,Study Guide for
Brunner and Suddarth’s
Textbook of
Medical-Surgical
Nursing
TWELFTH EDITION
Mary Jo Boyer, R.N., M.S.N., Ph.D.
Vice Provost and Adjutant Nursing Faculty
Former Dean and Professor of Allied Health and Nursing
Delaware County Community College
Media, Pennsylvania
,Acquisitions Editor: Hilarie Surrena
Product Manager: Mary Kinsella
Editorial Assistant: Victoria White
Design Coordinator: Joan Wendt
Manufacturing Coordinator: Karin Duffield
Prepress Vendor: Aptara, Inc.
12th edition
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Copyright © 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Copyright ©
2004, 2000 by Lippincott Williams and Wilkins. Copyright © 1996 by Lippincott-Raven
Publishers. Copyright © 1992 by J.B. Lippincott Company. All rights reserved. This book is
protected by copyright. No part of this book may be reproduced or transmitted in any form
or by any means, including as photocopies or scanned-in or other electronic copies, or utilized
by any information storage and retrieval system without written permission from the copyright
owner, except for brief quotations embodied in critical articles and reviews. 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. To request permission, please contact
Lippincott Williams & Wilkins at 530 Walnut Street, Philadelphia, PA 19106, via email at
, or via our website at lww.com (products and services).
9 8 7 6 5 4 3 2 1
Printed in China
ISBN: 978-0-7817-8594-5
Care has been taken to confirm the accuracy of the information presented and to describe
generally accepted practices. However, the author(s), 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, expressed or implied, with respect to the currency, completeness,
or accuracy of the contents of the publication. Application of this information in a particular
situation remains the professional responsibility of the practitioner; the clinical treatments
described and recommended may not be considered absolute and universal recommendations.
The author(s), 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
, This book is dedicated to
. . . my son, Brian, and my daughter, Susan, whose career choices reflect their commitment and appreciation
of lifelong learning and teaching
. . . my students whose energy, motivation, and dedication to learning challenges and enriches
my professional life
Brunner and Suddarth’s
Textbook of
Medical-Surgical
Nursing
TWELFTH EDITION
Mary Jo Boyer, R.N., M.S.N., Ph.D.
Vice Provost and Adjutant Nursing Faculty
Former Dean and Professor of Allied Health and Nursing
Delaware County Community College
Media, Pennsylvania
,Acquisitions Editor: Hilarie Surrena
Product Manager: Mary Kinsella
Editorial Assistant: Victoria White
Design Coordinator: Joan Wendt
Manufacturing Coordinator: Karin Duffield
Prepress Vendor: Aptara, Inc.
12th edition
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Copyright © 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Copyright ©
2004, 2000 by Lippincott Williams and Wilkins. Copyright © 1996 by Lippincott-Raven
Publishers. Copyright © 1992 by J.B. Lippincott Company. All rights reserved. This book is
protected by copyright. No part of this book may be reproduced or transmitted in any form
or by any means, including as photocopies or scanned-in or other electronic copies, or utilized
by any information storage and retrieval system without written permission from the copyright
owner, except for brief quotations embodied in critical articles and reviews. 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. To request permission, please contact
Lippincott Williams & Wilkins at 530 Walnut Street, Philadelphia, PA 19106, via email at
, or via our website at lww.com (products and services).
9 8 7 6 5 4 3 2 1
Printed in China
ISBN: 978-0-7817-8594-5
Care has been taken to confirm the accuracy of the information presented and to describe
generally accepted practices. However, the author(s), 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, expressed or implied, with respect to the currency, completeness,
or accuracy of the contents of the publication. Application of this information in a particular
situation remains the professional responsibility of the practitioner; the clinical treatments
described and recommended may not be considered absolute and universal recommendations.
The author(s), 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
, This book is dedicated to
. . . my son, Brian, and my daughter, Susan, whose career choices reflect their commitment and appreciation
of lifelong learning and teaching
. . . my students whose energy, motivation, and dedication to learning challenges and enriches
my professional life
