Nursing the Cardiac Patient First Edition PDF

1 Acute Coronary Syndrome in Perspective 1
Melanie Humphreys
Introduction 1
The challenge of saving lives 1
The scope of this book 3
2 Reducing the Risk: Primary Care Initiatives 6
Melanie Humphreys and Brenda Cottam
Introduction 6
Primary care initiatives in perspective 7
Identifi cation of those “at risk” 8
Rapid access chest pain clinics 10
Sudden cardiac death 12
Early recognition and access to emergency services 12
Early CPR 13
Early defi brillation 14
First responders 15
Summary 16
3 Assessment of the Cardiovascular System 19
Jackie Younker
Introduction 19
Cardiovascular assessment in perspective 20
Chest pain assessment 28
Electrocardiography 31
Laboratory tests 31
Diagnostic procedures 32
Summary 33
4 Diagnosing Acute Coronary Syndrome 36
John McGowan
Introduction 36
Acute coronary syndromes in perspective 37
Interpreting the 12-lead ECG 40
Biochemical markers 43
Risk stratifi cation 46
Imaging techniques 48
Summary 49
5 Unstable Angina 52
John McGowan
Introduction 52
Unstable angina in perspective 53
Treatment strategies 56
Summary 60
6 Non-ST Segment Elevation Myocardial Infarction 62
Melanie Humphreys
Introduction 62
Non-ST segment elevation myocardial infarction
in perspective 63
Causes 63
Diagnosis 66
Treatment of NSTEMI 68
Summary 70
7 ST Segment Elevation Myocardial Infarction 73
Claire Rushton
Introduction 73
ST segment elevation myocardial infarction in perspective 74
Care priorities 78
Treatment priorities 79
Complications of STEMI 81
Territories of STEMI: special considerations 82
Special patient groups 91
Continuing care 93
Rehabilitation and secondary prevention 93
Summary 93
8 Therapeutic Intervention in Acute Coronary Syndromes 97
Jan Keenan
Introduction 97
Pathophysiology of ACS 98
Early identifi cation of ACS 98
Nursing the Cardiac Patient First Edition PDF Ebook

Melanie Humphreys
Director of Postgraduate & Post-qualifying Studies
School of Nursing and Midwifery, Faculty of Health
Keele University, Keele, UK