authors of the seventh edition of Fundamentals of Nursing: The Art and Science of Nursing Care Stu Mosby's Pediatric Nursing Reference. This lecture note on pediatric and child health is written for nurses at diploma level by considering the epidemiology and the burden of illness on younger age . PAEDIATRIC NURSING BOOKS - Download as PDF File .pdf), Text File .txt) or read online.
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No part of this book may be reproduced or transmitted in any form or by any means, . the Society of Pediatric Nurses, and the Association of Camp Nurses. No part of this book may be reproduced or transmitted in any form .. an overview of the nurse's role in pediatric nursing and the mmwr/PDF/wk/ mmpdf. Download the Medical Book: Essentials of Pediatric Nursing 2nd Edition PDF For Free. This Website we Provide Free Medical Books for all Students.
Free Shipping No minimum order. Content in this edition is reorganized for a "best of both worlds" approach to pediatric nursing, with early chapters devoted to normal growth and development by age group followed by chapters covering the most common childhood disorders grouped by body system.
Updated coverage reflects the latest issues in pediatric nursing care, including childhood obesity and teenage pregnancy. Clinical Snapshots and Nursing Care Plans with critical thinking questions show how to apply the nursing process in real patient care scenarios.
Written by noted pediatric nursing educators Debra L. Price and Julie F.
Key Features Reading Level: 9. Free, built-in Study Guide includes scenario-based clinical activities and practice questions for each chapter.
Complete, concise coverage of evidence-based pediatric nursing care includes cultural and spiritual influences, complementary and alternative therapies for pain management, and pediatric psychophysiologic responses to bioterrorism and threats of bioterrorism.
Clinical Snapshots describe patient scenarios and include photographs of pediatric assessment and specific disorders, helping you apply critical thinking skills to clinical situations. Did You Know boxes list assessment data to help you recognize possible pediatric disorders. The lungs are inflated 1. The infant is positioned on a firm surface.
It may not be possible to maintain adequate inspiratory pressure with Ambu or Hope bags. The rise and fall of the chest are observed for proper ventilation. Air entry and heart rate are checked by auscultation. Manual resuscitation is coordinated with any voluntary efforts. The rate of ventilation should be between 40 and 60 breaths per minute.
Pressure should be adequate to move the chest wall.
In newborns with normal lungs, 15 to 25 cm H2O may be adequate. If the newborn has lung disease, 20 to 40 cm H2O may be necessary.
If ventilation is adequate, the chest moves with each inspiration, bilateral breath sounds are audible, and the lips and mucous membranes become pink. Distention of the stomach is controlled by inserting a nasogastric tube for decompression.
Endotracheal intubation may be needed. With preterm newborns, positive end expiratory pressure PEEP is required to help prevent alveolar collapse.
If the baby is intubated and the color and heart rate fail to respond to ventilatory efforts, poor or improper placement of an endotracheal tube may be the cause. External cardiac massage. The lower third of the sternum is compressed with two fingertips or thumbs at a rate of 90 compressions per minute.
If the heart rate is ab- uses both thumbs to compress the sternum. The two-thumb given through the umbilical vein catheter or the peripheral method is preferred because it may provide better intravenous IV setup. When epinephrine is administered coronary perfusion pressure; however, it makes access by endotracheal tube, the IV dose of epinephrine should to the umbilical cord for medication administration be diluted with 1 mL of normal saline Glomella, Sodium bicarbonate is rarely given in the birthing room 3.
The sternum is depressed to sufficient depth to and only to correct metabolic acidosis after effective ven- generate a palpable pulse or approximately one third tilation is established. Dextrose is given to prevent pro- of the anterior-posterior depth of the chest at a rate of gression of hypoglycemia. Naloxone hydrochloride 0. Oxy- ride Narcan. Whole blood by palpating the umbilical cord for a pulse. If the newborn O negative crossmatched against the mother , fresh frozen has not responded with spontaneous respirations and a plasma, and packed red blood cells can also be used for vol- heart rate above 60 beats per minute, resuscitative med- ume expansion and treatment of shock.
If bradycardia is present, epinephrine 0. It displaces morphinelike mothers because it may precipitate acute withdrawal syndrome in- drugs from receptor sites on the neurons; therefore, the narcotics can creased heart rate and blood pressure, vomiting, tremors. Naloxone reverses narcotic- Respiratory depression may result from nonmorphine drugs, induced respiratory depression, analgesia, sedation, hypotension, such as sedatives, hypnotics, anesthetics, or other nonnarcotic CNS and pupillary constriction.
This drug is usually given through endotracheal tube Tachycardia may occur. If ini- as sodium bicarbonate. Communication between the obstetric office or clinic and One member must have the skill to perform airway man- the birthing area helps the birthing area nurse identify new- agement and ventilation.
Record resuscitative efforts on borns who may need resuscitation. Note any contributory perinatal history factors and assess present fetal status. As labor progresses, continue ongoing Parent Teaching monitoring of fetal heartbeat and its response to contrac- The new CPR guidelines favor family members being pre- tions, assist with fetal scalp blood sampling, and observe for sent during resuscitation in the birthing room and in the the presence of meconium in the amniotic fluid to assess neonatal intensive care unit NICU , but the procedure is for fetal asphyxia.
Alert the resuscitation team and the prac- particularly distressing for parents. Sterilize resus- citative equipment in the birthing room after each use.
It is one of the most severe condi- During resuscitation it is essential to keep the newborn tions that may affect the newborn.
The nurse caring for a warm. Only with this knowledge can triggers the radiant warmer to turn on or off to maintain the nurse make appropriate observations about responses consistent temperature. Set the servocontrol at Unlike the In Development of RDS indicates a failure to synthesize this section, we discuss respiratory distress syndrome, tran- surfactant, which is required to maintain alveolar stability sient tachypnea of the newborn, and meconium aspiration syndrome.
These conditions further inhibit surfactant Respiratory distress syndrome RDS , also called hyaline production and cause pulmonary vasoconstriction. The re- membrane disease HMD , is the result of a primary absence, sulting lung instability causes the biochemical problems of deficiency, or alteration in the production of pulmonary hypoxemia decreased Po2 , hypercarbia increased Pco2 , surfactant.
It is a complex disease that affects approximately and acidemia decreased pH , which further increases pul- 20, to 30, infants a year in the United States, most of monary vasoconstriction and hypoperfusion.
The cycle of whom are preterm infants. Because of these pathophysiologic conditions, the Not all the factors precipitating the pathologic changes newborn must expend increasing amounts of energy to re- of RDS have been determined, but two main factors asso- open the collapsed alveoli with every breath, so that each ciated with its development include: breath becomes as difficult as the first.
The progressive ex- piratory atelectasis upsets the physiologic homeostasis of 1.