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Cardiovascular Care Made Incredibly Easy!

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Efnisyfirlit

  • 1 Anatomy and physiology
    • A look at the cardiovascular system
    • Right to the lungs . . . and left to the body
    • Where the heart lies
    • Heart structure
    • The pericardium
    • Fibrous fits freely
    • Serous is smooth
    • And fluid in between
    • The wall
    • The chambers
    • Upstairs . . .
    • . . . where the blood comes in
    • Downstairs . . .
    • . . . where the blood goes out
    • The valves
    • Forward flow only
    • On the cusps
    • Conduction system
    • Electrical stimulation
    • Start with a bang
    • Slow and fill
    • Impulsive signal
    • Just in case
    • Mechanical events
    • Contract (systole) . . .
    • . . . and relax (diastole)
    • Output = rate × volume
    • Blood flow
    • Blood vessels
    • Built for high speed . . .
    • . . . and low pressure
    • Frequent flyer miles
    • Circulation
    • Returns and exchanges
    • Branching out
    • Division = addition = perfusion
    • Dilation is another part of the equation
    • A large area of low pressure
    • No backflow
    • The heart gets its part
    • From the right . . .
    • . . . and from the left
    • Superficially speaking
    • Quick quiz
    • Scoring
    • Suggested references
  • 2 Assessment
    • Obtaining a health history
    • Chief complaint
    • A full menu of causes
    • Pinpointing pain
    • Going steady?
    • Don’t skip this beat
    • Maybe it was that triple shot of espresso
    • No big deal—unless . . .
    • Barely breathing
    • Fainting facts
    • Midlife crisis
    • Claudication interrogation
    • In your face (and arm and leg)
    • Since when?
    • Personal and family health
    • All in the family
    • Getting personal
    • Also related
    • Performing a physical assessment
    • Shopping list
    • Dressed down
    • Assessing the heart
    • Checking out the chest
    • Location, location
    • Not normally there
    • From resonance to dullness
    • Borderline trouble
    • Have a plan
    • Determine the dub
    • Listen for the lub
    • S3: Classic sign of heart failure
    • S4: An MI aftereffect
    • Making the grade
    • Sit up, please
    • Assessing the vascular system
    • Start at the top
    • Take this lying down
    • Artery check!
    • The pulses get pluses
    • Moving on up
    • Recognizing abnormal findings
    • Abnormal skin and hair findings
    • How swell!
    • Abnormal pulsations
    • Pulses here, there, everywhere
    • Weak ones, strong ones
    • Heave ho! What a thrill!
    • Abnormal auscultation findings
    • Low-pitched
    • Medium-pitched
    • High-pitched
    • High-pitched and blowing
    • Low-pitched and rumbling
    • Quick quiz
    • Scoring
    • Suggested references
  • 3 Prevention and risk reduction
    • Understanding cardiovascular disease
    • Heart-breaking numbers
    • Hocus focus
    • Risk assessment
    • What’s the score?
    • Other applications
    • Risk factors
    • Nonmodifiable risk factors
    • With every beat of my heart
    • Vascular variations
    • Hormones: Helpful or hurtful?
    • Genes on the scene
    • History lesson
    • Modifiable risk factors
    • The damage done
    • Stuck on you
    • Quitters wanted
    • High is good, low is bad
    • Tri this on for size
    • Take it down a notch
    • Track progress (or lack thereof)
    • Dangerous deposits
    • Taking control
    • DASH into a proper diet
    • Mighty meds
    • It’s cool to comply
    • What’s your type?
    • Diabetic disturbances
    • Putting a number on it
    • Obesity outcomes
    • Nothing to snore at
    • Reasons to move
    • Quick quiz
    • Scoring
    • Suggested references
  • 4 Diagnostic tests and procedures
    • A look at diagnostic tests and procedures
    • Cardiac enzymes and proteins
    • Troponin I and troponin T
    • Creatine kinase
    • Creatine kinase (CK-MB)
    • Myoglobin
    • First, but not as reliable
    • Homocysteine
    • C-reactive protein
    • B-type natriuretic peptide
    • A grade for heart failure
    • Lipid studies
    • Triglycerides
    • What’s normal?
