VENTILATORY ASSISTANCE (MECHANICAL)
Many patients on ventilators are now being transferred from the intensive care unit (ICU) to medical-surgical units with problems including (1) neuromuscular def...
UROLITHIASIS (RENAL CALCULI)
Kidney stones (calculi) are formed of mineral deposits, most commonly calcium oxalate and calcium phosphate; however, uric acid, struvite, and cystine are also calculus...
UPPER GASTROINTESTINAL/ESOPHAGE AL BLEEDING
Bleeding duodenal ulcer is the most frequent cause of massive upper gastrointestinal (GI) hemorrhage, but bleeding may also occur because of gastric ulcer...
TRANSPLANTATION (POSTOPERATIVE AND LIFELONG)
With current advances in technology and knowledge of immune responses at the molecular level, organ and tissue transplantation is becoming more commonpl...
TOTAL NUTRITIONAL SUPPORT: PARENTERAL/ENTERAL FEEDING
Nutritional status is a key factor in patient’s overall immune function and a patient’s ability to mount a stress response. Underfeeding a pati...
TOTAL JOINT REPLACEMENT
Joint replacement is indicated for irreversibly damaged joints with loss of function and unremitting pain (e.g., degenerative and rheumatoid arthritis [RA]), selected fractu...
THYROIDECTOMY
Thyroidectomy, although rare, may be performed for patients with thyroid cancer, hyperthyroidism, and drug reactions to antithyroid agents; pregnant women who cannot be managed with d...
THROMBOPHLEBITIS: DEEP VEIN THROMBOSIS (INCLUDING PULMONARY EMBOLI CONSIDERATIONS)
Thrombophlebitis is a condition in which a clot forms in a vein, associated with inflammation/trauma of the vein w...
THE HIV-POSITIVE PATIENT
The individual identified as HIV-seropositive is one who is asymptomatic and does not meet the Centers for Disease Control and Prevention (CDC) definition for AIDS. Studies...
SURGICAL INTERVENTION
Surgery may be needed to diagnose or cure a specific disease process, correct a structural deformity, restore a functional process, or reduce the level of dysfunction/pain. Al...
SUBSTANCE DEPENDENCE/ABUSE REHABILITATION
Many drugs and volatile substances are subject to misuse/abuse. This disorder is a continuum of phases incorporating a cluster of cognitive, behavioral, an...
SPINAL CORD INJURY (ACUTE REHABILITATIVE PHASE)
The leading causes of spinal cord injury (SCI) include motor vehicle crashes, falls, acts of violence, and sporting injuries. The mechanism of injury...
SICKLE CELL CRISIS
Sickle cell disease (sickle hemoglobinopathies) is a group of genetic diseases, the most common forms being homozygous hemoglobin SS disease (sickle cell anemia), hemoglobin SC d...
SEPSIS/SEPTICEMIA
Sepsis is a syndrome characterized by clinical signs and symptoms of severe infection that may progress to septicemia and septic shock. Septicemia implies the presence of an infec...
SEIZURE DISORDERS
Seizures (convulsions) are the result of uncontrolled electrical discharges from the nerve cells of the cerebral cortex and are characterized by sudden, brief attacks of altered c...
RHEUMATOID ARTHRITIS
Rheumatoid arthritis (RA) is a chronic, systemic inflammatory disease involving connective tissue and characterized by destruction and proliferation of the synovial membrane, r...
RESPIRATORY ALKALOSIS (PRIMARY CARBONIC ACID DEFICIT)
Respiratory alkalosis is a loss of carbon dioxide (PCO2 < 35 mm Hg) with a resultant decrease of carbonic acid (H2CO3) due to a marked increase...
RESPIRATORY ACID-BASE IMBALANCES
The body has the remarkable ability to maintain plasma pH within a narrow range of 7.35–7.45. It does so by means of chemical buffering mechanisms involving the lun...