Due to changes made in 2018 to the Department of Health Standard Treatment Guidelines and Essential Medicines List, the Primary Clinical Care Manual has been substantially revised to meet the educational requirements of current nursing students. The 10th edition of Primary Clinical Care Manual has been updated with all the fundamental changes necessary for students to have up-to-date, relevant information needed for primary health care in South Africa. Such additions and changes include: 1. The 2018 edition of the Department of Health Primary Care Standard Treatment Guidelines (STGs) and Essential Medicines List (EML). It also includes information obtained from the Hospital Level STGs and EML. 2. Seven chapters have been extensively rewritten and/or updated: Hypertension, with a new section on postnatal patient management; HIV and AIDs patients; Contraception; Epilepsy; The Skin; Joints; Mental Health; 3. Numerous medicine and dosage changes have been made in accordance with Department of Health (DOH) recommendations. More clarity on referral criteria is provided in relevant chapters. While other versions of the Primary Clinical Care Manual will be discontinued, this revised edition will be available in March 2019.

Respected leader in Critical Care Medicine, Phillip Dellinger has complied a top-notch range of articles on the subject of Sepsis. Topics include: "The History of Sepsis," "Molecular Biology of Sepsis," "Sepsis Induced Tissue Hypoperfusion," "Hemodynamic Monitoring in Sepsis," "Performance Improvement in Sepsis," and more

Simulate a realistic delivery room setting during your NRP training courses with the all-new NRP Equipment Poster, featuring images of a manometer, oxygen blender, pulse oximeter, and more. Printed on flexible plastic with holes for hanging on hooks. Size: 22" x 24".

An evidence-based guide to hemodynamic monitoring procedures and patient care, Hemodynamic Monitoring: Evolving Technologies & Clinical Practice describes invasive, non-invasive, and minimally invasive techniques in monitoring blood pressure and oxygen levels within the circulatory system. It provides a clear, illustrated discussion of the anatomy and physiology related to hemodynamics, explains the technologies involved in each measurement, and includes quick-reference tables of normal and abnormal values. Written by cardiovascular nursing expert Mary E. Lough, Hemodynamic Monitoring is a detailed, comprehensive text designed for critical care nurses and respiratory therapists. Case Studies in each clinical chapter include a patient scenario with assessment details, allowing you to envision real-life patient care and prepare for adverse outcomes or complications. Coverage of patient safety includes a discussion of important measures that will help you provide safe and effective patient-centered care. UNIQUE! Coverage of patient comfort includes a discussion of methods to increase patient comfort during invasive procedures. Clinical Reasoning Pearls provide practical advice from experts and describe how to implement a procedure or improve patient care. A table of Important Values and Formulas is located inside the back cover for quick and easy reference.

In order to remain up-to-date on the best healthcare initiatives, medical professionals must continuously seek new research on best practices and procedures to provide efficient medical care to their patients. As heart and lung disease accounts for many illnesses and deaths, and are both a major concern to many members of society, it is especially important for cardiovascular intensivists to hone their skills and use the best surgical and treatment options available. Coronary and Cardiothoracic Critical Care: Breakthroughs in Research and Practice is an essential reference source for the latest scholarly material on emerging strategies and methods for delivering optimal healthcare for those with coronary and cardiothoracic diseases. It also examines the latest techniques and methods used in cardiovascular care. Highlighting a range of pertinent topics such as coronary artery disease, patient monitoring, and endocrine and metabolic management, this publication is an ideal reference source for medical students, residents, fellows, anesthesiologists, cardiac surgeons, nurses, physician assistants, and pharmacists who assist patients who require coronary and cardiothoracic care.

As information systems become ever more pervasive in an increasing number of fields and professions, nurses in healthcare and medicine must take into consideration new advances in technologies and infrastructure that will better enable them to treat their patients and serve their communities. Nursing Education, Administration, and Informatics: Breakthroughs in Research and Practice is a comprehensive reference source for the latest scholarly material on nursing administration with a focus on patient care, the strategic management of nursing staff, and other areas. Highlighting a range of pertinent topics, such as online nursing education, social media for professional development, and practical nurse training, this publication is ideally designed for doctors, nurse practitioners, hospital administrators, and researchers and academics in all areas of the medical field.

