AACN Core Curriculum for Progressive and Critical Care Nursing (by Team-IRA)

✍ Scribed by AACN (editor), Tonja Hartjes DNP CNS APRN CNE®cl CCRN FAANP (editor)

• Publisher: Elsevier
• Year: 2023
• Tongue: English
• Leaves: 978
• Edition: 8
• Category: Library

✦ Synopsis

Get ready for clinical practice in progressive and critical care nursingwiththis definitive resource! From the experts at the American Association of Critical-Care Nurses, the AACN Core Curriculum for Progressive and Critical Care Nursing, 8th Edition covers the knowledge and skills needed to prepare for the CCRN^® and PCCN^® certification examinations and to provide safe and effective care in progressive and critical care settings. Content in this edition corresponds to the most recent CCRN^® and PCCN^® exam blueprints and reflects the latest in evidence-based practice. With its clear outline format and comprehensive coverage of nursing competencies, this text is both a convenient clinical reference and a valuable study tool.

• PUBLISHER’S NOTE: Although some copies of this title mention that an access code is included inside, no access code is included or required to access the Evolve materials for this book.
• Experts at the American Association of Critical-Care Nurses (AACN) provide the definitive reference for progressive and critical care nursing care of adults.
• Concise outline format makes information easy to find and easy to digest.
• Basic to advanced levels of coverage emphasizes clinical nursing practice, preparing you with the full range of knowledge needed for optimal patient care in progressive and critical care settings.
• Key content in each body systems chapter includes an anatomy and physiology review, assessment, patient care, and specific patient health problems.
• Expert Tips and Key Concepts boxes highlight important content and serve as a quick reference.

• NEW! Updated content corresponds to the most recent CCRN^® and PCCN^® examination blueprints and reflects the latest research evidence, clinical studies, national and international treatment protocols, the AACN/ANA scope of practice, and AACN’s ECCO 3.0.
• NEW! Updated table of contents, chapter format, and full-color design make the book easier to read and use.
• NEW! Additional full-color illustrations, boxes, and tables enhance understanding and provide quicker access to need-to-know information in clinical practice.

