BRUNNER & SUDDARTH’S
TEXTBOOK OF
Medical-SurgicalNursing
CLINICAL HANDBOOK FOR
BRUNNER & SUDDARTH’S
TEXTBOOK OF
Medical-Surgical
Nursing
14 TH EDITION
2
,BRUNNER & SUDDARTH’S
TEXTBOOK OF
Medical-SurgicalNursing
Publisher: Julie Stegman
Executive Editor: Kelley Squazzo
Director of Product Development: Jennifer K. Forestieri
Senior Development Editor: Meredith L. Brittain
Editorial Coordinator: Emily Buccieri
Design Coordinator: Joan Wendt
Production Project Manager: Linda Van Pelt
Manufacturing Coordinator: Karin Duffield
Prepress Vendor: Aptara, Inc.
14th Edition
Copyright © 2018 Wolters Kluwer.
Copyright © 2014, 2010, 2008 by Wolters Kluwer Health | Lippincott Williams &
Wilkins. Copyright © 2004, 2008 by Lippincott Williams & Wilkins.
Copyright © 2008, 2004, 2000 by Lippincott Williams & Wilkins. All rights
reserved. This book is protected by copyright. No part of it may be reproduced,
stored in a retrieval system, or transmitted, in any form or by any means—
electronic, mechanical, photocopy, recording, or otherwise—without prior written
permission of the publisher, except for brief quotations embodied in critical articles
and reviews and testing and evaluation materials provided by publisher to
instructors whose schools have adopted its accompanying textbook. Printed in the
United States of America. For information write Wolters Kluwer Health /
Lippincott Williams & Wilkins, 530 Walnut Street, Philadelphia PA 19106.
Materials appearing in this book prepared by individuals as part of their official
duties as U.S. Government employees are not covered by the above-mentioned
copyright.
9 8 7 6 5 4 3 2 1
Printed in China.
Library of Congress Cataloging-in-Publication Data
Names: Complemented by (work): Hinkle, Janice L. Brunner & Suddarth’s
textbook of medical-surgical nursing.
Title: Clinical handbook for Brunner & Suddarth’s textbook of medical-surgical
nursing.
Description: 14th edition. | Philadelphia : Wolters Kluwer, [2018] | Includes
bibliographical references and index.
Identifiers: LCCN 2017031331 | ISBN 9781975102500
Subjects: | MESH: Nursing Care | Perioperative Nursing | Handbooks
3
,BRUNNER & SUDDARTH’S
TEXTBOOK OF
Medical-SurgicalNursing
Classification: LCC RT41 | NLM WY 49 | DDC 617/.0231–dc23
LC record available at https://lccn.loc.gov/2017031331
Care has been taken to confirm the accuracy of the information presented and to
describe generally accepted practices. However, the authors, editors, and publisher
are not responsible for errors or omissions or for any consequences from
application of the information in this book and make no warranty, express or
implied, with respect to the content of the publication.
The authors, editors, and publisher have exerted every effort to ensure that drug
selection and dosage set forth in this text are in accordance with the current
recommendations and practice at the time of publication. However, in view of
ongoing research, changes in government regulations, and the constant flow of
information relating to drug therapy and drug reactions, the reader is urged to
check the package insert for each drug for any change in indications and dosage
and for added warnings and precautions. This is particularly important when the
recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication have Food and
Drug Administration (FDA) clearance for limited use in restricted research
settings. It is the responsibility of the health care provider to ascertain the FDA
status of each drug or device planned for use in his or her clinical practice.
LWW.com
4
, BRUNNER & SUDDARTH’S
TEXTBOOK OF
Medical-SurgicalNursing
Clinical Consultant
Tamara Kear, PhD, RN, CNS, CNN
Assistant Professor of Nursing
Villanova University College of Nursing
Villanova, Pennsylvania
5
TEXTBOOK OF
Medical-SurgicalNursing
CLINICAL HANDBOOK FOR
BRUNNER & SUDDARTH’S
TEXTBOOK OF
Medical-Surgical
Nursing
14 TH EDITION
2
,BRUNNER & SUDDARTH’S
TEXTBOOK OF
Medical-SurgicalNursing
Publisher: Julie Stegman
Executive Editor: Kelley Squazzo
Director of Product Development: Jennifer K. Forestieri
Senior Development Editor: Meredith L. Brittain
Editorial Coordinator: Emily Buccieri
Design Coordinator: Joan Wendt
Production Project Manager: Linda Van Pelt
Manufacturing Coordinator: Karin Duffield
Prepress Vendor: Aptara, Inc.
14th Edition
Copyright © 2018 Wolters Kluwer.
Copyright © 2014, 2010, 2008 by Wolters Kluwer Health | Lippincott Williams &
Wilkins. Copyright © 2004, 2008 by Lippincott Williams & Wilkins.
Copyright © 2008, 2004, 2000 by Lippincott Williams & Wilkins. All rights
reserved. This book is protected by copyright. No part of it may be reproduced,
stored in a retrieval system, or transmitted, in any form or by any means—
electronic, mechanical, photocopy, recording, or otherwise—without prior written
permission of the publisher, except for brief quotations embodied in critical articles
and reviews and testing and evaluation materials provided by publisher to
instructors whose schools have adopted its accompanying textbook. Printed in the
United States of America. For information write Wolters Kluwer Health /
Lippincott Williams & Wilkins, 530 Walnut Street, Philadelphia PA 19106.
Materials appearing in this book prepared by individuals as part of their official
duties as U.S. Government employees are not covered by the above-mentioned
copyright.
9 8 7 6 5 4 3 2 1
Printed in China.
Library of Congress Cataloging-in-Publication Data
Names: Complemented by (work): Hinkle, Janice L. Brunner & Suddarth’s
textbook of medical-surgical nursing.
Title: Clinical handbook for Brunner & Suddarth’s textbook of medical-surgical
nursing.
Description: 14th edition. | Philadelphia : Wolters Kluwer, [2018] | Includes
bibliographical references and index.
Identifiers: LCCN 2017031331 | ISBN 9781975102500
Subjects: | MESH: Nursing Care | Perioperative Nursing | Handbooks
3
,BRUNNER & SUDDARTH’S
TEXTBOOK OF
Medical-SurgicalNursing
Classification: LCC RT41 | NLM WY 49 | DDC 617/.0231–dc23
LC record available at https://lccn.loc.gov/2017031331
Care has been taken to confirm the accuracy of the information presented and to
describe generally accepted practices. However, the authors, editors, and publisher
are not responsible for errors or omissions or for any consequences from
application of the information in this book and make no warranty, express or
implied, with respect to the content of the publication.
The authors, editors, and publisher have exerted every effort to ensure that drug
selection and dosage set forth in this text are in accordance with the current
recommendations and practice at the time of publication. However, in view of
ongoing research, changes in government regulations, and the constant flow of
information relating to drug therapy and drug reactions, the reader is urged to
check the package insert for each drug for any change in indications and dosage
and for added warnings and precautions. This is particularly important when the
recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication have Food and
Drug Administration (FDA) clearance for limited use in restricted research
settings. It is the responsibility of the health care provider to ascertain the FDA
status of each drug or device planned for use in his or her clinical practice.
LWW.com
4
, BRUNNER & SUDDARTH’S
TEXTBOOK OF
Medical-SurgicalNursing
Clinical Consultant
Tamara Kear, PhD, RN, CNS, CNN
Assistant Professor of Nursing
Villanova University College of Nursing
Villanova, Pennsylvania
5