In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

In this issue of Critical Care Nursing Clinics, Guest Editor May M. Riley brings her considerable expertise to the topic of Infection Challenges in the Critical Care Unit. Top experts in the field cover key topics such as Implementing an Antimicrobial Stewardship Program, Pulmonary Infections, Including Ventilator-Associated Pneumonia (VAP), Preventing Central Line-Associated Bloodstream Infection (CLABSI), and more. Provides in-depth, clinical reviews on Infection Challenges in the Critical Care Unit, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. Contains 8 relevant, practice-oriented topics including Epidemiology of Invasive Fungal Disease; Management of Sepsis; Multidrug-Resistant Candida Species and Candidiasis Infections; Infections in Geriatric Patients; Transmission and Multidrug-Resistant Organisms; and more.

In collaboration with Consulting Editor, Dr. Cynthia Bautista, Dr. Judy Davidson has put together a comprehensive issue on family and patient experience in the ICU. Expert authors have contributed clinical review articles on the following topics: Humanizing Intensive Care: From Theory to Practice; FiCare; Patient's Own Pets in the ICU; Sleep in the ICU; Implementation of a Patient and Family-Centered ICU Peer Support Program at a Veterans Affairs Hospital; Understanding the Experiences of Patients and Families in the ICU: More than Engagement; Implementing a Patient and Family Communication Bundle in the ICU; Integrating Primary Palliative Care into the ICU: The Critical Care Nurse Communicator Program; Bereavement Care in the Adult ICU: Directions for Practice; A review on the Use of Diaries; Supporting Families of Patients with Rare or Unusual Critical Illnesses; and Meeting the Special Needs of Families of CTICU patients. Readers will come away with the information they need to improve family and patients experiences in the ICU.

In collaboration with Consulting Editor, Dr. Cynthia Bautista, Dr. Mary Amatangelo has put together a comprehensive issue on nursing priorities for the stroke patient. Expert authors have contributed clinical review articles on the following topics: The Neurologic Exam; Large Vessel Occlusion; Blood Pressure Control for Ischemic Stroke; Malignant Hemispheric Stroke; Priority Nursing Interventions Caring for the Stroke Patient; Monitoring for Post-Stroke Seizures; Cryptogenic Stroke; In-House Stroke Code; Why Stroke Certification Matters; Stroke Rehabilitation; and Ethical Concerns in Caring for the Stroke Patient. Readers will come away with the information they need to improve outcomes for stroke patients in the ICU.

In Collaboration with Consulting Editor, Dr. Jan Foster, Drs. Martin and Badeaux have created an issue where top authors in critical care nursing provide current updates on sepsis care and management. Authors have written clinical reviews on the following topics: International Sepsis Guidelines 2016; Pros and Cons of Early Administration of Intravenous Fluids; PTSD After ICU Stay; Role of Vitamin C and Carbon Monoxide in Sepsis; Neonatal Sepsis; Use of Etomidate in the Septic Patient; Simulation to Manage the Septic Patient in the ICU; Cardiogenic Shock Complicating Sepsis management; Hospital Costs associated with Sepsis Compared to other Medical Conditions; Special Considerations for the Septic Patient Going to the Operating Room; Management of the Septic Patient in the Emergency Room; and Management of Sepsis in the Obstetrical Patient. Reader will come away with the information they need to improve patient outcomes.

Gastrointestinal dysfunction or injury is common in the critical care patient either as a primary diagnosis or as secondary symptoms. Several studies confirm that up to 62% of critical care patients exhibit at least one GI symptom for at least one day. In addition, recent studies have shown that GI problems are related to negative outcomes in the critical care patient. The articles in this issue are current and relevant to critical care patients today: Autoimmune Disease of the Gut in the Critical Care Patient; Nutrition Options in CCU Patients; Mesenteric Ischemia; Management of C-Diff in Critical Care Setting; Management of Acute GI Bleed; Acute Diverticulitis Management; GI Patient Skills Training in the ICU: SOFA assessment and recognizing GI symptoms; EBP with probiotics in treatment for antibiotic associated diarrhea in the ICU; GI Problems in the ICU with Patients with HIV/AIDs; Complications of GI Motility/GI Failure in the Critically Ill Patient; Untreated Gastroesophageal Reflux Patients in the ICU; Liver Transplant; Ecoli Complications in Critical Care-Pediatrics; and GI Traumatic injuries: GI Perforation. Being knowledgeable and skillful in the recognition and care for these problems is paramount to the critical care nurse.

