TABLE OF CONTENTS 1. General Adult Respiratory Care ……….. pg 2 2. Ventilator Management………………….. pg 12 3. Neonatal/Pediatric Respiratory Care….pg 18 4. Hemodynamic Monitoring…………………pg 23 5. Arterial Blood Gas Interpretation……….pg 27

the Clinician’s Guide to Respiratory Pocket References

2013 A Comparison of Respiratory Pocket Guides currently on the market.

1. GENERAL ADULT RESPIRATORY CARE

Summary Overview

Oakes’ Clinical Practitioner’s Pocket Guide Dana Oakes & Scot Jones Health Educator Publications, Inc.

Mosby PDQ Helen Corning Mosby Elsevier

Respiratory Notes Gary White FA Davis Co

Respiratory Pocket Jakob Bajraktarevic Borm Bruckmeier Pub

Handbook of Respiratory Care

Robert Chatburn & Eduardo Mireles-Cabodevila

Jones & Bartlett Learning

8th Ed, 2013 2nd Ed, 2010 1st Ed, 2008 2nd Ed, 2004 3rd Ed, 2010 390 pages 6.3 x 4.4 x 1.2 in 6 –ring durable binder with tabs

248 pages 5.5 x 4.4 x 1.4 in Plastic spiral (side) with tabs

256 pages 6.0 x 3.0 x 1.2 in Plastic spiral (top) with tabs

347 pages 5.0 x 3.8 x 0.7 in Paperback, no tabs

250 pages 7.0 x 5.0 x 0.6 in Paperback, no tabs

Summarized Table of Contents • Patient

Assessment • Arterial Blood

Gases • Chest X-Rays • ECG • Laboratory Tests • Pulmonary

Function Tests

• Pulmonary Dynamics

• Cardiovascular Dynamics

• Equations (156) • Aerosol Therapy • Airway Clearance

Techniques • Airway

Management • Humidity Therapy • Lung Expansion

Therapy • Oxygen Therapy • Diseases and

Disorders • Pharmacology • CPR • Appendix

• Abbreviations • Pulmonary

Assessment • Pulmonary Diseases • Microbes,WMD,Eq • Disinfecting • Medications • Therapeutic

Modalities • ABG, Labs, Hemo • PFTs & X-Rays • Chest Tubes &

Bronchoscopy • Ventilators, CPAP

& BiPAP • Neonatal &

Pediatrics • CPR • Formulas & Facts

• Basics • Bed Assess • Adv Assess • Proc • Crit Care • Neo Peds • Pharm • Tools

• Anatomy Physiology

• History & Physical Exam

• ABGs • Thoracic Imaging • Pulmonary

Function Tests • Cardiopulmonary

Exercise Test • Respiratory

Diseases • Respiratory Drugs • Medical Gas

Therapy • Ventilator

Management • Pulmonary

Procedures • Appendices

• Scores and Definitions Used in Respiratory and Critical Care Research

• Pulmonary Function

• Physiologic Monitoring

• Gas Therapy • Mechanical

Ventilation • Mathematical

Procedures • Reference Data

The Clinical Practitioner’s Pocket Guide has been #1 for 28 years!

This full color pocket guide has more information than all the other Pocket Guides combined, at a very competitive price. You do the math!

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.com

B. Detailed Comparison of Contents

Information You Should Have at Your Fingertips

Oakes’ CPPG

Mosby PDQ

Respiratory Notes

Respiratory Pocket

Handbook of Resp

Care Patient Assessment (# pages) 20 4 16 8 0 Health History Bedside Assessment Inspection

Vital Signs Causes of Abnorm. Temps NEW! Heart Rhythms Pulse Oximetry Pulse Oximetry Quick Troubleshooting Guide

NEW!

Thoracic Cage Landmarks Topograp. Position of Lungs/Heart Breathing Patterns

Palpation Tactile (vocal) fremitus

Variations in Fremitus Vibrations Percussion Auscultation (Normal, Adventitious) Adventitious Breath Sounds

Voice Sounds (Vocal Resonance) Distinguishing between Air, Solid, and Fluid in the Chest Cavity

Additional Respiratory Assessments Pulmonary Symptoms Pitting Scale

Disease Findings per Disease Respiratory Physiology Assessment

Assessment of Ventilation Assessment of Load Assessment of Capacity

Cardiovascular Assessment Auscultation – Heart Sounds

Fluid and Electrolyte Assessment Electrolyte Values affecting Vent. Muscles

Fluid Balance Assessment Changes in Fluid Balance (causes)

NEW!

