**American Journal of Nursing (AJN) Book of the Year Awards, 2nd Place in Critical Care–Emergency Nursing, 2025**
**Selected for 2025 Doody’s Core Titles® in Critical Care**
Winner of a Silver American Journal of Nursing Book of the Year award for its 9th edition!
Prepare for the challenges of today’s progressive and critical care nursing environments! Critical Care Nursing: Diagnosis and Management, 10th Edition is a comprehensive guide to critical care nursing concepts as they apply to clinical assessment, diagnostic procedures, and therapeutic management. Using a logical, body systems organization, this award-winning text uses an evidence-based approach to address the care of patients with critical physiological alterations. This new edition features an emphasis on diversity, equity, and inclusion to reflect the 2021 AACN Essentials and the 2020-2030 Future of Nursing Report. It also features new disorder summary figures, Social Determinants of Health boxes, Supporting the Well-Being of Nurses boxes, Informatics boxes, and expanded resources for the Next-Generation NCLEX® Examination. Ideal for CCRN® and PCCN® exam preparation, Urden’s Critical Care Nursing helps you develop the critical thinking and clinical judgment skills required for success in progressive and critical care nursing settings.
1. Title of Book - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Dedication - p. v 7. About the Authors - p. vi 8. Contributors - p. vii 9. Preface - p. xi 10. Acknowledgments - p. xiii 11. Unit I. Foundations of Critical Care Nursing - p. xiii 12. 1. Critical Care Nursing Practice - p. 1 13. 2. Ethical and Legal Issues - p. 18 14. 3. Genetic Issues - p. 39 15. 4. Facilitating Care Transitions - p. 60 16. 5. Psychosocial and Spiritual Considerations - p. 73 17. 6. Nutrition Alterations and Management - p. 85 18. 7. Pain and Pain Management - p. 112 19. 8. Sedation, Agitation, and Delirium Management - p. 136 20. 9. Palliative and End-of-Life Care - p. 147 21. Unit II. Cardiovascular Alterations - p. 165 22. 10. Cardiovascular Anatomy and Physiology - p. 166 23. 11. Cardiovascular Clinical Assessment - p. 190 24. 12. Cardiovascular Diagnostic Procedures - p. 207 25. Hemodynamic Monitoring - p. 207 26. Central Venous Pressure Monitoring - p. 217 27. Subclavian Vein - p. 218 28. Femoral Vein - p. 218 29. Insertion of a Central Venous Catheter - p. 218 30. Nursing Management - p. 219 31. Central Venous Pressure Waveform - p. 219 32. Pulmonary Artery Pressure Monitoring - p. 220 33. Nursing Management - p. 233 34. Less-Invasive Hemodynamic Monitoring - p. 238 35. Arterial Waveform–Based Hemodynamic Monitoring Systems - p. 238 36. Visual Hemodynamic Monitoring Systens - p. 242 37. Electrocardiography - p. 243 38. Laboratory Tests - p. 276 39. Cardiac Biomarker Studies - p. 279 40. Natriuretic Peptide Biomarkers in Heart Failure - p. 279 41. Hematologic Studies - p. 280 42. Blood Coagulation Studies - p. 281 43. Serum Lipid Studies - p. 281 44. Cardiac Diagnostic Procedures - p. 282 45. Echocardiography - p. 289 46. Additional Resources - p. 295 47. 