Advanced Perioperative Crisis Management is a high-yield, clinically-relevant resource for understanding the epidemiology, pathophysiology, assessment, and management of a wide variety of perioperative emergencies. Three introductory chapters review a critical thinking approach to the unstable or pulseless patient, crisis resource management principles to improve team performance and the importance of cognitive aids in adhering to guidelines during perioperative crises. The remaining sections cover six major areas of patient instability: cardiac, pulmonary, neurologic, metabolic/endocrine, and toxin-related disorders, and shock states, as well as specific emergencies for obstetrical and pediatric patients. Each chapter opens with a clinical case, followed by a discussion of the relevant evidence. Case-based learning discussion questions, which can be used for self-assessment or in the classroom, round out each chapter. Advanced Perioperative Crisis Management is an ideal resource for trainees, clinicians, and nurses who work in the perioperative arena, from the operating room to the postoperative surgical ward.

Aquick reference to clinical information needed in Pediatric Intensive Care Units. The Manual makes extensive use of illustrations tables and boxes and provides up-to-date information on nursing interventions for the critically ill child. It also includes content on psychosocial issues, family needs and PICU instrumentation. Authored by an international expert in pediatric critical care who has incorporated the most up to-date policies, practices, and procedures into the text. Provides manageable summaries so that clinical information needed in PICU's can be quickly referenced. Contains more than 300 illustrations, tables, and boxes to aid in quick referencing of essential critical care information. Provides anatomy and physiology reviews to ensure complete understanding. Contains up-to-date information on nursing interventions that aids in the formulation of appropriate policy and accurate decision-making. Has many updated drug tables for the most current pharmacotherapy interventions. Includes content on psychosocial issues, family needs, and PICU instrumentation to prepare the nurse for the realities of working in a pediatric critical care unit. Features a chapter on burns to assist the pediatric critical care nurse in the care of a child with severe burns. Suggested resource lists provide a practical reference supplement for more detailed conditions.

Dr. Stephen Krau, Consulting Editor of Critical Care Nursing Clinics, is stepping into the Guest Editor role, with colleague Dr. Maria Overstreet, to address the topic of pain management in the critically ill. The review articles in this issue will provide an up-to-date look at the current strategies to improve patient outcomes in pain management for those patients in the ICU. Top authors will be writing on the following topics: Physiology of Pain; Classifications of Pain; Current Trends in Pain Assessment; Spiritual Aspects of Pain; Pharmacologic Interventions for Pain Management; Non-Alliopathic Interventions for the Management of Pain; Pain Associated with Chest Tube Removal; Discomfort Associated with Respiratory Issues; Pain Management in Obstetrics; Technological Interventions for Acute Pain Management; Pain Management Services and Policy; and Management of Chronic Cardiac Angina. Readers will come away with the current knowledge in this important field.

Dr. O'Malley is a well-known nurse researcer in the area of Hemaotology, and she has assembled top experts to write about the most important hemtaologic issues in critical care. The issue has articles devoted to the following topics: Cord blood banking; Leukemia and Lymphomas; Sickle Cell; Anticoagulants; Aplastic anemia & MDS; Hereditary Hemochromatosis and Pernicious Anemia; Hemophilia; Blood book: cells, products, transfusion; Anemia; Multiple Myeloma; DIC; and The lived experience of anemia without a cause. Nurses will come away with the clinical information they need to improve patient outcomes in the critical care setting.

The Guest Editors have assembled expert authors to contribute current reviews devoted to critical care in pediatrics. The articles are devoted to Simulation and Impact on Code Sepsis; Cardiac Rapid Response Team/Modified Cardiac PEWS Development; Impact on Cardiopulmonary Arrest Events on Inpatient Cardiac Unit; Promoting Safety in Post-Tracheostomy Placement Patients in the Pediatric Intensive Care Unit Through Protocol; Innovation in Hospital-Acquired Pressure Ulcers Prevention in Neonatal Post-Cardiac Surgery Patients; Utilizing an Interactive Patient Care System in an Acute Care Pediatric Hospital Setting to Improve Patient Outcomes; Advances in Pediatric Pulmonary Artery Hypertension; and Creating a Safety Program in a Pediatric Intensive Care Unit or Assessing Pain in the Pediatric Intensive Care Patients to name a few. Readers will come away with information that is actionable in the pediatric ICU.

