The seventh volume of the book series focuses on the use of tofacitinib for managing rheumatoid arthritis (RA). The book may serve as a clinical guide to assist healthcare professionals for using the drug safely and effectively, thereby to improve the prescription practice. In the past one decade, tofacitinib has emerged as a potent target synthetic (ts) DMARD for managing RA. The availability of the generic form in global markets has improved its accessibility and clinical use. The drug though very effective in the management of RA, has narrow therapeutic to toxicity ratio. The drug needs to be prescribed with caution. There are set guidelines and pre-introduction evaluation of the drug for safety and probable adverse events. The guidelines and recommendations provided in this book may help to clarify the uncertainties related to tofacitinib prescription. To improve the patient’s compliance, it is critical that the physician provides all the necessary information to the patient. Additionally, the clinician should have thorough knowledge on managing special circumstances, including drug-related complications. The content includes a brief introduction of the drug, followed by questions and answers explaining different clinical scenarios. The author has attempted to address almost all plausible clinical scenarios involved in the RA management using tofacitinib.
Volume -5 focuses on two drugs ‘Sulfasalazine’ and ‘Hydroxychloroquine’. They have been in clinical use for over 50 years and they were the recommended first choice for managing rheumatoid arthritis prior to the introduction of methotrexate aggressive therapy and pyramidal approach in DMARD prescription. The lack of further studies and probable bias in the clinical trials toward biologics have made these drugs less preferred in routine clinical practice. The present volume provides the most up-to-date information regarding the current status, safety and efficacy, adverse events, and the precautionary measures to be adopted while prescribing these drugs
The third volume of the book series has focused on the use of methotrexate (MTX) for managing rheumatoid arthritis (RA). The book is written with an intention to develop a clinical guide to assist healthcare professionals for using the drug safely and effectively, thereby to improve the prescription practice. In the past two decades, MTX has emerged as the gold standard DAMRD treatment for managing RA. The prescription of MTX has also changed significantly based on the accumulated experience from clinical practice. However, the assessment of the prescription patterns indicates the lack of evidence-based guidelines for prescribing the drug. The guidelines and recommendations provided in this book may help to clarify the uncertainties related to MTX prescription. To improve the patients’ compliance, it is critical that the physician should provide necessary information about the drug to the patient. Additionally, the clinician should have thorough knowledge on managing special circumstances, including the development of drug-related complications. The content includes a brief introduction of the drug, followed by questions and answers explaining different clinical scenarios. The author has attempted to address almost all plausible clinical scenarios involved in the RA management using MTX.
The DMARDs discussed in the present volume are second-line drugs used in the management of RA, though they had occupied the first position during the early years of DMARD development. Since the clinical experiences with the drugs like AZA, cyclophosphamide, gold salts, and cyclosporine were good; they were the first treatment of choice during the 70s to 90s. Experience with newer group of DMARDs especially MTX and biologics, have altered the treatment recommendations. However, the clinical experience and evidence regarding the use of these drugs are comparatively lesser. A clear consensus and further exploration of their clinical use may help in re-establishing and defining the role. However, The clinical data suggests that these drugs possess marginal toxicity/therapeutic ratio. the purpose of this book is to introduce these drugs to the readers and facilitate the experts to handle these drugs with extreme caution, since they are often used in RA patients who have extra-articular features or those who are refractory to regularly used DMARDs.
Rheumatoid arthritis is an inflammatory autoimmune disease, which may result in severe disabilities and deformities if not diagnosed early and managed with adequate dose of DMARDs. The early diagnosis is often impaired by initial atypical presentations and its close mimic to other autoimmune rheumatic diseases. From the point of diagnosis to treatment of the disease, the practicing rheumatologist confronts various challenges. With an intention to address such challenges and to develop a quick reference guide for all clinicians, author started publishing the question and answer series on rheumatoid arthritis since 2012. The answers provided are substantiated by well-accepted guidelines, literature evidence and clinical experience. These answers can assist decision making in diverse clinical circumstances. Author has made a sincere attempt to make the complied volume more scenario-oriented.
