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Cardiovascular nursing demystified PDF

449 Pages·2015·24.728 MB·English
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D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity Cardiovascular Nursing 5.6 2 .1 5 8 .1 1 7 ] a  DeMYSTiFieD t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . Keogh_FM_p00i-xvi.indd 1 23/07/15 2:07 PM D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 Notice 8/1 6 ]. C Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes o p y in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources rig believed to be reliable in their efforts to provide information that is complete and generally in accord with the ht © standards accepted at the time of publication. However, in view of the possibility of human error or changes in M c medical sciences, neither the authors nor the publisher nor any other party who has been involved in the G ra preparation or publication of this work warrants that the information contained herein is in every respect accurate w -H oorf tchoem ipnlfeotrem, aantido nth ceoyn dtaisincleadim in a tlhl irse swpoornks.i bRieliatdye frosr a arne ye nercroourrsa ogre do mtoi scsoionnfisr mor tfhoer itnhfeo rrmesuatlitos no bctoanintaeidn efdro hme rueisne ill G lo with other sources. For example and in particular, readers are advised to check the product information sheet ba included in the package of each drug they plan to administer to be certain that the information contained in this l Ed u work is accurate and that changes have not been made in the recommended dose or in the contraindications for ca administration. This recommendation is of particular importance in connection with new or infrequently used tion drugs. Ho ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . Keogh_FM_p00i-xvi.indd 2 23/07/15 2:07 PM D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 Cardiovascular 58 .1 1 7 ] a t [0 7 /1 8 Nursing /1 6 ]. C o p y rig h t © M DeMYSTiFieD c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L Jim Keogh RN-BC, MSN C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith New York Chicago San Francisco Athens London Madrid ou t p Mexico City Milan New Delhi Singapore Sydney Toronto erm issio n . Keogh_FM_p00i-xvi.indd 3 23/07/15 2:07 PM D Copyright © 2016 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication o w may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher, with n lo the exception that the program listings may be entered, stored, and executed in a computer system, but they may not be reproduced for publication. a d e d b ISBN: 978-0-07-184917-3 y [ F a MHID: 0-07-184917-3 cu lty o The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-184918-0, f N MHID: 0-07-184918-1. ursin g eBook conversion by codeMantra , C Version 1.0 hia n g m All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an a editorial fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, i U n they have been printed with initial caps. iv e rsity McGraw-Hill Education eBooks are available at special quantity discounts to use as premiums and sales promotions or for use in corporate training programs. To 5 contact a representative, please visit the Contact Us page at www.mhprofessional.com. .62 .1 5 8 TERMS OF USE .1 1 7 Tpehrims iistt ead c uonpdyerirg thhtee Cd owpoyrrkig ahntd A Mct coGf r1a9w7-6H ainlld E thdeu criagthiot nto a sntdo riets a lnicde rnestoriresv ree osenrev ceo aplyl roigf hthtse iwno arnkd, ytoo ut hme awy onrokt. dUesceo mofp tihleis, dwisoarsks eism sbulbej,e rcetv teor steh eesneg itneremers, .r eEpxrcoedputc aes, ] at [07 modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hill Education’s /18 /1 prior consent. You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may 6 be terminated if you fail to comply with these terms. ]. C o p y THE WORK IS PROVIDED “AS IS.” McGRAW-HILL EDUCATION AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE rig h ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION t © THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS M OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. cG McGraw-Hill Education and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will ra w be uninterrupted or error free. Neither McGraw-Hill Education nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless -H of cause, in the work or for any damages resulting therefrom. McGraw-Hill Education has no responsibility for the content of any information accessed through ill G the work. Under no circumstances shall McGraw-Hill Education and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar lo damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability ba shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise. l Ed u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u This book is dedicated to Anne, Sandy, Joanne, Amber-Leigh Christine, Shawn, Eric, rsin g and Amy. Without their help and support, this book couldn’t have been written. , C h ia n g m —Jim Keogh, RN-BC, MSN a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . Keogh_FM_p00i-xvi.indd 5 23/07/15 2:07 PM D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 About the Author .62 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 Jim Keogh, RN-BC, MSN, is Board Certified in Psychiatric-Mental Health and has ]. C o written McGraw-Hill’s Nursing Demystified series. These include Behavioral Health py