Neurological Assessment (GCS, LOC) Glasgow Coma Score Levels of Consciousness

Information You Should Have at Your Fingertips

Oakes’ CPPG

Mosby PDQ

Respiratory Notes

Respiratory Pocket

Handbook of Resp

Care Arterial Blood Gases (# pages) 9 5 4 4 7

AARC Clinical Practice Guidelines Keys to Interpretation Steps of ABG Interpretation Calculations Classification of ABG’s Chart Technical vs Functional Classif. ABC Accuracy Check

Chest X-Rays (# pages) 8 10 4 6 0 Keys to Interpretation NEW! Parameters to Check Normal PA and Lateral Projection Abnormal CXR Appearances Segmental Infiltrates Location (CXR) Silhouette Sign Approx. Tube/Line Placement NEW! CXR by disease 60

ECG (# pages) 10 16 6 0 0 How to Read an ECG Standard ECG Leads Troubleshooting Interpretation According to Rate According to P Wave According to Prolonged PR Interval Classification of Arrhythmias Arrhythmias Identified by Features, Appearance and Clinical Notes 27 18 11

Abnormalities: Pulmonary Effects Abnormalities: Cardiac Effects Abnormalities: Electrolytes

Laboratory Tests (# pages) 12 6 2 0 0 Normal Values, Clinical Significance, Clinical Increase vs Decrease (# tests listed below)

Electrolytes 6 Hematology 17 Chemistry 18 Urine Tests 4 Sputum Characteristics 17 diseases Sputum Collection Algorithm NEW!

Information You Should Have at Your Fingertips

Oakes’ CPPG

Mosby PDQ

Respiratory Notes

Respiratory Pocket

Handbook of Resp

Care

Pulmonary Function Tests (# pgs) 17 11 2 11 13 (# Pulm Function Values) (76) (8) (13) (20) (27)

Overview of Abnorm. Pulm Functions

Lung Volumes and Capacities (values and diagram)

Severity of Lung Vol. Disorders Guidelines

Descriptions & Interpretations: Lung Volumes and Capacities 10 Pulmonary Mechanics 9 Compliance and Resistance 5 Gas Distribution Tests 7 Blood Flow Distribution Tests 5 Diffusion Capacity

Algorithm for Assessing Lung Function

Pulmonary Dynamics (# pgs) 7 0 0 0 0 Ventilation - Mechanics Ventilation – Vol & Pres Gradients Compliance, Resistance Time Constants Distribution of Ventilation Perfusion

Types of Shunts Perfusion Zones V/Q Relationships

Cardiovascular Dynamics (# pgs) 12 3 5 0 0 (# Hemo Parameters) (30) (18) (18) (0) (0)

O2 Delivery Diagram Blood Flow through the Heart Factors Controlling BP Cardiopulmonary Press. Dynamics A-Line Monitoring (values/waveforms) CVP Monitoring (values/waveforms) PAP Monitoring (values/waveforms) Disease Entities Causing Changes Comparison of Rt/Lt Heart Failure Diagram

Overview of Hemo Presentation in Various Disease Entities

Information You Should Have at Your Fingertips

Oakes’ CPPG

Mosby PDQ

Respiratory Notes

Respiratory Pocket

Handbook of Resp

Care Equations : # pgs (# equations) 32 (156) 6 (56) 4 (29) 3 (29) (150)*

Acid-Base (13) Oxygenation (38) Ventilation (25) Ventilator Calculations (3) Mechanics (22) Weaning Equations (3) Perfusion/Hemodynamic Monitoring (22)

Patient Calculations (5) Pulmonary Function (Bedside) (2) Miscellaneous (23) Aerosol Therapy 12 2 2 0 0 Types Hazards AARC Clinical Practice Guidelines 3 Aerosol Delivery Devices (# of) (6) (4) Device Selection Recommended Particle Sizes Airway Clearance Techniques 25 3 9 0 6 Indications Signs and Symptoms Factors Affecting Secretion Clearance

Selecting Bronchial Hygiene Therapies

Bronchial Hygiene Selection Algorithm

Diaphragmatic Exercises Diaphragmatic Strengthening Pursed-Lip Breathing Postural Drainage (Indications, Positions, Technique, Monitoring)

(positions only)

(positions only)

(positions only) Postural Drainage Therapy (AARC CPG)

Modified CFF Head-Down Guideline NEW! Percussion and Vibration Directed or Therapeutic Coughing (Controlled, Double, Three, Pump, Huff, Manually Assisted Coughs)

Directed Cough (AARC CPG) Active Cycle of Breathing Techniques (ACBT)

NEW!

Autogenic Drainage NEW!

Information You Should Have at Your Fingertips

Oakes’ CPPG

Mosby PDQ

Respiratory Notes

Respiratory Pocket

Handbook of Resp

Care In-Exsufflator (Cof-flatorTM or Cough AssisstTM)

Positive Expiratory Pressure (PEP) Therapy

Use of Positive Airway Pressure Adjuncts to Bronchial hygiene Therapy (AARC CPG)

Frequency Oscillations (HFO) Oscillatory PEP Intrapulmonary Percussive Ventilation (IPV)

High Frequency Chest Wall Compression/Oscillation

Acapella Flutter Device Vest Airway Clearance Summary Recommendations by the ACCP

Airway Management 14 5 2 ½ 10 0 Artificial Airways (Types, Indications)

Endotracheal Tubes (Types, Sizing) Trach Tubes (Types, Indications) Speaking Valves Tracheostomy Troubleshooting Guide

NEW!

