The AACN Procedure Manual for High Acuity, Progressive, and Critical Care, 7th Edition, authored by the American Association of Critical-Care Nurses, is the authoritative reference to procedures performed in high acuity, progressive, and critical care settings. It visually guides you through procedures unique to the adult critical care environment, including those performed by advanced practice nurses, in an illustrated, step-by-step format. This edition features 17 new procedures, new illustrations, and updated content throughout, reflecting the latest evidence-based guidelines and national and international protocols.
1. Cover image - p. iii 2. Title Page - p. iii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Section Editors - p. v 6. Contributors - p. vi 7. Reviewers - p. xiii 8. Preface - p. xvii 9. Acknowledgments - p. xix 10. Unit I Pulmonary System - p. xix 11. Section One Airway Management - p. xix 12. Procedure 1 Combitube Insertion and Removal - p. 1 13. Procedure 2 Endotracheal Intubation (Perform) - p. 8 14. Procedure 3 Endotracheal Intubation (Assist) - p. 23 15. Procedure 4 Endotracheal Tube Care and Oral Care Practices for Ventilated and Non-ventilated Patients - p. 32 16. Procedure 5 Extubation/Decannulation (Perform) - p. 40 17. Procedure 6 Extubation/Decannulation (Assist) - p. 44 18. Procedure 7 King Airway Insertion and Removal - p. 47 19. Procedure 8 Laryngeal Mask Airway - p. 53 20. Procedure 9 Nasopharyngeal and Oral Airway Insertion - p. 62 21. Procedure 10 Suctioning - p. 69 22. Procedure 11 Surgical Cricothyrotomy (Perform) - p. 79 23. Procedure 12 Surgical Cricothyrotomy (Assist) - p. 85 24. Procedure 13 Tracheostomy Cuff and Tube Care - p. 89 25. Section Two Special Pulmonary Procedures - p. 102.e1 26. Procedure 14 Continuous End-Tidal Carbon Dioxide Monitoring - p. 103 27. Procedure 15 Continuous Lateral Rotation Therapy - p. 111 28. Procedure 16 Continuous Venous Oxygen Saturation Monitoring - p. 116 29. Procedure 17 Extracorporeal Life Support (ECLS) and Extracorporeal Membrane Oxygenation (ECMO) - p. 123 30. Procedure 18 Oxygen Saturation Monitoring with Pulse Oximetry - p. 134 31. Procedure 19 Pronation Therapy - p. 142 32. Section Three Thoracic Cavity Management - p. 163.e2 33. Procedure 20 Autotransfusion - p. 164 34. Procedure 21 Chest Tube Placement (Perform) - p. 168 35. Procedure 22 Chest Tube Placement (Assist) - p. 178 36. Procedure 23 Chest Tube Removal (Perform) - p. 184 37. Procedure 24 Chest Tube Removal (Assist) - p. 190 38. Procedure 25 Closed Chest-Drainage System - p. 195 39. Procedure 26 Needle Thoracostomy (Perform) - p. 206 40. Procedure 27 Thoracentesis (Perform) - p. 211 41. Procedure 28 Thoracentesis (Assist) - p. 222 42. Section Four Ventilatory Management - p. 226.e1 43. Procedure 29 Invasive Mechanical Ventilation (Through an Artificial Airway) - p. 227 44. Procedure 30 Noninvasive Positive Pressure Ventilation - p. 249 45. Procedure 31 Manual Self-Inflating Resuscitation Bag-Valve Device - p. 261 46. Procedure 32 Peripheral Nerve Stimulators - p. 268 47. Procedure 33 Weaning Mechanical Ventilation - p. 277 48. Unit II Cardiovascular System - p. 285.e3 49. Section Five Cardiac Emergencies - p. 285.e3 50. Procedure 34 Automated External Defibrillation - p. 286 51. Procedure 35 Cardioversion - p. 293 52. Procedure 36 