    • What’s abnormal?
    • One test leads to another
    • Total cholesterol
    • What’s your level?
    • Lipoprotein fractionation
    • This is good
    • This isn’t
    • Coagulation tests
    • Partial thromboplastin time
    • Prothrombin time
    • Excellent choice, sir!
    • Count to 10 (or more)
    • Activated clotting time
    • Out-of-body experiences
    • Electrocardiography
    • 12-Lead electrocardiogram
    • A test with 12 views
    • Waves of waves
    • Don’t sound the alarm—yet
    • Continuous cardiac monitoring
    • Hardwire versus wireless
    • Job description
    • Exercise electrocardiography
    • Stop in a hurry
    • Drugs do it, too
    • Holter monitoring
    • Electrophysiology studies
    • Hemodynamic monitoring
    • Arterial blood pressure monitoring
    • Making waves
    • Pulmonary artery pressure monitoring
    • Many ports, many uses
    • What are you reading?
    • Potential PAP patients
    • Tight is right
    • Cardiac output monitoring
    • On the rocks or room temperature
    • Cardiac index: The better assessor
    • Cardiac catheterization
    • A multipurpose procedure
    • Cardiac calculations
    • Confirming common problems
    • Imaging and radiographic tests
    • Echocardiography
    • Echo, echo
    • How picky
    • A big fan of two-dimensional echocardiography
    • TEE combination
    • Echo abnormalities
    • Coronary CT angiography
    • Cardiac magnetic resonance imaging
    • Look at leaflets
    • Lose the jewels
    • Cardiac positron-emission tomography
    • Cardiac blood pool imaging
    • Various variations
    • 99mTc pyrophosphate scanning
    • Scanning the hot spots
    • Thallium scanning
    • Cold-hearted
    • Duplex ultrasonography
    • Two-step process
    • Diagnosing duplex
    • Additional arterial analysis
    • Venography of the lower limb
    • Not for everyone
    • Quick quiz
    • Scoring
    • Suggested references
  • 5 Treatments
    • A look at treatments for cardiovascular disorders
    • Drug therapy
    • Surgery
    • Coronary artery bypass grafting
    • Construction ahead
    • CABG candidates
    • CABG caveat
    • Reading the map
    • In and out
    • Postperi problems
    • Minimally invasive direct coronary artery bypass and totally endoscopic coronary artery bypass
    • It’s a good thing
    • Heart transplantation
    • No guarantee
    • Rejection and infection
    • When the body says no
    • Vascular repair
    • Life and limb
    • Repair despairs
    • Flow check
    • Keep your guard
    • Valve surgery
    • Attention to prevention
    • Pressure points
    • It gets complicated
    • Blood check
    • Breathing check
    • Med check
    • Ventricular assist device insertion
    • More output, less work
    • A temporary diversion
    • Right or left or both?
    • Balloon catheter treatments
    • Percutaneous balloon valvuloplasty
    • Balloon bungles
    • Percutaneous transluminal coronary angioplasty
    • Shorter stay, fewer bucks
    • Best working conditions
    • Harrowing narrowing
    • Intra-aortic balloon pump counterpulsation
    • What for?
    • How so?
    • Quick response required
    • Weaning ways
    • Cardiovascular resynchronization techniques
    • Defibrillation
    • Act early and quickly
    • Who’s in charge here?
    • Ready . . .
    • . . . set . . .
    • . . . go!
    • One more time
    • It worked!
    • Implantable cardioverter-defibrillator
    • Power station nearby
    • Synchronized cardioversion
    • Small shock
    • Back in control
    • Use your hands
    • Write it down
    • Permanent pacemaker insertion
    • And the nominees for insertion are . . .
    • Setting the pace
    • Temporary pacemaker insertion
    • Dire straits
    • When you have more time
    • When to use . . .
    • . . . and when not to
    • Suited for surgery
    • Quick quiz
    • Scoring
    • Suggested references
  • 6 Arrhythmias
    • A look at arrhythmias
    • Sinus node arrhythmias
    • What nerve!
