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Textbook Medical Surgical Nursing Demystified Mary Digiulio Ebook All Chapter PDF
Textbook Medical Surgical Nursing Demystified Mary Digiulio Ebook All Chapter PDF
Mary Digiulio
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Medical-Surgical Nursing: Concepts for
Interprofessional Collaborative Care, Single Volume
Donna D. Ignatavicius
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Notice
ISBN: 978-1-25-986182-6
MHID: 1-25-986182-1
The material in this eBook also appears in the print version of this
title: ISBN: 978-1-25-986181-9, MHID: 1-25-986181-3.
TERMS OF USE
Contributors
Introduction
About the Author
Chapter 16 Geriatrics
Why the Elderly Are Different?
Geriatric Syndromes
Every patient knows to seek medical help when his or her aches and
pains become too much to bear, but how does the healthcare
provider determine what is wrong and what to do to restore the
patient to good health? The answer depends on the patient’s signs
and symptoms and the results from medical tests. In this book, you
will learn to identify these signs and symptoms, interpret the medical
test results, and perform the nursing interventions that will assist in
solving or alleviating the patient’s medical problem.
Medical-Surgical Nursing Demystified contains 18 chapters, each
providing a description of a major body system and the diseases and
disorders which can affect that system. The discussion of each
disease or disorder is divided into the following sections:
What Went Wrong
Prognosis
Hallmark Signs and Symptoms
Common Test Results
Treatment
Nursing Diagnoses
Nursing Intervention
Common Diagnostic Tests
The “What Went Wrong” section presents a brief description of
how the body is affected when the particular disease or disorder
occurs. The “Prognosis” section discusses the possibilities of curing
this disease and permanent damage which can occur. The remaining
sections present the information as lists of symptoms, diagnoses,
etc. that makes it easy for you to learn and that also serve as a
useful tool for later reference.
A Look Inside
Since Medical-Surgical Nursing can be challenging for the beginner,
this book was written to provide an organized, outline approach to
learning about major diseases and the part the nurse can play in the
treatment process. The following paragraphs provide a thumbnail
description of each chapter.
Chapter 16 Geriatrics
Geriatrics focuses on diseases and disorders common in the elderly.
Managing a geriatric patient is challenging because the decline in the
physiological reserve of the patient’s organs increases the complexity
of treatment. In this chapter, you will learn techniques for managing
geriatric conditions.
Cardiovascular System
LEARNING OBJECTIVES
At the end of this chapter, the student will be able to:
Identify normal anatomy and physiology related to the
cardiovascular system
Discuss the disease-causing pathologic changes within the
cardiovascular system
List four signs or symptoms of specific cardiovascular disease or
injury
Recognize expected nursing and medical management of
cardiovascular injury or disease
KEY CONCEPTS
1. Aortic aneurysm
2. Angina (angina pectoris)
3. Cardiac tamponade
4. Cardiogenic shock
5. Cardiomyopathy
6. Coronary artery disease
7. Endocarditis
8. Heart failure (congestive heart failure [CHF])
9. Hypertension
10. Hypovolemic shock
11. Myocardial infarction
12. Myocarditis
13. Pericarditis
14. Peripheral arterial disease
15. Pulmonary edema
16. Raynaud’s disease
17. Rheumatic heart disease
18. Thrombophlebitis
19. Atrial fibrillation
20. Asystole
21. Ventricular fibrillation
22. Ventricular tachycardia
23. Aortic insufficiency
24. Mitral insufficiency
25. Mitral stenosis
26. Mitral valve prolapse
27. Tricuspid insufficiency
KEY TERMS
Aneurysm
Angina
Aortic valve
Atherosclerosis
Atria
Atrioventricular (AV) valves
Cholesterol
Diastolic
Embolism
Infarction
Ischemia
Mitral valve
Necrosis
Occlusion
Pericardium
Pulmonic valve
Stenosis
Systolic
Tamponade
Tricuspid valve
Ventricle
FIGURE 1–1 · Basic anatomy of the heart and pathway of blood flow.
Source: Reproduced with permission from: Mohrman DE, Heller LJ: Cardiovascular
Physiology, 7th ed. New York, NY: McGraw-Hill; 2010, Fig. 1–4.
Treatment
Surgery to resect the aortic aneurysm by removing the section
containing the aneurysm and replacing it with a graft. This may
be done either via an open surgical technique or endoscopically.
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1640 Vsus et a longo tempore iura parit;
Immoque nature si nos de iure loquamur,
Hoc in presbiteris splendet vbique magis:408
Et si sub forma tali sint iura creanda,
Legis quod vires longior vsus habet,
Tunc puto presbiteros ex vsu condere leges,
Oscula dum crebro dant in amore suo.
E c c l e s i e gremium notat ordo presbiterorum,
Quo debent animas rite fouere bonas;
Quomodo set proprias qui non curant, alienas
1650 Curabunt? non est hoc racionis opus.
Nescio quid meriti poterunt tales michi ferre,
Qui sibi nil proprie commoditatis habent:
Nam peccatores scitur quod non deus audit,
Est inhonesta deo laus set ab ore mali:
Indeuota deo qui verba precancia confert,
Iudicii proprii dampna futura petit.