Defibrillation (External) - p. 302 53. Procedure 37 Defibrillation (Internal) Perform - p. 310 54. Procedure 38 Defibrillation (Internal) Assist - p. 317 55. Procedure 39 Emergent Open Sternotomy (Perform) - p. 322 56. Procedure 40 Emergent Open Sternotomy (Assist) - p. 329 57. Procedure 41 External Wearable Cardioverter-Defibrillator - p. 335 58. Procedure 42 Pericardiocentesis (Perform) - p. 340 59. Procedure 43 Pericardiocentesis (Assist) - p. 349 60. Section Six Cardiac Pacemakers - p. 355.e1 61. Procedure 44 Atrial Electrogram - p. 356 62. Procedure 45 Atrial Overdrive Pacing (Perform) - p. 366 63. Procedure 46 Epicardial Pacing Wire Removal - p. 373 64. Procedure 47 Implantable Cardioverter-Defibrillator - p. 377 65. Procedure 48 Permanent Pacemaker (Assessing Function) - p. 388 66. Procedure 49 Temporary Transcutaneous (External) Pacing - p. 399 67. Procedure 50 Temporary Transvenous Pacemaker Insertion (Perform) - p. 407 68. Procedure 51 Temporary Transvenous and Epicardial Pacing - p. 416 69. Section Seven Circulatory Assist Devices - p. 430.e1 70. Procedure 52 Intraaortic Balloon Pump Management - p. 431 71. Procedure 53 Ventricular Assist Devices - p. 450 72. Section Eight Electrocardiographic Leads and Cardiac Monitoring - p. 466.e2 73. Procedure 54 Cardiac Monitoring and Electrocardiographic Leads - p. 467 74. Procedure 55 Extra Electrocardiographic Leads - p. 477 75. Procedure 56 ST-Segment Monitoring (Continuous) - p. 486 76. Procedure 57 Twelve-Lead Electrocardiogram - p. 494 77. Section Nine Hemodynamic Monitoring - p. 500.e1 78. Procedure 58 Arterial Catheter Insertion (Perform) - p. 501 79. Procedure 59 Arterial Catheter Insertion (Assist), Care, and Removal - p. 508 80. Procedure 60 Arterial Pressure–Based Cardiac Output Monitoring - p. 523 81. Procedure 61 Blood Sampling from an Arterial Catheter - p. 530 82. Procedure 62 Blood Sampling from a Central Venous Catheter - p. 540 83. Procedure 63 Blood Sampling from a Pulmonary Artery Catheter - p. 548 84. Procedure 64 Cardiac Output Measurement Techniques (Invasive) - p. 553 85. Procedure 65 Central Venous Catheter Removal - p. 569 86. Procedure 66 Central Venous Catheter Site Care - p. 574 87. Procedure 67 Central Venous/Right Atrial Pressure Monitoring - p. 578 88. Procedure 68 Esophageal Cardiac Output Monitoring - p. 584 89. Procedure 69 Esophageal Cardiac Output Monitoring - p. 590 90. Procedure 70 Noninvasive Cardiac Output Monitoring - p. 596 91. Procedure 71 Pulmonary Artery Catheter Insertion (Perform) - p. 601 92. Procedure 72 Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring - p. 609 93. Procedure 73 Pulmonary Artery Catheter Removal - p. 630 94. Procedure 74 Pulmonary Artery Catheter and Pressure Lines, Troubleshooting - p. 637 95. Procedure 75 Single-Pressure and Multiple-Pressure Transducer Systems - p. 653 96. Section Ten Special Cardiac Procedures - p. 663.e2 97. Procedure 76 Femoral Arterial and Venous Sheath Removal - p. 664 98. Procedure 77 Radial Arterial Sheath Removal - p. 672 99. Procedure 78 Pericardial Catheter Management - p. 678 100. Procedure 79 Thenar Tissue Oxygen Saturation Monitoring - p. 693 101. Procedure 80 Transesophageal Echocardiography (Assist) - p. 698 102. Section Eleven Vascular Access - p. 706.e1 103. Procedure 81 Arterial Puncture - p. 707 104. Procedure 82 Central Venous