Replacing a Trach Tube NEW! Tracheostomy Tube Care Removing and Cleaning Trach Tube Considerations for Trach changes NEW! Stoma Care Capping and Decannulation Algorithm

NEW!

Choosing Humidity therapy for Patients with

Tracheostomies NEW! Emergent Airway Management Intubation Procedure Successful Intubation Checklist End-tidal CO2 detector (PETCO2) for verification

Esophageal Detector Device for Verification

Management of Airway Emergencies (AARC CPG)

Information You Should Have at Your Fingertips

Oakes’ CPPG

Mosby PDQ

Respiratory Notes

Respiratory Pocket

Handbook of Resp

Care Bag and Valve Mask Ventilation (BVM) Guideline

NEW!

Suctioning Suction Pressures/Catheter Sizes Nasotracheal Suctioning (AARC CPG)

Humidity Therapy 3 0 2 0 0 Indications/Modalities Under/Over Humidification Humidification Devices 6 Humidification during Mechanical Ventilation (AARC CPG)

Lung Expansion Therapy 6 2 5 0 0 Indications/Clinical Signs Lung Expansion Implementation Guideline

NEW!

Incentive Spirometry (IS) Incentive Spirometry (AARC CPG) (Description, Technique) AARC Evidence-Based Recommendations

Intermittent Positive Pressure Breathing (IPPB) (Goal, Settings, Troubleshooting)

IPPB (AARC CPG) Oxygen Therapy 22 3 4 12 0 Cylinder Color Coding E-Cylinder (O2) Estimated Tank Duration Table

NEW!

H-Cylinder (O2) Estimated Tank Duration Table

NEW!

Oxygen Monitoring (Invasive, Noninvasive)

NEW!

Troubleshooting the Pulse Oximeter

NEW!

Pulse Oximetry (AARC CPG) Invasive Monitoring NEW! Interpreting Oxygenation Values NEW! Types of Hypoxemia, by Abnormal Values

NEW!

Levels of Hypoxemia NEW! Signs & Symptoms of Acute Hypoxemia/Hypoxia

NEW!

Signs & Symptoms of Chronic Hypoxemia/Hypoxia

NEW!

Types and Causes of Hypoxemia/Hypoxia

NEW!

Hypoxemia Diagnostic Algorithm NEW!

Information You Should Have at Your Fingertips

Oakes’ CPPG

Mosby PDQ

Respiratory Notes

Respiratory Pocket

Handbook of Resp

Care PaO2-SaO2 Relationship NEW! Oxyhemoglobin Dissociation Curve Diagram

NEW!

Oxygen Cascade Diagram NEW! Assessment of Oxygenation (at lungs, at tissues)

NEW!

Targets for Improving (Correcting) Oxygenation

NEW!

Oxygen Therapy for Adults in the Acute Care Facility (AARC CPG)

NEW!

Oxygen Delivery Devices (Liter flow, %O2 delivered, Comments, Cautions)

9 8 6 5

Oxygen Conserving Devices (OCD) Transtracheal Oxygen System (TTOS)

Heliox Therapy (Helium-Oxygen) Diseases and Disorders (#pages) (# diseases presented)

69 (60)

38 (53)

0 (0)

123 (46)

0 (0)

Definition, Types, Etiology, Clinical Manifestations, CXR, Evidence-Based Guidelines, Critical Care Considerations, Treatment

Pharmacology (#pages) 38 29 26 8 0 Abbreviations used in Prescriptions Medication Abbreviation Do-Not-Use List

Medication Administration Procedures

Major Red Flag Drugs Solving Dosage of Liquids, Tablets, and Capsules

Calculating Solution and Dosage Problems

Drug Conversions Approximate Dosage Equivalents Adjusting for Pediatric Dosages Body Surface Area (Clark’s BSA) Rule

Fried’s Rule Young’s Rule Adrenoreceptors Responses Simplified Algorithm of Drug Action on Bronchial and Arterial Muscle

Assessing Response to Bronchodilator Therapy (AARC CPG)

Bronchodilators: Summary of General Side Effects

Information You Should Have at Your Fingertips

Oakes’ CPPG

Mosby PDQ

Respiratory Notes

Respiratory Pocket

Handbook of Resp

Care 5 A’s of Smoking Fagerstrom Test for Nicotine Dependence

Medications Affecting Ventilation Drugs that Cause Respiratory Depression

Drugs that Cause Respiratory Stimulation

Common Cardiovascular Drugs NEW! Anti-Arrhythmics NEW! Vasodilators (Vessel Dilation) NEW! Inotropics (↑ Cardiac Contractility) NEW! Vasopressors (Vessel Constriction) NEW! MEDICATION TABLE 46 drugs 44 drugs 45 drugs 46 drugs Includes: Drug generic and Trade names, Dosages, Indications, Actions, contraindications, & notes for the following drugs:

Anti-Asthma – Mast Cell Stabilizers NEW! Anti-Asthma – Anti-Leukotrines NEW! Bronchodilators: Beta Agonists SABA

NEW!

Bronchodilators: Beta Agonists LABA

NEW!

