Pediatric Primary Care: Practice Guidelines for Nurses

Description

Pediatric Primary Care: Practice Guidelines for Nurses, Fourth Edition is a comprehensive resource for well-child management and acute care management of childhood illnesses in a primary care setting. Written by practicing experts, this text is intended for advanced practice nursing students as a quick reference guide once they enter clinical practice. To manage initial and follow-up visits, the Fourth Edition features templates for gathering first visit history, as well as a template to record new information since the last visit. Instructions for gathering medical history information are also included. The Fourth Edition is divided into two sections. The first section covers well-child care and includes new patient intake with a family, well-child visits, and normal growth and development. The second section covers common childhood disorders in each system of the body. It is organized by body system and presents common medical conditions, diagnosis, treatment, complications, and patient/family education. New to the Fourth Edition: Updated pediatric practice guidelines Coverage of concussions and guidelines for safe return to activities Additional content related to screening for child abuse Images reflecting common childhood dermatological conditions Links to the current immunization schedule from the CDC and STI diagnosis and treatment Updated case studies Pediatric Assessment Child Health Pediatric Health Common Pediatric Management Issues Cover......Page 1 Title Page......Page 2 Copyright......Page 3 Contents......Page 4 Preface......Page 18 Acknowledgments......Page 20 Contributors......Page 22 SECTION ONE Child Health Care......Page 28 PAST HISTORY......Page 30 REVIEW OF SYSTEMS......Page 32 FAMILY HISTORY......Page 33 SOCIAL HISTORY......Page 34 BIBLIOGRAPHY......Page 35 THE INTERVAL HISTORY......Page 36 FOCUSED HISTORY......Page 41 BIBLIOGRAPHY......Page 44 PEDIATRIC PHYSICAL EXAMINATION......Page 46 BIBLIOGRAPHY......Page 52 CHAPTER 4 Making Newborn Rounds......Page 54 REVIEW OF THE INDIVIDUAL RECORDS......Page 55 PHYSICAL ASSESSMENT OF THE NEWBORN......Page 56 ABNORMAL PHYSICAL FINDINGS (CONSULT WITH STAFF PHYSICIAN AND/OR REFER FOR EVALUATION, AS INDICATED)......Page 58 MEETING WITH THE PARENT......Page 59 ELIMINATION......Page 60 SOCIAL DEVELOPMENT......Page 61 SAFETY/ANTICIPATORY GUIDANCE......Page 62 DISCHARGE TO HOME......Page 63 BIBLIOGRAPHY......Page 64 PHYSIOLOGY OF LACTATION......Page 66 HUMAN MILK......Page 67 CONTRAINDICATIONS FOR BREASTFEEDING......Page 68 BREASTFEEDING IN THE EARLY DAYS......Page 69 SEPARATION OF MOTHER AND INFANT......Page 78 SUPPORTING BREASTFEEDING PAST THE EARLY DAYS......Page 79 COMMON PROBLEMS......Page 81 HELPFUL BREASTFEEDING RESOURCES......Page 86 BIBLIOGRAPHY......Page 88 OROFACIAL CLEFTS......Page 90 SPINA BIFIDA......Page 