Drain's PeriAnesthesia Nursing
A Critical Care Approach
- 8th Edition - December 27, 2022
- Imprint: Elsevier
- Author: Jan Odom-Forren
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 9 1 2 8 - 1
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 3 2 6 8 - 7
**Selected for Doody’s Core Titles® 2024 with "Essential Purchase" designation in Perioperative**Trusted for more than 30 years, Drain's PeriAnesthesia Nursing: A Critica… Read more
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Trusted for more than 30 years, Drain's PeriAnesthesia Nursing: A Critical Care Approach, 8th Edition provides comprehensive clinical content tailored specifically for perianesthesia nurses. An easy-to-use format with five distinct sections — covering the PACU, anatomy and physiology, pharmacology, nursing care, and special considerations — means you get the equivalent of five books in one. Nursing and pharmacologic interventions are integrated with in-depth coverage of pathophysiology, and updated content includes the latest standards and current issues affecting perianesthesia nursing practice. Focusing on research, documentation, and psychosocial considerations, this is the one book that can take you all the way from being a novice nurse in the PACU to preparing for CPAN® or CAPA® certification!
- Five separate sections provide comprehensive coverage, including the PACU, anatomy and physiology, pharmacology, nursing care, and special considerations.
- Coverage of current policies and issues affecting perianesthesia nursing practice includes patient safety, infection control, managed care implications, pain management, and bioterrorism.
- Comprehensive information on the various types of anesthetic agents familiarizes you with what will be used in the PACU.
- Special Considerations section details the care of patients with conditions such as malignant hyperthermia, substance abuse, sickle cell anemia, and cardiac arrest.
Practicing Perianesthesia Nurses, Nurses preparing for CPAN® and CAPA® exams, Nurse Anesthetists, Perioperative and Critical Care Nurses. The certification board currently certifies more than 12,800 Perianesthesia nurses.
- Cover
- Title page
- Table of Contents
- Copyright
- Dedication
- Contributors
- Preface
- Section I: The Postanesthesia Care Unit
- 1: Space Planning and Basic Equipment Systems
- Abstract
- Space
- Standard equipment
- Summary
- References
- 2: Perianesthesia Nursing as a Specialty
- Abstract
- References
- Roles of perianesthesia nurses through the continuum of care
- Nontraditional perianesthesia settings
- Areas for growth within perianesthesia nursing
- Summary
- References
- 3: Management and Policies
- Abstract
- Purpose of the pacu
- Organizational structure
- Collaborative management
- Role delineation
- Talent recruitment, retention, and review considerations
- Staffing
- Summary
- References
- 4: Crisis Resource Management in the PACU
- Abstract
- Introduction
- The nature of human error
- A systems approach to understanding error
- Crisis management principles
- Simulation and CRM training
- Summary
- References
- 5: Infection Prevention and Control in the PACU
- Abstract
- Managing the environment and equipment
- General infection control practices
- Management of the infected or contagious patient
- Occupational health
- Summary
- References
- 6: The Changing Health Care System and Its Implications for the PACU
- Abstract
- Health care financing
- The uninsured population
- Health care workforce
- Major medical services
- Governments’ role in health care
- 2010 Health care reform
- Implications for the PACU
- Summary
- References
- 7: Patient Safety and Legal Issues in the PACU
- Abstract
- Ethical values
- Conscientious objection
- Current approaches to patient safety
- Anatomy of a malpractice claim
- Sources for identification of malpractice in the PACU
- Individual liability and the standard of care
- Recent issues affecting nurse safety
- Suggestions to decrease legal liability and improve patient safety
- Summary
- References
- 8: Ethics in Perianesthesia Nursing
- Abstract
- Understanding ethics
- The emergence of bioethics
- Paradigmatic cases
- Guiding principles
- Perianesthesia ethics
- Resources for resolving ethical dilemmas
- Summary
- References
- 9: Evidence-Based Practice and Research
- Abstract
- Research, EBP, AND quality improvement
- Overview of EBP
- The process of EBP
- Relationship of EBP to bedside practice
