《Eliason's Surgical Nursing Eleventh Edition》

Part One：Fundamentals of Surgical Nursing1

UNIT ONEBASIC PRINCIPLES OF SURGICAL NURSING AND SURGICAL ASEPSIS2

1．THE SURGICAL NURSE AND HER PATIENT3

Surgery in the Past3

Surgery at Present4

The Nurse and Her Patient Before Surgery7

The Nurse and Her Patient After Surgery9

Meeting the Needs of the Surgical Nurse9

Bibliography and Suggested Reading13

2．INFLAMMATION AND INFECTION15

Bacteria15

Body Defense Mechanisms16

Inflammation19

Surgical Infections31

Bibliography and Suggested Reading34

3．ANTISEPSIS AND ASEPSIS36

Development of Antisepsis36

Development of Asepsis36

Principles of Sterilization38

Physical Methods of Sterilization51

Chemical Methods of Disinfection52

Chemotherapy56

Antibiotics56

Bibliography and Suggested Reading60

UNIT TWOMEETING THE OVER-ALL NEEDS OF THE SURGICAL PATIENT61

4．PHYSIOLOGIC NEEDS：FLUID BALANCE，NUTRITIONAL NEEDS AND SPECIAL OXYGEN REQUIREMENTS62

The Nurse and Fluid Therapy62

Physiology62

Specific Needs of the Surgical Patient63

Methods of Administration67

Inhalation Therapy75

Bibliography and Suggested Reading82

5．PREOPERATIVE NURSING CARE83

Admission of the Surgical Patient83

Psychological Preparation84

Early Physical Preparation87

Immediate Preoperative Preparation91

Bibliography and Suggested Reading95

UNIT THREEMEETING THE NEEDS OF THE PATIENT IN THE OPERATING ROOM96

6．THE PATIENT IN THE OPERATING ROOM：ANESTHESIA97

Reception and Greeting of the Patient97

The Anesthetist and the Patient98

Types of Anesthesia99

Position on Operating Table112

Bibliography and Suggested Reading116

7．OPERATING ROOM NURSING A．THE NURSE IN THE OPERATING ROOM117

Operating Room Nursing117

Teamwork in the Operating Room118

Maintenance of Surgical Asepsis119

Technic of Scrubbing，Putting on Gown and Gloves123

Surgical Draping127

Handling of Sterile Equipment by the Circulating Nurse128

Preparation of Tables for the Operation134

Immediately Before the Operation141

During the Operation142

Between Operations149

At the End of the Operative Schedule150

Instrument Setups153

Safety Practices in the Operating Room153

7．OPERATING ROOM NURSING B．THE OPERATING ROOM AND ITS EQUIPMENT156

Operating Suite156

Sterilization and Care of Various Articles161

Bibliography and Suggested Reading177

UNIT FOURMEETING THE NEEDS OF THE PATIENT RECOVERING FROM SURGERY179

8．POSTOPERATIVE NURSING CARE180

Recovery Room180

Removing Patient from Operating Table181

Immediate Postoperative Nursing Care184

Return to Complete Consciousness188

Body Alignment and Good Body Mechanics190

Early Postoperative Ambulation and Postoperative Diet193

Care of the Wound194

Charts and Nurses＇Records205

Bibliography and Suggested Reading208

9．POSTOPERATIVE DISCOMFORTS AND COMPLAINTS209

Pain209

Vomiting210

Restlessness211

Sleeplessness212

Thirst212

Abdominal Distention213

Constipation and Diarrhea213

Bibliography and Suggested Reading215

10．POSTOPERATIVE COMPLICATIONS216

Shock216

Hemorrhage and Pulmonary Complications219

Femoral Phlebitis or Thrombosis223

Hiccough(Singultus)224

Intestinal Obstruction225

Urinary Retention226

Urinary Incontinence227

Delirium228

Wound Complications231

Bibliography and Suggested Reading233

UNIT FIVEMEETING THE NEEDS OF THE CONVALESCING SURGICAL PATIENT234

11．REHABILITATION OF THE SURGICAL PATIENT235

The Meaning of Rehabilitation235

The Surgical Nurse as a Member of the Rehabilitation Team235

Basic Assumptions and Aims of the Surgical Nurse236

Normal Range of Motion239

Activities of Daily Living242

Conditions Which Affect Progress in Rehabilitation242

Appliances and Devices244

Referral and Follow-up of Surgical Patients248

Bibliography and Suggested Reading249

UNIT SIXMODIFICATIONS IN CARE TO MEET THE PARTICULAR NEEDS OF THE SURGICAL PATIENTS251

12．NURSING CARE OF THE GERIATRIC SURGICAL PATIENT252

The Nurse and the Elderly Surgical Patient252

Significant Characteristics of the Older Patient253

Preoperative Care256

Postoperative Care257

Convalescence258

Bibliography and Suggested Reading260

13．TUMORS AND CANCER NURSING261

