Eliason's Surgical Nursing Eleventh EditionPDF电子书下载

Part One：Fundamentals of Surgical Nursing 1

UNIT ONE BASIC PRINCIPLES OF SURGICAL NURSING AND SURGICAL ASEPSIS 2

1．THE SURGICAL NURSE AND HER PATIENT 3

Surgery in the Past 3

Surgery at Present 4

The Nurse and Her Patient Before Surgery 7

The Nurse and Her Patient After Surgery 9

Meeting the Needs of the Surgical Nurse 9

Bibliography and Suggested Reading 13

2．INFLAMMATION AND INFECTION 15

Bacteria 15

Body Defense Mechanisms 16

Inflammation 19

Surgical Infections 31

Bibliography and Suggested Reading 34

3．ANTISEPSIS AND ASEPSIS 36

Development of Antisepsis 36

Development of Asepsis 36

Principles of Sterilization 38

Physical Methods of Sterilization 51

Chemical Methods of Disinfection 52

Chemotherapy 56

Antibiotics 56

Bibliography and Suggested Reading 60

UNIT TWO MEETING THE OVER-ALL NEEDS OF THE SURGICAL PATIENT 61

4．PHYSIOLOGIC NEEDS：FLUID BALANCE，NUTRITIONAL NEEDS AND SPECIAL OXYGEN REQUIREMENTS 62

The Nurse and Fluid Therapy 62

Physiology 62

Specific Needs of the Surgical Patient 63

Methods of Administration 67

Inhalation Therapy 75

Bibliography and Suggested Reading 82

5．PREOPERATIVE NURSING CARE 83

Admission of the Surgical Patient 83

Psychological Preparation 84

Early Physical Preparation 87

Immediate Preoperative Preparation 91

Bibliography and Suggested Reading 95

UNIT THREE MEETING THE NEEDS OF THE PATIENT IN THE OPERATING ROOM 96

6．THE PATIENT IN THE OPERATING ROOM：ANESTHESIA 97

Reception and Greeting of the Patient 97

The Anesthetist and the Patient 98

Types of Anesthesia 99

Position on Operating Table 112

Bibliography and Suggested Reading 116

7．OPERATING ROOM NURSING A．THE NURSE IN THE OPERATING ROOM 117

Operating Room Nursing 117

Teamwork in the Operating Room 118

Maintenance of Surgical Asepsis 119

Technic of Scrubbing，Putting on Gown and Gloves 123

Surgical Draping 127

Handling of Sterile Equipment by the Circulating Nurse 128

Preparation of Tables for the Operation 134

Immediately Before the Operation 141

During the Operation 142

Between Operations 149

At the End of the Operative Schedule 150

Instrument Setups 153

Safety Practices in the Operating Room 153

7．OPERATING ROOM NURSING B．THE OPERATING ROOM AND ITS EQUIPMENT 156

Operating Suite 156

Sterilization and Care of Various Articles 161

Bibliography and Suggested Reading 177

UNIT FOUR MEETING THE NEEDS OF THE PATIENT RECOVERING FROM SURGERY 179

8．POSTOPERATIVE NURSING CARE 180

Recovery Room 180

Removing Patient from Operating Table 181

Immediate Postoperative Nursing Care 184

Return to Complete Consciousness 188

Body Alignment and Good Body Mechanics 190

Early Postoperative Ambulation and Postoperative Diet 193

Care of the Wound 194

Charts and Nurses＇Records 205

Bibliography and Suggested Reading 208

9．POSTOPERATIVE DISCOMFORTS AND COMPLAINTS 209

Pain 209

Vomiting 210

Restlessness 211

Sleeplessness 212

Thirst 212

Abdominal Distention 213

Constipation and Diarrhea 213

Bibliography and Suggested Reading 215

10．POSTOPERATIVE COMPLICATIONS 216

Shock 216

Hemorrhage and Pulmonary Complications 219

Femoral Phlebitis or Thrombosis 223

Hiccough(Singultus) 224

Intestinal Obstruction 225

Urinary Retention 226

Urinary Incontinence 227

Delirium 228

Wound Complications 231

Bibliography and Suggested Reading 233

UNIT FIVE MEETING THE NEEDS OF THE CONVALESCING SURGICAL PATIENT 234

11．REHABILITATION OF THE SURGICAL PATIENT 235

The Meaning of Rehabilitation 235

The Surgical Nurse as a Member of the Rehabilitation Team 235

Basic Assumptions and Aims of the Surgical Nurse 236

Normal Range of Motion 239

Activities of Daily Living 242

Conditions Which Affect Progress in Rehabilitation 242

Appliances and Devices 244

Referral and Follow-up of Surgical Patients 248

Bibliography and Suggested Reading 249

UNIT SIX MODIFICATIONS IN CARE TO MEET THE PARTICULAR NEEDS OF THE SURGICAL PATIENTS 251

12．NURSING CARE OF THE GERIATRIC SURGICAL PATIENT 252

The Nurse and the Elderly Surgical Patient 252

Significant Characteristics of the Older Patient 253

Preoperative Care 256

Postoperative Care 257

Convalescence 258

Bibliography and Suggested Reading 260

13．TUMORS AND CANCER NURSING 261

