Practice Guidelines for Acute Care Nurse Practitioners | Thomas W. Barkley, Charlene M. Myers |...

Practice Guidelines for Acute Care Nurse Practitioners | Thomas W. Barkley, Charlene M. Myers | Needs updating!!

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Practice Guideline...

	Practice Guidelines for Acute Care Nurse Practitioners Thomas W. Barkley, Charlene M. Myers Saunders, 2007 - 1024 pages average customer review:based on 2 reviews view larger image
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PRACTICE GUIDELINES FOR ACUTE CARE NURSE PRACTITIONERS, 2nd Edition is the only comprehensive clinical reference tailored to the needs of advance practice nurses. With discussions of more than 230 of the most common conditions experienced by adult patients in acute care, this reference includes everything you need on a day-to-day basis. Plus, quick reference is easy with a spiral binding and content organized by body system. Each condition lists a concise outline of defining terms, incidence/predisposing factors, subject and physical examination findings, diagnostic tests, and management strategies so you can find everything you need to know quickly. Includes discussion of body systems, nutritional considerations, fluid/electrolyte imbalances, shock, trauma, gerontological concerns, professional issues, and trends in advanced practice.

Nursing guidelines for more than 230 of the most common conditions experienced by adult patients in acute care serve as an invaluable resource in the field.Conditions are organized by body system for quick reference when treating patients.Each condition lists defining terms, incidence/predisposing factors, subjective and physical examination findings, diagnostic tests, and management strategies to provide help every step of the way.Coverage also includes discussion of body systems, nutritional considerations, fluid/electrolyte imbalances, shock, and trauma for a complete look at patient care and diagnosis.An entire chapter dedicated to congestive heart failure gives you a deeper look at the disease.Specific content, as well as online references, for diseases such as SARS and West Nile Virus give you the most current information available on these evolving diseases.

New chapters on admission, pre-op and post-op orders prepare you for every step of the patient treatment process.Addition of ICD-9 codes within the chapters makes classifying diseases with ICD codes easy.New content on Parkinson's disease, gout, testicular cancer, multiple sclerosis, bite management (including spider, snake, animal, and human) better prepare you for these situations.Updated and expanded content reflects changes in current guidelines and evidence-based practice, an important part of working in the field.Updated and expanded content on coronary artery disease and inclusion of the new JNC 7 national hypertension guidelines features more information on these common diseases.Expanded and updated coverage of postmenopausal women and hormone replacement therapy.

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Fantastic

This is by far the best and most concise guide created specifically for the Acute Care Nurse Practitioner. I highly recommend it and the classes held by Dr. Barkley.

Needs updating!!

Some of the information contained in this manual is helpful and informative - but I also noted some marked errors. (I'm not that smart and don't pretend to be, but some of these errors are common knowledge.)
However, these discrepancies are significant in that anyone following some of these outdated guidelines could actually do much more harm than help - and in situations where the condition isn't frequently encountered - well, that's EXACTLY when someone would consult this book.
For example - in the section on toxicity - specifically theophylline toxicity, page 824-5, the guidelines are more than just plain wrong (according to some famous and well respected toxicologists and ED MDs) but would actually prevent the patient from receiving prompt and lifesaving treatment. While acute theophylline toxicity is not especially common anymore; it can be a severe, life-threatening event. In severe toxicity, emergent dialysis and potassium replacement are urgently needed, not syrup of ipecac. Syrup of ipecac/ activated charcoal is worse than useless - (since toxicity causes violent, repeated emesis- it actually exacerbates the severe hypokalemia that characterizes theophylline toxicity*.) But this is just an example of why this book REALLY needs revision and updating.
In addition - the sources listed for this section of the text show an inadequate research base for the information provided - there is not one text that refers to toxicology, or specific aspects of the toxicity related to this particular medication. It's just a nonspecific application of general treatment of most toxicities - using a basic Internal Medicine primer (used primarily by med students) and another general source. I would expect better references and resources to be used in a book like this - which serves as a resource to healthcare providers to treat people!
Without revision, it of little use to healthcare providers because information may or may not be trustworthy. Who has time to go through the entire book to see if the information provided meets national standards for treatment? If we had that sort of time, we wouldn't be purchasing this book.

*Note* I am happy to provide a list of references for all information relating to the pharmacology, and treatment of theophylline toxicity, and toxicology resources which served as a basis for these comments.

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