Catheter Insertion (Perform) - p. 714 105. Procedure 83 Central Venous Catheter Insertion (Assist) - p. 731 106. Procedure 84 Implantable Venous Access Device - p. 738 107. Procedure 85 Intraosseous Devices - p. 748 108. Procedure 86 Midline Catheters - p. 758 109. Procedure 87 Peripherally Inserted Central Catheter - p. 766 110. Unit III Neurologic System - p. 777.e1 111. Section Twelve Neurologic Monitoring - p. 777.e1 112. Procedure 88 Bispectral Index Monitoring - p. 778 113. Procedure 89 Brain Tissue Oxygen Monitoring - p. 792 114. Procedure 90 Cerebral Blood Flow Monitoring - p. 811 115. Procedure 91 Cerebral Microdialysis - p. 823 116. Procedure 92 Intracranial Bolt and Fiberoptic Catheter Insertion (Assist), Intracranial Pressure Monitoring, Care, Troubleshooting, and Removal - p. 829 117. Procedure 93 Intraventricular/Fiberoptic Catheter Insertion (Assist), Monitoring, Nursing Care, Troubleshooting, and Removal - p. 835 118. Procedure 94 Intraventricular Catheter with External Transducer for Cerebrospinal Fluid Drainage and Intracranial Pressure Monitoring - p. 842 119. Procedure 95 Lumbar Subarachnoid Catheter Insertion (Assist) for Cerebrospinal Fluid Drainage and Pressure Monitoring - p. 856 120. Section Thirteen Special Neurologic Procedures - p. 864.e2 121. Procedure 96 Lumbar Puncture (Perform) - p. 865 122. Procedure 97 Lumbar Puncture (Assist) - p. 873 123. Procedure 98 Pupillometer - p. 880 124. Procedure 99 RotoRest Lateral Rotation Surface - p. 885 125. Procedure 100 Thermoregulation - p. 893 126. Section Fourteen Traction Management - p. 903.e2 127. Procedure 101 Cervical Tongs or Halo Ring - p. 904 128. Procedure 102 Cervical Traction Maintenance - p. 911 129. Procedure 103 Halo Ring and Vest Care - p. 917 130. Procedure 104 Pin-Site Care - p. 925 131. Section Fifteen Pain Management - p. 928.e1 132. Procedure 105 Epidural Catheters - p. 929 133. Procedure 106 Patient-Controlled Analgesia - p. 941 134. Procedure 107 Peripheral Nerve Blocks - p. 948 135. Unit IV Gastrointestinal System - p. 957.e1 136. Section Sixteen Special Gastrointestinal Procedures - p. 957.e1 137. Procedure 108 Esophagogastric Tamponade Tube - p. 958 138. Procedure 109 Focused Assessment with Sonography in Trauma - p. 970 139. Procedure 110 Gastric Lavage in Hemorrhage and Overdose - p. 980 140. Procedure 111 Endoscopic Therapy - p. 989 141. Procedure 112 Intraabdominal Pressure Monitoring - p. 997 142. Procedure 113 Nasogastric and Orogastric Tube Insertion, Care, and Removal - p. 1011 143. Procedure 114 Molecular Adsorbent Recirculating System (MARS) - p. 1020 144. Procedure 115 Paracentesis (Perform) - p. 1030 145. Procedure 116 Paracentesis (Assist) - p. 1036 146. Procedure 117 Peritoneal Lavage (Perform) - p. 1041 147. Procedure 118 Peritoneal Lavage (Assist) - p. 1048 148. Unit V Renal System - p. 1053.e1 149. Section Seventeen Renal Replacement - p. 1053.e1 150. Procedure 119 Continuous Renal Replacement Therapies - p. 1054 151. Procedure 120 Hemodialysis - p. 1067 152. Procedure 121 Peritoneal Dialysis - p. 1080 153. Unit VI Hematologic System - p. 1087.e1 154. Section Eighteen Fluid Management - p. 1087.e1 155. Procedure 122 Use of a Massive Infusion Device and a Pressure Infusor Bag - p. 1088 156. Section Nineteen Special Hematologic Procedures - p. 1099.e1 157. Procedure 123 