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Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Time to master the complexities of respiratory care. The newly updated Respiratory Care Made Incredibly Easy!®, 3rd Edition, explains the essentials with humor, expert guidance, and numerous colorful images. Offering the essential terms, skills, and equipment how-to’s you need to successfully treat the most common respiratory disorders, this down-to-earth guide helps you grasp respiratory physiology, pathophysiology, and pharmacology in clear and simple language.
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- Höfundur: Rose Knapp
- Útgáfa:2
- Útgáfudagur: 2018-07-25
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- Format:ePub
- ISBN 13: 9781496397935
- Print ISBN: 9781496397898
- ISBN 10: 1496397932
Efnisyfirlit
- Contributors
- Previous edition contributors
- Preface
- 1 Anatomy and physiology
- Understanding respiratory anatomy and physiology
- Upper respiratory tract
- Nostrils and nasal passages
- Air passage
- Sinuses and nasopharynx
- Oropharynx and laryngopharynx
- Larynx
- Lower respiratory tract
- Conducting airways
- Secondary bronchi and the hilum
- Bronchi branches out
- Defense mechanisms
- Trapping foreign particles
- Acinus
- Diffusion
- Lungs and accessory structures
- Pleura and pleural cavities
- Serous fluid
- Thoracic cavity
- Mediastinum
- Thoracic cage
- Rib numbers
- Bordering on the costal angle
- Suprasternal notch
- Inspiration and expiration
- Accessory muscles
- External and internal respiration
- No room for expansion
- Resistance
- More work, less efficiency
- Other airflow alterations
- Trading places: O2 and CO2 exchange
- Ventilation–perfusion match
- Ventilation–perfusion mismatch
- Shunting
- Dead space
- The silent unit
- Spaces in between
- From the RBCs to the alveoli
- PaO2
- Acid–base balance
- Respiratory responses
- Acid–base imbalance
- Quick quiz
- Scoring
- Suggested references
- 2 Assessment
- Understanding respiratory assessment
- Obtaining a health history
- Asking about shortness of breath
- Asking about orthopnea
- Asking about cough
- Asking about sputum
- Asking about wheezing
- Asking about chest pain
- Check the broader health history
- Using a systematic approach
- Inspecting the chest
- Back, then front
- Assessing for symmetry
- Costal angle
- Breathing rate and pattern
- Paradoxical movement
- Muscle motion
- Inspecting related structures
- Skin color and nail beds
- Clubbing clues
- Palpating the chest
- Crepitus
- Palpating for tenderness
- Fremitus
- Measuring the symmetry
- Warning signs
- Percussing the chest
- Different sites, different sounds
- Ringing with resonance
- Problem sounds
- Movement of the diaphragm
- Auscultating the chest
- Preparing to auscultate
- Be firm
- What a change means
- Interpreting what you hear
- The next step
- Vocal fremitus
- Abnormal findings
- Chest abnormalities
- Abnormal respiratory patterns
- Abnormal breath sounds
- Quick quiz
- Scoring
- Suggested references
- 3 Diagnostic procedures
- Understanding respiratory diagnostic procedures
- Blood studies
- Arterial blood gas analysis
- Respiratory/metabolic systems
- Calling interference
- White blood cell count
- Interpreting elevated WBCs
- White blood cell differential
- The lowdown on eosinophils
- Sputum and pleural fluid studies
- Sputum analysis
- Normal flora
- Pathogenic organisms
- Obtaining the sputum culture
- Obtaining tracheal specimens
- Obtaining bronchial specimens
- Nasopharyngeal culture
- Nasopharyngeal flora
- Inspecting the nasopharynx
- Lab results
- Throat culture
- Possible pathogens