Anti-Cholinergics NEW! Xanthines NEW! Alpha-1 Antitrypsin Disorder NEW! Anti-Infectives NEW! IgE Blockers NEW! CFTR Potentiators NEW! Mucoactives NEW! Inhaled Analgesics NEW! Phosphodiesterase Inhibitors NEW! Pulmonary Vasodilators NEW! Inhaled Epinephrine NEW! Smoking Cessation Drugs NEW! Steroids NEW! Combination: Anti-Cholinergic and SABA

NEW!

Combination: Corticosteroid and LABA

NEW!

Wetting Agents NEW! CPR (New 2010 Guidelines) NEW! 24 pgs 20 pgs 9 pgs 1 pg 0 pgs BLS – Adult and Pediatric New

Guidelines 2005

Guidelines 2005

Guidelines 2005

Guidelines

FBAO – Foreign Body Airway Obstruction

NEW!

AED – Automated External Difibrillator

NEW!

ACLS + PALS NEW!

Information You Should Have at Your Fingertips

Oakes’ CPPG

Mosby PDQ

Respiratory Notes

Respiratory Pocket

Handbook of Resp

Care Airway NEW! Breathing NEW! Monitoring NEW! Postresuscitation Support NEW! Neonatal Resuscitation NEW! Appendix (#pages) 9 9 4 13 35 Symbols (Measure, Gas, Blood) Abbreviations Metric Measurements US Customary and Metric Measurements

Infection Control Guidelines CDC Standard Precautions Transmission Based Precautions Index 18 9 5 13 22

Footnotes:

* Equations are scattered throughout book

-----------------------------------------------------------------------------------------------------------------------------------------

All Oakes’ Pocket Guides can be purchased online at:

• RespiratoryBooks.com • RespiratoryUpdate.com (Online versions)

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2. VENTILATOR MANAGEMENT NOTE: There is ONLY ONE pocket guide on the market covering Ventilator Management.

Oakes’ Ventilator Management: A Bedside Reference Guide, by Dana Oakes and Sean Shortall, 3rd Ed, 2009, 396 pages

Summarized Table of Contents Ventilator Need/Indications

Indications for Ventilatory Support Contraindications to Ventilatory Support Types of Acute Respiratory Failure Differential Checklist of Potential Causes of ARF Clinical Parameters Commonly Used to Determine Ventilatory Need Objectives of Mechanical Ventilation

Ventilator Operation Types of Mechanical Ventilation Full/Partial Support Positive Pressure Ventilation Volume Ventilation Pressure Ventilation Ventilator Parameters Operating Principles Ventilation Oxygenation

Modes of Ventilation 30 Modes described in detail, including:

Names Technical descriptions Classification How it works Indications/Contraindications Advantages/Disadvantages Risks

Initial Settings

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Ordering Mechanical Ventilation Initial Settings: Overview Volumes Rate Oxygen Pressures Times Flow Adjuncts Initial Settings for Specific Modes

Oakes’ Ventilator Management is an outstanding value with key critical care information including 30 Modes of Ventilation, Graphic Interpretation, Management Algorithms, and more! #1 for 10 years!

Assessment and Trouble-Shooting Patient Assessment

Sudden Patient Distress Respiratory Rate Heart Rate Blood Pressure Temperature Inspection Palpation Percussion Auscultation Adventitious Breath Sounds Table Arterial Blood Gases Oxygenation - External and Internal Ventilation Ventilatory Mechanics Capnography Cardiovascular Assessment Neurological/Psychological Assessment Fluid and Electrolyte Assessments

Other Assessments Endotracheal Tube Assessment Intubation Checklist End-tidal CO2 Detector (PETCO2) Esophageal Detector Device Troubleshooting Airway Emergencies AARC Clinical Practice Guideline Summary Suctioning Indications/Need Suction Pressure and Catheter Sizes Ventilator Assessment Troubleshooting Minute Volume Changes Respiratory Rate Changes Tidal Volume Changes Changes in Pressures (PIP, PEEP, CPAP) I:E Ratio Changes Patient-Ventilator Asynchrony

Ventilator Graphics (Waveforms) 50 pages of waveform graphics interpretation, including troubleshooting Equations

156 equations, including every equation pertaining to ventilator management

Ventilator Management

Airway Management Endotracheal Tube End-tidal CO2 Detector (PETCO2) Esophageal Detector Device Bag and Valve Mask Ventilation Suctioning Extubation Parameters to Monitor after Extubation Extubation Procedure

Tracheostomy Tubes Speaking Valves Trach Tube Care Replacing a Trach Tube Stoma Care

Ventilator Management Improving Ventilation Permissive Hypercapnia (PHY) Improving Oxygenation Checklist for Worsening Oxygenation in Patients on MV Targets for Improving (Correcting) Oxygenation Conventional Methods of Improving Oxygenation PEEP/CPAP Indications Contraindications Initiating PEEP/CPAP Therapy Ranges Optimal PEEP Using Applied PEEP in the Presence of Auto-PEEP Weaning from PEEP Mean Airway Pressure (Paw) Inverse Ratio Ventilation (IRV) Patient Positioning (Positional Therapy)