- Summary
- References
- Section II: Physiologic Considerations in the PACU
- 10: The Nervous System
- Abstract
- The nervous system
- Summary
- References
- 11: The Cardiovascular System
- Abstract
- The heart
- Circulatory system
- Adrenergic and cholinergic receptors
- Summary
- References
- 12: The Respiratory System
- Abstract
- Respiratory system anatomy
- Respiratory system physiology
- Regulation of breathing
- Postoperative lung volumes
- Oxygen administration in the perianesthesia care unit
- The coronavirus disease (covid-19) and its variants
- Summary
- References
- 13: The Renal System
- Abstract
- Anatomy of the kidneys
- Kidney physiology
- Regulation of kidney function
- Regulation of body homeostasis
- Components of urine
- Acid-base balance
- Diuretic therapy
- Effects of anesthesia
- Effects of drugs in patients with compromised kidney function
- Acute kidney injury
- Assessment of kidney function
- Preexisting kidney disease
- Perianesthesia nursing care
- Summary
- References
- 14: Fluids and Electrolytes
- Abstract
- Body fluid balance
- Distribution of body fluids
- Edema
- Electrolytes
- Perioperative blood and fluid replacement
- Crystalloid and colloid administration
- Blood component therapy
- Types of blood component therapies
- Transfusion reactions
- Volume status assessment of the patient in the postanesthesia care unit
- Summary
- References
- 15: The Endocrine System
- Abstract
- The endocrine system: structure and function
- Mediators of the endocrine system: the hormones
- Physiology of the endocrine glands
- Selected syndromes and diseases associated with the endocrine system
- Summary
- References
- 16: The Hepatobiliary and Gastrointestinal System
- Abstract
- The esophagus
- The stomach
- The intestine
- The colon and rectum
- The anus
- The liver
- The gallbladder
- The pancreas
- The spleen
- Summary
- References
- 17: The Integumentary System
- Abstract
- Integumentary system anatomy
- Integumentary functions
- Importance of aseptic technique
- Summary
- References
- 18: The Immune System
- Abstract
- Physical and chemical barriers
- Innate immunity
- Acquired immunity
- Hypersensitivity reactions
- Latex allergy
- Immunosuppression
- Summary
- References
- Section III: Concepts in Anesthetic Agents
- 19: Basic Principles of Pharmacology
- Abstract
- Drug responses
- Pharmacokinetic actions
- Removal of drugs from the systemic circulation
- Effects of physiologic dysfunction on pharmacokinetic action
- Drug-drug interactions
- Drug-drug interactions and the perianesthesia care unit
- Special considerations in pharmacology associated with postanesthesia care
- Summary
- References
- 20: Inhalation Anesthesia
- Abstract
- Basic concepts
- Techniques of administration
- Inhalation agents
- Assessment of the effects of inhalation agents in the perianesthesia care unit
- Developing issues
- Summary
- References
- 21: Nonopioid Intravenous Anesthetics
- Abstract
- Mechanism of action of the nonopioid intravenous anesthetics
- Barbiturates
- Nonbarbiturates
- Sedatives
- Nonsteroidal anti-inflammatory drugs
- Dissociative anesthetics
- Summary
- References
- 22: Opioid Intravenous Anesthetics
- Abstract
- Concept of opioids and opioid receptors
- Selected methods of opioid administration
- Opiate detoxification in the PACU
- Summary
- References
- 23: Neuromuscular Blocking Agents
- Abstract
- Physiology of neuromuscular transmission
- Pharmacologic overview of commonly used muscle relaxants
- Nondepolarizing neuromuscular blocking agents
- Depolarizing neuromuscular blocking agents
- Factors that influence the effects of the neuromuscular blocking agents
- Assessment of neuromuscular blockade
- Special problems in the postanesthesia care unit
- Summary
- References
- 24: Local Anesthetics
- Abstract
- Nerve physiology and conduction
- Nerve fiber type and local anesthetic effects
- Local anesthetic pharmacology
- Individual local anesthetics
- Complications
- Summary
- References
- 25: Regional Anesthesia
- Abstract
- Neuraxial anesthesia and analgesia
- Peripheral nerve blocks
- Summary
- References
- Section IV: Nursing Care in the PACU
- 26: Transition from the Operating Room to the PACU
- Abstract
- Perioperative nursing
- Perianesthesia nursing
- Communication between perioperative and perianesthesia nurses
- Summary
- References
- References
- 27: Assessment and Monitoring of the Perianesthesia Patient
- Abstract