92 TURNER SYNDROME......Page 94 DOWN SYNDROME......Page 95 FETAL ALCOHOL SPECTRUM DISORDERS......Page 97 PRADER-WILLI SYNDROME......Page 98 FRAGILE X SYNDROME......Page 100 BIBLIOGRAPHY......Page 101 GENERAL IMPRESSION......Page 102 NUTRITION......Page 103 GROWTH AND DEVELOPMENT......Page 104 SAFETY/ANTICIPATORY GUIDANCE......Page 105 BIBLIOGRAPHY......Page 107 NUTRITION......Page 108 SLEEP......Page 109 GROWTH AND DEVELOPMENT......Page 110 SAFETY/ANTICIPATORY GUIDANCE......Page 111 BIBLIOGRAPHY......Page 112 NUTRITION......Page 114 GROWTH AND DEVELOPMENT......Page 115 IMMUNIZATIONS......Page 116 SAFETY/ANTICIPATORY GUIDANCE......Page 117 BIBLIOGRAPHY......Page 118 NUTRITION......Page 120 SLEEP......Page 121 SOCIAL DEVELOPMENT......Page 122 SAFETY/ANTICIPATORY GUIDANCE......Page 123 BIBLIOGRAPHY......Page 124 NUTRITION......Page 126 GROWTH AND DEVELOPMENT......Page 127 SAFETY/ANTICIPATORY GUIDANCE......Page 128 BIBLIOGRAPHY......Page 129 NUTRITION......Page 132 SLEEP......Page 133 SOCIAL DEVELOPMENT......Page 134 ANTICIPATORY GUIDANCE......Page 135 BIBLIOGRAPHY......Page 136 NUTRITION......Page 138 SLEEP......Page 139 SOCIAL DEVELOPMENT......Page 140 SAFETY......Page 141 ANTICIPATORY GUIDANCE......Page 142 BIBLIOGRAPHY......Page 143 NUTRITION......Page 144 ELIMINATION: TOILET TRAINING......Page 146 SLEEP......Page 147 GROWTH AND DEVELOPMENT......Page 148 SOCIAL DEVELOPMENT......Page 149 SAFETY......Page 150 OTHER SCREENINGS IF RISK ASSESSMENT INDICATES......Page 152 ANTICIPATORY GUIDANCE......Page 153 BIBLIOGRAPHY......Page 154 NUTRITION......Page 156 GROWTH AND DEVELOPMENT......Page 157 SAFETY......Page 158 ANTICIPATORY GUIDANCE......Page 159 BIBLIOGRAPHY......Page 161 ELIMINATION......Page 162 SOCIAL DEVELOPMENT......Page 163 ANTICIPATORY GUIDANCE......Page 164 BIBLIOGRAPHY......Page 165 NUTRITION......Page 166 GROWTH AND DEVELOPMENT......Page 167 SOCIAL DEVELOPMENT......Page 168 SAFETY......Page 169 ANTICIPATORY GUIDANCE......Page 170 SCHOOL READINESS......Page 172 BIBLIOGRAPHY......Page 173 CHAPTER 18 Seven- to Ten-Year Visit (School Age)......Page 174 NUTRITION......Page 175 SLEEP......Page 176 GROWTH AND DEVELOPMENT......Page 177 COGNITIVE AND SOCIAL DEVELOPMENT......Page 180 SAFETY/ANTICIPATORY GUIDANCE......Page 181 BIBLIOGRAPHY......Page 189 NUTRITION......Page 192 GROWTH AND DEVELOPMENT......Page 193 SOCIAL DEVELOPMENT......Page 195 ANTICIPATORY GUIDANCE......Page 196 BIBLIOGRAPHY......Page 198 GENERAL IMPRESSION......Page 200 NUTRITION......Page 201 ELIMINATION......Page 203 SLEEP......Page 204 GROWTH AND DEVELOPMENT......Page 206 SOCIAL DEVELOPMENT......Page 207 IMMUNIZATIONS......Page 209 SAFETY......Page 210 ANTICIPATORY GUIDANCE......Page 211 BIBLIOGRAPHY......Page 214 SECTION TWO Common Childhood Disorders......Page 216 CHAPTER 21 Dermatological Problems......Page 218 ACNE......Page 219 ATOPIC DERMATITIS/ECZEMA......Page 