Improving Patient-Ventilator Interaction

Non-Invasive Positive Pressure Ventilation (NPPV) Acute Care (Type 1) General Indications Indications by Disease Process Goals/Benefits Predictors of Success Treatment Failure Factors Complications Chronic Care ( Type II) Indications Contraindications Management of Patient and Ventilator Choosing Equipment Choosing a Ventilator Choosing Mask Interfaces

Specific Disease Management

Ventilator management of:

Acute Respiratory Distress Syndrome (ARDS) and Acute Lung Injury (ALI) Asthma Near-Fatal Asthma Broncho-Pleural Fistula (B-P Fistula) Burns and Smoke Inhalation Chronic Obstructive Pulmonary Disease Drug Overdose Myocardial Infarction (MI) and Congestive Heart Failure (CHF) Neuromuscular Disorders Organ Donors (Lung) Post-Operative Patients Restrictive Pulmonary Lung Disease

Trauma: Chest & Head

Ventilator Effects, Cautions, and Complications Pulmonary

Airway Obstruction Atelectasis Auto-PEEP Measuring Reducing Oxygen Toxicity Pulmonary Vascular Resistance Respiratory Drive (Decreased) V/Q Imbalances Ventilator-Associated Lung Injury (VALI) or Ventilator-Induced Lung Injury (VILI) Ventilator-Associated Pneumonia (See Infection) WOB Increase

Arterial Blood Gases Hypoxemia Hypoventilation Hyperventilation

Artificial Airways Cardiovascular Gastrointestinal Hepatic Infection Mechanical

Ventilator Malfunction Patient-Ventilator Asynchrony Circuit/Humidifier Problems

Neurological Nutritional Psychological Renal

Drug Management Aerosol Administration Analgesics Neuroleptics Sedatives Paralytics Dosage Table

Discontinuation/Weaning Definitions Discontinuation Assessment Primary Pathology Vital Signs Respiratory Assessment Predictive Indices Acid-Base Balance Airway Chest X-Ray Ventilatory Muscles Ventilatory Drive Ventilatory Demand Cardiovascular Assessment Electrolyte Assessment Metabolic Assessment Acid-Base Balance Metabolism Neurologic Assessment Nutritional Assessment Pharmacological Assessment Psychological Assessment Renal Assessment Miscellaneous Factors Discontinuation Methods ACCP Discontinuation/Weaning Guidelines Monitoring of Success or Failure Extubation Weaning Terminal Discontinuation Sample Weaning Protocols

Neonatal/Pediatric Ventilation Neonatal Ventilation Neonatal Physiology Affecting Ventilation

Initial Management Plan Neonatal CPAP Neonatal Ventilation Indications Types of Ventilation Initial Settings Management Strategies Oxygenation Ventilation Arterial Blood Gases (ABGs)

Pediatric Ventilation Pediatric CPAP Pediatric Ventilation

Specific Ventilation Techniques Extracorporeal Gas Exchange Helium-Oxygen Therapy (Heliox) High-Frequency Ventilation (HFV) Independent Lung Ventilation Liquid Ventilation Lung Recruitment Maneuver (LRM) Open Lung Concept Nitric-Oxide Inhalation (NO) Tracheal Gas Insufflation (TGI)

Appendix (AARC CPGs) Conversions Nomograms Radford Breathing Nomogram

Body Surface Area Nomogram AARC Clinical Practice Guidelines:

Application of Continuous Positive Airway Pressure to Neonates via Nasal Prongs or Nasopharyngeal Tube Capnography/Capnometry during Mechanical Ventilation Endotracheal Suctioning of Mechanically Ventilated Adults and Children with Artificial Airways Humidification during Mechanical Ventilation In Hospital Transport of the Mechnically Ventilated Patient Intermittent Positive Pressure Breathing (IPPB) Management of Airway Emergencies Patient-Ventilator System Checks Removal of the Endotracheal Tube Selection of Device, Administration of Bronchodilator, and Evaluation of Response to Therapy in Mechanically Ventilated Patients Ventilator Circuit Changes

Bibliography Index

3. NEONATAL/PEDIATRIC RESPIRATORY CARE NOTE: T here is ONLY ONE pocket guide on the market covering Neonatal/Pediatric Respiratory Care.

