ADULT HEALTH                                            Site Map Classroom /  Didactic                                   Questions or Concerns?                                                                                                                                        (Link toAdult Health  Clinical) This course integrates previous knowledge and skills into the continued development of the Bachelor's Degree Nurse's roles of provider of care, coordinator of care, and member of the profession in the care of adult clients / families  in structured health care settings. Topics include knowledge, judgement, skills, and professional values within a legal / ethical framework. Course includes health promotion and restoration, and illness and injury prevention as well as application of the nursing process, for clients with common acute care health problems.   Syllabus Classroom Schedule Webliography   Unit Modules Some Pretty Good Links / Resources: Great "Mega-Reference" Nursing Websites: Martindales: The Reference Desk: http://www.martindalecenter.com/ The Internet Clinical Library for Nurses: http://www.medimenu.com/users/newindex.php Respiratory / Chest Tubes: Lazarra, D. (2002). Eliminate the air of mystery from chest tubes. Nursing 2002, 32(6), p. 36-43.  Retrieved January 19, 2007 from  http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=273428 Orlando Medical Center (2005). Chest Tube Management. Retrieved January 19, 2007 from    http://www.surgicalcriticalcare.net/Guidelines/chest%20tube.pdf Information regarding Pneumothorax: http://www.pneumothorax.org/pneumo.nsf/index.html Care of Patients With Chest Tubes: http://www.surgnurseslinks.com/chesttubes.htm Good Nursing Policy & Procedure Manual Example: http://www.unchealthcare.org.site/Nursing/nurspractice/procedures/procedures/procedurec27.pdf A Personal Guide to Managing Dry Suction Chest Drainage: http://www.atriummed.com Teleflex Medical (2005): EXCELLENT RESOURCE! http://www.teleflexmedical.com/med/nursing_considerations_troubleshooting.php Couhhlin, A.  & Parchinsky, C. (2006). Go with the flow of chest tube therapy. Nursing 2006. (March) 36(3) p.36-41. Retrieved April 6, 2007 from: http://www.nursingcenter.com/prodev/ce_article.asp?tid=633945 Puntillo, K. et al. (2006). Appropriately timed analgesics control pain due to chest tube removal. American Journal of Critical Care (13)4, P. 292-302. Retrieved April 6, 2007 from: http://ajcc.aacnjournals.org/cgi/reprint/13/4/292 FREE PDA DOWNLOADS: "Arrhythmia / ACLS Palm Brain":  http://meistermed.com/isilodepot/isilodocs/isilodoc_grauer_acls.htm "12 Lead EKGs: A Palm Brain for Easy Interpretation": http://meistermed.com/isilodepot/isilodocs/isilodoc_grauer_12lead_ekg.htm "Coronary Arteries": http://meistermed.com/isilodepot/isilodocs/isilodoc_hoyt_coronaries.htm "Acute Coronary Syndromes": http://meistermed.com/isilodepot/isilodocs/isilodoc_hoyt_acs.htm "Acid-Base": http://meistermed.com/isilodepot/isilodocs?isilodoc_hoyt_acid_base.htm "ABC's of Liver Function Tests": http://meistermed.com/isilodepot/isilodocs/isilodoc_hoyt_lfts.htm "Acute Renal Failure": http://meistermed.com/isilodepot/isilodocs/isilodoc_hoyt_arf.htm "Hemodynamics": http://meistermed.com/isilodepot/isilodocs/isilodoc_s_hemodynamics.htm "Dermatomes / Nerve Roots": http://meistermed.com/isilodepot/isilodocs/isilodoc_hoyt_nerve_roots.htm Glasgow Coma Scale: http://www.rnpalm.com/gcs_download.htm Ventilator Waveforms: http://meistermed.com/isilodepot/isilodocs/isilodoc_zobeck_ventilator.htm National Guideline Clearinghouse. PDA / Palm Downloads: http://www.guideline.gov/about/pdadownload.aspx CARDIOVASCULAR LINKS: ***Excellent animation to help you learn the cardiac cycle! http://library.med.utah.edu/kw/pharm/hyper_heart1.html The Auscultation Assistant (Interactive Heart & Lung Sounds): http://www.wilkes.med.ucla.edu/inex.htm "Dual source and 64-slice cardiac imaging: Diagnosing plaque without a heart cath": http://www.medscape/com/infosite/siemens?src=0_nl_sm_0 MedLine Plus Interactive Health Tutorials (Great Pt Education Info on multiple topics): http://nlm.nih.gov/medlineplus/tutorials/ Buerger's Disease (thromboangiitis obliterans)--this is an excellent pathophysiology site with many, many topics--take a look! http://www.pathguy.com/lectures/buergers.if PHARMACOLOGY: NetPharmacology: Cardiovascular Drug List (also has interactive tutorials & tests): http://lysine.pharm.utah.edu/netpharm/ Troponin Articles: "It's time for a change to a troponin standard." http://circ.ahajournals.org/cgi/Content/full/circulationaha;102/11/1216 "Myocardial infarction redefined: Role of Cardiac troponin" http://www.clinchem.org/cgi/content/full/47/3/377 "Ninety minute exclusion of acute myocardial infarction by use of quantitative point of care testing of myoglobin and troponin I" http://ahavj.ahajournals.org/cgi/content/full/circulationaha;104/13/1483 EKG's: EKG