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Nursing Management of the Neurosurgical Patient: An Interprofessional Approach, 1st Edition

ISBN: 9780323934473
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Διαστάσεις 23 × 15 cm
Μορφή

Paperback

Εκδόσεις

Ημ. Έκδοσης

2024/05

Σελίδες

368

Έκδοση

1η έκδοση

Κύριος Συγγραφέας

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57,00€(Περιλαμβάνεται ΦΠΑ 6%)

Διαθεσιμότητα: 11-14 ημέρες

Περιγραφή

Use this new text/reference from a nationally recognized center of excellence to ensure high quality nursing care of neurosurgical patients! Nursing Management of the Neurosurgical Patient: An Interprofessional Approach is a concise new resource for best practices in both neurosurgery-specific nursing care and general hospital care. Topics include everything from preoperative assessment and bedside management to common procedures and pathophysiology of the brain and spine; neurosurgical issues such as diabetes, acute kidney injury, and coronary conditions; and pain management, substance abuse, and rehabilitation. A reader-friendly style includes photos, algorithms, flowcharts, and checklists to make it easy to find essential information quickly. Written by experienced neuroscience nurses and Nurse Practitioners, neurosurgeons, and hospitalist physicians, this book uses a team-based, collaborative approach to neurosurgical nursing care.
Key Features
  • Team-based, interprofessional collaborative, evidence-based approach provides an in-depth guide to neurosurgical nursing care.
  • Consistent, streamlined format serves well as both a textbook and a reference for clinical settings.
  • Abundant, easy-to-reference algorithms help you respond quickly and effectively to resolve neurosurgical patient problems.
  • Discussion and Nursing Considerations sections are provided in every chapter to describe the practical application of key chapter content.
  • Case study with application-level questions is included in every chapter to help you apply key content to neurosurgical nursing practice.
  • Answer key for each case study is provided in every chapter to reinforce understanding and provide remediation.
  • Interprofessional collaborative authorship provides wide-ranging expertise, with each chapter written by a team consisting of a neuroscience nurse or Nurse Practitioner, a neurosurgeon, and a hospitalist physician.

