Nursing the acutely ill adult

226 Pages·2012·2.57 MB·English

by  Page

Case Book series
D
o
w
n
NursiNg the Acutely ill Adult N loa
d
e
Case Book u d by
r [ F
a
c
s u
lty
i o
“The book will enable practitioners to approach the assessment of patients with a range N f N
u
of acute conditions in a structured manner. The case scenarios are very realistic and there g rsin
g
are good explanations of underlying pathophysiology …” , C
Laurence Leonard, Senior Lecturer, Kingston University and St George’s, University of London, UK t hian
h g
m
a
“This informative case-based book encourages the reader to critically consider the e i Un
iv
acossnedsitsimonesn t… a n[Tdh cea]r beo noeke hdeeldp sb yw aitchu ttehley dilel vaedloupltm peanttie onft sa nw iinthte ag rvaatreiedt my ionfd usnedt earnlydi ng Ac ersity 5
evidence-based decision making.” u .62.1
Janice Christie, Senior Lecturer in Public Health and Primary Care, City University London, UK t 56.8
6
e ] a
l t [0
7
y /1
8
The complexity of caring for patients who become acutely ill or have deteriorated can be /1
6
a daunting challenge for nurses. Part of a case book series, this accessible book contains i ]. C
l o
1pa7na t iehnno-gdpaehgpyitsnhigo c lroaegssyeo, usprthcuaedr ifmeosar crneoullaorstgiiynn gga ntsodt u cndauerrnest iosnf gt t achkaeirn eag c iaunct reueltyae l iiclslat ariced ucmlltion. diTcuhaleel s sc.eatsteinsg cso, mprboinveid ing l A pyright © M
d cG
ra
This handy book: u w
k s -H
• Follows a step-by-step question and answer format lt oe NNuurrssiiNg ill Glo
o b
• Facilitates the application of theory to practice through the use of clinical case studies C Bi al E
d
u
•p rCaocntistiidoenresr sthe most common acute illness scenarios that are frequently encountered by as se er tthhee AAccuutteellyy cation H
•im Inptliecgartaiotenss kton oawculetdeg iell noefs psathological processes, applied pharmacology and related nursing e Bo Cas iillll Adult oldings, LL
C
Nursing the Acutely Ill Adult Case Book offers a unique way of relating theory to practice, o . No
making it key reading for undergraduate nursing students. It will also be beneficial to students k Case Book t to
be
in areas such as intensive care as well as nurse educators looking for a way to bridge the gap re
d
between the classroom and clinical practice. P istribu
a ted
g o
Karen Page and aidín McKinney are both Teaching Fellows in the Adult nursing e • 17 cases with questions and answers r m
programme at the School of Nursing and Midwifery at Queen’s University Belfast, UK. an odifie
d
d • Clinical application highlights evidence based practice in
a
M n
y
c • Helps you apply your learning and practice for exams wa
K y w
Cover Design: HandsDesign.ca inney EKdaitrEedn b Pya ge and Aidín McKinney ithout permission.
D
o
w
n
lo
a
d
e
Nursing the Acutely Ill Adult d b
y
[ F
a
c
Case Book ulty
o
f N
u
rsin
g
, C
h
ia
n
g
m
a
i U
n
iv
e
rsity
5
.6
2
.1
5
6
.8
6
] 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
.
2244337733..iinnddbb ii 1166//0077//22001122 1166::4411
D
o
w
n
lo
a
d
e
d
Case Book Series b
y
[ F
a
c
u
lty
This book is part of a new series of case books written for nursing and other allied health o
profession students. The books are designed to help students link theory and practice and f Nu
provide an engaging and focused way to learn. rsin
g
, C
h
Titles published in this series: ia
n
g
m
a
Paramedics: From Street to Emergency Department Case Book i U
n
Sarah Fellows and Bob Fellows iv
e
rsity
Midwifery: Emergencies, Critical Illness and Incidents Case Book 5.6
2
Maureen Raynor, Jayne Marshall and Karen Jackson .1
5
6
.8
6
Mental Health Nursing Case Book ] a
Edited by Nick Wrycraft t [0
7
/1
8
Learning Disability Case Book /16
Edited by Bob Hallawell ]. C
o
p
y
rig
Nursing the Acutely Ill Adult Case Book h
t ©
Karen Page and Aiden McKinney M
c
G
Perioperative Practice Case Book raw
Paula Strong and Suzanne Hughes -Hill G
lo
b
a
Visit www.openup.co.uk/casebooks for information and sample chapters from other books in l E
d
u
the series. ca
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
.