- Throat culture technique
- Delivery to the lab
- Endoscopic and imaging tests
- Bronchoscopy
- Complications
- Chest X-ray
- Fluoroscopy
- Diminished excursion
- Mediastinoscopy
- Magnetic resonance imaging
- Pulmonary angiography
- Thoracic computed tomography scan
- Thoracoscopy
- Ventilation–perfusion scan
- Technetium
- 133Xe gas
- Biopsies
- Lung biopsy
- Easy access
- What it all means
- Sedation
- Warning signals
- Pleural biopsy
- Specimen treatment
- After care
- Other diagnostic tests
- Pulmonary function tests
- Measuring volumes
- Calculating capacity
- Pulse oximetry
- Thoracentesis
- Interpreting the results
- Quick quiz
- Scoring
- Suggested references
- 4 Treatment
- Understanding respiratory treatments
- Drug therapy
- Respiratory drug classes
- Aerosol anti-infectives
- Aerosolized anti-infectives
- Pentamidine to prevent PCP
- Recommend ribavirin for RSV
- Treat with tobramycin
- Influenza and zanamivir
- Antitussives
- Part of the act
- Serious use
- Put to the test
- Beta2-adrenergic agonists
- Short-acting
- Long-acting
- Corticosteroids
- Reversing obstruction
- Systemic formulas
- Dosaging
- Inhaled steroids
- Decongestants
- Expectorants
- Leukotriene receptor antagonists
- Mechanism of action
- Mast cell stabilizers
- Mechanism of action
- Mucolytics
- Xanthines
- Mechanism of action
- Considerations
- Too much of a good thing
- Inhalation therapy
- Continuous positive airway pressure
- Indications
- Nasal CPAP
- Adverse effects
- Endotracheal intubation
- Drawbacks
- Oral tracheal intubation
- Contraindication
- Nasal intubation
- Difficult and damaging
- End-tidal carbon dioxide monitoring
- Lightening
- Evaluating the numbers
- Handheld oropharyngeal inhalers
- Compact, portable, and easy
- Powder form
- Flow triggered
- Spacers
- Turbo-inhalers
- The Diskus
- Incentive spirometry
- Mechanical ventilation
- Types of mechanical ventilation
- Programmed mechanical ventilation
- Synchronized intermittent mandatory ventilation
- Steps for caring for the ventilator patient
- Other steps
- Nebulizer therapy
- Types of nebulizers
- Oxygen therapy
- Fully equipped
- Compare and contrast
- Check those valves
- Take a deep breath and cough
- Home oxygen
- Surgery
- Chest tube insertion
- Lung transplantation
- Criteria
- Contraindications
- Major complications
- Assessment
- Thoracotomy
- Pneumonectomy
- Lobectomy
- Segmental and wedge resections
- Tracheotomy
- Miscellaneous treatments
- Chest physiotherapy
- Extracorporeal membrane oxygenation
- Arterial catheters
- Venous catheter
- Oozing observations
- Mucus clearance device
- Prone positioning
- Diaphragmatic movement
- Size matters
- Eye care
- Safety
- Monitoring response
- Quick quiz
- Scoring
- Suggested references
- 5 Infection and inflammation
- Understanding respiratory infection and inflammation
- BOOP, idiopathic
- The history of BOOP
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Assessment and teaching
- Bronchiectasis
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Croup
- Incidence
- What causes it
- How it happens
- What to look for
- Acute spasmodic laryngitis
- What tests tell you
- How it’s treated
- Treating airway swelling
- What to do
- Nursing considerations
- Parent teaching
- Epiglottiditis
- What causes it
- How it happens
- What to look for
- Sit up, lean forward
- What tests tell you
- Airway management
- How it’s treated
- What to do
- Anticipation
- Laryngitis
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Pharyngitis
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- Hot versus cold
- What to do
- Humidification
- Pneumonia
- What’s your type?