Classification of Tumors 261

Incidence of Malignancy 264

The Nurse and the Cancer Patient 265

Treatment of Neoplasms 266

Psychological Aspects of Nursing the Cancer Patient 272

Terminal Nursing Care 273

Cysts 275

The Follow-Through 275

Bibliography and Suggested Reading 276

Part Two：Nursing Care of Patients with Specific Surgical Problems 278

UNIT SEVEN NURSING IN CONDITIONS OF THE RESPIRATORY TRACT 279

14．SURGERY OF THE NOSE AND THE THROAT 280

Surgical Conditions of Nose and Sinuses 280

Surgery of Tonsils and Pharynx 284

Surgery of the Larynx 287

Tracheotomy 289

Clinical Situation：Tracheotomy 294

Bibliography and Suggested Reading 294

Patient Teaching Aids and Information 295

15．SURGERY OF THE CHEST 296

The Nurse and the Chest Surgical Patient 296

Anatomy and Physiology 296

Diagnostic Studies 297

Collections of Air and Fluid in the Pleural Cavity 300

Chest Wounds 301

Respiratory Infections 303

Empyema Thoracis(Pyothorax) 303

Lung Abscess 304

Bronchiectasis 305

Cancer of the Lung 306

Surgery of the Mediastinum 315

Surgery in Pulmonary Tuberculosis 315

Decortication of the Lung 321

Clinical Situation：Pulmonary Resection 321

Bibliography and Suggested Reading 322

Patient Teaching Aids and Information 323

UNIT EIGHT NURSING IN CONDITIONS OF THE CIRCULATORY SYSTEM，THE BLOOD AND THE BLOOD-FORMING ORGANS 324

16．SURGERY OF THE HEART AND THE BLOOD VESSELS 325

History of Cardiovascular Surgery 325

Cardiovascular Surgical Nursing 326

Diagnostic Aids and Aids to Modern Open Heart Surgery 328

Intracardiac Surgery 331

Cardiovascular Surgical Nursing 339

Thrombosis and Embolism 346

Peripheral Arterial Disease 347

Methods of Improving Circulation 350

Arterial Hypertension and Aneurysm 352

Varicose Veins 353

Varicose Ulcers 354

Phlebitis 355

Clinical Situations：Coarctation of Aorta and Saphenous Ligation 357

Bibliography and Suggested Reading 358

Patient Teaching Aids and Information 359

17．SURGICAL CONDITIONS OF THE BLOOD，THE LYMPHATIC SYSTEM AND THE SPLEEN 360

The Blood 360

The Lymphatic System 361

The Spleen 364

Clinical Situation：Splenectomy 365

Bibliography and Suggested Reading 365

Patient Teaching Aids and Information 365

UNIT NINE NURSING IN CONDITIONS OF THE ALIMENTARY SYSTEM 366

18．SURGERY OF LIPS，MOUTH，TONGUE AND ESOPHAGUS 367

Surgery of the Lips 367

Surgery of the Mouth and Tongue 369

Diseases of the Esophagus 372

Bibliography and Suggested Reading 383

Patient Teaching Aids and Information 383

19．SURGERY OF THE ABDOMEN 384

Basic Considerations in Abdominal Surgery 384

Peritonitis 387

Surgery of the Stomach and the Duodenum 390

Regional Enteritis 408

Appendicitis 409

Surgery of Colon，Rectum and Anus 412

Pilonidal Cyst 425

Surgery of Liver and Biliary Passages 426

Surgery of the Pancreas 431

Abdominal Hernia 434

Clinical Situations：Abdominoperineal Resection and Cholecystectomy 436

Bibliography and Suggested Reading 437

Patient Teaching Aids and Information 438

UNIT TEN NURSING IN CONDITIONS OF THE URINARY TRACT AND THE REPRODUCTIVE SYSTEM 441

20．SURGERY OF THE URINARY TRACT AND THE MALE REPRODUCTIVE SYSTEM 441

The Nurse and the Urologic Patient 441

Anatomy and Physiology of the Urinary System 441

Methods of Study of the Urinary Tract 443

Maintaining Adequate Drainage 444

Surgery of the Kidney 448

Surgery of the Bladder 455

Male Genito-urology 460

Clinical Situations：Nephrectomy and Suprapubic Prostatectomy 469

Bibliography and Suggested Reading 470

Patient Teaching Aids and Information 471

21．DISEASES OF THE FEMALE REPRODUCTIVE ORGANS 472

The Nurse，the Woman，and the Patient with a Gynecologic Problem 472

Anatomy and Physiology 473

Disturbances of Menstruation 477

Diagnostic Tests 480

Preparation of Patient for Gynecologic Operations 483

Conditions of External Genitalia and Vagina 484

Conditions of Uterus 488

Conditions of Ovaries and Broad Ligaments 492

Conditions of Fallopian Tubes 493

Infertility 494

Clinical Situation：Radium Implantation 495

Bibliography and Suggested Reading 495

Patient Teaching Aids and Information 496

UNIT ELEVEN NURSING IN CONDITIONS OF THE INTEGUMENTARY SYSTEM(INCLUDING THE SUBCUTANEOUS AND THE AREOLAR TISSUE AND THE BREASTS) 497