An Aid to the MRCP PACES Volume 3: Station 5 is a brand new, fully updated edition of the best-selling PACES revision guide to address the newest Station, covering Integrated Clinical Assessment, with content guided by the experiences of PACES candidates. The cases and scenarios have been written in accordance with the latest examining and marking schemes used for the exam providing an invaluable training and revision aid for all MRCP PACES candidates. In order to fully support candidates taking the exam, this trilogy of best-selling revision aids is now presented as: An Aid to the MRCP PACES Volume 1: Stations 1 and 3, Fourth Edition 9780470655092 An Aid to the MRCP PACES Volume 2: Stations 2 and 4, Fourth Edition 9780470655184 An Aid to the MRCP PACES Volume 3: Station 5, Fourth Edition 9781118348055
Over the past three decades, more and more nursing educators have turned to Lewis: Medical-Surgical Nursing for its accurate and up-to-date coverage of the latest trends, hot topics, and clinical developments in the field of medical-surgical nursing — and the new ninth edition is no exception! Written by a dedicated team of expert authors led by Sharon Lewis, Medical-Surgical Nursing, 9th Edition offers the same easy-to-read style that students have come to love, along with the timely and thoroughly accurate content that educators have come to trust. Completely revised and updated content explores patient care in various clinical settings and focuses on key topics such as prioritization, critical thinking, patient safety, and NCLEX® exam preparation. Best of all — a complete collection of interactive student resources creates a more engaging learning environment to prepare you for clinical practice. Highly readable format gives you a strong foundation in medical-surgical nursing. Content written and reviewed by leading experts in the field ensures that the information is comprehensive, current, and clinically accurate. Bridge to NCLEX Examination review questions at the end of each chapter reinforce key content while helping you prepare for the NCLEX examination with both standard and alternate item format questions. UNIQUE! "Levels of Care" approach explains how nursing care varies for different levels of health and illness. More than 50 comprehensive nursing care plans in the book and online incorporate NIC, NOC, and current NANDA diagnoses, defining characteristics, expected outcomes, specific nursing interventions with rationales, evaluation criteria, and collaborative problems. Over 800 full-color illustrations and photographs clearly demonstrate disease processes and related anatomy and physiology. NEW! Unfolding case studies included throughout each assessment chapter help you apply important concepts and procedures to real-life patient care. NEW! Managing Multiple Patients case studies at the end of each section give you practice applying your knowledge of various disorders and help you prioritize and delegate patient care. NEW! Informatics boxes discuss how technology is used by nurses and patients in health care settings. NEW! Expanded coverage of evidence-based practice helps you understand how to apply the latest research to real-life patient care. NEW! Expanded Safety Alerts throughout the book cover surveillance for high-risk situations. NEW! Separate chapter on genetics expands on this key topic that impacts nearly every condition with a focus on the practical application to nursing care of patients. NEW! Expanded coverage of delegation includes additional Delegation Decisions boxes covering issues such as hypertension and postoperative patient care. NEW! Genetic Risk Alerts and Genetic Link headings highlight specific genetic issues related to body system assessments and disorders. NEW! Revised art program enhances the book’s visual appeal and lends a more contemporary look throughout.
More than 30 new contributors participated in this new edition, allowing you to learn from experts in each field. Unique! Rheumatic Disorders chapter covers disorders such as arthritis, gout, fibromyalgia, and systemic lupus erythematosus, including pathophysiology, a description of the inflammation, and pharmacological and non-pharmacological interventions. Unique! Pain and Pain Syndromes chapter covers types of pain, pain mechanisms, its measurement, and its management. Unique! Bracing, Orthotics, and Prosthetics chapter outlines the types of materials used to construct braces, orthotics, and prosthetics; the use of each unit by anatomic area; their biomechanics; the indications and contraindications for each; as well as an introduction to amputation.
Prepare for success in the classroom! Corresponding to the chapters in the 9th edition of Lewis' market-leading Medical-Surgical Nursing, this study guide offers a complete review of content and a wide range of activities to help you understand key nursing concepts. Alternate item format questions reflect the most current NCLEX test plan. To make studying easier, answers for all exercises are included in the back of the book. A wide variety of clinically relevant exercises and activities includes NCLEX examination-style multiple-choice questions, prioritization and delegation questions, case studies, fill-in-the-blank questions, anatomy and physiology review, critical thinking activities, and more. Answers to all questions are included in the back of the book, giving you immediate feedback as you study. Additional alternate item format questions incorporating prioritization and delegation are included to better prepare you for the most current NCLEX exam. Attractive two-color design ties the study guide to the textbook.