Qui dampnum causat, hic dampna dedisse videtur,
Ledit qui patitur que reuocare potest:
Infligit mortem languenti, qui valet illam
1660 Nec vult auferre, set sinit esse malum:
Presul qui laicos, cum non sint ordine digni,
Ordinat ad sacra, scandala plura mouet.
Tales si quis emit lucro, frustrabitur inde,
Aut si perdet in hiis scit magis ipse deus.
Hoc scio, quod panem qui fregerit esurienti,
Cuius debilitas est sine fraude patens,
Qui nudos operit, infirmos visitat, illi
Debentur merita pro bonitate sua:
Set qui sunt fortes, vanaque sub ordinis vmbra
1670 Conspirant requiem quam sibi mundus habet,
Errat eos presul sacrans, et quosque locando
Tales de merito perdere dona puto.
FOOTNOTES:
340 Heading Hic incipit exquo L Incipit prologus libri tercii om. L
341 9 set et S (et in later hand)
342 13 vulgus] populus (ras.) C
343 16 Vt sit D Sit sic L
344 46 conciliumque H
345 58 malo C
346 69 poteruntque C
347 90 Quodque prius D Quod prius L
348 In place of Incipit &c., L has here the four lines ‘Ad mundum
mitto,’ with picture below: see p. 19.
349 4* exempla D humus] mundus DL
350 18* eum] ei D enim L
351 22* ille CD ipse HGEL
352 27* poterint D
353 1** regentes H₂
354 4** mundit T
355 24** ipse] ille H₂
356 58 periat HCGL
357 81 Marcenarius G mercennarius E
358 86 Glebas D
359 141 ipseque D
360 176 ouis CEHGDLH₂ onus ST
361 193 possint D
362 Heading Hic loquitur quomodo de legibus positiuis quasi
cotidie noua instituuntur nobis peccata, quibus tamen
priusquam fiant prelati propter lucrum dispensant, et ea fieri
libere propter aurum permittunt LTH₂ (Hic quomodo
diligentibus positiuis ... prius fiant &c. L liberi LT)
363 229 numquam L vnquam D
364 258 iugum] suum C
365 273 Dum S Cum CEHDL
366 300 gerarchiam SHT Ierarchiam CL ierarchiam ED
367 Heading 2 dicitur tamen nunc D dicitur tamen L
368 351 vinximus SDL vincimus CEHG
369 375 ff. marginal note om. ELTH₂L₂
370 375 margin hic om. S
371 margin in guerris S guerris CHGD
372 380 margin spoliantes S om. CHGD
373 379 neque C
374 401 reperare S reparare CED
375 454 cotinuatque H
376 462 saruat H
377 Heading deuincant EL deuincat SCHD
378 516 Solennes CEL Solemnes D
379 536 Hec DL
380 546 sit CE
381 561 No paragraph S
382 Cap. ix Heading 2 nec decet CEDL
383 579 sceptrum C
384 595 tetram CEH terram SGDL
385 617 No paragr. CE
386 633 sunt vmbra velud (velut) fugitiua CEG sunt fugitiua velut
vmbra L
387 641 piper vrtice om. D (blank)
388 685 Ne C
389 Heading 2 incontrarium S
390 840 lucri] dei EHT
391 934 ruet CH
392 989 sit] sic S
393 1124 Et CEGDL Est SHTH₂
394 1149 subectos S
395 1214 ad hec CEHGDTH₂ ad hoc L et hec S
396 1265 fallit S
397 1374 timuisse EHL
398 1376 vngat vt D vngat et SCEHGL
399 1454 plus sibi sensus hebes est SGDL fit sibi sensus hebes
CEHTH₂
400 1498 Nec CE
401 1518 circueuntis C
402 1533 Est et S Est sed (set) CEHGL Est set et D
403 1541 Durior CEHGDLT Durius S
404 1552 modicicum S
405 Heading 1 Qostquam S
406 2 iam om. S
407 1617 solennia CEDL
408 1642 Hoc S Hec CEHGDL
409 1695 si CEHGDLTH₂ sua S
410 1747 vouet CEHGT vouit SDLH₂
411 1760 nec in simili conditione grauat (om. ll. 1761 f.) C
412 1815 Aaron CED
413 1863 puluere CEH vulnere SGDL
414 1890 Accedat SL Accedit CEHGD
415 Heading 5 f. a bonis non debent operibus esse CE a bonis
operibus non debent esse L a bonis operibus non esse D
416 1907 ad huc SGT adhuc CEHDL
417 1915 pugnam CEHL pungnam SGT pinguam D
418 1922 Nec C timeat EDL
419 1963 serpit CE
420 1991 residiuis SET recidiuis CHDL
421 1999 Helizeus C Helyseus EL
422 2009 No paragr. S
423 2095 No paragr. S
Exquo tractauit de errore cleri, ad quem
precipue nostrarum spectat regimen animarum,
iam intendit tractare de errore virorum
Religiosorum: et primo dicet de Monachis, et
aliis bonorum temporalium possessionem
optinentibus; ordinis vero illorum sanctitatem
commendans, illos precipue qui contraria
faciunt opera redarguit.