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textbook of medical surgical nursing.pdf

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LWBK330-FM_pi-xxvii.qxd 9/2/09 1:03 AM Page ii Aptara

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Twelfth Edition
Copyright © 2010 by Wolters Kluwer Health / Lippincott Williams & Wilkins.
Copyright © 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Copyright © 2004, 2000 by Lippincott
Williams & Wilkins. Copyright © 1996 by Lippincott-Raven Publishers. Copyright © 1992, 1988, 1984, 1980, 1975, 1970,
1964 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
(products and services).
Printed in China.
9 8 7 6 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
Brunner & Suddarth’s textbook of medical-surgical nursing. — 12th ed. /
Suzanne C. Smeltzer ... [et al.].
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-7817-8589-1 (1 volume American ed. : alk. paper) —
ISBN 978-0-7817-8590-7 (2 volume American ed. : alk. paper) —
ISBN 978-1-60831-080-7 (1 volume international ed.) —
ISBN 978-1-60831-088-3 (2 volume international ed.)
1. Nursing. 2. Surgical nursing. I. Brunner, Lillian Sholtis. II.
Smeltzer, Suzanne C. O’Connell. III. Title: Brunner and Suddarth’s
textbook of medical-surgical nursing. IV. Title: Textbook of
medical-surgical nursing.
[DNLM: 1. Nursing Care. 2. Perioperative Nursing. WY 150 B8972
RT41.T46 2010
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.