Περιεχόμενα

Cover image
Title page
Copyright
Dedication
Contributors
Reviewers
Preface
Contents
Section 1 Introduction to Neurosurgery and Medical Management
CHAPTER 1 Preoperative Assessment and Perioperative Bedside Management
Introduction
History
Physical Exam
Lab Work
Preoperative Risk Assessment
Assessing Acute Symptoms
Calculating Patient Risk
Metabolic Equivalents
Postoperative Management
Conclusion
References
Questions
Answers
CHAPTER 2 Nursing Approach to the Neurologic Exam
Introduction
Outline of the Neurologic Exam
Mental Status1,2
Cranial Nerves
Motor Function
Reflexes
Coordination
Sensory
Gait
Abbreviated/Screening Exams
Coma Exam
When Functional Neurologic Disorder or Malingering Is Suspected
Conclusion
References
Questions
Answers
Section 2 Common Procedures and Pathology of the Brain
Chapter 3 Management of the Patient With Subarachnoid Hemorrhage
Patient Presentation
Physiology and Diagnosis
Management
Vasospasms
Hydrocephalus
Ventriculoperitoneal Shunt
Treatment
Special Considerations for Endovascular Procedures
Contrast Complications
Access Site Complications
Conclusion
References
Questions
Answers
CHAPTER 4 Pathophysiology and Nursing Management of Brain Bleeds
Introduction
Types of Brain Bleeds
Initial Management of Brain Bleeds
Medical Management of Brain Bleeds
Surgical Management of Brain Bleeds
Conclusion
References
Questions
Answers
CHAPTER 5 Nursing Management of the Patient With Acute Ischemic Stroke
Introduction
Acute Stroke Evaluation
Blood Pressure Management
Interventions for the Emergent Treatment of Acute Ischemic Stroke
Thrombolytic Therapy: r-tPA and TNK
Mechanical Thrombectomy
Conclusion
References
Questions
Answers
CHAPTER 6 Nursing Management of the Patient With a Brain Tumor
Introduction
Common Treatment Pathways
Preoperative Period
Perioperative Period
Conclusion
References
Questions
Answers
CHAPTER 7 Nursing Management of the Patient With a Headache Disorder
Introduction
Common Headache Disorders
Commonly Used Medications for Abortive Treatment
CGRP and Its Importance to Headache
Antiepileptic Medications in Headache
Antidepressants and Headache
Blood Pressure Medications and Headache
Special Considerations for New-Onset Headache
Conclusion
References
Questions
Answers
CHAPTER 8 Nursing Management of the Patient With Encephalitis or Meningitis
Introduction
Evaluation of a Patient Presenting With Meningitis
Bacterial Meningitis
Viral Encephalitis
Intravenous Immunoglobulin Aseptic Meningitis or Encephalitis
Autoimmune Encephalitis
Nursing Considerations
Conclusion
References
Questions
Answers
CHAPTER 9 Nursing Management of the Patient With Acute Encephalopathy
Introduction
Types of Encephalopathy
Assessment—History and Physical Exam
Common Strategies for the Prevention and Treatment of Delirium4 (Fig. 9.3)
Conclusion
References
Questions
Answers
Section 3 Common Procedures and Pathology of the Spine
CHAPTER 10 Nursing Protocol for Elective Spine Surgery
Introduction
Anatomy and Terminology of the Spine
Elective Spine Surgery Preoperative Pathway
Postoperative Pathways/Enhanced Recovery After Surgery
Conclusion
References
Questions
Answers
CHAPTER 11 Nursing Management of the Patient With Acute Traumatic Spinal Cord Injury
Introduction
Physical Exam
Common Complications From SCI (Table 11.1)
Chronic SCI
Conclusion
References
Questions
Answers
CHAPTER 12 Spinal Cord Stimulator Management for Nurses
Introduction
Stimulator Implantation
Modality of Treatment
Perioperative Monitoring and Harm Reduction
Conclusion
References
Questions
Answers
CHAPTER 13 Nursing Management of Neoplastic Spinal Cord Compression
Introduction
Spinal Cord Anatomy and Pathogenesis
Clinical Presentation
Diagnostic Evaluation
Management
Nursing Interventions
Conclusion
References
Questions
Answers
CHAPTER 14 Nursing Management of Vertebral Osteomyelitis and Spinal Epidural Abscess
Introduction
Initial Management
Antibiotic Selection and Treatment Monitoring
Conclusion
References
Questions
Answers
Section 4 Medical Management of Common Neurosurgical Issues
CHAPTER 15 Diabetes Management in the Neurosurgical Patient
Introduction
Physiology
Classification
Diagnosis
Inpatient Management
Steroid-Induced Hyperglycemia
Hypoglycemia
Discharge Planning
Conclusion
References
Questions
Answers
CHAPTER 16 Nursing Management of Acute Kidney Injury
Introduction
Epidemiology and Demographics
Etiology1,3–5
History
Diagnostic Workup1,3–5
Prevention Strategies