13. Cardiovascular Disorders - p. 300 48. Population Level Heart-Health Promotion - p. 300 49. Coronary Artery Disease - p. 300 50. Major Adverse Cardiac Event—Multifactorial Risk - p. 304 51. Primary Versus Secondary Prevention of Coronary Artery Disease - p. 304 52. Pathophysiology of Coronary Artery Disease - p. 304 53. Acute Coronary Syndrome - p. 305 54. Medical Management - p. 309 55. Nursing Management - p. 310 56. Myocardial Infarction - p. 312 57. Sudden Cardiac Death - p. 325 58. Etiology - p. 328 59. Medical Management - p. 328 60. Heart Failure - p. 329 61. Cardiomyopathy - p. 336 62. Pulmonary Hypertension - p. 339 63. Endocarditis - p. 346 64. Pathophysiology - p. 347 65. Assessment and Diagnosis - p. 347 66. Medical Management - p. 348 67. Nursing Management - p. 349 68. Valvular Heart Disease - p. 349 69. Medical Management - p. 353 70. Nursing Management - p. 353 71. Acute Aortic Syndromes - p. 354 72. Aortic Aneurysm - p. 355 73. Aortic Dissection - p. 355 74. Medical Management - p. 356 75. Nursing Management - p. 356 76. Peripheral Artery Disease - p. 356 77. Assessment and Diagnosis - p. 357 78. Medical Management - p. 358 79. Nursing Management - p. 358 80. Carotid Artery Disease - p. 359 81. Pathophysiology - p. 360 82. Medical Management - p. 360 83. Nursing Management - p. 360 84. Venous Thromboembolism - p. 361 85. Assessment and Diagnosis - p. 362 86. Medical Management - p. 362 87. Nursing Management - p. 362 88. Hypertensive Emergencies - p. 363 89. Assessment and Diagnosis - p. 364 90. Medical Management - p. 364 91. Nursing Management - p. 364 92. Additional Resources - p. 366 93. 14. Cardiovascular Therapeutic Management - p. 371 94. Pacemakers - p. 371 95. Five-Letter Pacemaker Codes - p. 374 96. Pacemaker Settings - p. 375 97. Pacing Artifacts - p. 376 98. Pacemaker Malfunction - p. 376 99. Medical Management - p. 378 100. Nursing Management - p. 378 101. Permanent Pacemakers - p. 379 102. Implantable Cardioverter Defibrillators - p. 381 103. Fibrinolytic Therapy - p. 383 104. Percutaneous Coronary Interventions - p. 387 105. Nursing Management - p. 392 106. Percutaneous Valve Repair - p. 395 107. Cardiac Surgery - p. 395 108. Cardiopulmonary Bypass - p. 397 109. Off-Pump Coronary Artery Bypass Graft Surgery - p. 398 110. Nursing Postoperative Management After Coronary Artery Bypass Graft Surgery - p. 398 111. Minimally Invasive Cardiac Surgery - p. 401 112. Surgical Treatment of Atrial Fibrillation - p. 403 113. Percutaneous Treatment of Atrial Fibrillation - p. 404 114. Mechanical Circulatory Support - p. 404 115. Weaning From the Intra-Aortic Balloon Pump - p. 406 116. Short-Term Mechanical Circulatory Support Devices - p. 406 117. Extracorporeal Membrane Oxygenation System - p. 408 118. Long-Term Ventricular Assist Devices - p. 409 119. Vascular Surgery - p. 410 120. Aortic Aneurysm and Dissection Repair - p. 411 121. Peripheral Vascular Procedures - p. 412 122. Cardiovascular Medications - p. 413 123. Pharmacologic Treatment of Heart Failure - p. 421 124. Nursing Management of Vasoactive Medications - p. 424 125. Additional Resources - p. 422 126. Unit III. Pulmonary Alterations - p. 430 127. 15. Pulmonary Anatomy and Physiology - p. 431 128. 16. Pulmonary Clinical Assessment - p. 450 129. 17. Pulmonary Diagnostic Procedures - p. 465 130. 18. Pulmonary Disorders - p. 478 131. Acute Respiratory Failure - p. 478 132. Acute Respiratory Distress Syndrome - p. 481 133. Assessment and Diagnosis - p. 484 134. Medical Management - p. 485 135. Nursing Management - p. 486 136. Pneumonia - p. 487 137. Medical Management - p. 490 138. Nursing Management - p. 490 139. Aspiration Pneumonitis - p. 491 140. Pathophysiology - p. 492 141. Assessment and Diagnosis - p. 492 142. Medical Management - p. 493 143. Nursing Management - p. 493 144. Acute Pulmonary Embolism - p. 493 145. Assessment and Diagnosis - p. 495 146. Medical Management - p. 495 147. Nursing Management - p. 497 148. Critical Asthma Syndrome - p. 497 149. Pneumothorax - p. 500 150. Long-Term Mechanical Ventilator Dependence - p. 504 151. Additional Resources - p. 506 152. 