1 BRUNNER & SUDDARTH’S TEXTBOOK OF Medical-Surgical Nursing 15 TH EDITION Janice L. Hinkle, PhD, RN, CNRN Fellow Villanova University M. Louise Fitzpatrick College of Nursing Villanova, Pennsylvania Kerry H. Cheever, PhD, RN Professor Emerita Helen S. Breidegam School of Nursing Moravian University Bethlehem, Pennsylvania Kristen J. Overbaugh, PhD, RN, ACNS-BC, CHPN Assistant Professor School of Nursing and Health Sciences La Salle University Philadelphia, Pennsylvania 2 3 Vice President, Nursing Segment: Julie K. Stegman Director, Nursing Education and Practice Content: Jamie Blum Senior Acquisitions Editor: Jonathan Joyce Senior Development Editor: Meredith L. Brittain Freelance Development Editor: Rose G. 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Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments. Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying each drug to verify, among other things, 4 conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work. shop.lww.com 5 To our fellow nurses who provide comfort and care, and who instill hope for a healthier world . . . To our nursing faculty colleagues who nurture, guide, and steer the future of our profession . . . To nursing students who challenge themselves with courage and conviction . . . You inspire us! 6 Contributors Contributors to the 15th Edition Marianne T. Adam, PhD, RN, FNP, CNE Associate Teaching Professor of Nursing Campus Coordinator, Nursing Pennsylvania State University Schuylkill Schuylkill Haven, Pennsylvania Chapter 38: Assessment of Digestive and Gastrointestinal Function Rachel Barish, RN, MSN, ANP-BC, AACC Nurse Practitioner, Division of Cardiology MedStar Georgetown University Hospital Physicians Group Washington, District of Columbia Chapter 24: Management of Patients with Structural, Infectious, and Inflammatory Cardiac Disorders Jennifer L. Bartlett, PhD, RN-BC, CNE, CHSE Associate Professor Georgia Baptist College of Nursing of Mercer University Atlanta, Georgia Chapter 39: Management of Patients with Oral and Esophageal Disorders Susan Bartos, PhD, RN, CCRN Adjunct Professor Egan School of Nursing & Health Sciences Fairfield University Fairfield, Connecticut Chapter 25: Management of Patients with Complications from Heart Disease Cynthia Bautista, PhD, APRN, FNCS, FCNS Associate Professor Egan School of Nursing and Health Studies Fairfield University 7 Fairfield, Connecticut Chapter 63: Management of Patients with Neurologic Trauma Tricia Bernecker, PhD, RN Associate Professor DeSales University Center Valley, Pennsylvania Chapter 22: Management of Patients with Arrhythmias and Conduction Problems Lisa Bowman, RN, MSN, CRNP, CNRN Nurse Practitioner Jefferson Hospital for Neuroscience Thomas Jefferson University Hospital Philadelphia, Pennsylvania Chapter 62: Management of Patients with Cerebrovascular Disorders Carolyn Bradley, MSN, RN, CCRN Heart & Vascular Center Nursing Professional Development Specialist Yale New Haven Hospital New Haven, Connecticut Chapter 21: Assessment of Cardiovascular Function Sherry Burrell, PhD, RN, CNE Assistant Professor Villanova University M. Louise Fitzpatrick College of Nursing Villanova, Pennsylvania Chapter 12: Oncologic Management Theresa Capriotti, DO, CRNP, MSN, RN Clinical Professor Villanova University M. Louise Fitzpatrick College of Nursing Villanova, Pennsylvania Chapter 10: Fluid and Electrolytes Chapter 33: Assessment and Management of Patients with Allergic Disorders Jean Colaneri, ACNP-BC, CNN Acute Care Nurse Practitioner Albany Medical Center Hospital 8 Albany, New York Chapter 48: Management of Patients with Kidney Disorders Linda Carman Copel, PhD, RN, PMHCNS, BC, CNE, ANEF, NCC, FAPA Professor Villanova University M. Louise Fitzpatrick College of Nursing Villanova, Pennsylvania Chapter 3: Health Education and Health Promotion Chapter 5: Stress and Inflammatory Responses Chapter 53: Assessment and Management of Patients with Male Reproductive Disorders Patricia Dillon, PhD, RN Chair of Graduate, RN to BSN, and RN to MSN Programs, & Professor School of Nursing and Health Sciences La Salle University Philadelphia, Pennsylvania Chapter 56: Management of Patients with Dermatologic Disorders Nancy Donegan, MPH, RN Independent Consultant Washington, District of Columbia Chapter 66: Management of Patients with Infectious Diseases Paulette Dorney, PhD, RN, CCRN-K Associate Professor & Director, Accelerated BSN Program Helen S. Breidegam School of Nursing Moravian University Bethlehem, Pennsylvania Chapter 19: Management of Patients with Chest and Lower Respiratory Tract Disorders Phyllis Dubendorf, MSN, RN, CCNS, CNRN, ACNP-BC Clinical Nurse Specialist Hospital of the University of Pennsylvania Philadelphia, Pennsylvania Chapter 61: Management of Patients with Neurologic Dysfunction Kimberly Silver Dunker, DNP, MSN, RN, CNE, CNEcl 9