Apheresis and Therapeutic Plasma Exchange (Assist) - p. 1100 158. Procedure 124 Bone Marrow Biopsy and Aspiration (Perform) - p. 1110 159. Procedure 125 Bone Marrow Biopsy and Aspiration (Assist) - p. 1119 160. Unit VII Integumentary System - p. 1124.e1 161. Section Twenty Burn Wound Management - p. 1124.e1 162. Procedure 126 Burn Wound Care - p. 1125 163. Procedure 127 Donor-Site Care - p. 1136 164. Procedure 128 Skin-Graft Care - p. 1142 165. Section Twenty-One Special Integumentary Procedures - p. 1149.e1 166. Procedure 129 Intracompartmental Pressure Monitoring - p. 1150 167. Procedure 130 Suture and Staple Removal - p. 1156 168. Procedure 131 Wound Closure - p. 1162 169. Section Twenty-Two Wound Management - p. 1172.e1 170. Procedure 132 Cleaning, Irrigating, Culturing, and Dressing an Open Wound - p. 1173 171. Procedure 133 Débridement - p. 1183 172. Procedure 134 Drain Removal - p. 1190 173. Procedure 135 Fecal Containment Devices and Bowel Management Systems - p. 1193 174. Procedure 136 Negative-Pressure Wound Therapy - p. 1200 175. Procedure 137 Wound Management with Excessive Drainage - p. 1210 176. Unit VIII Nutrition - p. 1215.e1 177. Procedure 138 Percutaneous Endoscopic Gastrostomy (PEG), Gastrostomy, and Jejunostomy Tube Care - p. 1216 178. Procedure 139 Small-Bore Feeding Tube Insertion and Care - p. 1221 179. Procedure 140 Small-Bore Feeding Tube Insertion Using an Electromagnetic Guidance System (CORTRAK 2 Enteral Access System EAS) - p. 1227 180. Unit IX Calculating Medication Doses - p. 1235.e1 181. Procedure 141 Calculating Doses, Flow Rates, and Administration of Continuous Intravenous Infusions - p. 1236 182. Index - p. 1242
The AACN Procedure Manual for High Acuity, Progressive, and Critical Care, 7th Edition, authored by the American Association of Critical-Care Nurses, is the authoritative reference to procedures performed in high acuity, progressive, and critical care settings. It visually guides you through procedures unique to the adult critical care environment, including those performed by advanced practice nurses, in an illustrated, step-by-step format. This edition features 17 new procedures, new illustrations, and updated content throughout, reflecting the latest evidence-based guidelines and national and international protocols.
1. Cover image - p. iii 2. Title Page - p. iii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Section Editors - p. v 6. Contributors - p. vi 7. Reviewers - p. xiii 8. Preface - p. xvii 9. Acknowledgments - p. xix 10. Unit I Pulmonary System - p. xix 11. Section One Airway Management - p. xix 12. Procedure 1 Combitube Insertion and Removal - p. 1 13. Procedure 2 Endotracheal Intubation (Perform) - p. 8 14. Procedure 3 Endotracheal Intubation (Assist) - p. 23 15. Procedure 4 Endotracheal Tube Care and Oral Care Practices for Ventilated and Non-ventilated Patients - p. 32 16. Procedure 5 Extubation/Decannulation (Perform) - p. 40 17. Procedure 6 Extubation/Decannulation (Assist) - p. 44 18. Procedure 7 King Airway Insertion and Removal - p. 47 19. Procedure 8 Laryngeal Mask Airway - p. 53 20. Procedure 9 Nasopharyngeal and Oral Airway Insertion - p. 62 21. Procedure 10 Suctioning - p. 69 22. Procedure 11 Surgical Cricothyrotomy (Perform) - p. 79 23. Procedure 12 Surgical Cricothyrotomy (Assist) - p. 85 24. Procedure 13 Tracheostomy