monitoring, Care, Troubleshooting, and Removal Jacqueline Sullivan Jugular Venous Oxygen Saturation Monitoring: Insertion (Assist), Care, Troubleshooting, and Removal Jacqueline Sullivan Transcranial Doppler Monitoring AP Anne W Wojner and Andrei V. Alexandrov

551

561

570 580

SECTION 13 Special Neurologic Procedures

588

SECTION 10 Special Cardiac Procedures

82 83 84 85 86 87

70 71

Arterial and Venous Sheath Removal Amy L. Schueler and Rose B. Shaffer Pericardial Catheter Management Kathy McCloy

484 490

SECTION 11 Vascular Access

496 496 503 514 522 533 543

Cerebrospinal Fluid Drainage Assessment 588 Phyllis Dubendorf External Warming/Cooling Devices 591 Eileen M. Kelly Iced Caloric Testing for Vestibular Function (Assist) 598 Phyllis Dubendorf Lumbar Puncture (Perform) AP 602 Anne W Wojner and Marc Malkoff Lumbar and Cisternal Punctures (Assist) 608 Phyllis Dubendorf Lumbar Subarachnoid Catheter Insertion (Assist) for Cerebral Spinal Fluid Pressure Monitoring and Drainage 613 Jacqueline Sullivan

620.

72 73 74 75 76 77

Arterial Puncture Linda Bucher Central Venous Catheter Insertion (Perform) AP Desiree A. Fleck Central Venous Catheter Insertion (Assist) Marie Arnone Peripheral Intravenous Line Insertion Linda Bucher Peripherally Inserted Central Catheter AP Linda Bucher Venipuncture Linda Bucher

SECTION 14

Traction Management

88 89 90 91

External Fixation Device Insertion (Assist)

620

625 631 634

Joanne V. Hickey Halo Traction Care Joanne V. Hickey Tong and Pin Care Joanne V. Hickey Traction Maintenance Joanne V. Hickey

Published by W. B. Saunders Company © 2001

Page 3 of 5

AACN Procedure Manual for Critical Care Table of Contents

SECTION 15

Pain Management

U N I T VI

639 639

647

Hematologic System SECTION 18

Fluid Management

757

92 93

Pain Management Using Epidural Catheters

Robyn Dealtry

Peripheral Nerve Stimulators

Janet G. Whetstone Foster

757 757 765 768

107

Blood and Blood Component Administration

Maribeth Wooldridge-King

UNIT IV

Gastrointestinal System 655 655

108 109 110 111

Blood Pump Use

Maribeth Wooldridge-King

94 95 96 97 98 99 100 101 102

UNIT

Esophagogastric Tamponade Tube

Michael W. Day

Continuous Arteriovenous Rewarming

Christine S. Schulman

Gastric Lavage in Hemorrhage and in Overdose

Robin H. Thomas

664 674

Rapid Infuser for Massive Fluid Resuscitation

Christine S. Schulman

777 786

Intra-abdominal Pressure Monitoring

John J. Gallagher

Transfusion Reaction Management

Maribeth Wooldridge-King

Orogastric and Nasogastric Tube Insertion, Care, and Removal

Karen K Carlson

681 689 694

SECTION 19

Special Hematologic Procedures

Performing Abdominal Paracentesis AP

Peggy Kirkwood

791

Assisting with Abdominal Paracentesis

Peggy Kirkwood and Karen K. Carlson

112 113 114

UNIT

Bone Marrow Biopsy and Aspiration (Perform) AP

Dolores Grosso

791

Performing Percutaneous Peritoneal Lavage AP

Peggy Kirkwood

698 705 711

Bone Marrow Biopsy and Aspiration (Assist)

Dolores Grosso

797

Assisting with Percutaneous Peritoneal

Peggy Kirkwood and Karen K. Carlson

Scleral Endoscopic Therapy

Robin H. Thomas

Determination of Microhematocrit via Centrifuge

Maribeth Wooldridge-King

801

V

16

717

VII

20

Renal System

SECTION Renal Replacement

717

Integumentary System

SECTION Burn Wound Management

805

805 805 811 822

103

104 105

Continuous Renal Replacement Therapies

Karen K. Giuliano

717 733 746

115 116 117

Care of Donor Sites

Eileen E. Pysznik

Hemodialysis

Karen K Giuliano

Care of Burn Wounds

Eileen E. Pysznik

Peritoneal Dialysis

Karen K. Giuliano

Care of Skin Grafts

Eileen E. Pysznik

SECTION Special Renal Replacement

17

SECTION Special Integumentary Procedures

21

828 828

753 753

118

Intracompartment Pressure Monitoring

John J. Gallagher and Shawn McCabe

106

Assisting with Plasmapheresis

Karen K. Giuliano

Published by W. B. Saunders Company © 2001

Page 4 of 5

AACN Procedure Manual for Critical Care Table of Contents

119 120

Pressure-educing Devices: Lateral Rotation Therapy

Nancy L. Tomaselli, Margaret T. Goldberg, and Sandi Wind

837 843

UNIT IX End of Life

892 892 897 907 910 914

Suturing AP

Peggy Kirkwood

129 130 131 132 133 134

Advance Directives

Barbara B. Ott

SECTION 22 Wound Management

851 851 859 863 865

Determination of Death AP

Jacqueline Sullivan

121 122 123 124

Cleansing, Irrigating, Culturing, and Dressing Open Wounds

Mary Beth Flynn

Care of the Organ Donor

June Hinkle

Indentification of Potential Organ Donors

June Hinkle

Dressing Wounds with Drains

Mary Beth Flynn

Request for Organ Donation

June Hinkle

Drain Removal

Mary Beth Flynn

Dressing and Pouching Draining Wounds

Mary Beth Flynn

Withholding/Withdrawing Life-Sustaining Treatment 917

Debra J. Lynn-McHale and Margaret M. Mahon

UNIT VIII Nutrition

868 868 877 883 888

125 126 127 128

UNIT X Calculating Medication Doses

922

Enteral Nutrition

Deborah C. Stamps

135

Parenteral Nutrition

Mary Donahue

Calculating Doses, Flow Rates, and Administration of Continuous Intravenous Infusions

Barbara A. Brown

922 927

Gastrostomy or Jejunostomy Tube Care

Margaret M. Ecklund

Index

Small-Bore Feeding Tube Insertion

Margaret M. Ecklund

Published by W. B. Saunders Company © 2001

Page 5 of 5

Information

UNIT I

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UNIT I