The acute and critical care nurse practitioner's essential case-based guide to developing differential diagnoses Acute & Critical Care Nurse Practitioner: Cases in Diagnostic Reasoning presents a wide range of acute and critical care patient cases focusing on diagnosis and management. This authoritative book is designed to help nurse practitioners and students learn how to develop an accurate differential diagnosis and management plan using diagnostic reasoning. The cases highlight a comprehensive variety of system-based patient conditions and diseases in acute and critical care settings and are written by expert nurse practitioners who methodically demonstrate their diagnostic reasoning process. Readers are guided through the process of constructing a differential diagnosis using information from the chief complaint, history of present illness, past medical history, review of systems, physical examination findings, and selected diagnostic results.
Through reconstructing the course of real-life clinical cases, the authors "think out loud" and reveal how they identify pertinent positives and significant negatives to support or refute items on their differential diagnosis list, and how they further refine potential diagnoses as additional patient information and laboratory and diagnostic exam results are introduced. Along with pertinent case information, authors include case analysis questions and salient discussion points that enable learners to actively participate in both inductive and deductive reasoning to work toward a correct diagnosis. The first of its kind, Acute & Critical Care Nurse Practitioner: Cases in Diagnostic Reasoning is an essential and key learning and teaching resource for students, clinicians, and clinical faculty to master the art of diagnostic reasoning.
Includes 71 cases based on real-life clinical scenarios Teaches how to develop and sharpen diagnostic reasoning skills Written by experienced expert nurse practitioners working in acute & critical care settings Cases can be used to support course work, certification review, and job training Endorsed by the American Association of Critical-Care Nurses (AACN)
Suzanne M. Burns, RN, MSN, RRT, ACNP, CCRN, FAAN, FCCM is a Professor Emerita of Nursing at the University of Virginia in Charlottesville, and an independent Consultant on Critical and Progressive Care Nursing and Clinical Nursing Research. Sarah A. Delgado, RN, MSN, ACNP is a Chronic Care Nurse Practitioner in Whittier, California.
Contributors Acknowledgements Preface: How to Use the Book Case Listing by Diagnosis Case Listing by Symptom Diagnostic Reasoning: An Overview Cases 1-71 Index Case 1: Acute Liver Failure: Acetaminophen toxicity Case 2: Acute Respiratory Distress Syndrome (ARDS) Case 3: Acute Severe Asthma Case 4: Adrenal Insufficiency Case 5: Anemia: Of chronic disease Case 6: Anemia: Of unknown etiology Case 7: Aortic Dissection (type A): Marfan syndrome Case 8: Aortic Dissection (type A): Post heart transplant Case 9: Aortic Stenosis Case 10: Aspergillosis Case 11: Bowel Obstruction - Small Bowel (Part 1); Acute Kidney Injury (Part 2) Case 12: Brain Tumor: Glioblastoma Case 13: Cancer: Post-transplant lymphoproliferative disorder Case 14: Carbon Monoxide Poisoning Case 15: Cardiac Amyloidosis Case 16: Cardiac Tamponade: Post cardiac surgery Case 17: Cardiogenic Shock Case 18: Cardiomyopathy: Hypertrophic obstructive Case 19: Cardiomyopathy: Ischemic Case 20: Chest Trauma: Flail chest Case 21: Choledocholithiasis: Post laparoscopic surgery Case 22: Colorectal Surgery: Post-operative complication Case 23: Costochondritis Case 24: Diabetes Insipidus: Post-operative Case 25: Diabetic Ketoacidosis Case 26: Drug Induced Long-QT Syndrome Case 27: Encephalitis: Anti-N-methyl D-aspartate (NMDA) Case 28: Endocarditis: Tricuspid valve Case 29: Gastroesophageal Reflux Disease (GERD) Case 30: Gastrointestinal Bleeding: Portal hypertension Case 31: Heart Failure: Post-operative acute on chronic Case 32: Heart Failure: Preserved ejection fraction Case 33: Hepatorenal Syndrome Case 34: Hernia: Inguinal Case 35: Hypertensive crisis: Renal artery stenosis Case 36: Idiopathic thrombocytopenia purpura Case 37: Ileostomy: Large volume output Case 38: Leukemia: Acute myeloid Case 39: Lupus: Systemic lupus erythematosus Case 40: Meningitis Case 41: Meningitis: Bacterial Case 42: Migraine Case 43: Multiple Myeloma Case 44: Myocardial Infarction: Non ST elevation myocardial infarction (NSTEMI) Case 45: Myocardial Infarction: ST elevation myocardial infarction (STEMI) and Plavix resistance Case 46: Myxedema Coma Case 47: Neuroleptic Malignant Syndrome Case 48: Nicotine Poisoning Case 49: Osteomylitis Case 50: Pancreatic Cancer Case 51: Pancreatitis Associated with ECMO Case 52: Pericarditis: Constrictive cardiomyopathy Case 53: Pericarditis: Post-operative CABG Case 54: Peripheral Arterial Disease (PAD) Case 55: Peripheral Venous Disease (PVD) Case 56: Pneumonia: Aspiration due to end-stage dementia Case 57: Pneumonia: COPD exacerbation Case 58: Pneumonia: Eosinophilia Case 59: Pneumothorax Case 60: Pulmonary Edema: Flash Case 61: Pulmonary Embolus Case 62: Sepsis: Bile leak post-operative liver transplantation Case 63: Sepsis: Perirectal abscess Case 64: Septic Joint Case 65: Septic Shock Case 66: Sleep Apnea and Heart Failure (acute on chronic) Case 67: Status Epilepticus: Nonconvulsive after traumatic brain injury Case 68: Stroke: Hemorrhagic Case 69: Subarachnoid Hemorrhage: Ruptured berry aneurysm Case 70: Traumatic Brain Injury (TBI): TBI with malignant intracranial hypertension Case 71: Urinary Tract Infection (UTI)
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