19. Pulmonary Therapeutic Management - p. 511 153. Unit IV. Neurologic Alterations - p. 543 154. 20. Neurologic Anatomy and Physiology - p. 544 155. 21. Neurologic Clinical Assessment and Diagnostic Procedures - p. 576 156. 22. Neurologic Disorders and Therapeutic Management - p. 602 157. Stroke - p. 602 158. Coma - p. 615 159. Guillain-Barré Syndrome - p. 618 160. Neurosurgery - p. 621 161. Intracranial Hypertension - p. 626 162. Pharmacologic Agents - p. 632 163. Additional Resources - p. 632 164. Unit V. Kidney Alterations - p. 635 165. 23. Kidney Anatomy and Physiology - p. 636 166. 24. Kidney Clinical Assessment and Diagnostic Procedures - p. 649 167. 25. Kidney Disorders and Therapeutic Management - p. 659 168. Unit VI. Gastrointestinal Alterations - p. 679 169. 26. Gastrointestinal Anatomy and Physiology - p. 680 170. 27. Gastrointestinal Clinical Assessment and Diagnostic Procedures - p. 692 171. 28. Gastrointestinal Disorders and Therapeutic Management - p. 701 172. Unit VII. Endocrine Alterations - p. 721 173. 29. Endocrine Anatomy and Physiology - p. 722 174. 30. Endocrine Clinical Assessment and Diagnostic Procedures - p. 734 175. 31. Endocrine Disorders and Therapeutic Management - p. 743 176. Acute Neuroendocrine Response to Critical Illness - p. 743 177. Diabetes Mellitus - p. 750 178. Hyperglycemic Emergencies - p. 755 179. Hyperglycemic Hyperosmolar State - p. 761 180. Pathophysiology of HHS - p. 762 181. Nursing Management - p. 764 182. Pituitary Gland Disorders - p. 765 183. Nephrogenic Diabetes Insipidus—AVP Resistance - p. 767 184. Pathophysiology of AVP Deficiency and Resistance - p. 767 185. Focused Physical Assessment in AVP Deficiency - p. 767 186. Laboratory Studies - p. 767 187. Serum Sodium - p. 767 188. Serum Osmolality - p. 767 189. Urine Osmolality - p. 767 190. Antidiuretic Hormone Measurement - p. 767 191. Copeptin - p. 768 192. Medical Management - p. 768 193. Volume Restoration - p. 768 194. Medications - p. 768 195. Medications Used for Central Diabetes Insipidus - p. 768 196. Medications Used for Nephrogenic Diabetes Insipidus - p. 768 197. Nursing Management - p. 768 198. Syndrome of Inappropriate Antidiuresis - p. 770 199. Pharmacologic Management - p. 772 200. Nursing Management - p. 772 201. Thyroid Gland Disorders - p. 773 202. Medical Management - p. 776 203. Prevent Cardiovascular Collapse - p. 776 204. Reduce Hyperthermia - p. 776 205. Fluid Replacement - p. 776 206. Pharmacologic Management of Thyroid Storm - p. 776 207. Nursing Management - p. 777 208. Myxedema Coma - p. 778 209. Nursing Management - p. 780 210. Adrenal Gland Disorders - p. 781 211. Additional Resources - p. 781 212. Unit VIII. Multisystem Alterations - p. 785 213. 32. Trauma - p. 786 214. Mechanism of Injury - p. 786 215. Phases of Trauma Care - p. 786 216. Prehospital Care - p. 788 217. Emergency Department - p. 788 218. Critical Care Phase - p. 791 219. Endpoints in Trauma Resuscitation - p. 792 220. Specific Trauma Injuries - p. 793 221. Assessment and Diagnosis - p. 801 222. Medical Management - p. 801 223. Nursing Management - p. 805 224. Maxillofacial Injuries - p. 807 225. Thoracic Injuries - p. 808 226. Abdominal Injuries - p. 815 227. Genitourinary Injuries - p. 817 228. Musculoskeletal Injuries - p. 818 229. Complications of Trauma - p. 819 230. Rhabdomyolysis and Myoglobinuria - p. 820 231. Fat Embolism Syndrome - p. 821 232. Transfusion-Related Acute Lung Injury - p. 821 233. Infection - p. 821 234. Sepsis - p. 821 235. Missed Injury - p. 821 236. Multiple Organ Dysfunction Syndrome - p. 821 237. Special Considerations in Trauma - p. 822 238. Trauma in Pregnancy - p. 822 239. Trauma and the Older Adult - p. 823 240. Mass Casualty Events - p. 824 241. Meeting Needs of Family Members and Significant Others - p. 825 242. Additional Resources - p. 826 243. 