This 2nd edition focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient. It is designed for any clinician involved in the administration of moderate sedation and written by a clinician involved in the practice on a daily basis. The primary focus of this new edition is to provide all the content and tools necessary to demonstrate competency in moderate sedation/analgesia. Includes a greater focus on the core competencies necessary for clinical practice. Concept Checks are integrated throughout to help the learner assess the mastering of the content presented. Includes the recommended standards of practice from the ANA, AORN, American Academy of Pediatrics, and JCAHO's Sample Policies & Procedures. Contains sample clinical competencies for moderate sedation so the book can be used as a study guide and measurement tool. Incorporates throughout important information on the specific moderate sedation parameters of the pediatric and geriatric patients addressing preprocedural assessment, physiologic variations, pharmacologic considerations and sedative techniques. Includes a comprehensive pharmacologic profile of each medication used in the moderate sedation practice setting. Follows a recommended 'core curriculum' format, but each idea and concept are discussed in detail. Increased integration of actual Clinical Scenarios facilitates the application of content knowledge and utilization of critical thinking skills. Integration of herbal preparations and their impact on pre-sedation care. Latest JCAHO Sedation/Anesthesia Guidelines (2004) incorporated throughout. A larger trim size (8.5 x 11) provides more of a 'manual' feel and allows the reader to make notes and work through various tools throughout the book.

Introducing the definitive resource designed for practitioners working in the rapidly expanding area of moderate procedural sedation and analgesia clinical practice. Moderate Procedural Sedation and Analgesia: A Question and Answer Approach focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient in a variety of settings. This comprehensive text is designed to provide all the content and tools nurses and other clinicians need to demonstrate competency in moderate sedation and analgesia. Additionally, this user-friendly text is written by well-known sedation/analgesia expert, Michael Kost and recommended by standards of practice from the ANA, AORN, and the American Academy of Pediatrics. New clinically focused text ensures clinicians involved in the administration and management of patients receiving moderate sedation have access to the most up-to-date information. Strong safety focus throughout the book explains how technology and clinician practice can improve sedation administration. Chapters organized in clinical problem/question plus answer format help you easily comprehend material. Follows the latest TJC Sedation/Anesthesia Guidelines ensuring you are ready for medication administration in clinical practice. Pediatrics and Geriatrics chapters cover specific sedation practice recommendations that address the substantive clinical practice challenges associated with these patient populations. Pharmacologic profiles of medications detail their use in the moderate sedation practice setting.

Explores how these conflicting scenarios could be reconciled; how can we shape a more sustainable energy system from the existing one; and possible technological progress and innovations to enable a brighter future.

Addresses the reality that there exists no consensus on the extent to which innovations can really contribute to reconciling ever-growing energy consumption, availability of resources and the environment, and the structural demands on any energy system.

Offers and explains a four-point strategy:

Energy should according to its importance regain a top priority in the political arena; higly targeted subsidies should be given for a limited amount of time to speed up the market introduction of energy-efficient and regenerative techniques in analogy to the Dutch model; Negotiated agreements and unilateral self-commitments can subsequently ensure further market diffusion of sustainable energy innovations.; the basic research in energy should not be diminished but intensified instead

Explores how these conflicting scenarios could be reconciled; how can we shape a more sustainable energy system from the existing one; and possible technological progress and innovations to enable a brighter future. Addresses the reality that there exists no consensus on the extent to which innovations can really contribute to reconciling ever-growing energy consumption, availability of resources and the environment, and the structural demands on any energy system. Offers and explains a four-point strategy: Energy should according to its importance regain a top priority in the political arena; higly targeted subsidies should be given for a limited amount of time to speed up the market introduction of energy-efficient and regenerative techniques in analogy to the 'Dutch model'; Negotiated agreements and unilateral self-commitments can subsequently ensure further market diffusion of sustainable energy innovations.; the basic research in energy should not be diminished but intensified instead