.
, HilloGlobaloEducationoHoldings,oLLC.oNototoobeoredistributedooromodifiedoinoanyowayowithoutopermission.
Downloadedobyo[oFacultyoofoNursing,oChiangmaioUniversityo5.62.158.117]oato[07/18/16].oCopyrighto©oMcGraw-
Notice
Medicineoisoanoever-changingoscience.oAsoneworesearchoandoclinicaloexpe-
orienceobroadenoouroknowledge,ochangesoinotreatmentoandodrugotherapyoareorequired.oT
heoauthorsoandotheopublisheroofothisoworkohaveocheckedowithosourcesobelievedotoobeore
liableoinotheiroeffortsotooprovideoinforma-
otiono thatoisocompleteoando generallyoino accordo witho theo standardsoaccepted o atotheotimeoofop
ublication.oHowever,oinoviewoofotheopossibilityoofohumanoerroroorochangesoinomedicalos
ciences,oneitherotheoauthorsonorotheopub-
olisheronoroanyootheropartyowhoohasobeenoinvolvedoinotheopreparationooropublicionoofoth
isoworkowarrantsothatotheoinformationocontainedohereinoisoinoeveryorespectoaccurateooroc
omplete,oandotheyodisclaimoalloresponsi-
obilityoforoanyoerrorsooroomissionsooroforotheoresultsoobtainedofromouseoofotheoinformatio
nocontainedoinothisowork.oReadersoareoencouragedotoocon-
ofirmotheoinformationocontainedohereinowithootherosources.oForoexampleoandoinoparticul
ar,oreadersoareoadvisedotoocheckotheoproductoinformationosheetoincludedoinotheopackageo
ofoeachodrugotheyoplanotooadministerotoobeocertainothatotheoinformationocontainedoinothis
oworkoisoaccurateoandothatochangesohaveonotobeenomadeoinotheorecommendedodoseoor
oinotheocon-
otraindicationsoforoadministration.oThisorecommendationoisoofoparticularoimportanceoin
oconnectionowithonewooroinfrequentlyousedodrugs.
, Essentials of Nursin
HilloGlobaloEducationoHoldings,oLLC.oNototoobeoredistributedooromodifiedoinoanyowayowithoutopermission.
Downloadedobyo[oFacultyoofoNursing,oChiangmaioUniversityo5.62.158.117]oato[07/18/16].oCopyrighto©oMcGraw-
o o
g Informatics Study
o o o
Guide
Juliana J. Brixey PhD, MPH, MSN, RN
o o o o o o
AssociateoProfessor
UniversityoofoTexasoHealthoScienceoCenteroatoHoustonoPrincipal/Own
er
J3BrixeyoConsulting, oLLC
Jack E. Brixey MS, MT(ASCP)
o o o o
Principal/OwneroJ3Brixe
yoConsulting,oLLCoHoust
on,oTexas
Virginia K. Saba, EdD, RN, FAAN, FACMI
o o o o o o
CEOoandoPresidentoSab
aCare,oInc.oArlington,oV
irginia
DistinguishedoScholar,oEmerituso
GeorgetownoUniversityoWashingt
on,oDistrictoofoColumbiaoProfessor
,oAdjunct
UniformedoServicesoUniversityoBethesd
a,oMaryland
Kathleen A. McCormick, PhD, RN, FAAN, FACMI, FHIMSS
o o o o o o o
Principal/OwneroSciMin
d,oLLC
Northo Potomac,o Maryland
NewoYorko•oChicagoo•oSanoFranciscoo•oAthenso•oLondono•oMadrido•oMexicooCityoM
ilano•oNewoDelhio•oSingaporeo•oSydneyo•oToronto
, Copyrighto©o2016obyoMcGraw-
HilloEducation.oAllorightsoreserved.oExceptoasopermittedounderotheoUnitedoStatesoCopyrightoActoofo1976,onoopartoofothisopublicationomayobeo reproducedoorodistributedoin
oanyoformoorobyoanyomeans,oorostoredoinoaodatabaseoororetrievalosystem,owithoutotheopriorowrittenopermissionoofotheopublisher,owithotheoexceptiono thatotheoprogramolisti
ngsomayobeoentered,ostored,oandoexecutedoinoaocomputerosystem,obutotheyomayonotobeoreproducedoforopublication.
ISBN:o 978-0-07-184587-8
HilloGlobaloEducationoHoldings,oLLC.oNototoobeoredistributedooromodifiedoinoanyowayowithoutopermission.