Neonatal/Pediatric Respiratory Care: A Critical Care Pocket Guide, by Dana Oakes, 6th Ed, 2009, 424 pages

Table of Contents Pre and Postnatal Assessment Prenatal Assessment

Lung Maturity Tests Assessment of Fetal Maturity by Amniotic Fluid Assay Electronic Fetal Monitoring FHR Monitoring Fetal Biophysical Profile (FBP) Fetal/Neonatal Blood Gas Monitoring Cardiopulmonary Changes at Birth Prenatal Circulation Diagram Postnatal Circulation Diagram

Postnatal Assessment Vital Signs APGAR scoring Neonatal Resuscitation Algorithm Silverman/Anderson Score Assessment of Gestational Age Maturational Assessment of Gestational Age (New Ballard Score)

Neonatal Transport Procedure for Referring Hospital

Indications Inter-Hospital Communication Stabilization Maternal Stabilization Newborn Stabilization Respiratory Care Thermal Support Hemodynamic support Glucose Homeostasis Acid-Base Balance Other Specific Clinical Problems

Procedure for Transport Team Preparation Delegate Transport Team Arrange for Mode of Transport Initial Evaluation and Stabilization of Patient Transport (En Route) Altitude Chart

Respiratory Assessment Rapid Assessment of Breathing Respiratory Rates Lung Topography A&P Characteristics Respiratory Distress Differential Diagnosis of by Common Causes by Characteristics of Onset by Selected Specific Disease states

Respiratory Monitoring

Respiratory Rate Oxygen Monitoring Transcutaneous O2 Pressure SaO2 and SpO2 Monitoring SpO2 Management in VLBW Infants SvO2 Monitoring Carbon Dioxide Monitoring Transcutaneous CO2 pressure End Tidal CO2 Pressure

Cardiovascular Assessment Emergency Cardiovascular Signs Physical Exam General Assessment Normal Heart Rates in Children Abnormal Pulses and Possible Etiologies Blood Pressure Indirect (Non-Invasive) Sources of Error Doppler Cardiac Output

Cardiovascular Monitoring Non-Invasive Invasive Arterial Line (A-Line) Monitoring Central Venous Pressure (CVP) Monitoring Pulmonary Artery Pressure (PAP) Monitoring Cardiac Output (CO) Monitoring Heart Line Monitoring

Neurological Assessment Newborn Infant States of Consciousness Modified Glasgow Coma Scale for Infants and Children Neurological Monitoring Intracranial Pressure (ICP) Monitoring Methods of Monitoring Interpretation

Critical Care Procedures Blood Sampling Arterial Puncture Normal ABG Values Heel Stick Arterial Line Sampling Airway Management Manual Ventilation Suctioning Procedure Endotracheal Intubation Intubation Equipment Sizes Sample Tube Fixation Procedure Direct Digital Tracheal Intubation in Neonates Extubation Tracheostomy Cricothroidotomy (Cricothyrotomy) Other Procedures Transillumation (Chest and Radial) Emergency Thoracentesis Chest Tube Insertion Pericardiocentesis Umbilical Artery Catheter (UAC) Placement

Umbilical Vein Catheter (UVC) Placement

General Nursing Care Thermal Regulation At Birth In Nursery or ICU Preventing Heat Loss NTE Chart Rewarming a Cold Infant Incubator Radiant Warmer Infection Control General Guidelines

Respiratory Procedures Oxygen Therapy

Indications Therapeutic Goals Recommendation for Administering Oxygen Monitoring Oxygen Delivery Devices

Aerosol and Humidity Therapy Bronchial Hygiene Therapy (Airway Clearance Techniques)

Bronchial Hygiene Selection Algorithm Summary Recommendations by the ACCP Chest Physical Therapy (CPT) Procedures Postural Drainage Positions Drainage Positions for the Neonate Drainage Positions for the Infant Drainage Position for the Child

CPAP Neonatal CPAP

Indications Hazards of CPAP Contraindications Physiological Effects of CPAP Methods of Administration

Pediatric CPAP Initiating and Management of CPAP Parameters To Monitor CPAP failure Common Causes of CPAP Failure Complications To Watch For

Weaning from CPAP Initiation Adjustments

Mechanical Ventilation Neonatal Ventilation

Indications for Mechanical Ventilation Types of Ventilation Hazards and Complications to Watch for Monitoring of Mechanical Ventilation Initial Management Plan Algorithm Ventilator Parameters Ventilator Management Strategies Initial Settings Arterial Blood Gases (ABGs) Various Approaches to Neonatal MV

Suggested Ventilatory Strategies for Common Neonatal Respiratory Disorders Making Parameter Changes

Pediatric Ventilation Indications for Mechanical Ventilation Target ABG Values Pressure Ventilation (PV)

Patient-Ventilator Trouble-Shooting Neonatal Discontinuation/Weaning

Extubation High Frequency Ventilation Inhaled Nitric Oxide (iNO) Extracorporeal Membrane Oxygenation (ECMO) Respiratory Diseases and Disorders Definition, Types, Etiology, Clinical Manifestations, CXR & Treatment

Air Leak Syndrome (Barotrauma) Airway Obstruction (Upper) Apnea of Prematurity Asphyxia Asthma Bronchiolitis Bronchopulmonary Dysplasia Burns (Pulmonary) Carbon Monoxide Poisoning Congenital Heart Disease (CHD) Congestive Heart Failure (CHF) Croup Cystic Fibrosis (CF) Diaphragmatic Hernia Drowning (NEAR Epiglottitis Intracranial Hypertension Intraventricular Hemorrhage Meconium Aspiration Syndrome (MAS) Necrotizing Enterocolitis (NEC) Patent Ductus Arteriosus (PDA) Persistent Pulmonary Hypertension of the Newborn Respiratory Distress Syndrome (RDS) Respiratory Failure (RF) Retinopathy of Prematurity Sepsis Tracheal-Esophageal Fistula (T-E Fistula) Thoracic Trauma Transient Tachypnea of Newborn (TTN)