rig and Psychiatric Nursing Demystified, Healthcare Informatics Demystified, Pharmacol- ht © ogy Demystified, Microbiology Demystified, Medical-Surgical Nursing Demystified, M c G Medical Billing and Coding Demystified, Nursing Laboratory and Diagnostic Tests ra w Demystified, Dosage Calculations Demystified, Medical Charting Demystified, Pediat- -Hill G ric Nursing Demystified, Nurse Management Demystified, Schaum’s Outline of ECG lo b a Interpretations, Schaum’s Outline of Medical Terminology, and Schaum’s Outline of l E d u Emergency Nursing. His books can be found in leading university libraries, including ca tio Yale School of Medicine, Yale University, University of Pennsylvania Biomedical n H o Library, Columbia University, Brown University, University of Medicine and Den- ldin g tistry of New Jersey, Cambridge University, and Oxford University. He is a former s, L L member of the faculty at Columbia University and is a member of the faculty of New C. N o York University School of Nursing and Saint Peter’s University in New Jersey. t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . Keogh_FM_p00i-xvi.indd 6 23/07/15 2:07 PM D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 Contents .62 .1 5 8 .1 1 7 ] a t [0 7 /1 Introduction xi 8/1 6 ]. C o p y rig h CHAPTER 1 Cardiovascular Anatomy and Physiology 1 t © M 1. Vascular System 2 cG ra 2. Blood 4 w -H 3. The Heart 16 ill G lo b CHAPTER 2 Cardiovascular Assessment and Tests 25 al E d 1. Cardiovascular Patient History 26 u c a 2. Cardiovascular Episode Assessment 27 tio n H 3. Cardiovascular Physical Assessment 31 o ld 4. Cardiovascular Documentation 36 ing 5. Cardiovascular Tests and Procedures 37 s, L L C . N CHAPTER 3 Electrophysiology and Electrocardiogram 51 o t to 1. Electrophysiology 52 b e 2. Electrocardiograph 58 red 3. Cardiac Monitoring Equipment and istrib u Lead Placement 66 ted o 4. Reading an Electrocardiograph 73 r m o 5. The Conduction System 77 difie d in CHAPTER 4 Cardiac Arrhythmias 83 a n y 1. Arrhythmia 84 w a y 2. Atrial Fibrillation 85 w ith 3. Atrial Flutter 90 o u t p e rm vii issio n . Keogh_FM_p00i-xvi.indd 7 23/07/15 2:07 PM viii CoNTENTS Do w n lo a d e 4. Premature Atrial Contraction 93 d b y 5. Wandering Atrial Pacemaker 98 [ F a 6. Paroxysmal Atrial Tachycardia 101 cu lty 7. Junctional Rhythm 105 o f N 8. Junctional Escape Rhythm 108 u 9. Premature Junctional Contraction 112 rsing , C 10. Accelerated Junctional Rhythm 115 h ia n 11. Paroxysmal Junctional Tachycardia 119 gm a 12. Bundle Branch Blocks 122 i U n 13. Premature Ventricular Contractions 124 ive 14. Ventricular Tachycardia 131 rsity 5 15. Ventricular Fibrillation 135 .62 .1 16. Asystole 140 58 .1 17. Idioventricular Rhythm 143 17 ] a 18. Pacemakers 146 t [0 7 /1 8 CHAPTER 5 Cardiac Inflammatory Disorders 159 /1 6 1. Myocarditis 160 ]. C o p 2. Pericarditis 165 y rig 3. Endocarditis 168 ht © M CHAPTER 6 Cardiac Valve Disorders 177 cG ra w 1. Valve Disorder 178 -H 2. Mitral Insufficiency 179 ill G 3. Mitral Valve Prolapse 181 lob a 4. Mitral Stenosis 184 l Ed u c 5. Mitral Valve Regurgitation 187 a tio 6. Tricuspid Insufficiency 190 n H o 7. Tricuspid (Atrioventricular) Valve Stenosis 192 ld in g 8. Tricuspid (Atrioventricular) s, L Valve Regurgitation 196 LC . N 9. Pulmonary Valve Stenosis 199 o 10. Pulmonary Valve Regurgitation 202 t to b e 11. Aortic Valve Stenosis 204 re d 12. Aortic Valve Regurgitation 208 istrib u 13. Aortic Insufficiency 211 te d o 14. Papillary (Chordae) Muscle Rupture 212 r m o d CHAPTER 7 Hematology and Hematologic Disorders 221 ifie d 1. Hematology 222 in a n 2. Anemia 224 y w a 3. Aplastic Anemia (Pancytopenia) 226 y w 4. Iron Deficiency Anemia 228 itho u 5. Pernicious Anemia 231 t p e rm issio n . Keogh_FM_p00i-xvi.indd 8 23/07/15 2:07 PM CoNTENTS ix Do w n lo a d e 6. Sickle Cell Anemia 233 d b y 7. Deep Vein Thrombosis 235 [ F a 8. Disseminated Intravascular Coagulation 239 cu lty 9. Hemophilia 241 o f N 10. Idiopathic Thrombocytopenic Purpura 243 u 11. Leukemia 245 rsing , C 12. Multiple Myeloma 248 h ia n 13. Polycythemia Vera 251 gm a i U CHAPTER 8 Vascular Disorders 259 niv e 1. What Is Vascular Disease? 260 rsity 2. Aortic Aneurysm 261 5.6 2 3. Angina (Angina Pectoris) 264 .15 8 4. Coronary Artery Disease 269 .11 7 5. Hypertension 272 ] a t [0 6. Hypovolemic Shock 275 7 /1 8 7. Myocardial Infarction 277 /1 6 8. Peripheral Arterial Disease 281 ]. C o p 9. Raynaud Disease 284 y rig 10. Thrombophlebitis 287 ht © M CHAPTER 9 Cardiac Disorders 295 cG ra w 1. What Are Cardiac Disorders? 296 -H 2. Cardiac Tamponade 296 ill G 3. Cardiogenic Shock 298 lob a 4. Cardiomyopathy 301 l Ed u c 5. Heart Failure (Congestive Heart Failure) 304 a tio 6. Pulmonary Edema 308 n H o 7. Rheumatic Heart Disease 311 ld in g CHAPTER 10 Cardiovascular Emergencies 319 s, LL C 1. What Is a Cardiovascular Emergency? 320 . N o 2. Cardiovascular Emergency Assessment 322 t to b 3. Cardiovascular Emergency Tests 326 e re d 4. Cardiovascular Emergency Procedures 331 istrib 5. Cardiovascular Emergency Medications 331 u te d 6. Aortic Aneurysm 341 o r m 7. Angina Pectoris 343 o d 8. Myocardial Infarction 345 ifie d 9. Cardiac Tamponade 347 in a n 10. Cardiogenic Shock 348 y w a 11. Congestive Heart Failure 350 y w 12. Hypertensive Crisis 353 itho u 13. Hypovolemic Shock 354 t p e rm issio n . Keogh_FM_p00i-xvi.indd 9 23/07/15 2:07 PM

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