WebBrain: 12 Lead EKG's: "A web brain for easy interpretation" http://medinfo.ufl.edu/~ekg/Analyze%20an%20ECG.htm Essential EKG Information: http://www.cardiacmonitors.com Musclo-Skeletal / Traction: Holmes, S. & Brown, S. (2005). Skeletal Pin Site Care: National Association of Orthopaedic Nurses Guidelines for Orthopaedic Nursing. Retrieved February 17, 2007 from: http://www.orthonurse.org/images/PDF/PinCare2005.pdf Total Knee Arthroplasty (2006). Agency for Healthcare Research and Quality (AHRQ). Retrieved February 16, 2007: http://www.ahrq.gov/clinic/epcsums/kneesum.htm Dialysis: A Multidisciplinary Approach to Increasing AV Fistula Creation (2003). (Article) http://www.therenalnetwork.org/images/VA2.pdf National Kidney Foundation--K/DOQI Vascular Access Clinical Practice Guidelines--2006 Update http://www.guideline.gov/summary/summary.aspx?doc_id=100015&nbr=005329&string=dialysis ABG's "Simple method of acid-base balance interpretation: A four step method for interpretations of ABG's" http://rnceus.com/abgs/abgmethod.html Interpretation of the Arterial Blood Gas: http://www.orhs.org/classes/nursing/ABG_2004.pdf The ABG Site: http://www.the-abg-site.com/ Arterial Blood Gas Analysis http://lib.cpums.edu.cn/jiepou/tupu/atlas/www.vh.org/adult/provider/internalmedicine/abg/ABGHome.html Gastro-Intestinal System EGD http://www.emedicine.com/med/topic2965.htm Oral Cholecystograms: http://www.medicinenet.com/oral_cholecystogram/article.htm Sigmoidoscopy: http://www.aafp.org/afp/990115ap/313.html ERCP: http://pathology2.jhu.edu/PANCREAS/ercp1.cfm# Liver Function Tests (LFT's) ...and other useful information: http://www.martindalecenter.com/Reference_3_LabP.html HEMODYNAMICS: PACEP: Pulmonary Artery Catheter Education Project The Pulmonary Artery Catheter Education Project (PACEP) was designed to provide a state-of-the-art educational program on how to use the pulmonary artery catheter in the clinical environment and measure learning outcomes for the end-user. Topics are divided into four levels (Levels I - IV) to facilitate participant progression from novice to expert. The overall goal is to provide efficient transformation of useful hemodynamic information to allow the clinician to practice in a safe and competent fashion through web-based technology. http://www.pacep.org SWAN GANZ CATHETERS: A LEARNING GUIDE: http://www.rocket.pwp.blueyonder.co.uk/index.html EXCELLENT ARTICLE (EBP): McGhee,B. & Bridges, E. (2004). Monitoring arterial blood pressure: What you may not know. CRITICAL CARE NURSE, 22(7), p 60-79. Retrieved March 22, 2007 from: http://ccn.aacnjournals.org/cgi/content/full/22/2/60 MECHANICAL VENTILATION: PDA Download "Ventilator Waveforms": http://meistermed.com/isilodepot/isilodocs/isilodoc_zobeck_ventilator.htm Excellent CEU-Type Course: "Adult Ventilation Management" http://www.corexcel.com/courses/vent.htm Mechanical Ventilation Case Studies at VENTWORLD: http://www.ventworld.com/education/casestudies.asp Good Overview Study of Ventilators: Pt 1="Basic Components & Definitions; Pt 2= Indications-for, complications-of, Mech Vent. http://www.ventworld.com/education/whatisvent.asp Sample Nursing Department Protocol: Care of Patient With Endotracheal Tube (ETT): http://www.unchealthcare.org/site/Nursing/nurspractice/azlistings/protocols/protocols_pdf/protocolt16.pdf Sample Ventilator Weaning Protocol: http://www.thoracic.org/sections/chapters/ca/current-news/resources/VentWeaningProtocol.pdf Puritan Bennett Ventilator Education Site: http://www.puritanbennett.com/educ/list.aspx?S1=PRO Article: Post Operative Trache Care: http://www.dalemed.net/abpdf/cr_trach_1.pdf Article: Unplanned Extubation in Adult Critical Care (Richmond,A., Jauros, D., & Hanson, V., 2004): http://ccn.aacnjournals.org/cgi/reprint/24/1/32.pdf NEUROLOGIC LINKS: Glasgow Coma Scale PDA Download: http://www.rnpalm.com/gcs_download.htm Glasgow Coma Scale Online Calculator: http://www.sfar.org/scores2/glasgow2.html Trauma.org Neurologic Trauma: http://www.trauma.org/archives/scores/gcs.html Intracranial Pressure Monitoring in the Management of Penetrating Brain Injury: http://www.neurosurgery.org/sections/tr/guidelines/intracranialpressuremonitoringinthemanagementofpenetratingbraininjury.pdf ICP Patient Education: ICU-USA Official "Patient & Family Web Site of the Society of Critical Care Medicine" http://www.icu-usa.com/tour/procedures/icp.htm Intracranial Pressure Monitoring: Example of Nursing Procedure Manual Guidelines: http://www.unchealthcare.org/site/Nursing/nurspractice/protocols/protocols_pdf/protocoli7.pdf ICP Monitoring in Intensive Care: Clinical Advantages of a Computerized System Over Manual Recording: http://www.medscape.com/viewarticle/554056 Your Instructors: Jerry Carley RN, MSN, MA General AH2 Info / Forms: Collaborative Testing Info. Group Project  Participation / Attendance Syllabus Copyright 2006-2010 by Jerry Carley. All rights reserved.