33. Sepsis, Shock, and Multiple Organ Dysfunction Syndrome - p. 831 244. 34. Burns - p. 846 245. 35. Organ Donation and Transplantation - p. 871 246. Organ Donation - p. 871 247. Donation After Circulatory Determination of Death - p. 876 248. Authorization for Donation - p. 876 249. Donor Management - p. 877 250. Organ Allocation - p. 877 251. Tissue Donation - p. 878 252. Immunology of Transplantation - p. 878 253. Immunosuppressive Medications - p. 881 254. Transplant Candidate Evaluation - p. 887 255. Heart Transplantation - p. 889 256. Long-Term Considerations - p. 893 257. Heart-Lung Transplantation - p. 893 258. Postoperative Nursing and Medical Management after Heart-Lung Transplant - p. 895 259. Long-Term Considerations - p. 897 260. Single-Lung and Double-Lung Transplantation - p. 898 261. Liver Transplantation - p. 899 262. Recipient Liver Transplant Evaluation - p. 900 263. Model for End-Stage Liver Disease - p. 901 264. Pretransplantation Phase - p. 902 265. Living Donor Lobe Liver Transplant - p. 902 266. Liver Transplantation Surgical Procedure - p. 903 267. Postoperative Nursing and Medical Management - p. 904 268. Liver Graft Nonfunction - p. 906 269. Long-Term Considerations After Liver Transplant - p. 907 270. Kidney Transplantation - p. 907 271. Pancreas Transplantation - p. 910 272. Additional Resources - p. 912 273. 36. Hematologic and Oncologic Emergencies - p. 918 274. Unit IX. Special Populations - p. 937 275. 37. The Obstetric Patient - p. 938 276. 38. The Pediatric Patient - p. 951 277. 39. The Older Adult Patient - p. 976 278. Appendixes - p. 993 279. Appendix A. Patient Care Management Plans - p. 994 280. Appendix B. Physiologic Formulas for Critical Care - p. 1037 281. Appendix C. Canadian Laboratory Values∗ - p. 1041 282. Index - p. 1052 283. SPECIAL FEATURES - p. 1098 284. IBC - p. 1099
**American Journal of Nursing (AJN) Book of the Year Awards, 2nd Place in Critical Care–Emergency Nursing, 2025**
**Selected for 2025 Doody’s Core Titles® in Critical Care**
Winner of a Silver American Journal of Nursing Book of the Year award for its 9th edition!
Prepare for the challenges of today’s progressive and critical care nursing environments! Critical Care Nursing: Diagnosis and Management, 10th Edition is a comprehensive guide to critical care nursing concepts as they apply to clinical assessment, diagnostic procedures, and therapeutic management. Using a logical, body systems organization, this award-winning text uses an evidence-based approach to address the care of patients with critical physiological alterations. This new edition features an emphasis on diversity, equity, and inclusion to reflect the 2021 AACN Essentials and the 2020-2030 Future of Nursing Report. It also features new disorder summary figures, Social Determinants of Health boxes, Supporting the Well-Being of Nurses boxes, Informatics boxes, and expanded resources for the Next-Generation NCLEX® Examination. Ideal for CCRN® and PCCN® exam preparation, Urden’s Critical Care Nursing helps you develop the critical thinking and clinical judgment skills required for success in progressive and critical care nursing settings.