Downloadedobyo[oFacultyoofoNursing,oChiangmaioUniversityo5.62.158.117]oato[07/18/16].oCopyrighto©oMcGraw-
MHID:o 0-07-184587-9
TheomaterialoinothisoeBookoalsooappearsoinotheoprintoversionoofothisotitle:oISBN:o978-0-07-184589-
2,o MHID:o0-07-184589-5.
eBookoconversionobyocodeMantrao Versi
ono1.0
Allotrademarksoareotrademarksoofotheirorespectiveoowners.oRatherothanoputoaotrademarkosymboloafteroeveryooccurrenceoofoaotrademarkedoname,oweouseonamesoinoanoedito
rialo fashionoonly,oandotootheobenefitoofotheotrademarkoowner,owithonoointentionoofoinfringementoofotheotrademark.oWhereosuchodesignationsoappearoinothisobook,otheyoha
veobeeno printedowithoinitialocaps.
McGraw-
HilloEducationoeBooksoareoavailableoatospecialoquantityodiscountsotoouseoasopremiumsoandosalesopromotionsooro forouseoinocorporateotrainingoprograms.oToocontacto aore
presentative,opleaseovisitotheoContactoUsopageoatowww.mhprofessional.com.
TERMSoOFoUSE
ThisoisoaocopyrightedoworkoandoMcGraw-
HilloEducationoandoitsolicensorsoreserveoallorightsoinoandotootheowork.oUseoofothisoworkoisosubjectotootheseoterms.oExceptoasopermittedo underotheoCopyrightoActoofo1976oa
ndotheorightotoostoreoandoretrieveooneocopyoofotheowork,oyouomayonotodecompile,odisassemble,oreverseoengineer,oreproduce,omodify,ocreateo derivativeoworksobasedoupon
,otransmit,odistribute,odisseminate,osell,opublishoorosublicenseotheoworkooroanyopartoofoitowithoutoMcGraw-
HilloEducation’soprioroconsent.oYouo mayouseotheoworkoforoyouroownononcommercialoandopersonalouse;oanyootherouseoofotheoworkoisostrictlyoprohibited.oYourorightotoous
eotheoworkomayobeoterminatedoifoyouofailo toocomplyowithotheseoterms.
THEoWORKoISoPROVIDEDo“ASoIS.”oMcGRAW-
HILLoEDUCATIONoANDoITSoLICENSORSoMAKEoNOoGUARANTEESoORoWARRANTIESoASoTOoTHEo ACCURACY,oADEQUACYoORoCOMPLETENESSoOFo
ORoRESULTSoTOoBEoOBTAINEDoFROMoUSINGoTHEoWORK,oINCLUDINGoANYoINFORMATIONoTHATo CANoBEoACCESSEDoTHROUGHoTHEoWORKoVIA
oHYPERLINKoORoOTHERWISE,oANDo EXPRESSLYoDISCLAIMoANYoWARRANTY,oEXPRESSoORoIMPLIED, o INCLUDINGoBUToNOToLIMITEDoTOoIMPLIED
oWARRANTIESoOFoMERCHANTABILITYoORoFITNESSoFORoAoPARTICULARoPURPOSE.oMcGraw-HilloEducation
andoitsolicensorsodoonotowarrantooroguaranteeothatotheofunctionsocontainedoinotheoworkowillomeetoyourorequirementsoorothatoitsooperationowillobeouninterruptedooroerrorofr
ee.o NeitheroMcGraw-
HilloEducationonoroitsolicensorsoshallobeoliableotooyouooroanyoneoelseoforoanyoinaccuracy,oerrorooroomission,oregardlessoofocause,oinotheoworkooroforoanyo damagesoresulti
ngotherefrom.oMcGraw-HilloEducationohasonooresponsibilityoforotheocontentoofoanyoinformationoaccessedothroughotheowork.oUnderonoocircumstancesoshallo McGraw-
HilloEducationoand/oroitsolicensorsobeoliableoforoanyoindirect,oincidental,ospecial,opunitive,oconsequentialoorosimilarodamagesothatoresultofromotheouseoofooroinabilityo toous
eotheowork,oevenoifoanyoofothemohasobeenoadvisedoofotheopossibilityoofosuchodamages.oThisolimitationoofoliabilityoshalloapplyotooanyoclaimoorocauseowhatsoeverowhethero
suchoclaimoorocauseoarisesoinocontract,otortoorootherwise.