Cuff and Tube Care - p. 89 25. Section Two Special Pulmonary Procedures - p. 102.e1 26. Procedure 14 Continuous End-Tidal Carbon Dioxide Monitoring - p. 103 27. Procedure 15 Continuous Lateral Rotation Therapy - p. 111 28. Procedure 16 Continuous Venous Oxygen Saturation Monitoring - p. 116 29. Procedure 17 Extracorporeal Life Support (ECLS) and Extracorporeal Membrane Oxygenation (ECMO) - p. 123 30. Procedure 18 Oxygen Saturation Monitoring with Pulse Oximetry - p. 134 31. Procedure 19 Pronation Therapy - p. 142 32. Section Three Thoracic Cavity Management - p. 163.e2 33. Procedure 20 Autotransfusion - p. 164 34. Procedure 21 Chest Tube Placement (Perform) - p. 168 35. Procedure 22 Chest Tube Placement (Assist) - p. 178 36. Procedure 23 Chest Tube Removal (Perform) - p. 184 37. Procedure 24 Chest Tube Removal (Assist) - p. 190 38. Procedure 25 Closed Chest-Drainage System - p. 195 39. Procedure 26 Needle Thoracostomy (Perform) - p. 206 40. Procedure 27 Thoracentesis (Perform) - p. 211 41. Procedure 28 Thoracentesis (Assist) - p. 222 42. Section Four Ventilatory Management - p. 226.e1 43. Procedure 29 Invasive Mechanical Ventilation (Through an Artificial Airway) - p. 227 44. Procedure 30 Noninvasive Positive Pressure Ventilation - p. 249 45. Procedure 31 Manual Self-Inflating Resuscitation Bag-Valve Device - p. 261 46. Procedure 32 Peripheral Nerve Stimulators - p. 268 47. Procedure 33 Weaning Mechanical Ventilation - p. 277 48. Unit II Cardiovascular System - p. 285.e3 49. Section Five Cardiac Emergencies - p. 285.e3 50. Procedure 34 Automated External Defibrillation - p. 286 51. Procedure 35 Cardioversion - p. 293 52. Procedure 36 Defibrillation (External) - p. 302 53. Procedure 37 Defibrillation (Internal) Perform - p. 310 54. Procedure 38 Defibrillation (Internal) Assist - p. 317 55. Procedure 39 Emergent Open Sternotomy (Perform) - p. 322 56. Procedure 40 Emergent Open Sternotomy (Assist) - p. 329 57. Procedure 41 External Wearable Cardioverter-Defibrillator - p. 335 58. Procedure 42 Pericardiocentesis (Perform) - p. 340 59. Procedure 43 Pericardiocentesis (Assist) - p. 349 60. Section Six Cardiac Pacemakers - p. 355.e1 61. Procedure 44 Atrial Electrogram - p. 356 62. Procedure 45 Atrial Overdrive Pacing (Perform) - p. 366 63. Procedure 46 Epicardial Pacing Wire Removal - p. 373 64. Procedure 47 Implantable Cardioverter-Defibrillator - p. 377 65. Procedure 48 Permanent Pacemaker (Assessing Function) - p. 388 66. Procedure 49 Temporary Transcutaneous (External) Pacing - p. 399 67. Procedure 50 Temporary Transvenous Pacemaker Insertion (Perform) - p. 407 68. Procedure 51 Temporary Transvenous and Epicardial Pacing - p. 416 69. Section Seven Circulatory Assist Devices - p. 430.e1 70. Procedure 52 Intraaortic Balloon Pump Management - p. 431 71. Procedure 53 Ventricular Assist Devices - p. 450 72. Section Eight Electrocardiographic Leads and Cardiac Monitoring - p. 466.e2 73. Procedure 54 Cardiac Monitoring and Electrocardiographic Leads - p. 467 74. Procedure 55 Extra Electrocardiographic Leads - p. 477 75. Procedure 56 ST-Segment Monitoring (Continuous) - p. 486 76. Procedure 57 Twelve-Lead Electrocardiogram - p. 494 77. Section Nine Hemodynamic Monitoring - p. 500.e1 78. Procedure 58 Arterial Catheter Insertion (Perform) - p. 501 79. Procedure 59 Arterial Catheter Insertion (Assist), Care, and Removal - p. 508 80. Procedure 60 Arterial Pressure–Based Cardiac Output Monitoring - p. 523 81. Procedure 61 Blood Sampling from an Arterial Catheter - p. 530 82. Procedure 62 Blood Sampling from a Central Venous Catheter - p. 540 83. Procedure 63 Blood Sampling from a Pulmonary Artery Catheter - p. 548 84. Procedure 64 Cardiac Output Measurement Techniques (Invasive) - p. 553 85. Procedure 65 Central Venous Catheter Removal - p. 569 86. Procedure 66 Central Venous Catheter Site Care - p. 574 87. Procedure 67 Central Venous/Right Atrial Pressure Monitoring - p. 578 88. Procedure 68 Esophageal Cardiac Output Monitoring - p. 584 89. Procedure 69 Esophageal Cardiac Output Monitoring - p. 590 90. Procedure 70 Noninvasive Cardiac Output Monitoring - p. 596 91. Procedure 71 Pulmonary Artery Catheter Insertion (Perform) - p. 601 92. Procedure 72 Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring - p. 609 93. Procedure 73 Pulmonary Artery Catheter Removal - p. 630 94. Procedure 74 Pulmonary Artery Catheter and Pressure Lines, Troubleshooting - p. 637 95. Procedure 75 Single-Pressure and Multiple-Pressure Transducer Systems - p. 653 96. Section Ten Special Cardiac Procedures - p. 663.e2 97. Procedure 76 Femoral Arterial and Venous Sheath Removal - p. 664 98. Procedure 77 Radial Arterial Sheath Removal - p. 672 99. Procedure 78 Pericardial Catheter Management - p. 678 100. Procedure 79 Thenar Tissue Oxygen Saturation Monitoring - p. 693 101. Procedure 80 Transesophageal Echocardiography (Assist) - p. 698 102. Section Eleven Vascular Access - p. 706.e1 103. Procedure 81 Arterial Puncture - p. 707 104. Procedure 82 Central Venous Catheter Insertion (Perform) - p. 714 105. Procedure 83 Central Venous Catheter Insertion (Assist) - p. 731 106. Procedure 84 Implantable Venous Access Device - p. 738 107. Procedure 85 Intraosseous Devices - p. 748 108. Procedure 86 Midline Catheters - p. 758 109. Procedure 87 Peripherally Inserted Central Catheter - p. 766 110. Unit III Neurologic System - p. 777.e1 111. Section Twelve Neurologic Monitoring - p. 777.e1 112. Procedure 88 Bispectral Index Monitoring - p. 778 113. Procedure 89 Brain Tissue Oxygen Monitoring - p. 792 114. Procedure 90 Cerebral Blood Flow Monitoring - p. 811 115. Procedure 91 Cerebral Microdialysis - p. 823 116. Procedure 92 Intracranial Bolt and Fiberoptic Catheter Insertion (Assist), Intracranial Pressure Monitoring, Care, Troubleshooting, and Removal - p. 829 117. Procedure 93 Intraventricular/Fiberoptic Catheter Insertion (Assist), Monitoring, Nursing Care, Troubleshooting, and Removal - p. 835 118. Procedure 94 Intraventricular Catheter with External Transducer for Cerebrospinal Fluid Drainage and Intracranial Pressure Monitoring - p. 842 119. Procedure 95 Lumbar Subarachnoid Catheter Insertion (Assist) for Cerebrospinal Fluid Drainage and Pressure Monitoring - p. 856 120. Section Thirteen Special Neurologic Procedures - p. 864.e2 121. Procedure 96 Lumbar Puncture (Perform) - p. 865 122. Procedure 97 Lumbar Puncture (Assist) - p. 873 123. Procedure 98 Pupillometer - p. 880 124. Procedure 99 RotoRest Lateral Rotation Surface - p. 885 125. Procedure 100 Thermoregulation - p. 893 126. Section Fourteen Traction Management - p. 903.e2 127. Procedure 101 Cervical Tongs or Halo Ring - p. 904 128. Procedure 102 