Classification of Tumors261

Incidence of Malignancy264

The Nurse and the Cancer Patient265

Treatment of Neoplasms266

Psychological Aspects of Nursing the Cancer Patient272

Terminal Nursing Care273

Cysts275

The Follow-Through275

Bibliography and Suggested Reading276

Part Two：Nursing Care of Patients with Specific Surgical Problems278

UNIT SEVENNURSING IN CONDITIONS OF THE RESPIRATORY TRACT279

14．SURGERY OF THE NOSE AND THE THROAT280

Surgical Conditions of Nose and Sinuses280

Surgery of Tonsils and Pharynx284

Surgery of the Larynx287

Tracheotomy289

Clinical Situation：Tracheotomy294

Bibliography and Suggested Reading294

Patient Teaching Aids and Information295

15．SURGERY OF THE CHEST296

The Nurse and the Chest Surgical Patient296

Anatomy and Physiology296

Diagnostic Studies297

Collections of Air and Fluid in the Pleural Cavity300

Chest Wounds301

Respiratory Infections303

Empyema Thoracis(Pyothorax)303

Lung Abscess304

Bronchiectasis305

Cancer of the Lung306

Surgery of the Mediastinum315

Surgery in Pulmonary Tuberculosis315

Decortication of the Lung321

Clinical Situation：Pulmonary Resection321

Bibliography and Suggested Reading322

Patient Teaching Aids and Information323

UNIT EIGHTNURSING IN CONDITIONS OF THE CIRCULATORY SYSTEM，THE BLOOD AND THE BLOOD-FORMING ORGANS324

16．SURGERY OF THE HEART AND THE BLOOD VESSELS325

History of Cardiovascular Surgery325

Cardiovascular Surgical Nursing326

Diagnostic Aids and Aids to Modern Open Heart Surgery328

Intracardiac Surgery331

Cardiovascular Surgical Nursing339

Thrombosis and Embolism346

Peripheral Arterial Disease347

Methods of Improving Circulation350

Arterial Hypertension and Aneurysm352

Varicose Veins353

Varicose Ulcers354

Phlebitis355

Clinical Situations：Coarctation of Aorta and Saphenous Ligation357

Bibliography and Suggested Reading358

Patient Teaching Aids and Information359

17．SURGICAL CONDITIONS OF THE BLOOD，THE LYMPHATIC SYSTEM AND THE SPLEEN360

The Blood360

The Lymphatic System361

The Spleen364

Clinical Situation：Splenectomy365

Bibliography and Suggested Reading365

Patient Teaching Aids and Information365

UNIT NINENURSING IN CONDITIONS OF THE ALIMENTARY SYSTEM366

18．SURGERY OF LIPS，MOUTH，TONGUE AND ESOPHAGUS367

Surgery of the Lips367

Surgery of the Mouth and Tongue369

Diseases of the Esophagus372

Bibliography and Suggested Reading383

Patient Teaching Aids and Information383

19．SURGERY OF THE ABDOMEN384

Basic Considerations in Abdominal Surgery384

Peritonitis387

Surgery of the Stomach and the Duodenum390

Regional Enteritis408

Appendicitis409

Surgery of Colon，Rectum and Anus412

Pilonidal Cyst425

Surgery of Liver and Biliary Passages426

Surgery of the Pancreas431

Abdominal Hernia434

Clinical Situations：Abdominoperineal Resection and Cholecystectomy436

Bibliography and Suggested Reading437

Patient Teaching Aids and Information438

UNIT TENNURSING IN CONDITIONS OF THE URINARY TRACT AND THE REPRODUCTIVE SYSTEM441

20．SURGERY OF THE URINARY TRACT AND THE MALE REPRODUCTIVE SYSTEM441

The Nurse and the Urologic Patient441

Anatomy and Physiology of the Urinary System441

Methods of Study of the Urinary Tract443

Maintaining Adequate Drainage444

Surgery of the Kidney448

Surgery of the Bladder455

Male Genito-urology460

Clinical Situations：Nephrectomy and Suprapubic Prostatectomy469

Bibliography and Suggested Reading470

Patient Teaching Aids and Information471

21．DISEASES OF THE FEMALE REPRODUCTIVE ORGANS472

The Nurse，the Woman，and the Patient with a Gynecologic Problem472

Anatomy and Physiology473

Disturbances of Menstruation477

Diagnostic Tests480

Preparation of Patient for Gynecologic Operations483

Conditions of External Genitalia and Vagina484

Conditions of Uterus488

Conditions of Ovaries and Broad Ligaments492

Conditions of Fallopian Tubes493

Infertility494

Clinical Situation：Radium Implantation495

Bibliography and Suggested Reading495

Patient Teaching Aids and Information496

UNIT ELEVENNURSING IN CONDITIONS OF THE INTEGUMENTARY SYSTEM(INCLUDING THE SUBCUTANEOUS AND THE AREOLAR TISSUE AND THE BREASTS)497