227 IMPETIGO/MRSA......Page 232 CONTACT DERMATITIS......Page 234 URTICARIA......Page 237 TINEA VERSICOLOR (PITYRAISIS VERSICOLOR)......Page 239 TINEA CAPITIS......Page 241 TINEA CORPORIS......Page 243 TINEA PEDIS......Page 244 HEAD LICE (PEDICULOSIS HUMANUS CAPITIS)......Page 245 SCABIES......Page 248 SEBORRHEIC DERMATITIS......Page 250 VERRUCA VULGARIS......Page 252 MOLLUSCUM CONTAGIOSUM......Page 255 CUTANEOUS DRUG REACTIONS......Page 258 BIBLIOGRAPHY......Page 261 ALLERGIC CONJUNCTIVITIS......Page 264 BACTERIAL CONJUNCTIVITIS......Page 265 CHLAMYDIAL CONJUNCTIVITIS......Page 267 VIRAL CONJUNCTIVITIS......Page 269 CONGENITAL NASOLACRIMAL DUCT OBSTRUCTION (DACRYOSTENOSIS)......Page 270 BLEPHARITIS......Page 272 HORDEOLUM......Page 274 CHALAZION......Page 275 CHEMICAL BURN......Page 276 CORNEAL ABRASION (SUPERFICIAL)......Page 277 FOREIGN BODY (CONJUNCTIVAL, CORNEAL)......Page 278 HEMORRHAGE (SUBCONJUNCTIVAL)......Page 279 HYPHEMA......Page 280 OCULAR TRAUMA......Page 281 PRESEPTAL CELLULITIS (PERIORBITAL CELLULITIS)......Page 283 STRABISMUS......Page 284 AMBLYOPIA......Page 285 BIBLIOGRAPHY......Page 286 FOREIGN BODY......Page 288 HEARING LOSS: CONDUCTIVE, SENSORINEURAL......Page 290 OTITIS EXTERNA......Page 294 ACUTE OTITIS MEDIA......Page 298 OTITIS MEDIA WITH EFFUSION......Page 307 EUSTACHIAN TUBE DYSFUNCTION......Page 310 BIBLIOGRAPHY......Page 312 ALLERGIC RHINITIS......Page 314 RECURRENT APHTHOUS STOMATITIS......Page 318 CAT-SCRATCH DISEASE......Page 321 CERVICAL LYMPHADENITIS......Page 324 EPISTAXIS......Page 330 FOREIGN BODY, NASAL......Page 333 INFECTIOUS MONONUCLEOSIS......Page 335 PHARYNGITIS......Page 340 RHINOSINUSITIS......Page 345 BIBLIOGRAPHY......Page 349 CROUP......Page 352 BRONCHIOLITIS......Page 356 INFLUENZA......Page 360 BRONCHITIS......Page 364 PERTUSSIS......Page 367 ASTHMA......Page 372 PNEUMONIA......Page 389 BIBLIOGRAPHY......Page 397 CHEST PAIN......Page 400 HYPERTENSION......Page 405 INNOCENT HEART MURMURS......Page 410 SYNCOPE......Page 415 KAWASAKI DISEASE......Page 417 RHEUMATIC FEVER......Page 421 BIBLIOGRAPHY......Page 426 ABDOMINAL PAIN, ACUTE......Page 428 ABDOMINAL PAIN, CHRONIC: FUNCTIONAL ABDOMINAL PAIN–NOS, CHILD/ADOLESCENT......Page 431 COLIC......Page 434 CONSTIPATION......Page 437 DIARRHEA, ACUTE......Page 441 ENCOPRESIS......Page 447 GASTROESOPHAGEAL REFLUX DISEASE......Page 449 HERNIA, INGUINAL......Page 452 HERNIA, UMBILICAL......Page 455 INTUSSUSCEPTION......Page 456 IRRITABLE BOWEL SYNDROME......Page 458 PEPTIC ULCER DISEASE......Page 461 PINWORMS (ENTEROBIASIS)......Page 465 PYLORIC STENOSIS......Page 467 VIRAL GASTROENTERITIS......Page 468 VOMITING, ACUTE......Page 470 BIBLIOGRAPHY......Page 474 MALE GENITALIA DISORDERS......Page 476 ANXIETY DISORDERS......Page 700 HYDROCELE......Page 478 EPIDIDYMITIS......Page 480 HYPOSPADIAS/CHORDEE......Page 483 PHIMOSIS......Page 485 MEATAL STENOSIS......Page 