By Melanie Humphreys
Nursing the Cardiac Patient is a pragmatic advisor that addresses the administration of cardiac sufferers around the spectrum of health and wellbeing care settings. It assists nurses in constructing a whole realizing of the present evidence-based perform and ideas underlying the care and administration of the cardiac sufferer. It combines theoretical and sensible parts of cardiac care in an available and easy layout, with case experiences and sensible examples throughout.
Chapter 1 Acute Coronary Syndrome in viewpoint (pages 1–5): Melanie Humphreys
Chapter 2 decreasing the danger: fundamental Care projects (pages 6–18): Melanie Humphreys and Brenda Cottam
Chapter three overview of the Cardiovascular method (pages 19–35): Jackie Younker
Chapter four Diagnosing Acute Coronary Syndrome (pages 36–51): John McGowan
Chapter five risky Angina (pages 52–61): John McGowan
Chapter 6 Non‐ST phase Elevation Myocardial Infarction (pages 62–72): Melanie Humphreys
Chapter 7 ST section Elevation Myocardial Infarction (pages 73–96): Claire Rushton
Chapter eight healing Intervention in Acute Coronary Syndromes (pages 97–111): Jan Keenan
Chapter nine Cardiothoracic Care (pages 112–131): Debbie Danitsch
Chapter 10 Arrhythmias and their administration (pages 132–155): Melanie Humphreys, Celia Warlow and John McGowan
Chapter eleven Emergency Cardiac Care (pages 156–177): Melanie Humphreys and Lisa Cooper
Chapter 12 Long‐Term Cardiac stipulations (pages 178–197): Ian Jones and Anne Dormer
Chapter thirteen Cardiac Rehabilitation (pages 198–204): Tim Grove
Chapter 14 Secondary Prevention in the neighborhood (pages 205–225): Tim Grove
Chapter 15 moral concerns in Cardiac Care (pages 226–236): Pauline Walsh and Fiona Foxall
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Extra resources for Nursing the Cardiac Patient
This may occur when capillary oxygen saturation is less than 85% (Kumar and Clark, 2005). Patients with central cyanosis will also have peripheral cyanosis Assessment of the Cardiovascular System • • 21 – eyes for xanthelasma – irregularly shaped, yellow-tinted lipid deposits on periorbital tissue suggestive of hyperlipidaemia, these present as solid elevations of the skin – periphery of the cornea for arcus – this presents as a grey ring around the iris and is indicative of precipitation of cholesterol crystals, which is suggestive of a high cholesterol level – head and neck for symptoms of thyroid disease (hypothyroidism – dry, thin, coarse hair; hyperthyroidism – exophthalmos, goitre).
A palpable murmur that feels like a ﬁne, rushing vibration is described as a thrill. Assessment of the Cardiovascular System 25 Auscultation key is to use a systematic approach listening and describing what is • The heard. There are four valves (mitral, tricuspid, pulmonary and aortic) and • • each has an auscultatory area. These areas reﬂect sounds transmitted in the direction of blood ﬂow as it passes through the valves, not surface markings of the valves. For this reason, there are ﬁve key listening areas: – aortic valve area – 2nd right intercostal space, right sternal border – pulmonary valve area – 2nd left intercostal space, left sternal border – second pulmonic area (Erb’s point) – 3rd intercostal space, left sternal border – tricuspid area – 4th left intercostal space, lower left sternal border – mitral (apical) area – apex of the heart, 5th left intercostal space, midclavicular line.
G. shopping centres, railway stations and airports), ﬁrst aid organisation partners or volunteers from military backgrounds, to the general public keen to support emergency response systems in their local communities. They are not employees of ambulance services, but when called out by the ambulance services act as agents for them as part of the emergency response (Healthcare Commission 2007). Many nurses and healthcare practitioners are taking up this voluntary role. First responder groups are set up in areas of identiﬁed need – now mostly inﬂuenced and deﬁned by local ambulance service audit data in order to be sure of a co-ordinated response backed up by technicians/paramedics.
Nursing the Cardiac Patient by Melanie Humphreys