1. Title of Book - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Dedication - p. v 7. About the Authors - p. vi 8. Contributors - p. vii 9. Preface - p. xi 10. Acknowledgments - p. xiii 11. Unit I. Foundations of Critical Care Nursing - p. xiii 12. 1. Critical Care Nursing Practice - p. 1 13. 2. Ethical and Legal Issues - p. 18 14. 3. Genetic Issues - p. 39 15. 4. Facilitating Care Transitions - p. 60 16. 5. Psychosocial and Spiritual Considerations - p. 73 17. 6. Nutrition Alterations and Management - p. 85 18. 7. Pain and Pain Management - p. 112 19. 8. Sedation, Agitation, and Delirium Management - p. 136 20. 9. Palliative and End-of-Life Care - p. 147 21. Unit II. Cardiovascular Alterations - p. 165 22. 10. Cardiovascular Anatomy and Physiology - p. 166 23. 11. Cardiovascular Clinical Assessment - p. 190 24. 12. Cardiovascular Diagnostic Procedures - p. 207 25. Hemodynamic Monitoring - p. 207 26. Central Venous Pressure Monitoring - p. 217 27. Subclavian Vein - p. 218 28. Femoral Vein - p. 218 29. Insertion of a Central Venous Catheter - p. 218 30. Nursing Management - p. 219 31. Central Venous Pressure Waveform - p. 219 32. Pulmonary Artery Pressure Monitoring - p. 220 33. Nursing Management - p. 233 34. Less-Invasive Hemodynamic Monitoring - p. 238 35. Arterial Waveform–Based Hemodynamic Monitoring Systems - p. 238 36. Visual Hemodynamic Monitoring Systens - p. 242 37. Electrocardiography - p. 243 38. Laboratory Tests - p. 276 39. Cardiac Biomarker Studies - p. 279 40. Natriuretic Peptide Biomarkers in Heart Failure - p. 279 41. Hematologic Studies - p. 280 42. Blood Coagulation Studies - p. 281 43. Serum Lipid Studies - p. 281 44. Cardiac Diagnostic Procedures - p. 282 45. Echocardiography - p. 289 46. Additional Resources - p. 295 47. 13. Cardiovascular Disorders - p. 300 48. Population Level Heart-Health Promotion - p. 300 49. Coronary Artery Disease - p. 300 50. Major Adverse Cardiac Event—Multifactorial Risk - p. 304 51. Primary Versus Secondary Prevention of Coronary Artery Disease - p. 304 52. Pathophysiology of Coronary Artery Disease - p. 304 53. Acute Coronary Syndrome - p. 305 54. Medical Management - p. 309 55. Nursing Management - p. 310 56. Myocardial Infarction - p. 312 57. Sudden Cardiac Death - p. 325 58. Etiology - p. 328 59. Medical Management - p. 328 60. Heart Failure - p. 329 61. Cardiomyopathy - p. 336 62. Pulmonary Hypertension - p. 339 63. Endocarditis - p. 346 64. Pathophysiology - p. 347 65. Assessment and Diagnosis - p. 347 66. Medical Management - p. 348 67. Nursing Management - p. 349 68. Valvular Heart Disease - p. 349 69. Medical Management - p. 353 70. Nursing Management - p. 353 71. Acute Aortic Syndromes - p. 354 72. Aortic Aneurysm - p. 355 73. Aortic Dissection - p. 355 74. Medical Management - p. 356 75. Nursing Management - p. 356 76. Peripheral Artery Disease - p. 356 77. Assessment and Diagnosis - p. 357 78. Medical Management - p. 358 79. Nursing Management - p. 358 80. Carotid Artery Disease - p. 359 81. Pathophysiology - p. 360 82. Medical Management - p. 360 83. Nursing Management - p. 360 84. Venous Thromboembolism - p. 361 85. Assessment and Diagnosis - p. 362 86. Medical Management - p. 362 87. Nursing Management - p. 362 88. Hypertensive Emergencies - p. 363 89. Assessment and Diagnosis - p. 364 90. Medical Management - p. 364 91. Nursing Management - p. 364 92. Additional Resources - p. 366 93. 