A cardiac dysrhythmia is a disturbance in the cardiac rhythm which can be normal (e.g., sinus arrhythmia) or instantly lethal (e.g., sustained ventricular tachycardia). This issue of Critical Care Nursing Clinics of North America will provide state of the art diagnostic and treatment information for cardiac dysrhythmias as well as addressing how to achieve the most accurate diagnostic approach to interpreting an electrocardiogram, which is omnipresent in critical care and of critical importance in diagnosing arrhythmias. Articles in this issue are devoted to: The Normal Cardiac Conduction System; The Normal Electrocardiogram: Resting 12-lead and Continuous Cardiac Rhythm Strips; Premature Beats; Paroxysmal Supraventricular Tachycardia, Including the Special Type Called Wolff-Parkinson-White; Atrial Fibrillation, The Most Common Type of Supraventricular Arrhythmia; Ventricular Tachycardia and Its Disorganized Counterpart, Ventricular Fibrillation; Brady-Dysrhythmias, When Heart Rate Slows Myocardial Ischemia & Infarction and their Relationship to Dysrhythmias; Pharmacologically Induced Dysrhythmias; and Implantable Cardiac Devices and their Role in Dysrhythmias Management.

Sedation is a necessary component of care for critically ill and injured individuals. Sedatives assist in coping with mechanical ventilation and other invasive devices, and help patients tolerate procedures and noxious stimuli in the intensive care unit. Sedatives are also useful in the control of agitation and delirium. In addition to fundamental humane reasons, calming patients with sedatives provides physiologic benefits, such as reducing oxygen consumption expended during restlessness, and prevents dislodgement of life-preserving tubes and catheters. When administering sedatives to manage critically ill patients, clinicians must be cognizant of the many complex issues surrounding their use. This issue, edited by Consulting Editor, Dr. Jan Foster, provides current updates in this area, including new guidelines and a focus on delirium.

Neuromonitoring is a broad term that essentially accounts for the essence of neuroscience nursing. Nurses working with critically ill, neurologically impaired patients should have a foundation in not only in invasive neuromonitoring, but the more subtle aspects of care. Nurses must understand that they are the most important tool in monitoring patients and interpreting the data. This issue of Critical Care Nursing Clinics will bring together the critical aspects of neuromonitoring in the intensive care units that can be used as a resource for nurses. Some articles included are devoted to Temperature Targeted Management; Refractory Intracranial Pressure Management; Blood pressure monitoring controversies; Invasive Neuromonitoring; Neuroradiology Review; Nursing Monitoring of Critically Ill Neurological Patients; Case Studies in EEG monitoring; and Neuromonitoring in the Operating Room.

This issue contains a series of articles focused on various initiatives aimed at improving the quality of patient care delivery and promoting safe passage across the continuum of care. Exemplary, evidence-based nursing practice is the cornerstone of quality care, and this issue highlights many ways in which nurses have led changes to optimize patient outcomes. In addition, quality care enhances cost-effectiveness by reducing avoidable complications and diminishing avoidable hospital readmissions, a concept more important than ever due to value-based purchasing and the Affordable Care Act. Articles are specifically devoted to prevention of delirium in critical care patients, palliative care in the intensive care unit, prevention of pressure ulcers, fall prevention in high-risk patients, prevention readmissions, preventing sepsis mortality, and nursing interventions in the elderly critical care patient, to name a few.

Critical care clinicians must be knowledgeable about the anatomic, physiologic, and biochemical processes that are critical to the restoration of a functioning microvascular affecting organ perfusion. These basic physiologic processes critical to tissue perfusion and cellular oxygenation are presented in this issue on Monitoring Tissue Perfusion and Oxygenation. A working knowledge of oxygen delivery and oxygen consumption at the microvascular level will provide critical information needed for clinicians to continuously question the adequacy of tissue perfusion given our current lack of microvascular bedside monitoring.

Nutrition is an important aspect of care for any patient entering the hospital, but the patient admitted to the intensive care unit (ICU) is at an even higher risk for nutritional compromise. Nutrition affects all ages, from the neonate to the geriatric patient, and all patient populations. Evidence-based practice guidelines regarding appropriate nutritional support within the critical care setting are published. Yet, researchers continue to identify that despite published evidence, countless ICU patients continue to lack adequate and timely nutritional support on admission. Each of the authors in this issue promotes nutrition in their careers and individual practice areas, which brings knowledge from many different arenas throughout the nation. This issue discusses nutrition throughout the lifespan, special patient populations, implementation of guidelines, and how nutrition is being utilized as medical therapy.