, HilloGlobaloEducationoHoldings,oLLC.oNototoobeoredistributedooromodifiedoinoanyowayowithoutopermission.
Downloadedobyo[oFacultyoofoNursing,oChiangmaioUniversityo5.62.158.117]oato[07/18/16].oCopyrighto©oMcGraw-
Notice
Medicineoisoanoever-changingoscience.oAsoneworesearchoandoclinicaloexpe-
orienceobroadenoouroknowledge,ochangesoinotreatmentoandodrugotherapyoareorequired.oT
heoauthorsoandotheopublisheroofothisoworkohaveocheckedowithosourcesobelievedotoobeore
liableoinotheiroeffortsotooprovideoinforma-
otiono thatoisocompleteoando generallyoino accordo witho theo standardsoaccepted o atotheotimeoofop
ublication.oHowever,oinoviewoofotheopossibilityoofohumanoerroroorochangesoinomedicalos
ciences,oneitherotheoauthorsonorotheopub-
olisheronoroanyootheropartyowhoohasobeenoinvolvedoinotheopreparationooropublicionoofoth
isoworkowarrantsothatotheoinformationocontainedohereinoisoinoeveryorespectoaccurateooroc
omplete,oandotheyodisclaimoalloresponsi-
obilityoforoanyoerrorsooroomissionsooroforotheoresultsoobtainedofromouseoofotheoinformatio
nocontainedoinothisowork.oReadersoareoencouragedotoocon-
ofirmotheoinformationocontainedohereinowithootherosources.oForoexampleoandoinoparticul
ar,oreadersoareoadvisedotoocheckotheoproductoinformationosheetoincludedoinotheopackageo
ofoeachodrugotheyoplanotooadministerotoobeocertainothatotheoinformationocontainedoinothis
oworkoisoaccurateoandothatochangesohaveonotobeenomadeoinotheorecommendedodoseoor
oinotheocon-
otraindicationsoforoadministration.oThisorecommendationoisoofoparticularoimportanceoin
oconnectionowithonewooroinfrequentlyousedodrugs.
, Essentials of Nursin
HilloGlobaloEducationoHoldings,oLLC.oNototoobeoredistributedooromodifiedoinoanyowayowithoutopermission.
Downloadedobyo[oFacultyoofoNursing,oChiangmaioUniversityo5.62.158.117]oato[07/18/16].oCopyrighto©oMcGraw-
o o
g Informatics Study
o o o
Guide
Juliana J. Brixey PhD, MPH, MSN, RN
o o o o o o
AssociateoProfessor
UniversityoofoTexasoHealthoScienceoCenteroatoHoustonoPrincipal/Own
er
J3BrixeyoConsulting, oLLC
Jack E. Brixey MS, MT(ASCP)
o o o o
Principal/OwneroJ3Brixe
yoConsulting,oLLCoHoust
on,oTexas
Virginia K. Saba, EdD, RN, FAAN, FACMI
o o o o o o
CEOoandoPresidentoSab
aCare,oInc.oArlington,oV
irginia
DistinguishedoScholar,oEmerituso
GeorgetownoUniversityoWashingt
on,oDistrictoofoColumbiaoProfessor
,oAdjunct
UniformedoServicesoUniversityoBethesd
a,oMaryland
Kathleen A. McCormick, PhD, RN, FAAN, FACMI, FHIMSS
o o o o o o o
Principal/OwneroSciMin
d,oLLC
Northo Potomac,o Maryland
NewoYorko•oChicagoo•oSanoFranciscoo•oAthenso•oLondono•oMadrido•oMexicooCityoM
ilano•oNewoDelhio•oSingaporeo•oSydneyo•oToronto
, Copyrighto©o2016obyoMcGraw-
HilloEducation.oAllorightsoreserved.oExceptoasopermittedounderotheoUnitedoStatesoCopyrightoActoofo1976,onoopartoofothisopublicationomayobeo reproducedoorodistributedoin
oanyoformoorobyoanyomeans,oorostoredoinoaodatabaseoororetrievalosystem,owithoutotheopriorowrittenopermissionoofotheopublisher,owithotheoexceptiono thatotheoprogramolisti
ngsomayobeoentered,ostored,oandoexecutedoinoaocomputerosystem,obutotheyomayonotobeoreproducedoforopublication.
ISBN:o 978-0-07-184587-8
HilloGlobaloEducationoHoldings,oLLC.oNototoobeoredistributedooromodifiedoinoanyowayowithoutopermission.