14. Cardiovascular Therapeutic Management - p. 371 94. Pacemakers - p. 371 95. Five-Letter Pacemaker Codes - p. 374 96. Pacemaker Settings - p. 375 97. Pacing Artifacts - p. 376 98. Pacemaker Malfunction - p. 376 99. Medical Management - p. 378 100. Nursing Management - p. 378 101. Permanent Pacemakers - p. 379 102. Implantable Cardioverter Defibrillators - p. 381 103. Fibrinolytic Therapy - p. 383 104. Percutaneous Coronary Interventions - p. 387 105. Nursing Management - p. 392 106. Percutaneous Valve Repair - p. 395 107. Cardiac Surgery - p. 395 108. Cardiopulmonary Bypass - p. 397 109. Off-Pump Coronary Artery Bypass Graft Surgery - p. 398 110. Nursing Postoperative Management After Coronary Artery Bypass Graft Surgery - p. 398 111. Minimally Invasive Cardiac Surgery - p. 401 112. Surgical Treatment of Atrial Fibrillation - p. 403 113. Percutaneous Treatment of Atrial Fibrillation - p. 404 114. Mechanical Circulatory Support - p. 404 115. Weaning From the Intra-Aortic Balloon Pump - p. 406 116. Short-Term Mechanical Circulatory Support Devices - p. 406 117. Extracorporeal Membrane Oxygenation System - p. 408 118. Long-Term Ventricular Assist Devices - p. 409 119. Vascular Surgery - p. 410 120. Aortic Aneurysm and Dissection Repair - p. 411 121. Peripheral Vascular Procedures - p. 412 122. Cardiovascular Medications - p. 413 123. Pharmacologic Treatment of Heart Failure - p. 421 124. Nursing Management of Vasoactive Medications - p. 424 125. Additional Resources - p. 422 126. Unit III. Pulmonary Alterations - p. 430 127. 15. Pulmonary Anatomy and Physiology - p. 431 128. 16. Pulmonary Clinical Assessment - p. 450 129. 17. Pulmonary Diagnostic Procedures - p. 465 130. 18. Pulmonary Disorders - p. 478 131. Acute Respiratory Failure - p. 478 132. Acute Respiratory Distress Syndrome - p. 481 133. Assessment and Diagnosis - p. 484 134. Medical Management - p. 485 135. Nursing Management - p. 486 136. Pneumonia - p. 487 137. Medical Management - p. 490 138. Nursing Management - p. 490 139. Aspiration Pneumonitis - p. 491 140. Pathophysiology - p. 492 141. Assessment and Diagnosis - p. 492 142. Medical Management - p. 493 143. Nursing Management - p. 493 144. Acute Pulmonary Embolism - p. 493 145. Assessment and Diagnosis - p. 495 146. Medical Management - p. 495 147. Nursing Management - p. 497 148. Critical Asthma Syndrome - p. 497 149. Pneumothorax - p. 500 150. Long-Term Mechanical Ventilator Dependence - p. 504 151. Additional Resources - p. 506 152. 19. Pulmonary Therapeutic Management - p. 511 153. Unit IV. Neurologic Alterations - p. 543 154. 20. Neurologic Anatomy and Physiology - p. 544 155. 21. Neurologic Clinical Assessment and Diagnostic Procedures - p. 576 156. 22. Neurologic Disorders and Therapeutic Management - p. 602 157. Stroke - p. 602 158. Coma - p. 615 159. Guillain-Barré Syndrome - p. 618 160. Neurosurgery - p. 621 161. Intracranial Hypertension - p. 626 162. Pharmacologic Agents - p. 632 163. Additional Resources - p. 632 164. Unit V. Kidney Alterations - p. 635 165. 23. Kidney Anatomy and Physiology - p. 636 166. 24. Kidney Clinical Assessment and Diagnostic Procedures - p. 649 167. 25. Kidney Disorders and Therapeutic Management - p. 659 168. Unit VI. Gastrointestinal Alterations - p. 679 169. 26. Gastrointestinal Anatomy and Physiology - p. 680 170. 27. Gastrointestinal Clinical Assessment and Diagnostic Procedures - p. 692 171. 28. Gastrointestinal Disorders and Therapeutic Management - p. 701 172. Unit VII. Endocrine Alterations - p. 721 173. 29. Endocrine Anatomy and Physiology - p. 722 174. 30. Endocrine Clinical Assessment and Diagnostic Procedures - p. 734 175. 31. Endocrine Disorders and Therapeutic Management - p. 743 176. Acute Neuroendocrine Response to Critical Illness - p. 743 177. Diabetes Mellitus - p. 750 178. Hyperglycemic Emergencies - p. 755 179. Hyperglycemic Hyperosmolar State - p. 761 180. Pathophysiology of HHS - p. 762 181. Nursing Management - p. 764 182. Pituitary Gland Disorders - p. 765 183. Nephrogenic Diabetes Insipidus—AVP Resistance - p. 767 184. Pathophysiology of AVP Deficiency and Resistance - p. 767 185. Focused Physical Assessment in AVP Deficiency - p. 767 186. Laboratory Studies - p. 767 187. Serum Sodium - p. 767 188. Serum Osmolality - p. 767 189. Urine Osmolality - p. 767 