Cardiothoracic Surgical Nursing: Current Trends in Adult by Carl Margerson, Jillian Riley

By Carl Margerson, Jillian Riley

Thames Valley Univ., united kingdom. Written from the nursing standpoint, textual content deals functional recommendation and data on all elements of cardiothoracic surgical nursing with specific concentrate on the ongoing advancements and demanding situations. Discusses Discusses the improvement of the speciality, pre-operative education, and post-operative Softcover DNLM: Perioperative Nursing--trends.

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Such surface tension always occurs whenever a gas and liquid come into contact with each other generating a cohesive force inwards. This surface tension in the alveoli contributes to collapse and once this occurs very high distending pressures are needed to reopen them (Savov 1995). Smaller alveoli are potentially very unstable, generate greater pressures and empty into larger alveoli resulting in collapse. This tendency is prevented by the presence of pulmonary surfactant which decreases surface tension dramatically as alveolar volume decreases.

It is mainly smooth muscle that is found here. The whole tracheobronchial tract is lined with ciliated columnar epithelium. Mucociliary function facilitates the upward removal of debris from the airways enabling the lower air spaces to remain relatively sterile. Trachea Mediastinum Visceral pleura Left bronchus Parietal pleura Terminal bronchiole Pleural cavity Fig. 1 Heart Respiratory bronchiole Alveolar ducts and sacs Thoracic cavity with outline of respiratory tract. Not all the air taken in with each breath (tidal volume) is available for gaseous exchange.

E. et al. (2000) Primary prevention of coronary heart disease in women through diet and lifestyle. New England Journal of Medicine 343(1): 16± 22. B. et al. (2000) Health related quality of life in lung transplant candidates and recipients. Respiration 67: 159±65. , Teirstein, A. L. (2001) Lung transplantation in interstitial lung disease. Current Opinion in Pulmonary Medicine 7(5): 314±21. L. (1999) Antioxidant consumption and risk of coronary heart disease: emphasis on vitamin C, vitamin E and beta carotene.

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