22．SURGERY OF THE SKIN498

General Considerations498

Staphylococcic Infections498

Infections of Hand and Fingers500

Burns503

Ulcerations507

Cysts and Tumors507

Plastic or Reconstructive Surgery509

Dermal Abrasion516

Clinical Situation：Third-Degree Burn517

Bibliography and Suggested Reading518

Patient Teaching Aids and Information518

23．SURGERY OF THE BREAST519

Introduction519

Fissure of Nipple519

Inflammations519

Tumors of the Breast521

The Male Breast523

Plastic Surgery of the Breast523

Nursing Care of Patients Having Breast Operations523

Clinical Situation：Radical Mastectomy527

Bibliography and Suggested Reading528

Patient Teaching Aids and Information528

UNIT TWELVENURSING IN CONDITIONS OF THE EYE AND THE EAR530

24．SURGERY OF THE EYE531

Anatomy and Physiology532

Examinations and Diagnostic Procedures534

Drugs Used Frequently in Eye Disease535

Trauma to the Eye543

Diseases of the Eye545

The Nurse and the Newly Blind553

Clinical Situation：Surgery for Glaucoma553

Bibliography and Suggested Reading554

Patient Teaching Aids and Information555

25．SURGERY OF THE EAR AND THE MASTOID556

Anatomy and Physiology556

The External Ear558

The Middle Ear559

Operations for Otosclerosis564

Communicating with a Person Who Has a Hearing Impairment566

Clinical Situation：Fenestration Operation566

Bibliography and Suggested Reading567

Patient Teaching Aids and Information567

UNIT THIRTEENNURSING IN CONDITIONS OF THE ENDOCRINE GLANDS568

26．SURGERY OF THE THYROID AND OTHER ENDOCRINE GLANDS569

The Thyroid Gland569

The Parathyroid Glands574

The Adrenal Glands575

Surgery in Diabetes576

Clinical Situation：Thyroidectomy578

Bibliography and Suggested Reading580

Patient Teaching Aids and Information580

UNIT FOURTEENNURSING IN CONDITIONS OF THE NERVOUS SYSTEM581

27．SURGERY OF BRAIN AND SPINAL CORD582

History582

Anatomy of Brain and Spinal Cord584

Examinations and Diagnostic Procedures588

Special Examinations589

Special Neurosurgical Problems595

Scalp，Skull and Cranial Injuries600

Brain Injury601

Surgery of the Spinal Cord613

Congenital Disorders624

Clinical Situation：Craniotomy625

Bibliography and Suggested Reading626

Patient Teaching Aids and Information627

UNIT FIFTEENNURSING IN CONDITIONS OF THE MUSCULOSKELETAL SYSTEM628

28．INJURIES OF THE MUSCULOSKELETAL SYSTEM629

General Considerations，Anatomy and Physiology629

Contusions and Sprains630

Dislocations and Fractures631

Fracture Reduction636

Amputation663

Clinical Situation：Fracture of the Femur668

Bibliography and Suggested Reading669

Patient Teaching Aids and Information669

29．DISEASES OF BONES，JOINTS AND BURSAE671

Deformities671

Infantile Paralysis679

Osteomyelitis679

Tuberculosis682

Osteitis Fibrosa Cystica685

Bone Tumors686

Diseases of Joints and Bursae687

Clinical Situation：Congenital Dislocation of the Hip688

Bibliography and Suggested Reading689

Patient Teaching Aids and Information689

Part Three：Nursing in an Emergency or Disaster691

UNIT SIXTEENNURSING IN AN EMERGENCY OR DISASTER692

30．NURSING IN AN EMERGENCY OR DISASTER692

＂Being Prepared＂692

The Meaning of Disaster693

Accidents693

Nuclear Warfare696

Philosophy and Principles of Medical and Nursing Care697

Mobilization of Medical and Nursing Services698

Surgical Problems700

Artificial Respiration705

Psychological First Aid707

Improvisation and Resourcefulness709

An Emergency Creed710

Bibliography and Suggested Reading711

Appendix711

INDEX715