22．SURGERY OF THE SKIN 498

General Considerations 498

Staphylococcic Infections 498

Infections of Hand and Fingers 500

Burns 503

Ulcerations 507

Cysts and Tumors 507

Plastic or Reconstructive Surgery 509

Dermal Abrasion 516

Clinical Situation：Third-Degree Burn 517

Bibliography and Suggested Reading 518

Patient Teaching Aids and Information 518

23．SURGERY OF THE BREAST 519

Introduction 519

Fissure of Nipple 519

Inflammations 519

Tumors of the Breast 521

The Male Breast 523

Plastic Surgery of the Breast 523

Nursing Care of Patients Having Breast Operations 523

Clinical Situation：Radical Mastectomy 527

Bibliography and Suggested Reading 528

Patient Teaching Aids and Information 528

UNIT TWELVE NURSING IN CONDITIONS OF THE EYE AND THE EAR 530

24．SURGERY OF THE EYE 531

Anatomy and Physiology 532

Examinations and Diagnostic Procedures 534

Drugs Used Frequently in Eye Disease 535

Trauma to the Eye 543

Diseases of the Eye 545

The Nurse and the Newly Blind 553

Clinical Situation：Surgery for Glaucoma 553

Bibliography and Suggested Reading 554

Patient Teaching Aids and Information 555

25．SURGERY OF THE EAR AND THE MASTOID 556

Anatomy and Physiology 556

The External Ear 558

The Middle Ear 559

Operations for Otosclerosis 564

Communicating with a Person Who Has a Hearing Impairment 566

Clinical Situation：Fenestration Operation 566

Bibliography and Suggested Reading 567

Patient Teaching Aids and Information 567

UNIT THIRTEEN NURSING IN CONDITIONS OF THE ENDOCRINE GLANDS 568

26．SURGERY OF THE THYROID AND OTHER ENDOCRINE GLANDS 569

The Thyroid Gland 569

The Parathyroid Glands 574

The Adrenal Glands 575

Surgery in Diabetes 576

Clinical Situation：Thyroidectomy 578

Bibliography and Suggested Reading 580

Patient Teaching Aids and Information 580

UNIT FOURTEEN NURSING IN CONDITIONS OF THE NERVOUS SYSTEM 581

27．SURGERY OF BRAIN AND SPINAL CORD 582

History 582

Anatomy of Brain and Spinal Cord 584

Examinations and Diagnostic Procedures 588

Special Examinations 589

Special Neurosurgical Problems 595

Scalp，Skull and Cranial Injuries 600

Brain Injury 601

Surgery of the Spinal Cord 613

Congenital Disorders 624

Clinical Situation：Craniotomy 625

Bibliography and Suggested Reading 626

Patient Teaching Aids and Information 627

UNIT FIFTEEN NURSING IN CONDITIONS OF THE MUSCULOSKELETAL SYSTEM 628

28．INJURIES OF THE MUSCULOSKELETAL SYSTEM 629

General Considerations，Anatomy and Physiology 629

Contusions and Sprains 630

Dislocations and Fractures 631

Fracture Reduction 636

Amputation 663

Clinical Situation：Fracture of the Femur 668

Bibliography and Suggested Reading 669

Patient Teaching Aids and Information 669

29．DISEASES OF BONES，JOINTS AND BURSAE 671

Deformities 671

Infantile Paralysis 679

Osteomyelitis 679

Tuberculosis 682

Osteitis Fibrosa Cystica 685

Bone Tumors 686

Diseases of Joints and Bursae 687

Clinical Situation：Congenital Dislocation of the Hip 688

Bibliography and Suggested Reading 689

Patient Teaching Aids and Information 689

Part Three：Nursing in an Emergency or Disaster 691

UNIT SIXTEEN NURSING IN AN EMERGENCY OR DISASTER 692

30．NURSING IN AN EMERGENCY OR DISASTER 692

＂Being Prepared＂ 692

The Meaning of Disaster 693

Accidents 693

Nuclear Warfare 696

Philosophy and Principles of Medical and Nursing Care 697

Mobilization of Medical and Nursing Services 698

Surgical Problems 700

Artificial Respiration 705

Psychological First Aid 707

Improvisation and Resourcefulness 709

An Emergency Creed 710

Bibliography and Suggested Reading 711

Appendix 711

INDEX 715