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Cardiac Nursing

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Table of Contents

PART I Anatomy and Physiology CHAPTER 1 Cardiac Anatomy and Physiology General Anatomic Description Cardiac Structures Cardiac Tissue Coronary Circulation Cardiac Innervation Myocardial Cell Structure Myocardial Cell Electrical Characteristics Cardiac Action Potential Sarcolemmal Ionic Currents Factors Modifying Electrophysiologic Function Propagation of the Cardiac Impulse Mechanical Characteristics of Cardiac Cells Mechanical Properties of the Myocardium Myocardial Metabolism Physiology of the Coronary Circulation The Cardiac Cycle CHAPTER 2 Systemic and Pulmonary Circulation and Oxygen Delivery Structural Characteristics of the Vasculature and Lymphatics Local Regulation Neurohumoral Stimulation Calcium Volume and Flow Distribution The Venous System Microcirculatory Exchange The Lymphatic System Pulmonary Circulation CHAPTER 3 Regulation of Cardiac Output and Blood Pressure Afferent Input and Receptor Central Nervous System Regulation Autonomic Nervous System Regulation Systemic Hormones Arterial Blood Pressure Heart Rate Intrinsic Cardiac Control Extrinsic Control: Pericardial Limitation Long-Term Control of Blood Pressure Local Regulation of Systemic Microvascular Beds Venous System Relation Between Cardiac Output and Central Venous Pressure-Retrograde Versus Antegrade Models Valsalva Maneuver Overall Control PART II Physiologic and Pathologic Responses CHAPTER 4 Genetics DNA DNA and Human Diversity Genetic Variation Gene Testing The Human Genome Project Pharmacogenomics Biochemical Basis of Genetic Disease Overview: Heart Disease The Genetics of Cardiovascular Disease Evidence for a Genetic Basis of Coronary Artery Disease Diagnosis and Risk Assessment: Application of Genetic Susceptibility Information in the Prevention of Coronary Artery Disease Ethical Considerations Summary CHAPTER 5 Atherosclerosis, Inflammation, and Acute Coronary Syndrome Introduction Mechanisms that Regulate Coronary Blood Flow Causes of Myocardial Ischemia and Infarction Risk Factors for Coronary Artery Disease Incidence of Myocardial Ischemia Incidence of Myocardial Infarction Implications for Nurses CHAPTER 6 Hematopoiesis, Coagulation, and Bleeding Hematopoietic Cells Hemostasis Coagulation-Inflammation Link Bleeding Disorders Clotting Disorders CHAPTER 7 Fluid and Electrolyte and Acid-Base Balance and Imbalance Principles of Fluid Balance Extracellular Fluid Volume Balance Osmolality Balance Principles of Electrolyte Balance Electrolyte Imbalances Summary Fluid and Electrolytes Principles of Acid-Base Balance Acid-Base Imbalances Summary of Acid-Base CHAPTER 8 Sleep Introduction Normal Sleep Sleep Physiology Clinical Evaluation, Diagnosis, and Approaches Impaired Sleep, Sleep Disorders, and Excessive Daytime Sleepiness Sleep in Patients with Cardiovascular Disease Cardiac Events in Sleep Nursing Care Goals Sleep Promoting Interventions Abbreviated Table of Contents

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