Menu Expand
Practice Guidelines for Family Nurse Practitioners - Revised Reprint - E-Book

Practice Guidelines for Family Nurse Practitioners - Revised Reprint - E-Book

Karen Fenstermacher | Barbara Toni Hudson

(2013)

Additional Information

Book Details

Abstract

Convenient and portable, Practice Guidelines for Family Nurse Practitioners, 3rd Edition — Revised Reprint offers quick access to essential guidelines for Nurse Practitioners in a variety of family practice settings. Well known for its concise guidelines and extensive charts and tables, this Revised Reprint includes extensive updates throughout and offers vital information on the latest diagnostic methods, treatment options, and drug therapies for primary care conditions commonly seen by Nurse Practitioners in patients of all ages.

  • Quick-reference outline format and a wealth of tables and charts facilitate quick access to essential information.
  • Special populations assessment chapters, including adult, pediatric, and geriatric, allow for quick access to vital information for these specific age groups.
  • Provides essential instructions on which problems must be referred to a physician and which constitute an emergency.
  • Coverage includes the latest national guidelines.
  • Color insert provides visual reinforcement for a better understanding of skin disorders.
  • Compact size and spiral binding make this guide extremely versatile and portable.
  • NEW! The 2014 Revised Reprint of Practice Guidelines for Family Nurse Practitioners, 3rd Edition includes extensive updates throughout:
    • Updated treatment guidelines, including medications for numerous skin conditions, influenza, pharyngitis, GERD, vaginitis, PID, lipid disorders, hypertension, diabetes, depression, and anxiety.
    • Coverage of several clinical issues --- such as osteoporosis, fibromyalgia, and guidelines for screening Pap smears --- has been extensively revised based on current standards of evaluation and therapy.
    • Changes affecting diagnosis are included for several conditions, including hepatitis A, B, and C; GERD; H. pylori infection; and syncope.