    • Sinus arrhythmia
    • Breathing easy
    • On the alert
    • Sinus bradycardia
    • No symptoms? No problem.
    • Symptoms? Problem!
    • Check the ABCs
    • Sinus tachycardia
    • Pulse check!
    • Hard on the heart
    • Slow it down
    • Getting at the history
    • Part of the plan
    • Sinus arrest
    • Failing to make an appearance
    • Taking a break
    • Too many for too long
    • Don’t let sleeping pauses lie
    • When matters get even worse
    • Arresting the arrest
    • Sick sinus syndrome
    • Blocked exits
    • Check for speed bumps
    • Make up your mind!
    • That sinking feeling
    • When the solution is part of the problem
    • Keep a running total
    • Atrial arrhythmias
    • Triple play
    • Premature atrial contractions
    • A sign of things to come
    • A hallmark moment
    • The patient’s part
    • Atrial flutter
    • A flitter, a flutter
    • Rating the ratio
    • Misleading pulses
    • A shocking solution
    • Become a convert
    • Keeping watch
    • Atrial fibrillation
    • That fabulous filter
    • Fast and furious
    • Preexisting problems
    • Goal: Reduce the rate
    • A jolting recovery
    • Resuming a commanding role
    • Radio blackout
    • Atrial tachycardia
    • Hold it right there!
    • Fast but regular
    • Feel the rhythm
    • Making a bigger block
    • Going into overdrive
    • Keeping tabs on troublemakers
    • Junctional arrhythmias
    • Which way did the impulse go?
    • Junctional mimic
    • Bad PR
    • Premature junctional contraction
    • When upside down your feeling
    • That quickening feeling
    • Junctional escape rhythm
    • Backward and upside down
    • I may be slow, but at least I’m regular
    • Accelerated junctional rhythm
    • Low-down, dizzy, and confused
    • Junctional tachycardia
    • Compromisin’ rhythm
    • Setting the pace
    • Ventricular arrhythmias
    • You’ve lost your kick
    • Potential to kill
    • Premature ventricular contraction
    • This could get serious
    • Complex configuration
    • The pause that compensates
    • PVCs all in a row
    • Ruling out trouble
    • Outward signs tell a story
    • Stat patient stats
    • Ventricular tachycardia
    • Running on empty
    • Not everyone likes uniforms
    • Headed for trouble
    • Looking for some stability
    • A permanent relationship
    • Assume the worst
    • Teacher, teacher
    • Ventricular fibrillation
    • 911 emergency
    • Jump start
    • ABCs of AEDs
    • Speedy delivery
    • Idioventricular rhythms
    • Conduction foibles and pacemaker failures
    • An absent P . . .
    • . . . and a bizarre QRS . . .
    • . . . make for one dizzy patient
    • Electronic surveillance
    • Asystole
    • Start me up
    • Atrioventricular blocks
    • A troubled relationship
    • Under the knife
    • Class consciousness
    • First-degree AV block
    • Blocked but not bothered
    • Second-degree AV block, type I
    • Lonely Ps, light-headed patients
    • Keep an eye on the ECG
    • Second-degree AV block, type II
    • Jumpin’ palpitations!
    • Pick up the pace
    • Third-degree AV block
    • Beats of different drummers
    • Loss of productivity
    • Mixing up your Ps and Qs
    • Sinking spell
    • Bundles of troubles
    • Bundle-branch block
    • Impulsive behavior
    • Wide world of complexes
    • Right bundle-branch block
    • Opposing moves
    • Left bundle-branch block
    • Slurring your R waves
    • Quick quiz
    • Scoring
    • Suggested references
  • 7 Inflammatory and valvular disorders
    • A look at inflammatory disorders
    • Endocarditis
    • Green growth
    • Type talk
    • Treat, or else
    • What else?
    • Subacute signs
    • Be supportive
    • Check progress
    • Stay the course
    • Myocarditis
    • Vague signs, sudden recovery
    • And to complicate matters . . .
    • Feeling the flab
    • Upping the ante
    • It’s only for a while
    • Pericarditis
    • There’s the rub
    • A short time later . . .
