Initial Management of Acute Medical Patients

INITIAL MANAGEMENT OF ACUTE MEDICAL PATIENTSINITIAL MANAGEMENT OF ACUTE MEDICAL PATIENTSA GUIDE FOR NURSES AND HEALTHCARE PRACTITIONERSSecond EditionInitial Management of Acute Medical Patients is a clinically focused, practical and contemporary guide for assessing and managing patients with acute medical conditions. Suitable for all nurses and healthcare practitioners working in medical assessment units, medical wards and emergency departments, it presents a structured approach based on common presenting features and focuses on the first 24 hours of the patient's hospital stay. The book draws on a wide range of supporting evidence and also provides the reader with sources for further reading.KEY FEATURES* Written predominantly by nurses for nurses, this text is also suitable for a range of healthcare professionals, including paramedics and nurse practitioners, and anybody working in an acute care environment including primary care assessment units, clinical decision units and intermediate care.* Designed as a quick reference text for use in clinical practice.* Extensively referenced throughout, thus increasing its appeal to practitioners at all stages of their careers and to those who are undertaking further study.* Devotes two entire chapters to assessing and meeting the acute care needs of vulnerable adults (i.e. older adults, those with mental health needs and those with learning disabilities), and discussing best practice in dealing with sudden death.* Each chapter offers clear, concise and down-to-earth information based on a common presenting symptom and provides practical advice, supported by best evidence and the most up-to-date clinical guidelines.* Fully updated and extensively expanded to include recent guidelines and procedures.

List of Contributors ivPreface viAcknowledgements viiIntroduction viiiNormal Clinical Values ix1 Initial Assessment of the Acute Medical Patient 1Judith Morgan and Ian Wood2 Vulnerable Adults 23Louise Nelson, Scott Inglis, Fiona Howell, Michael Gibbs and Judi Thorley3 Sudden Death 56Sue Read and Jane Jervis4 Cardiac Arrest 80Carole Donaldson5 Shock 108Judith Morgan and Ian Wood6 Altered Consciousness 133Ian Wood and Carole Donaldson7 Shortness of Breath 170Michelle Garner, Susan Hope and Ian Wood8 Chest Pain 221Michelle Garner Copyrighted Material9 Abdominal Pain and Upper Gastrointestinal Bleeding 262Toni Jordan, Ruth Harris and Terry Wardle10 Extremity Pain and Swelling 288Ian WoodIndex 300