Table of Contents

Section Title Page Action Price
Front cover cover
IFC ifc
Half title page i
Practice Guidelines for Family Nurse Practitioners iii
Copyright page iv
Reviewers v
Preface vii
Acknowledgments ix
Table of Contents xi
Unit I: History and Physical Examination 1
1: Adult Assessment 3
Guideline for Integrated, Comprehensive Physical Examination 3
HISTORY 3
PHYSICAL EXAMINATION 4
HOW TO DO A WET PREP 13
Focused Examinations 24
RESPIRATORY 24
CARDIOVASCULAR 24
ABDOMINAL 25
ROUTINE WELL-WOMAN EXAMINATION 26
Sports Physical Examination 26
HISTORY 26
PHYSICAL EXAMINATION 27
SCREENING TESTS (MAY NOT BE REQUIRED) 28
REFERRAL GUIDELINES 28
Employment Physical Examination 29
HISTORY 29
PHYSICAL EXAMINATION 29
DIAGNOSTIC TESTING (AS INDICATED) 30
PREVENTION (AS INDICATED) 30
Health Appraisal and Risk Factors 30
Anticipatory Guidance and Counseling 30
2: Pediatric Assessment 37
HEALTH HISTORY 37
COMPLETE HEALTH HISTORY 40
COMPREHENSIVE PEDIATRIC ASSESSMENT 42
PHYSICAL EXAMINATION 44
Health Maintenance Guidelines 54
Alerts for Child Abuse and Neglect 54
3: Geriatric Assessment 61
Health History 61
COMPLETE HEALTH HISTORY 61
Comprehensive Geriatric Assessment 62
Assessing Cognitive and Emotional Status 73
Assessing Depression 73
Functional Assessment 74
Falls 77
Unit II: Common Conditions 81
4: Skin Disorders 83
Topical Steroids 88
VEHICLES FOR ADMINISTRATION 88
OCCLUSIVE DRESSINGS 90
DISPENSING AMOUNTS 90
Acne 93
Rosacea 95
Pediculosis Capitis (Head Lice) 96
Sarcoptes scabiei (Scabies) 102
Sunburn Precautions 106
Wound Care 109
BURN CARE 109
MINOR ABRASIONS, SCRATCHES, SUPERFICIAL LACERATIONS 109
HUMAN BITES 109
PUNCH BIOPSY 109
LACERATIONS AND SUTURING 109
Things That Bite and Sting 113
5: Respiratory and Related Ears-Nose-Throat Disorders 123
Respiratory Tract Disorders 123
PRACTICE PEARLS 123
Tinnitus 124
CONDITION 124
HISTORY 125
DIAGNOSTIC TESTING 125
TREATMENT 125
Ocular Complaints 125
RED EYE 127
Asthma 134
SIGNS AND SYMPTOMS 134
DIAGNOSTICS 135
DEFINITION AND TREATMENT 142
ALLERGEN CONTROL MEASURES 142
Community Acquired Pneumonia (CAP) 148
CONDITION 148
SIGNS AND SYMPTOMS 148
DIAGNOSTICS 149
TREATMENT 151
PREVENTION 153
6: Cardiovascular Disorders 161
HEART MURMURS 161
ANGINA 164
ACUTE CORONARY SYNDROME 165
CHEST PAIN 166
CONGESTIVE HEART FAILURE 171
12-LEAD ECG 174
AMBULATORY DYSRHYTHMIAS 177
HYPERLIPIDEMIA 178
METABOLIC SYNDROME 182
HYPERTENSION 183
ANTIBIOTIC PROPHYLAXIS AGAINST ENDOCARDITIS 192
MARFAN SYNDROME 193
7: Vascular and Blood Disorders 195
CALCULATION OF THE ANKLE-BRACHIAL INDEX (ABI) 198
EXERCISE PROGRAM FOR PERIPHERAL ARTERIAL DISEASE 198
ANEMIA 202
VASCULAR WOUND CARE AND TREATMENT 203
8: Abdominal Disorders 217
Hepatitis 236
INTERPRETATION OF HEPATITIS LEVELS 236
HAV 236
HBV 239
HCV 239
9: Gynecologic Disorders 241
Guidelines for Screening Papanicolaou (Pap) Smears 241
CONTRACEPTIVE METHODS 241
Gynecologic Conditions Encountered in Primary Care 249
MENOPAUSE 249
POLYCYSTIC OVARY SYNDROME 270
Gynecologic Infections 271
10: Common Urinary Tract Disorders 289
URINARY INCONTINENCE (UI) 301
11: Neurologic Disorders 307
EQUILIBRIUM DISTURBANCES 307
SEIZURES 310
TREMORS 310
HEADACHES 311
IDIOPATHIC PARKINSON’S DISEASE 315
NEUROMUSCULAR DISORDERS 320
COMMON CNS INFECTIONS 320
COMPARISON OF CVA AND TIA 320
12: Musculoskeletal Disorders 327
History 327
COMMON CHIEF COMPLAINTS 327
Physical Examination 330
FIBROMYALGIA SYNDROME AND CHRONIC FATIGUE SYNDROME 331
NECK 335
ROM 335
SHOULDER PAIN 337
ROM (DESIGNATE BY DEGREES) 337
ELBOW 342
ROM 342
WRIST AND HAND 343
ROM 345
HIP AND LOWER BACK PAIN 345
RESTLESS LEG SYNDROME 349
KNEE 350
ROM 351
FOOT AND ANKLE 354
ROM 355
Strains and Sprains 356
OSTEOPOROSIS 357
13: Endocrine Disorders 363
Thyroid Disorders 363
SCREENING TESTS 363
DISORDERS OF THE THYROID GLAND 363
Adrenal Disorders 366
Diabetes Mellitus 366
CATEGORIES 366
SCREENING 366
DIAGNOSIS 369
INITIAL OFFICE EVALUATION 370
GOALS 371
CURRENT DIETARY RECOMMENDATIONS 372
EXERCISE AND DIABETES 375
MONITORING 377
SMBG 377
ORAL HYPOGLYCEMIC AGENTS (OHAs) 382
INSULIN THERAPY 382
HYPOGLYCEMIA IN TYPE 1 DM 389
HYPERGLYCEMIA 391
SICK DAY MANAGEMENT GUIDELINES FOR DIABETIC PATIENTS 391
CHRONIC COMPLICATIONS OF DM 393
FOOT CARE INSTRUCTIONS FOR PERSONS WITH DIABETES 397
14: Psychiatric Disorders 401
Initial Office Visit 401
HISTORY 401
MENTAL STATUS INTERVIEW 402
RELEVANT LABORATORY AND OTHER TESTS 402
Depression 403
MAJOR DEPRESSIVE DISORDER: SINGLE EPISODE 403
MAJOR DEPRESSION IN PEDIATRIC PATIENTS 408
ANTIDEPRESSANT WITHDRAWAL 409
SEROTONIN SYNDROME 410
Dysthymic Disorder 411
Bipolar Disorder: Single Manic Episode 412
Suicide Assessment and Prevention in Primary Care 412
Anxiety Disorders 413
Extrapyramidal Symptoms (EPSs) 415
PSEUDOPARKINSONISM (4% TO 40% OCCURRENCE) 415
DYSTONIAS (2% TO 50% OCCURRENCE) 416
AKATHISIA (7% TO 20% OCCURRENCE) 417
SUGGESTED EVALUATION FOR EXTRAPYRAMIDAL SYMPTOMS 417
Dementia 418
15: Pediatric Disorders 423
MANAGING FEVER IN INFANTS AND CHILDREN 423
SCOLIOSIS SCREENING 426
REMOVAL OF CERUMEN IMPACTION 427
REMOVAL OF FOREIGN OBJECT IN EAR CANAL 428
IRON REPLACEMENT THERAPY 428
PRIMARY CARE DISORDERS 429
HYPERBILIRUBINEMIA 458
APPENDIXES 461
A. BODY MASS INDEX TABLES 463
Body Mass Index Table 463
B. FOOD SOURCES FOR SELECTED NUTRIENTS 466
C. PEAK EXPIRATORY FLOW RATE 468
D. PATIENT INSTRUCTION SHEETS 470
Peak Flow Monitoring and Patient Self-Management 471
Foot Care Instructions for Persons with Diabetes 473
FOOTWEAR 473
FOOT CARE 473
Allergen Control Measures 475
OUTDOOR ALLERGENS 475
INDOOR ALLERGENS 475
Tips for Symptomatic Relief of Human Papillomavirus (HPV) and Herpes Simplex Virus (HSV) Infections 476
Tips on Taking Oral Contraceptives 477
E. NONSTEROIDAL ANTIINFLAMMATORY DRUGS (NSAIDs) 478
F. DIETARY SUPPLEMENTS 479
G. PAIN MANAGEMENT GUIDELINES 480
ACUTE PAIN 480
CHRONIC PAIN 480
PAIN ASSESSMENT 480
TREATMENT 481
PRACTICE PEARLS 481
H. HERBAL THERAPY 485
I. SUGGESTED HOSPITAL ADMISSION ORDERS 488
J. BIOLOGICAL DISEASE AGENTS 489
BIBLIOGRAPHY 493
Index 497