Monitoring the Critically Ill Patient

Philip Jevon is Resuscitation Officer/Clinical Skills Lead, Manor Hospital, Walsall. He is Honorary Clinical Lecturer at Birmingham Medical School, and Editor of The British Journal of Resuscitation

Beverley Ewens is Nurse Manager in Critical Care at Joondalup Health Campus, Perth, Western Australia. She is an ALS instructor and Course Director for the ALERT course at Walsall.

Preface ix

Contributors xi

1 Recognition and Management of the Deteriorating Patient 1

2 Assessment of the Critically Ill Patient 25

3 Monitoring Respiratory Function 39

4 Monitoring Cardiovascular Function 1: ECG Monitoring 91

5 Monitoring Cardiovascular Function 2: Haemodynamic Monitoring 115

6 Monitoring Neurological Function 154

7 Monitoring Renal Function 177

8 Monitoring Gastrointestinal Function 197

9 Monitoring Hepatic Function 209

10 Monitoring Endocrine Function 218

11 Monitoring Nutritional Status 231

12 Monitoring Temperature 244

13 Monitoring Pain 258

14 Monitoring a Patient Receiving a Blood Transfusion 267

15 Monitoring the Patient with Infection and Related Systemic Infl ammatory Response 281

16 Monitoring the Critically Ill, Pregnant Patient 302

17 Monitoring the Critically Ill Child 320

18 Monitoring During Transport 336

19 Record Keeping 346

Index 355

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