Hemodynamic monitoring and management1
Pearls and Considerations
Conclusion
References
Questions
Answers
CHAPTER 17 Nursing Management of the Patient With Arrhythmias and Acute Coronary Syndrome
Introduction
Basics of the Heart
Bradyarrhythmia, Tachyarrhythmia, and Acute Coronary Syndrome
Overview of Tachyarrhythmia
Overview of Acute Coronary Syndrome
Conclusion
References
Questions
Answers
CHAPTER 18 Anticoagulation for Venothromboembolism
Introduction
Diagnostics
Causes and Classification of VTE
DVT Prophylaxis
Best Practice in VTE Management
Inferior Vena Cava Filter
Conclusion
References
Questions
Answers
CHAPTER 19 Nursing Management of the Airway and Shortness of Breath
Introduction
Airway and Breathing
Common Symptoms of Shortness of Breath: Dyspnea vs Orthopnea
Common Postoperative Respiratory Complications
Tracheostomy Care and Oxygen Therapy
Conclusion
References
Questions
Answers
CHAPTER 20 Sodium Disorders in Neurosurgical Patients
Introduction
Physiology and the Consequences of Dysregulation
Hyponatremia
Hypernatremia
Conclusion
References
Questions
Answers
CHAPTER 21 Identification and Management of Hypopituitarism
Introduction
Anatomic Structures and Hormone Production
Hormone Significance
Adrenal Insufficiency
Clinical Presentation
Diagnosis
Treatment
Patient Education
Hypopituitarism
Central Diabetes Insipidus
Conclusion
References
Questions
Answers
CHAPTER 22 Nursing Management of Anemia
Introduction
Relevance to Nursing
Laboratory Evaluation1,9
Clinical Features
Postoperative Anemia After Spine Surgery
Treatment
Blood Transfusions
Conclusion
References
Questions
Answers
CHAPTER 23 Nursing Management of Thrombocytopenia
Introduction
Initial Evaluation
Treatment Strategy
Platelet Transfusion
Nursing Considerations
Conclusion
References
Questions
Answers
CHAPTER 24 Nursing Management of Dysautonomia: Autonomic Dysreflexia and Paroxysmal Sympathetic Hypersensitivity
Introduction
Autonomic Dysreflexia
Paroxysmal Sympathetic Hypersensitivity
Conclusion
References
Questions
Answers
CHAPTER 25 Medical Management of Constipation
Introduction
Symptoms
Workup
Opioid-Induced Constipation
Nonmedical Management of Constipation
Medical Management of Constipation
Conclusion
Questions
Answers
References
Questions
Answers
CHAPTER 26 Nursing Management of the Patient With Postoperative Ileus
Introduction
Pathophysiology
Risk Factors
Presentation/Clinical Features
Diagnosis
Complications
Management/Treatment
Nursing Considerations
Conclusion
References
Questions
Answers
CHAPTER 27 Nursing Management of Nutrition in Neurosurgical Patients
Introduction
Enteral Nutrition: Normal Physiology and Common Complications
Screening Tools: Nutrition and Dysphagia
Modified Consistency Diets
Tube Feeding
Parenteral Nutrition
Conclusion
References
Questions
Answers
CHAPTER 28 Wound Care in the Surgical Setting
Introduction
Principles of Wound Healing
Stages of Wound Healing
Surgical Site Complications
Topical Wound Management
Pressure Injury
Pressure Injuries in the Perioperative Setting
Conclusion
References
Questions
Answers
CHAPTER 29 Nursing Management of Postoperative Fever
Introduction
Basics
Clinical Evaluation
Treatment
Rule of W
Conclusion
References
Questions
Answers
Section 5 Complex Issues in Pain Management and Substance Abuse
CHAPTER 30 Pain Management Using Multimodal Analgesia in the Neurosurgical Spine Patient
Introduction
Nursing Role and Assessment
Multimodal Analgesia Pain Management
Pharmacologic Options in Multimodal Analgesia
Acute Pain Management Service Medications
Conclusion
References
Questions
Answers
CHAPTER 31 Nursing Management of the Patient With Opioid Use Disorder
Introduction
Agonists, Partial Agonists, and Antagonists
Commonly Used Medications in the Patient With Opioid Use Disorder
COWS Score Monitoring
Nursing Considerations
Conclusion
References
Questions
Answers
CHAPTER 32 Social Work Management of the Patient With Opioid Use Disorder
Introduction
Screening and Assessment
Interventions
Referral
Conclusion
References
Questions
Answers
Section 6 Posthospitalization Care
CHAPTER 33 Rehabilitation of the Neurosurgical Patient
Introduction
Role of the Physical Therapist Versus Occupational Therapist
Discharge Recommendations
Activity Measure for Post-Acute Care
Brace Utilization After Spinal Surgery
Precautions and Restrictions After Neurosurgery
Mobility Considerations After Neurosurgery
Considerations for Nursing
Conclusion
References
Questions
Answers
Index