Downloadedobyo[oFacultyoofoNursing,oChiangmaioUniversityo5.62.158.117]oato[07/18/16].oCopyrighto©oMcGraw-
MHID:o 0-07-184587-9
TheomaterialoinothisoeBookoalsooappearsoinotheoprintoversionoofothisotitle:oISBN:o978-0-07-184589-
2,o MHID:o0-07-184589-5.
eBookoconversionobyocodeMantrao Versi
ono1.0
Allotrademarksoareotrademarksoofotheirorespectiveoowners.oRatherothanoputoaotrademarkosymboloafteroeveryooccurrenceoofoaotrademarkedoname,oweouseonamesoinoanoedito
rialo fashionoonly,oandotootheobenefitoofotheotrademarkoowner,owithonoointentionoofoinfringementoofotheotrademark.oWhereosuchodesignationsoappearoinothisobook,otheyoha
veobeeno printedowithoinitialocaps.
McGraw-
HilloEducationoeBooksoareoavailableoatospecialoquantityodiscountsotoouseoasopremiumsoandosalesopromotionsooro forouseoinocorporateotrainingoprograms.oToocontacto aore
presentative,opleaseovisitotheoContactoUsopageoatowww.mhprofessional.com.
TERMSoOFoUSE
ThisoisoaocopyrightedoworkoandoMcGraw-
HilloEducationoandoitsolicensorsoreserveoallorightsoinoandotootheowork.oUseoofothisoworkoisosubjectotootheseoterms.oExceptoasopermittedo underotheoCopyrightoActoofo1976oa
ndotheorightotoostoreoandoretrieveooneocopyoofotheowork,oyouomayonotodecompile,odisassemble,oreverseoengineer,oreproduce,omodify,ocreateo derivativeoworksobasedoupon
,otransmit,odistribute,odisseminate,osell,opublishoorosublicenseotheoworkooroanyopartoofoitowithoutoMcGraw-
HilloEducation’soprioroconsent.oYouo mayouseotheoworkoforoyouroownononcommercialoandopersonalouse;oanyootherouseoofotheoworkoisostrictlyoprohibited.oYourorightotoous
eotheoworkomayobeoterminatedoifoyouofailo toocomplyowithotheseoterms.
THEoWORKoISoPROVIDEDo“ASoIS.”oMcGRAW-
HILLoEDUCATIONoANDoITSoLICENSORSoMAKEoNOoGUARANTEESoORoWARRANTIESoASoTOoTHEo ACCURACY,oADEQUACYoORoCOMPLETENESSoOFo
ORoRESULTSoTOoBEoOBTAINEDoFROMoUSINGoTHEoWORK,oINCLUDINGoANYoINFORMATIONoTHATo CANoBEoACCESSEDoTHROUGHoTHEoWORKoVIA
oHYPERLINKoORoOTHERWISE,oANDo EXPRESSLYoDISCLAIMoANYoWARRANTY,oEXPRESSoORoIMPLIED, o INCLUDINGoBUToNOToLIMITEDoTOoIMPLIED
oWARRANTIESoOFoMERCHANTABILITYoORoFITNESSoFORoAoPARTICULARoPURPOSE.oMcGraw-HilloEducation
andoitsolicensorsodoonotowarrantooroguaranteeothatotheofunctionsocontainedoinotheoworkowillomeetoyourorequirementsoorothatoitsooperationowillobeouninterruptedooroerrorofr
ee.o NeitheroMcGraw-
HilloEducationonoroitsolicensorsoshallobeoliableotooyouooroanyoneoelseoforoanyoinaccuracy,oerrorooroomission,oregardlessoofocause,oinotheoworkooroforoanyo damagesoresulti
ngotherefrom.oMcGraw-HilloEducationohasonooresponsibilityoforotheocontentoofoanyoinformationoaccessedothroughotheowork.oUnderonoocircumstancesoshallo McGraw-
HilloEducationoand/oroitsolicensorsobeoliableoforoanyoindirect,oincidental,ospecial,opunitive,oconsequentialoorosimilarodamagesothatoresultofromotheouseoofooroinabilityo toous
eotheowork,oevenoifoanyoofothemohasobeenoadvisedoofotheopossibilityoofosuchodamages.oThisolimitationoofoliabilityoshalloapplyotooanyoclaimoorocauseowhatsoeverowhethero
suchoclaimoorocauseoarisesoinocontract,otortoorootherwise.