- Preoperative assessments
- Admission observations
- Respiratory function
- Cardiovascular function and perfusion
- Electrocardiographic Monitoring
- Hemodynamic monitoring
- Central nervous system function
- Thermal balance
- Fluid and electrolyte balance
- Musculoskeletal assessment
- Integumentary system
- Psychosocial assessment
- Discharge/transfer of care
- Summary
- References
- References
- 28: Patient Education and Care of the Perianesthesia Patient
- Abstract
- Patient education concepts and perianesthesia care
- Care of the perianesthesia patient
- Summary
- References
- 29: Postanesthesia Care Complications
- Abstract
- Respiratory complications
- Cardiovascular Complications
- Thermoregulation
- Anesthesia-related complications
- Neurologic complications
- Procedure-related complications
- Reactions: allergic and transfusion related
- Summary
- References
- 30: Assessment and Management of the Airway
- Abstract
- Airway management
- Airway anatomy
- Airway assessment
- Mask ventilation
- Intubation of the trachea
- Emergency airway management
- Summary
- References
- References
- 31: Pain Management
- Abstract
- Definition of pain
- Types and categories of pain
- Nociception and analgesic action sites
- Pathophysiology of neuropathic pain
- Harmful effects of unrelieved pain
- Pain assessment: the foundation
- Multimodal analgesia: pharmacologic management of pain
- Implications for practice
- Nonpharmacologic methods
- Summary
- References
- References
- 32: Care of the Ear, Nose, Throat, Neck, and Maxillofacial Surgical Patient
- Abstract
- Surgery on the ear
- Surgery on the nose and sinuses
- Surgery on the tongue
- Throat surgery
- Neck dissection
- Maxillofacial surgery
- References
- Summary
- References
- 33: Care of the Ophthalmic Surgical Patient
- Abstract
- Preoperative evaluation
- Ophthalmic medications
- Preoperative phase
- Anesthetic options
- Perioperative phase
- Postoperative phase
- Summary
- References
- References
- 34: Care of the Thoracic Surgical Patient
- Abstract
- Anesthesia
- Surgical procedures
- References
- Perianesthesia nursing care after thoracic procedures
- Summary
- References
- 35: Care of the Cardiac Surgical Patient
- Abstract
- Preoperative considerations
- Anesthesia
- Procedures
- References
- Complications
- Summary
- References
- 36: Care of the Vascular Surgical Patient
- Abstract
- General considerations
- Diagnostic procedures
- Endovascular procedures
- Medications used in vascular surgery
- Preprocedural assessment
- Arterial surgical procedures
- Venous surgical procedures
- Vena cava filters
- References
- Summary
- References
- 37: Care of the Orthopedic Surgical Patient
- Abstract
- General perianesthesia care including preoperative considerations
- Perianesthesia care after hand surgery
- Perianesthesia care after arm and forearm surgery
- Perianesthesia care after shoulder surgery
- Perianesthesia care after hip or femoral surgery
- Perianesthesia care after knee surgery
- Perianesthesia care after foot and ankle surgery
- Perianesthesia care after spinal surgery
- Perianesthesia care after limb amputation
- Postoperative pain management for the patient after orthopedic surgery
- References
- Summary
- References
- 38: Care of the Neurosurgical and Neurointerventional Patient
- Abstract
- Neurological examination for patients with alteration in neurologic function
- Vascular disorders of the brain
- Neoplasms of the brain
- Hydrocephalus
- Trauma
- Physiology of intracranial pressure
- Neurosurgical procedures
- Intracranial hypertension
- Injuries to the spine
- Surgery of the spine
- Summary
- References
- References
- 39: Care of the Thyroid and Parathyroid Surgical Patient
- Abstract
- Anesthesia
- Perianesthesia nursing care
- References
- Summary
- References
- 40: Care of the Gastrointestinal, Abdominal, and Anorectal Surgical Patient
- Abstract
- General care after abdominal surgery
- Diagnostic studies
- Care after surgery on the gastrointestinal tract
- Surgery on related organs within the abdominal cavity
- Reference
- Summary
- References
- 41: Care of the Genitourinary Surgical Patient
- Abstract
- Nursing care after diagnostic procedures
- General postoperative care
- Nursing care after specific procedures
- Summary
- References
- References
- 42: Care of the Obstetric and Gynecologic Surgical Patient
- Abstract
- Obstetric surgery
- Gynecologic surgery
- Abdominal gynecologic surgery
- References
