Acute Cardiac Care: A Practical Guide for Nurses by Angela Kucia, Tom Quinn

By Angela Kucia, Tom Quinn

Acute Cardiac Care offers nurses with a finished figuring out of the present perform and rules underlying the care and administration of acute cardiac stipulations. It addresses the administration of acute coronary syndromes (ACS) with an emphasis on evidence-based pharmacological administration, cardiac emergencies (cardiac arrest, arrhythmia, acute pulmonary oedema, cardiogenic shock), present diagnostic and interventional modalities for the administration of ACS, together with hazard stratification, and the moral, political, social and fiscal components that impression upon the supply of acute cardiac providers in Australia and the united kingdom.

Edited through well known teachers and clinicians within the box, this sensible textual content will inspire nurses to imagine seriously approximately proof and administration of acute coronary stipulations, and supply a consultant on how and the place to seem for updated proof and guidelines.

KEY FEATURES:

  • A accomplished and functional advisor to the present perform and rules underlying the nursing care of acute cardiac conditions
  • Edited via best professionals within the box with a wealth of expertise in acute cardiac care and resuscitation
  • Has an emphasis on evidence-based perform, encouraging nurses to significantly take into consideration their practice
  • Contains studying goals, key issues and actions and additional interpreting guidelines

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Additional info for Acute Cardiac Care: A Practical Guide for Nurses

Example text

British Medical Journal, 324:470–3. Rogers, J. (1999). Cardiovascular physiology, Issue 10. htm 4 The Coronary Circulation B. M. Kucia Overview This chapter will outline the structure and function of the coronary circulation, describing the key coronary arteries and the specific areas of the heart muscle supplied by each of these arteries. An understanding of the structure and function of the coronary circulation will be useful in the interpretation of cardiac catheterisation reports and assist the nurse in understanding the signs and symptoms that occur as a result of occlusion of a particular coronary artery, relative to the myocardial structures that it supplies.

5 Components of the QRS complex. Source: Reproduced from Meek and Morris (2002). With permission from BMJ Publishing Group Ltd. 20 Acute Cardiac Care: A Practical Guide for Nurses Key point A significant clinical aspect of knowledge to recall when interpreting an ECG is that an ECG is a reflection of the passage of electrical impulses throughout the myocardium; it is not a reflection of mechanical contraction of the atria and ventricles. The electrocardiogram The ECG is separated into a series of three distinct waveforms: the P wave, the QRS complex and the T wave.

For those at higher absolute risk of CVD and those that have already had a coronary event, BP will be managed more aggressively. As BP may have large spontaneous variations, the diagnosis of hypertension should be based on multiple BP measurements taken on several separate occasions (NHFA 2008b). 4 for definitions, classification and follow-up of BP levels in adults. Primary prevention target BP levels are р140/90 mmHg, but р130/80 mmHg is suggested as a reasonable target BP for individuals with demonstrated coronary artery disease (CAD) or with CAD risk equivalents, including carotid artery disease, peripheral arterial disease, abdominal aortic aneurysm, diabetes mellitus or chronic renal disease (Rosendorff et al.

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