- Community acquired
- Nosocomial
- Aspiration pneumonia
- Those at risk
- What causes it
- How it happens
- What to look for
- Sounds, sights, and sensations
- What tests tell you
- How it’s treated
- More oxygen, please
- Add-ons
- What to do
- Get comfortable
- Pregnancy precautions
- Respiratory syncytial virus
- Seasonal cause
- Complications
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Tonsillitis
- What causes it
- How it happens
- What to look for
- Blocked and constricted
- What tests tell you
- How it’s treated
- What to do
- Tuberculosis
- Typical TB
- What causes it
- Dormant disease
- Elderly risks
- Complications
- How it happens
- What to look for
- What tests tell you
- Sampling the skin
- How it’s treated
- First line of defense
- What to do
- Precautions
- Adverse effects
- Color concerns
- Quick quiz
- Scoring
- Suggested references
- 6 Obstructive disorders
- Understanding obstructive disorders
- Asthma
- Making things worse
- What causes it
- Outside and sensitive
- A look within
- Workplace triggers
- Genetic influences
- How it happens
- What to look for
- Typical symptoms
- Oxygen deprivation
- Chest contour
- Auscultation
- What tests tell you
- How it’s treated
- What to do
- Humidification
- Preventing complications
- Chronic bronchitis
- What causes it
- How it happens
- Cellular changes
- Inflammation and obstruction
- Secondary changes
- Altered hemoglobin
- What to look for
- C3—Cough, cyanosis, compensation
- Right-sided failure
- What tests tell you
- How it’s treated
- What to do
- Cystic fibrosis
- What causes it
- How it happens
- Symptom sources
- What to look for
- Telltale symptoms
- Meconium conundrum
- Common in kids
- Pancreatic prognosis
- What tests tell you
- Further diagnostic testing
- How it’s treated
- The alfa aerosol
- New approaches
- What to do
- Not small adults
- Emphysema
- What causes it
- How it happens
- Altered lung compliance
- Altered circulation
- Alveolar airway and collapse
- Air trapping
- Complications
- What to look for
- Inspect, palpate, percuss, auscultate
- What tests tell you
- How it’s treated
- What to do
- Sleep apnea
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- Bilevel positive airway pressure
- What to do
- Quick quiz
- Scoring
- Suggested references
- 7 Restrictive disorders
- Understanding restrictive disorders
- Acute respiratory distress syndrome
- What causes it
- How it happens
- Inflammation—it’s such a follower
- Decreased gas exchange
- Ventilation prevention
- Shunting
- Responses to fluid buildup
- Alkalosis
- What to look for
- What tests tell you
- How it’s treated
- More meds
- What to do
- Treatment
- Acute respiratory failure
- What causes it
- How it happens
- What to look for
- Respiratory compensation
- Cardiac response
- CNS response
- What tests tell you
- How it’s treated
- Oxygenate
- Intubate and ventilate
- Opening the airways
- What to do
- Maintain and administer
- Nutrition and safety
- Follow up care
- Asbestosis
- What causes it
- How it happens
- What to look for
- Inspect and auscultate
- What tests tell you
- How it’s treated
- Aerosol therapy
- Cor pulmonale
- What to do
- Atelectasis
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Bronchopulmonary dysplasia
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Idiopathic pulmonary fibrosis
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- What to do
- RDS of the neonate
- What causes it
- How it happens
- Collapse, hypoxia, injury
- Decreases, increases, shunts
- What to look for
- It gets worse . . .