- Summary
- References
- 43: Care of the Breast Surgical Patient
- Abstract
- Surgical interventions and perianesthesia nursing care
- Surgical choices for the treatment of cancer
- Mastopexy (Breast lift)
- Augmentation mammaplasty
- Reduction mammaplasty
- Surgery for gynecomastia
- Summary
- References
- 44: Care of the Plastic and Reconstructive Surgical Patient
- Abstract
- Perianesthesia nursing care
- Skin grafts
- Flaps
- Bone grafts
- Cosmetic surgery
- References
- Summary
- References
- 45: Care of the Patient Undergoing Bariatric Surgery
- Abstract
- Defining obesity
- Physiologic considerations and obesity
- Bariatric procedures
- Perianesthesia care of the obese patient
- References
- Summary
- References
- 46: Care of the Ambulatory Surgical Patient
- Abstract
- Ambulatory surgery trends
- Overall considerations in assessment and preparation of the patient
- Preadmission
- Preoperative/admission of the patient
- Intraoperative period
- Postanesthesia period
- Postdischarge follow-up
- Influences in ambulatory care
- References
- Summary
- References
- 47: Care of the Laser/Laparoscopic Surgical Patient
- Abstract
- Laser surgery
- Laparoscopic surgery
- Summary
- Reference
- References
- Section V: Special Considerations
- 48: Care of the Patient with Chronic Disorders
- Abstract
- Chronic obstructive pulmonary disease
- Diabetes mellitus
- Sickle cell disease
- Rheumatoid arthritis
- Myasthenia gravis
- Multiple sclerosis
- References
- Summary
- References
- 49: Care of the Pediatric Patient
- Abstract
- Growth and development: psychosocial review
- Anatomic and physiologic considerations
- Prematurity
- Pediatric perianesthesia considerations and techniques
- Postoperative care of the pediatric patient
- Selected postoperative concerns in pediatrics
- Discharge from the postanesthesia care unit
- Reference
- Summary
- References
- 50: Care of the Older Patient
- Abstract
- The aging body: an overview
- The aging mind: an overview
- Working with the aging population: essential concepts
- Summary
- Reference
- References
- 51: Care of the Pregnant Patient
- Abstract
- Physiologic changes of pregnancy
- Nonobstetric surgery during pregnancy
- Perianesthesia care of the mother and the fetus
- References
- Summary
- References
- 52: Care of the Patient with Substance Use Disorder
- Abstract
- Opioid analgesics
- Central nervous system depressants
- Central nervous system sedative-hypnotics
- Central nervous system sympathomimetics
- Cannabinoids
- Hallucinogens
- Dissociative agents
- Inhalants
- Club drug and date rape drugs
- Summary
- References
- References
- 53: Care of the Patient With Thermal Imbalance
- Abstract
- Overview of thermoregulation
- Temperature measurement
- Perioperative hypothermia
- Malignant hyperthermia
- Summary
- References
- 54: Care of the Shock Trauma Patient
- Abstract
- Epidemiology of trauma
- Prehospital phase
- Stabilization phase
- Postanesthesia phase I
- Nursing care
- Shock as a complication in the patient with multiple traumas
- Pediatric trauma
- Obstetric trauma
- Family visitation in the postanesthesia care unit
- Summary
- References
- References
- 55: Care of the Intensive Care Unit Patient in the PACU
- Abstract
- Historical significance of critical care recovery
- Administrative issues
- Staffing issues
- References
- Additional Reading
- Clinical strategies for the complex icu patient
- Complex specialized critical care in the PACU
- Family presence during resuscitation
- References
- Summary
- References
- 56: Bioterrorism and Its Impact on the PACU
- Abstract
- History
- A path towards destruction
- Bioterrorism
- Treatment of sepsis
- Biological event and the PACU
- References
- References
- 57: Cardiopulmonary Resuscitation in the PACU
- Abstract
- Ethical issues related to cardiopulmonary resuscitation
- Cardiopulmonary resuscitation
- Pharmacologic therapy
- Summary
- References
- References
- 58: International Perspectives on Perienesthesia Nursing and Competence
- Abstract
- International perspective
- Challenges for perianesthesia nurses
- Perianesthesia competence
- Core competences
- Summary
- References
- Index
- Edition: 8
- Published: December 27, 2022
- Imprint: Elsevier
- Language: English
- Hardback ISBN: 9780323791281
- eBook ISBN: 9780323832687
JO
Jan Odom-Forren
Affiliations and expertise
Associate Professor
Co-Editor, The Journal of PeriAnesthesia Nursing
University of Kentucky, College of Nursing