Cervical Traction Maintenance - p. 911 129. Procedure 103 Halo Ring and Vest Care - p. 917 130. Procedure 104 Pin-Site Care - p. 925 131. Section Fifteen Pain Management - p. 928.e1 132. Procedure 105 Epidural Catheters - p. 929 133. Procedure 106 Patient-Controlled Analgesia - p. 941 134. Procedure 107 Peripheral Nerve Blocks - p. 948 135. Unit IV Gastrointestinal System - p. 957.e1 136. Section Sixteen Special Gastrointestinal Procedures - p. 957.e1 137. Procedure 108 Esophagogastric Tamponade Tube - p. 958 138. Procedure 109 Focused Assessment with Sonography in Trauma - p. 970 139. Procedure 110 Gastric Lavage in Hemorrhage and Overdose - p. 980 140. Procedure 111 Endoscopic Therapy - p. 989 141. Procedure 112 Intraabdominal Pressure Monitoring - p. 997 142. Procedure 113 Nasogastric and Orogastric Tube Insertion, Care, and Removal - p. 1011 143. Procedure 114 Molecular Adsorbent Recirculating System (MARS) - p. 1020 144. Procedure 115 Paracentesis (Perform) - p. 1030 145. Procedure 116 Paracentesis (Assist) - p. 1036 146. Procedure 117 Peritoneal Lavage (Perform) - p. 1041 147. Procedure 118 Peritoneal Lavage (Assist) - p. 1048 148. Unit V Renal System - p. 1053.e1 149. Section Seventeen Renal Replacement - p. 1053.e1 150. Procedure 119 Continuous Renal Replacement Therapies - p. 1054 151. Procedure 120 Hemodialysis - p. 1067 152. Procedure 121 Peritoneal Dialysis - p. 1080 153. Unit VI Hematologic System - p. 1087.e1 154. Section Eighteen Fluid Management - p. 1087.e1 155. Procedure 122 Use of a Massive Infusion Device and a Pressure Infusor Bag - p. 1088 156. Section Nineteen Special Hematologic Procedures - p. 1099.e1 157. Procedure 123 Apheresis and Therapeutic Plasma Exchange (Assist) - p. 1100 158. Procedure 124 Bone Marrow Biopsy and Aspiration (Perform) - p. 1110 159. Procedure 125 Bone Marrow Biopsy and Aspiration (Assist) - p. 1119 160. Unit VII Integumentary System - p. 1124.e1 161. Section Twenty Burn Wound Management - p. 1124.e1 162. Procedure 126 Burn Wound Care - p. 1125 163. Procedure 127 Donor-Site Care - p. 1136 164. Procedure 128 Skin-Graft Care - p. 1142 165. Section Twenty-One Special Integumentary Procedures - p. 1149.e1 166. Procedure 129 Intracompartmental Pressure Monitoring - p. 1150 167. Procedure 130 Suture and Staple Removal - p. 1156 168. Procedure 131 Wound Closure - p. 1162 169. Section Twenty-Two Wound Management - p. 1172.e1 170. Procedure 132 Cleaning, Irrigating, Culturing, and Dressing an Open Wound - p. 1173 171. Procedure 133 Débridement - p. 1183 172. Procedure 134 Drain Removal - p. 1190 173. Procedure 135 Fecal Containment Devices and Bowel Management Systems - p. 1193 174. Procedure 136 Negative-Pressure Wound Therapy - p. 1200 175. Procedure 137 Wound Management with Excessive Drainage - p. 1210 176. Unit VIII Nutrition - p. 1215.e1 177. Procedure 138 Percutaneous Endoscopic Gastrostomy (PEG), Gastrostomy, and Jejunostomy Tube Care - p. 1216 178. Procedure 139 Small-Bore Feeding Tube Insertion and Care - p. 1221 179. Procedure 140 Small-Bore Feeding Tube Insertion Using an Electromagnetic Guidance System (CORTRAK 2 Enteral Access System EAS) - p. 1227 180. Unit IX Calculating Medication Doses - p. 1235.e1 181. Procedure 141 Calculating Doses, Flow Rates, and Administration of Continuous Intravenous Infusions - p. 1236 182. Index - p. 1242