- . . . And complicated
- What tests tell you
- How it’s treated
- What to do
- Prescribing PEEP
- Sarcoidosis
- What causes it
- How it happens
- What to look for
- Inspection of the eye and skin
- Palpate and auscultate
- What tests tell you
- Diagnostic support group
- How it’s treated
- What to do
- Silicosis
- What causes it
- How it happens
- Alveolar macrophages
- What to look for
- What tests tell you
- How it’s treated
- Fluid intake
- What to do
- Quick quiz
- Scoring
- Suggested references
- 8 Vascular lung disorders
- Understanding vascular lung disorders
- Cor pulmonale
- What causes it
- Common causes
- How it happens
- In the red
- Obstruction and constriction
- Compensatory mechanism
- What to look for
- Progressive symptoms
- What tests tell you
- How it’s treated
- What to do
- Pulmonary edema
- What causes it
- How it happens
- Hydrostatic force
- Result of capillary injury
- What to look for
- Inspection
- Palpation
- What’s more
- What tests tell you
- How it’s treated
- Ventilate, dilate, and mobilize
- Positive inotropic agents
- Arrhythmias
- Morphine effect
- What to do
- Pulmonary embolism
- What causes it
- How it happens
- Collapse, atelectasis, death
- Rare but serious
- What to look for
- Less common signs
- What tests tell you
- How it’s treated
- Shock
- Septic emboli
- Indications for surgery
- What to do
- Pulmonary hypertension
- What causes it
- Secondary causes
- How it happens
- Alveolar hypoventilation
- Valves, ventricles, and vascular obstruction
- Primary cardiac disease
- What to look for
- Look, touch, and listen
- What tests tell you
- How it’s treated
- Drug choices
- What to do
- Quick quiz
- Scoring
- Suggested references
- 9 Traumatic injuries
- Understanding traumatic injuries
- Blunt chest injury
- What causes it
- How it happens
- What to look for
- Rib fractures
- Common flail chest symptoms
- What tests tell you
- How it’s treated
- What to do
- Pneumothorax
- Semi-Fowler’s position
- Treating hemothorax
- Colloids for contusions
- Cardiac consideration
- Tension and rupture
- Penetrating chest injury
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- Hemorrhage, shock, hypotension
- What to do
- Pneumothorax
- What causes it
- How it happens
- What to look for
- Every breath hurts
- Further findings
- Did we mention the tension?
- What tests tell you
- How it’s treated
- With trauma
- With less lung collapse
- With more lung collapse
- With tension
- What to do
- Inhalation injury
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Quick quiz
- Scoring
- Suggested references
- 10 Neoplastic disorders
- Understanding neoplastic disorders
- Laryngeal cancer
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Pre-operative laryngectomy care
- Partial laryngectomy post-operative care
- Total laryngectomy post-operative care
- Lung cancer
- What causes it
- How it happens
- What to look for
- Other affected systems
- Metastatic S&S
- What tests tell you
- More tests
- How it’s treated
- What to do
- Preop
- Postop
- All together now
- High-risk teaching
- Quick quiz
- Scoring
- Suggested references
- 11 Respiratory emergencies
- Understanding respiratory emergencies
- Airway obstruction
- What causes it
- It’s anatomic
- How it happens
- How low can you go?
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Anaphylaxis
- What causes it
- How it happens
- Exposure
- In the system
- What tests tell you
- How it’s treated
- What to do
- After Care
- Preventing future attacks
- Asphyxia
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Bronchospasm
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- Asthma chronicles
- ’Tis the season
- What to do
- Wheezing
- Submersion injury
- What causes it
- Types of submersion injuries
- How it happens
- Effects of saltwater aspiration
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Respiratory arrest
- What causes it
- How it happens
- Secondary respiration arrest
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Respiratory depression
- What causes it
- How it happens
- What to look for
- What tests tell you
- How it’s treated
- What to do
- Listen and look
- Sudden unexplained infant death/sudden infant death syndrome
- Positive decline
- Increased incidence
- That time of year?
- What causes it
- How it happens
- Start from the beginning
- Other signs
- What to do
- Go to the info
- Brief resolved unexplained events in infants—formerly known as apparent life-threatening event
- Exams and Tests
- Treatment
- Outlook (Prognosis)
- Quick quiz
- Scoring
- Suggested references
- Appendices and index
- Glossary
- Quick-reference guide to laboratory tests
- Index
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- Gerð : 208
- Höfundur : 14243
- Útgáfuár : 2018
- Leyfi : 379