190. Antidiuretic Hormone Measurement - p. 767 191. Copeptin - p. 768 192. Medical Management - p. 768 193. Volume Restoration - p. 768 194. Medications - p. 768 195. Medications Used for Central Diabetes Insipidus - p. 768 196. Medications Used for Nephrogenic Diabetes Insipidus - p. 768 197. Nursing Management - p. 768 198. Syndrome of Inappropriate Antidiuresis - p. 770 199. Pharmacologic Management - p. 772 200. Nursing Management - p. 772 201. Thyroid Gland Disorders - p. 773 202. Medical Management - p. 776 203. Prevent Cardiovascular Collapse - p. 776 204. Reduce Hyperthermia - p. 776 205. Fluid Replacement - p. 776 206. Pharmacologic Management of Thyroid Storm - p. 776 207. Nursing Management - p. 777 208. Myxedema Coma - p. 778 209. Nursing Management - p. 780 210. Adrenal Gland Disorders - p. 781 211. Additional Resources - p. 781 212. Unit VIII. Multisystem Alterations - p. 785 213. 32. Trauma - p. 786 214. Mechanism of Injury - p. 786 215. Phases of Trauma Care - p. 786 216. Prehospital Care - p. 788 217. Emergency Department - p. 788 218. Critical Care Phase - p. 791 219. Endpoints in Trauma Resuscitation - p. 792 220. Specific Trauma Injuries - p. 793 221. Assessment and Diagnosis - p. 801 222. Medical Management - p. 801 223. Nursing Management - p. 805 224. Maxillofacial Injuries - p. 807 225. Thoracic Injuries - p. 808 226. Abdominal Injuries - p. 815 227. Genitourinary Injuries - p. 817 228. Musculoskeletal Injuries - p. 818 229. Complications of Trauma - p. 819 230. Rhabdomyolysis and Myoglobinuria - p. 820 231. Fat Embolism Syndrome - p. 821 232. Transfusion-Related Acute Lung Injury - p. 821 233. Infection - p. 821 234. Sepsis - p. 821 235. Missed Injury - p. 821 236. Multiple Organ Dysfunction Syndrome - p. 821 237. Special Considerations in Trauma - p. 822 238. Trauma in Pregnancy - p. 822 239. Trauma and the Older Adult - p. 823 240. Mass Casualty Events - p. 824 241. Meeting Needs of Family Members and Significant Others - p. 825 242. Additional Resources - p. 826 243. 33. Sepsis, Shock, and Multiple Organ Dysfunction Syndrome - p. 831 244. 34. Burns - p. 846 245. 35. Organ Donation and Transplantation - p. 871 246. Organ Donation - p. 871 247. Donation After Circulatory Determination of Death - p. 876 248. Authorization for Donation - p. 876 249. Donor Management - p. 877 250. Organ Allocation - p. 877 251. Tissue Donation - p. 878 252. Immunology of Transplantation - p. 878 253. Immunosuppressive Medications - p. 881 254. Transplant Candidate Evaluation - p. 887 255. Heart Transplantation - p. 889 256. Long-Term Considerations - p. 893 257. Heart-Lung Transplantation - p. 893 258. Postoperative Nursing and Medical Management after Heart-Lung Transplant - p. 895 259. Long-Term Considerations - p. 897 260. Single-Lung and Double-Lung Transplantation - p. 898 261. Liver Transplantation - p. 899 262. Recipient Liver Transplant Evaluation - p. 900 263. Model for End-Stage Liver Disease - p. 901 264. Pretransplantation Phase - p. 902 265. Living Donor Lobe Liver Transplant - p. 902 266. Liver Transplantation Surgical Procedure - p. 903 267. Postoperative Nursing and Medical Management - p. 904 268. Liver Graft Nonfunction - p. 906 269. Long-Term Considerations After Liver Transplant - p. 907 270. Kidney Transplantation - p. 907 271. Pancreas Transplantation - p. 910 272. Additional Resources - p. 912 273. 36. Hematologic and Oncologic Emergencies - p. 918 274. Unit IX. Special Populations - p. 937 275. 37. The Obstetric Patient - p. 938 276. 38. The Pediatric Patient - p. 951 277. 39. The Older Adult Patient - p. 976 278. Appendixes - p. 993 279. Appendix A. Patient Care Management Plans - p. 994 280. Appendix B. Physiologic Formulas for Critical Care - p. 1037 281. Appendix C. Canadian Laboratory Values∗ - p. 1041 282. Index - p. 1052 283. SPECIAL FEATURES - p. 1098 284. IBC - p. 1099