2244337733..iinnddbb iiii 1166//0077//22001122 1166::4411
D
o
w
n
lo
a
d
e
Nursing the Acutely Ill Adult d b
y
[ F
a
c
u
lty
o
f N
Case Book ursin
g
, C
h
ia
n
g
m
a
Edited by i U
n
iv
Karen Page and ersity
5
Aidín McKinney .6
2
.1
5
6
.8
6
] 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
.
2244337733..iinnddbb iiiiii 1166//0077//22001122 1166::4411
D
o
w
n
lo
a
d
e
d
b
y
Open University Press [ F
McGraw-Hill Education ac
u
McGraw-Hill House lty
Shoppenhangers Road of N
Maidenhead u
Berkshire rsin
g
England , C
SL6 2QL hia
n
g
m
email: [email protected] ai U
world wide web: www.openup.co.uk n
iv
e
and Two Penn Plaza, New York, NY 10121-2289, USA rsity
5
.6
2
.1
First published 2012 56
.8
6
Copyright © Karen Page and Aidín McKinney, 2012 ] at [0
7
All rights reserved. Except for the quotation of short passages for the purpose of criticism and review, no /18
part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by /16
any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written ]. C
o
permission of the publisher or a licence from the Copyright Licensing Agency Limited. Details of such py
licences (for reprographic reproduction) may be obtained from the Copyright Licensing Agency Ltd of rig
h
Saffron House, 6–10 Kirby Street, London EC1N 8TS. t ©
M
c
A catalogue record of this book is available from the British Library G
ra
w
ISBN-13: 978-0-33-524309-9 (pb) -H
ISBN-10: 0-33-524309-6 (pb) ill G
eISBN: 978-0-33-524310-5 lob
a
l E
Library of Congress Cataloging-in-Publication Data du
c
CIP data applied for atio
n
H
Typesetting and e-book compilations by o
ld
Refi neCatch Limited, Bungay, Suffolk in
g
Printed and bound in the UK by Bell & Bain Ltd, Glasgow s, L
L
C
Fictitious names of companies, products, people, characters and/or data that may be used herein (in case . N
studies or in examples) are not intended to represent any real individual, company, product or event. ot 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
.
2244337733..iinnddbb iivv 1166//0077//22001122 1166::4411
D
o
w
n
lo
a
d
e
“Nursing the Acutely ill Adult is a comprehensive text … Each chapter draws on the clinical d b
y
and academic expertise of the author and follows a structured approach that explores the [ F
case problems, altered physiology and nursing interventions and care. ac
u
It is an ideal reference resource for nurses who wish to refl ect and explore the evidence lty
o
base underpinning the complexities of nursing acutely ill adults.” f N
u
Alison Eddleston, Senior Lecturer Acute, Operative and Critical Care, rsin
School of Health , University of Central Lancashire , UK g, C
h
ia
n
“This informative case-based book encourages the reader to critically consider the assess- gm
ment and care needed by acutely ill adult patients with a variety of underlying conditions. ai U
Nursing and other healthcare students … should fi nd that the book helps with the develop- niv
e
ment of an integrated mJinadnsiceet Canhdri setviied, eSnecnei-obra Lseecdt duerecri siino nP mubalikci nHge.”a lth and Primary Care, rsity 5
.6
City University London , UK 2
.1
5
6
.8
“The book will enable practitioners to approach the assessment of patients with a range 6] a
of acute conditions in a structured manner. The case scenarios are very realistic and there t [0
7
are good explanations of underlying patho-physiology. There is also a well structured expla- /1
8
nation of investigations and priority interventions … This book will enable the development /1
6
of expertise in assessment and prioritising of care in a range of settings.” ]. C
o
Laurence Leonard, Senior Lecturer, Kingston University and St George’s, py
University of London, UK righ
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
.