Pharmacology RESPIRATORY MEDICATION INDEX

Abbreviations Medication Abbreviation Do-Not-Use List Medication Administration Procedures Red Flag Drugs Calculating Drug Dosages Bronchodilator Actions

RESPIRATORY MEDICATION TABLES Medictions Affecting Ventilation Common Cardiovascular Drugs Diuretics Anticoagulants

CPR BLS - Adult & Pediatric

FBAO - Foreign Body Airway Obstruction AED - Automated External Difi brillator

ACLS + PALS Airway Breathing Monitoring

Special Resuscitation Situations Anaphylaxis Asthma - Near Fatal Drowning Drug - Induced Electric Shock and Lightning Strikes Pregnancy Trauma

Postresuscitation Support Neonatal Resuscitation

Appendix (AARC CPGs) Metric Measures Conversion Table Pounds to Kilograms (Pediatric) Pounds and Ounces to Grams Body Surface Area Nomogram PFT Values

AARC Clinical Practice Guidelines - Summaries Application of CPAP Assessing Response to Bronchodilator Therapy Capillary Blood Gas Sampling Capnography/Capnometry during Mechanical Ventilation Endotracheal Suctioning of Mechanically Ventilated Adults and Children Management of Airway Emergencies Nasotracheal Suctioning Postural Drainage Therapy Pulse Oximetry Removal of the Endotracheal Tube Selection of an Aerosol Device Selection of an Oxygen Device Surfactant Replacement Therapy Transcutaneous Blood Gas Monitoring

Bibliography Abbreviations Index

Oakes’ Neonatal/Pediatric Respiratory Care – including mechanical ventilation strategies, detailed diseases and disorders – everything you need at the NICU and PICU bedside. #1 for 25 years

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4. HEMODYNAMIC MONITORING NOTE: There is ONLY ONE current pocket guide on the market covering Hemodynamic Monitoring.

Hemodynamic Monitoring: A Bedside Reference Manual by Dana Oakes, 5th Ed, 2010, 300 pages

Table of Contents Overview of Hemodynamic Parameters Purpose Abbreviations

Symbols and Acronyms Parameters

Terms, Abbreviations, Symbols, Values, Definitions, and Equations Non-invasive vs. Invasive Invasive

Overview of Physiology of Cardiopulmonary System Main Function/Purpose/Goal

O2 Delivery (DO2) Flowchart Clinical Parameters for Assessing Tissue Perfusion Tissue O2 Balance Tissue Oxygenation Equations Oxygen Supply/Demand Regulation

Heart Pressures/Waveforms Right Heart and Pulmonary Pressures/Waveforms Left Heart and Aortic Pressures/Waveforms Heart Pressure Waveforms Cardiac Cycle

Myocardial Oxygenation Supply/Demand Factors Determining O2 Supply/Demand Myocardial O2 Supply MDO2) Clinical Esti mate of CBF Myocardial O2 Demand

Blood Pressure (Arterial) Cardiac Output/Index Arterial Blood Pressures Arterial Blood Pressure Waveform

Blood Pressure Regulation Cardiac Output Regulation Preload Afterload Contractility

Systemic Vascular Resistance Pulmonary Vascular Resistance Oxygen Monitoring Overview SaO2 Monitoring

Troubleshooting the Pulse Oximeter SvO2 Monitoring

SvO2 Interpretation Alterations in SvO2 Physiological Compensation of SvO2

Blood Pressure Monitoring Indirect

Palpation Auscultation Automatic Monitoring Doppler Ultrasound

Direct Monitored Occlusion Technique

A-Line Monitoring and Interpretation Indications Equipment Components Assembly Zeroing and Calibration Insertion Techniques Percutaneous Insertion Surgical Cutdown Checking for collateral circulation Maintenance Infection Control Drawing a Blood Sample from an A-line A-line Interpretation Pressures Waveforms Complications and Troubleshooting Removal of the A-line

Central Venous Pressure Monitoring Overview

Definition Indications for Monitoring Insertion Sites Catheter Types

Monitoring Equipment Equipment Assembly and Calibration

Insertion Techniques Maintenance Drawing a Blood Sample from a CVP Line CVP Measurement

Estimation by Neck Veins Estimation by Hand Veins Measurement via Catheter Transducer Monitoring Technique

CVP Interpretation Pressures Waveforms

Complications and Troubleshooting Removal of CVP Catheter

Pulmonary Artery Pressure Monitoring Overview

Definition Indications Insertion Sites

Equipment for Monitoring Assembly and Calibration

Catheter Types Insertion Technique

Normal Pressure and Waveform Characteristics as PA Catheter is Advanced Wedging Protocol

Verifying a True Wedge Position Guidelines to Prevent Balloon Rupture

Maintenance of PA Line Drawing a Blood Sample (Mixed Venous) from a PA Line Continuous SvO2 Monitoring PA Pressure Measurements PA Line Interpretations