✦ Table of Contents

Front Cover
AACN Core Curriculum for Progressive and Critical Care Nursing
Copyright Page
Contributors
Reviewers
Preface
Acknowledgments
Contents
I. Foundations of Progressive and Critical Care Nursing
1 Professional Caring and Ethical Practice
American Association of Critical-Care Nurses Mission, Vision, and Values (AACN, 2020 a,b,c)
Mission
Vision
Values
Synergy of Caring
Key Responsibilities of Registered Nurses (American Nurses Association [ANA], 2020)
What Acute and Critical Care Nurses Do (AACN, 2019)
The Environment of Progressive and Critical Care Nurses (AACN, 2019)
The AACN Synergy Model For Patient Care
Aacn Synergy Model for Patient Care (AACN, 2020a,b,c)
Origin of the Synergy Model
Purpose
Overview of the Synergy Model
Application of the Synergy Model
Family Presence: Visitation in the Adult ICU (AACN Practice Alert, 2016)
Healthy Work Environment Standards (AACN, 2016)
General Legal Considerations Relevant to Critical Care Nursing Practice
National Governing Bodies
State Nurse Practice Acts (Russell, 2017)
Scope of Practice
Standards of Care
Certification in a Specialty Area
Professional Liability
Documentation
Good Samaritan Laws
Ethical Clinical Practice
Foundation of Ethical Nursing Practice
Emergence of Clinical Ethics
Standard Ethical Theory
Ethical Principles (ANA, 2015b)
Common Ethical Distinctions
Advance Care Planning
The Law in Clinical Ethics (Department of Health & Human Services, 2020)
Clinical Ethics Assessment
Nurse’s Role As Patient Advocate And Moral Agent
2 Psychosocial Aspects of Critical Care
Systemwide Elements
Review of Psychosocial Concepts
Assessment
Pain, Agitation, Delirium, Immobility and Sleep Disruption (PADIS) (Devlin et al., 2018)
Sleep Deprivation
ASD and PTSD
Delirium (Acute Confusional State)
Powerlessness
Anxiety
Depression
Substance Misuse, Dependence, and Withdrawal
Aggression and Violence
Suicide
Dying Process and Death
II. Critical Care of Patients with Issues Affecting Specific Body Systems
3 Pulmonary System
Systemwide Elements
Anatomy and Physiology Review
Assessment
Patient Care
Specific Patient Health Problems
Acute Respiratory Failure (ARF)
Chest Trauma
Acute Respiratory Distress Syndrome (ARDS)
Vaping
Transfusion-Related Lung Injury
Pulmonary Embolism
Chronic Obstructive Pulmonary Disease (COPD)
Asthma and Status Asthmaticus
Pneumonia
Ventilator-Associated Pneumonia and Event
Drowning
Pulmonary Problems in Surgical/Thoracic Surgery Patients
Air Leak Syndromes
Acute Pulmonary Inhalation Injuries
Neoplastic Lung Disease
Pulmonary Fibrosis
Obstructive Sleep Apnea
End-Stage Pulmonary Conditions: Lung Transplantation
4 Cardiovascular System
Systemwide Elements
Anatomy and Physiology Review
Assessment
Diagnostic Studies
Patient Care
Specific Patient Health Problems
Acute Coronary Syndrome
Acute Myocardial Infarction—ST-Segment Elevation Myocardial Infarction
Non—ST Elevation Myocardial Infarction (See Acute Coronary Syndrome (Nstemi- Acute Coronary Syndrome And Unstable Angina))
Unstable Angina
Chronic Stable Angina Pectoris
Coronary Artery Disease
Heart Failure
Pericardial Disease
Myocarditis
Infective Endocarditis
Cardiomyopathy
Cardiac Rhythm Disorders
Symptomatic Bradycardia
Symptomatic Tachycardia
Absent or Ineffective Pulse
Mitral Regurgitation
Mitral Stenosis
Aortic Regurgitation
Aortic Stenosis
Atrial Septal Defect
Ventricular Septal Defect
Patent Ductus Arteriosus
Coarctation Of The Aorta
Hypertensive Crises
Aortic and Peripheral Arterial Disease
Shock
Mechanical Circulatory Support Devices
End-Stage Heart Disease: Cardiac Transplantation
Cardiac Trauma
5 Neurologic System
Systemwide Elements
Anatomy and Physiology Review
Assessment
Patient Care
Specific Patient Health Problems
Increased Intracranial Pressure Or Intracranial Hypertension
Stroke
Intracranial Aneurysms
Arteriovenous Malformation
Ischemic Stroke
Intracerebral /Intraparenchymal Hemorrhagic Stroke
Intraventricular Hemorrhage
Brain Tumor
Spinal and Spinal Cord Tumors
Intracranial Infections
Bacterial Meningitis
Viral Meningitis
Fungal Meningitis
Viral Encephalitis
Neuromuscular/Autoimmune Disease
Guillain-Barré Syndrome
Myasthenia Gravis
Cerebral Palsy
Muscular Dystrophies
Seizure Disorders
Encephalopathy
Coma
Brain Death
Neurosurgical Procedures
6 Renal System
Systemwide Elements
Anatomy And Physiology Review
Assessment
Patient Care
Specific Patient Health Problems
Renal Trauma
Acute Kidney Injury
Chronic Kidney Disease
Electrolyte Imbalances—Potassium Imbalance: Hyperkalemia
Electrolyte Imbalances—Potassium Imbalance: Hypokalemia
Electrolyte Imbalances—Sodium Imbalance: Hypernatremia
Electrolyte Imbalances—Sodium Imbalance: Hyponatremia
Electrolyte Imbalances—Calcium Imbalance: Hypercalcemia
Electrolyte Imbalances—Calcium Imbalance: Hypocalcemia
Electrolyte Imbalances—Phosphate Imbalance: Hyperphosphatemia