    • Then what?
    • Forward feels better
    • Where’s the echo?
    • Going in
    • Heavy-duty treatments
    • Watch the clock
    • Class begins
    • A look at valvular heart disease
    • Mitral insufficiency
    • System failure
    • For the not so young at heart
    • Mitral stenosis
    • Trouble ahead
    • Not going with the flow
    • Out of control
    • Aortic insufficiency
    • Consider the complications
    • ACE of spades
    • Aortic stenosis
    • Surgical solutions
    • Pulmonic stenosis
    • Quick quiz
    • Scoring
    • Suggested references
  • 8 Degenerative disorders
    • A look at degenerative disorders
    • Acute coronary syndromes
    • Plaque’s place
    • Risky business of acute coronary syndromes
    • Types of acute coronary syndrome
    • It hurts when I do this
    • Four forms of angina
    • My, my, MI pain
    • Initial approach in the evaluation of chest pain
    • MI relief
    • Status checks
    • Things heat up
    • Teach, review, document
    • Cardiomyopathy
    • Kidneys kick in
    • Detrimental dilation
    • Hypertrophy hazards
    • Ins and outs
    • When to call
    • Heart failure
    • Quality time
    • Daunting difficulties
    • It’s not all heart
    • Adept at adaptation
    • Less to look for
    • Preparing for discharge: Sodium down, potassium up
    • Hypertension
    • One thing leads to another
    • Risky business
    • Why? Why? Why?
    • Secondary isn’t small
    • Problems plus
    • Detecting heart damage
    • Time for a change
    • Pharming out therapy
    • Pulmonary hypertension
    • Heart and lung lead the way
    • Sans treatment
    • Diverse therapies
    • Quick quiz
    • Scoring
    • Suggested references
  • 9 Vascular disorders
    • A look at vascular disorders
    • Aortic aneurysm
    • Bumpy road ahead
    • Thin and thinner
    • Wide vessel, slow flow
    • Blood forces
    • When symptoms arise
    • Acute expansion
    • Rush to respond to rupture
    • Rupture response
    • Peripheral arterial disease
    • Location and timing
    • Back to the classics
    • Let’s not forget the rest
    • Better blood
    • Drugs and surgery
    • Embolectomy, grafting, amputation—oh, my!
    • Lower the risk
    • Patient precautions
    • Thrombophlebitis
    • Deep vein, deep trouble
    • Even more trouble
    • Risk on the rise
    • Superficial swell
    • Drugs and surgery
    • Pardon the interruption
    • Stockings, soaks, and elevation
    • Make veno go
    • Quick quiz
    • Scoring
    • Suggested references
  • 10 Emergencies and complications
    • A look at cardiac emergencies
    • Cardiac trauma
    • Not always obvious
    • Penetrating truths
    • Accident report
    • Look for more
    • Look out for the lungs
    • Meds and other measures
    • Cardiac check-in
    • Fluids in and out
    • Outside help
    • Cardiac tamponade
    • Quick fill, quick response
    • That’s not all
    • When pressure is low
    • More to do
    • It’s a paradox
    • Cardiogenic shock
    • Shocking stats
    • Other offenders
    • Lower and lower output
    • Treatment ABCs
    • Increase flow
    • Decrease resistance and pressure
    • Bring in the hardware
    • End-stage effort
    • Even more
    • Monitor, record, and then monitor more
    • Minimize movement
    • Provide regular rest and support
    • Hypovolemic shock
    • The road to shockville
    • Where, oh where, has the blood volume gone?
    • Fashion forward
    • ABCs and ABGs
    • Clot concerns
    • Quick quiz
    • Scoring
    • Suggested references
  • Appendix and index
  • Practice makes perfect
  • Index

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Vörumerki: Lippincott
Vörunúmer: 9781975120238
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Cardiovascular Care Made Incredibly Easy!

Vörumerki: Lippincott
Vörunúmer: 9781975120238
Rafræn bók. Uppl. sendar á netfangið þitt eftir kaup
5.990 kr.
Get the product now
5.990 kr.