Pressures Waveforms

Clinical Problems in Obtaining Accurate PA Catheter Measurements

Overview of Ventilatory Effects on Hemodynamic Pressures Normal Spontaneous Breathing Positive Pressure Ventilation Positive End Expiratory Pressure (PEEP) PEEP and Zone Changes Measuring PAWP while on PPV and PEEP

Complications to Watch for During PA Monitoring Troubleshooting the PA Line Removal of the PA Line

Cardiac Output Monitoring Definition Hemodynamic Parameters

Derived from CO Measurements Invasive Methods of CO Measurement

Fick Method Thermodilution Method Indicator Dye Dilution Method Interpretation of Thermodilution CO Curve Potential Sources of Error

Causes of Decreased or Increased CO Troubleshooting CO Measurements

Circulatory Assist: Intraaortic Balloon Pumps (IABPs) Overview

Definition & Purpose Indications Contraindications

Physiological Overview Equipment

Insertion Technique Operation of IABP

Interpretation of Arterial Waveform with IABP Assistance Clinical Parameters to Monitor

Complications Troubleshooting Discontinuing

Disease-Related Alterations in Cardiopulmonary Function Acute Respiratory Distress Syndrome (ARDS) and Acute Lung Injury (ALI) Cardiac Failure Cardiac Tamponade Cardiomyopathy Chronic Obstructive Pulmonary Disease (COPD) Myocardial Infarction, Acute Post-Op Cardiac Surgery Pulmonary Edema

High Pressure Pulmonary Edema (cardiogenic, hydrostatic) Permeability Pulmonary Edema (non-cardiogenic or neurogenic)

Pulmonary Embolism and Infarction Shock

Hypovolemic Anaphylactic Cardiogenic Neurogenic Septic (Vasogenic)

Valvular Heart Disease Aortic Stenosis Aortic Regurgitation Mitral Stenosis Mitral Regurgitation

Findings in Valvular Heart Disorders Overview of Hemodynamic Presentation in Various Disease Entities

Oakes’ Hemodynamic Monitoring

is a perfect balance of detailed expertise and condensed pocket-sized information. Includes invasive and non-invasive monitoring. #1 for 20 years !

STUDY GUIDE ALSO AVAILABLE (100 pages to test questions)

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5. ARTERIAL BLOOD GASES NOTE: T here is ONLY ONE pocket guide on the market covering ABGs.

Oakes’ ABG Pocket Guide, with accompanying ABG Instructional Guide by Dana Oakes, 1st Ed, 2009, 106, plus 80 pages

Table of Contents ABG Interpretation

Overview Keys to Interpretation Steps of Interpretation Interpretation of ABG Overview of Acid – Base Disorders and Parameter Changes Classification Characteristics Examples of Mixed Disorders Quick Guide

Respiratory Acidosis Overview Determining Compensation Signs & Symptoms Physiological Manifestations and Clinical Manifestations Causes Management Deadspace Assessment

Respiratory Alkalosis Overview Determining Compensation Signs & Symptoms Physiological Manifestations and Clinical Manifestations Causes Management

Metabolic Acidosis Overview Determining Compensation Types of Metabolic Acidosis Anion Gap and Non-Anion Gap Signs & Symptoms Physiological Manifestations and Clinical Manifestations Causes Management

Metabolic Alkalosis Overview Determining Compensation Signs & Symptoms Physiological Manifestations and Clinical Manifestations Causes Management

Mixed Metabolic Disorders Determining Anion Gap and Bicarbonate Gap

ABGs in COPD Hypoxic drive theory

Oxygenation Assessment Evaluating Oxygenation Status Lung Adequacy PaO2 Assessment

SaO2/SpO2 Assessment Oxyhemoglobin Curve O2 Cascade Hypoxemia Levels Signs & Symptoms Types & Causes Distinguishing Types

Lung Efficiency Estimating Degree of Pulmonary Dysfunction Estimating Shunt Distinguishing Shunts and Diffusion Defects Assessment of Tissue Oxygenation Management of Oxygenation Oxygen Therapy (AARC CPG for Adults in the Acute Care Facility) Targets for Improving (Correcting) Oxygenation PaO2/ FIO2 Relationship What PaO2 Should Be Estimating PaO2/FIO2% Relationship Calculating Desired PaO2 and FIO2

O2 Therapy of Mechanically Ventilated Patients Checklist for Worsening Oxygenation Improving Oxygenation Conventional Methods Indications for PEEP / CPAP

ABG Accuracy Check (Checking for Errors) AARC Clinical Practice Guidelines Sampling for Arterial Blood Gas Analysis Pulse Oximetry Back Cover - Quick Guide

TWO BOOK SET

The Oakes’ ABG Pocket Guide includes detailed information on ABG Interpretation and Management, including Respiratory and Metabolic acidosis and alkalosis.

The Oakes’ ABG Instructional Guide walks you through the steps of interpretation, step-by-step, from single disorders up through triple disorders. Includes 80 pages of test problems.

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.com