Electrolyte Imbalances—Phosphate Imbalance: Hypophosphatemia
Electrolyte Imbalances—Magnesium Imbalance: Hypermagnesemia
Electrolyte Imbalances—Magnesium Imbalance: Hypomagnesemia
Rhabdomyolysis
End-Stage Renal Condition: Renal Transplant
7 Endocrine System
Systemwide Elements
Anatomy and Physiology Review
Hypothalamus
Pituitary Gland (Also Called Hypophysis)
Thyroid Gland
Parathyroid Glands
Adrenal Glands
Pancreas
Pineal Gland and Thymus Gland
Gonadal Hormones (Testosterone, Estrogen, Progesterone)
Assessment
Patient Care
Specific Patient Health Problems
Altered Glucose Metabolism
Altered Antidiuretic Hormone Production
Altered Thyroid Hormone Production
Acute Adrenal Insufficiency Or Crisis
Acute Hyperparathyroidism and Hypoparathyroidism
8 Hematologic and Immunologic Systems
Systemwide Elements
Anatomy and Physiology Review
Assessment of Hematologic and Immunologic Systems
Patient Care
Specific Patient Health Problems
Thrombocytopenia
Disseminated Intravascular Coagulation
Medication-Induced Coagulopathy
Thromboembolic Disorders
Anemia
Sickle Cell Anemia
Neutropenia
Acute Leukemia
Malignant Pericardial Effusion
Hematopoietic Stem Cell Transplantation
Organ Transplant Rejection
Human Immunodeficiency Virus Infection
Anaphylactic Reaction
9 Gastrointestinal System
Systemwide Elements
Anatomy And Physiology Review
Accessory Organs Of Digestion
Patient Assessment
Patient Care
Specific Patient Health Problems
Abdominal Trauma
Bowel Infarction (Obstruction, Perforation)
Functional Gastrointestinal Disorders (Obstruction, Motility [Ileus, Diabetic Gastroparesis, Gerd, Inflammatory Bowel Syndr ...
Gastrointestinal Infections (Clostridium Difficile)
Abdominal Compartment Syndrome
Acute Abdomen
Acute Liver Failure
Gastrointestinal Bleeding
Gastrointestinal Bariatric Surgery
Chronic Liver Failure: Decompensated Cirrhosis
Carcinoma of the Gastrointestinal Tract
Acute Pancreatitis
Hepatitis
End-Stage Gastrointestinal System Condition: Liver Transplantation
Nutritional Support In The Critically Ill Patient
III. Critical Care of Patients with Multisystem Issues
10 Sepsis and Septic Shock
Systemwide Elements
Anatomy and Physiology Review
Assessment
Patient Care
11 Multisystem Trauma
Systemwide Elements
Trauma Concepts AND Physiology Review
Assessment
Patient Care
Head and Spinal Trauma
Thoracic Trauma: Pulmonary and Cardiac
Pulmonary Trauma
Cardiac Trauma
Abdominal Trauma
12 Burns
Systemwide Elements
Anatomy and Physiology Review
Assessment
Patient Care
13 Hypothermia
Systemwide Elements
Anatomy And Physiology Review
Assessment
Patient Care
14 Toxin Exposure
Systemwide Elements
Anatomy and Physiologic Review
Assessment
Patient Care
Interventions For Ingestion of Toxic Substance
General Management Strategies For Gastric Decontamination
Treatment For Body Stuffing/Body Packing
Additional Interventions for the Purposeful Ingestion
Envenomation
IV. Critical Care of Patients With Special Needs
15 Bariatric Patients
Systemwide Elements
Anatomy and Physiology Review
Assessment
Patient Care
Care of the Bariatric Surgery Patient
Related Bariatric Care Issues
16 Older Adult Patients
Age-Related Biologic and Behavioral Differences
Age-Related Changes in Medication Action and Clinical Implications
The Four Ms of Age-Friendly Health Care
17 High-Risk Obstetric Patients
Systemwide Elements
Anatomy and Physiology Review
Specific Patient Health Problems
Postpartum Hemorrhage
Hypertensive Disorders of Pregnancy
Hemolysis, Elevated Liver Enzymes, Low Platelet Count Syndrome
Amniotic Fluid Embolism
Acute Fatty Liver of Pregnancy
Special Considerations
Trauma
Cardiopulmonary Concerns in Pregnant Patients
18 Patient Transport
Members of The Transport Team
Indications for Transport
Modes of Interfacility Transport
Risks and Stresses of Transport
Overriding Priorities in Patient Transport
Preparation for Transport
Patient Care During Transport
Legal and Ethical Issues Related to Transport
19 Sedation
Systemwide Elements
Considerations Before Sedation
Practice Considerations During Administration of Sedation
Specific Patient Health Problems
Procedural Sedation and Analgesia for the Patient in High Acuity Settings
20 Pain
Systemwide Elements
Anatomy and Physiology Review
Background
Assessment
Patient Care
Patient Education
Specific Clinical Problems Related to Pain Therapy
Specific Patient Health Problems
21 Palliative and End-of-Life Care
Systemwide Elements
Concept Review
Assessment for Palliative Care, Hospice, or End-of-Life Care Services
Patient Care
Transitioning Goals of Care to End-of-Life (Box 21.3)
Additional Considerations (See Ch. 2, Psychosocial Aspects of Critical Care)
22 Perioperative Care
Systemwide Elements
Anatomy and Physiology Review
Assessment
Patient Care
Initial Arrival in Postanesthesia Care Unit or Intensive Care Unit
Ongoing Postanesthesia Care—Emergence from Anesthesia
Specific Patient Health Problems
Index