486 FEMALE GENITALIA DISORDERS......Page 487 PEDIATRIC URINARY TRACT INFECTIONS......Page 489 HEMATURIA......Page 495 PROTEINURIA......Page 498 BIBLIOGRAPHY......Page 501 AMENORRHEA......Page 502 CHLAMYDIAL INFECTION......Page 505 DYSMENORRHEA......Page 507 GENITAL HERPES......Page 509 GENITAL WARTS......Page 512 GONORRHEA......Page 514 SYPHILIS......Page 516 TRICHOMONAS......Page 519 VULVOVAGINITIS......Page 520 BIBLIOGRAPHY......Page 522 HYPERTHYROIDISM......Page 524 HYPOTHYROIDISM......Page 527 SHORT STATURE......Page 530 DIABETES MELLITUS......Page 533 TYPE 2 DIABETES......Page 540 STEROID USE WITH ATHLETES......Page 542 POLYCYSTIC OVARY SYNDROME/DISEASE......Page 545 METABOLIC SYNDROME......Page 547 BIBLIOGRAPHY......Page 549 INJURIES: SPRAIN, STRAIN, OVERUSE......Page 552 INJURIES: FRACTURE, DISLOCATION......Page 555 BACK PAIN......Page 557 SCOLIOSIS......Page 560 HIP PAIN......Page 561 SEPTIC HIP/SEPTIC ARTHRITIS......Page 562 DEVELOPMENTALLY DISLOCATED HIP......Page 563 TRANSIENT SYNOVITIS......Page 566 HIP PAIN: LEGG-CALVÉ-PERTHES DISEASE......Page 568 HIP PAIN: SLIPPED CAPITAL FEMORAL EPIPHYSIS......Page 569 KNEE PAIN: OSGOOD-SCHLATTER DISEASE......Page 572 PHYSIOLOGIC GENU VARUM (BOW LEGS)......Page 574 IN-TOEING: METATARSUS ADDUCTUS......Page 576 IN-TOEING: TIBIAL TORSION......Page 577 IN-TOEING: FEMORAL ANTEVERSION......Page 580 FOOT PROBLEMS: TALIPES EQUINOVARUS (CLUBBED FOOT)......Page 581 PES PLANUS: FLAT FOOT......Page 582 NURSEMAID’S ELBOW: RADIAL HEAD SUBLUXATION......Page 583 GROWING PAINS......Page 584 COSTOCHONDRITIS......Page 586 OSTEOPOROSIS......Page 587 BIBLIOGRAPHY......Page 588 MENINGITIS......Page 590 ENCEPHALITIS......Page 593 HEAD INJURY......Page 596 CONCUSSION......Page 599 STATUS EPILEPTICUS......Page 610 CONFUSIONAL MIGRAINE......Page 612 MIGRAINES......Page 613 TENSION-TYPE HEADACHES......Page 617 COMMON MEDICATIONS TO TREAT HEADACHES IN CHILDREN......Page 619 FEBRILE SEIZURES......Page 620 GENERALIZED SEIZURES......Page 622 PARTIAL SEIZURES......Page 625 GLOBAL DEVELOPMENTAL DELAY......Page 627 TOURETTE SYNDROME......Page 629 BIBLIOGRAPHY......Page 632 IRON-DEFICIENCY ANEMIA......Page 634 THALASSEMIA......Page 639 LEAD POISONING......Page 642 SICKLE-CELL DISEASE......Page 647 BLEEDING DISORDERS......Page 652 CLOTTING DISORDERS (THROMBOPHILIA)......Page 657 BIBLIOGRAPHY......Page 658 PEDIATRIC OBESITY ASSESSMENT......Page 662 TREATMENT......Page 667 CODING FOR OBESITY AND COMORBIDITIES......Page 671 BIBLIOGRAPHY......Page 673 BEHAVIORAL ASSESSMENT INSTRUMENTS......Page 676 ATTENTION-DEFICIT/HYPERACTIVITY DISORDER......Page 677 AUTISTIC SPECTRUM DISORDER......Page 688 BREATH HOLDING......Page 692 NIGHTMARES AND NIGHT TERRORS......Page 694 SCHOOL REFUSAL......Page 696 BIBLIOGRAPHY......Page 697 EATING DISORDERS......Page 705 MOOD DISORDERS......Page 710 BIBLIOGRAPHY......Page 716 Index......Page 718