2244337733..iinnddbb vv 1166//0077//22001122 1166::4411
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
6
.8
6
] 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
.
2244337733..iinnddbb vvii 1166//0077//22001122 1166::4411
D
o
w
n
lo
a
d
e
d
Contents by
[ F
a
c
u
lty
o
f N
u
rsin
g
, C
h
ia
n
g
m
a
List of fi gures x i Un
iv
e
rsity
5
List of tables xi .62
.1
5
6
.8
6
] a
Notes on contributors xii t [0
7
/1
8
/1
6
List of abbreviations xiii ]. Co
p
y
rig
h
t ©
Introduction 1 M
c
G
Karen Page and Aidín McKinney ra
w
-H
ill G
lo
b
a
PART 1 Cardiovascular System 5 l Ed
u
c
a
tio
n
H
o
CASE STUDY 1 Acute coronary syndrome 7 ldin
g
Patrick Gallagher s, L
L
C
. N
o
CASE STUDY 2 t to
Acute heart failure 15 b
e
re
Billie Joan Rice d
istrib
u
te
d
o
Respiratory System r m
PART 2 27 o
d
ifie
d
in
a
n
CASE STUDY 3 Acute exacerbation of asthma 29 y w
a
y
w
Karen Page ith
o
u
t p
e
rm
issio
vii n.
2244337733..iinnddbb vviiii 1166//0077//22001122 1166::4411
D
viii Contents o
w
n
lo
a
d
e
d
CASE STUDY 4 Acute exacerbation of chronic by [ F
obstructive pulmonary disease 41 ac
u
Aidín McKinney lty o
f N
u
rsin
CASE STUDY 5 Pulmonary embolism 49 g, C
h
ia
Karen Page ng
m
a
i U
n
iv
e
PART 3 Renal System 59 rsity
5
.6
2
.1
5
6
.8
CASE STUDY 6 Acute kidney injury 61 6] a
t [0
Aidín McKinney 7
/1
8
/1
6
]. C
o
p
PART 4 Neurological System 71 yrig
h
t ©
M
c
G
CASE STUDY 7 ra
Head injury 73 w
-H
Aidín McKinney ill G
lo
b
a
l E
CASE STUDY 8 Acute stroke 83 duc
a
tio
Karen Page n H
o
ld
in
g
CASE STUDY 9 Status epilepticus 96 s, LL
C
Karen Page . N
o
t to
b
e
re
d
PART 5 Digestive System 105 istrib
u
te
d
o
r m
o
CASE STUDY 10 Acute abdomen 107 difie
d
Aidín McKinney in
a
n
y
w
a
y
CASE STUDY 11 w
Acute pancreatitis 117 ith
o
u
Karen Page t p
e
rm
issio
n
.
2244337733..iinnddbb vviiiiii 1166//0077//22001122 1166::4411
D
Contents ix o
w
n
lo
a
d
e
d
PART 6 Endocrine System 127 by [ F
a
c
u
lty
o
CASE STUDY 12 f N
Diabetic ketoacidosis 129 u
rsin
Karen Page g, C
h
ia
n
g
m
PART 7 Musculoskeletal System 139 ai U
n
iv
e
rsity
5
CASE STUDY 13 Acute trauma – fracture 141 .62.1
5
6
Niall McKenna .8
6
] a
t [0
7
/1
8
PART 8 Multiple Interacting Systems 153 /16]. C
o
p
y
rig
h
CASE STUDY 14 t ©
Shock: hypovolaemic 155 M
c
Karen Page Gra
w
-H
ill G
CASE STUDY 15 Shock: sepsis 165 lob
a
Aidín McKinney l Ed
u
c
a
tio
n
H
CASE STUDY 16 Shock: anaphylactic 173 old
in
g
Aidín McKinney s, L
L
C
. N
o
CASE STUDY 17 Burns 181 t to
b
e
Niall McKenna re
d
istrib
u
te
d
Index 193 o
r m
o
d
ifie
d
in
a
n
y
w
a
y
w
ith
o
u
t p
e
rm
issio
n
.
2244337733..iinnddbb iixx 1166//0077//22001122 1166::4411