BOOK
Practice Guidelines for Family Nurse Practitioners - E-Book
Karen Fenstermacher | Barbara Toni Hudson
(2015)
Additional Information
Book Details
Abstract
Prepare for FNP practice with the latest evidence-based guidelines! Practice Guidelines for Family Nurse Practitioners, 4th Edition provides essential information on current assessment and management protocols for primary care patients of all ages. Key details are easy to find, with the book’s concise, outline-style guidelines and abundant summary tables and charts. And you’ll be ready to manage care more effectively with the latest information on topics such as pain management, bariatric surgery follow-up, restless legs syndrome, and new medications for diabetes and cardiovascular disorders. Written by expert nurse practitioners Karen Fenstermacher and Barbara Toni Hudson, this guide equips you for the conditions most commonly seen in primary care settings.
- Essential, evidence-based guidelines provide the latest guidance for management of disorders commonly seen by FNPs in primary care settings, including information on which problems must be referred to a physician and which constitute an emergency.
- Quick-reference tables and charts include pediatric conditions charts, comparative charts for similar disorders, and health maintenance guidelines charts.
- Coverage of special populations assessment provides quick access to information on adult, pediatric, and geriatric assessment.
- Compact size and spiral binding make this guide easy to carry and easy to use in the clinical setting.
- Full-color insert provides an illustrated, quick reference to common skin disorders.
- Concise outline format makes it easy to locate essential information quickly.
- NEW! Treatment guidelines include the latest nationally recognized evidence-based treatment guidelines, including those for dementia, asthma, and diabetes.
- UPDATED content throughout includes bariatric surgery follow-up after release from surgical care, assessment of pelvic masses, restless legs syndrome, the advanced eye examination including advanced staining techniques, and new medications for diabetes and cardiovascular disorders.
- NEW Pain chapter provides guidelines on pain management and caring for patients with pain.
- NEW Laboratory and Diagnostic Pearls chapter offers useful laboratory and diagnostic tips that the authors have accumulated over years of clinical practice.
- NEW! Coverage of respiratory and ENT disorders is presented into two separate chapters, reflecting how these problems are actually handled in clinical practice.
- NEW user-friendly design includes an improved outline format, easier-to-read tables, and color highlighting for essential information.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | Cover | ||
| IFC | IFC | ||
| Front matter | iii | ||
| Practice guidelines for family nurse practitioners fourth edition | iii | ||
| Copyright page | iv | ||
| Reviewers | v | ||
| Preface | vii | ||
| Acknowledgments | viii | ||
| Table of contents | ix | ||
| I History and Physical Examination | 1 | ||
| 1 Adult assessment | 1 | ||
| Guideline for integrated, comprehensive physical examination* | 1 | ||
| History | 1 | ||
| Physical examination | 2 | ||
| Focused examinations | 18 | ||
| Respiratory | 18 | ||
| Cardiovascular | 19 | ||
| Abdominal | 20 | ||
| Routine well-woman examination | 21 | ||
| Sports physical examination | 21 | ||
| 2 Pediatric assessment | 25 | ||
| Comprehensive health history | 25 | ||
| Guidelines for comprehensive pediatric assessment | 33 | ||
| General observations | 33 | ||
| Physical examination | 35 | ||
| Child abuse | 46 | ||
| 3 Geriatric assessment | 48 | ||
| Introduction | 48 | ||
| Health history* | 48 | ||
| Comprehensive geriatric assessment | 49 | ||
| Integumentary system | 50 | ||
| Sensory system | 51 | ||
| Respiratory system | 51 | ||
| Cardiovascular system | 53 | ||
| Gastrointestinal system | 54 | ||
| Musculoskeletal system | 55 | ||
| Genitourinary system | 56 | ||
| Endocrine/immune systems | 58 | ||
| Neurological system | 59 | ||
| Assessing cognitive and emotional status | 60 | ||
| Functional assessment | 62 | ||
| Falls | 63 | ||
| 4 Laboratory and diagnostic pearls | 66 | ||
| General | 66 | ||
| Hematology (CBC) | 66 | ||
| Urine | 68 | ||
| Liver | 71 | ||
| Chemistries | 72 | ||
| Miscellaneous | 73 | ||
| Lab tests for arthralgias | 74 | ||
| Radiology pointers | 75 | ||
| II Common Conditions | 77 | ||
| 5 Skin conditions | 77 | ||
| Disorders causing inflammation | 77 | ||
| Atopic dermatitis (eczema) | 77 | ||
| Contact dermatitis | 79 | ||
| Xerosis (xeroderma) | 80 | ||
| Urticaria (hives) | 81 | ||
| Diaper dermatitis | 82 | ||
| Seborrheic dermatitis | 83 | ||
| Hyperhydrosis | 83 | ||
| Psoriasis | 83 | ||
| Acne | 86 | ||
| Rosacea | 89 | ||
| Disorders caused by infection | 90 | ||
| Impetigo | 90 | ||
| Scarlet fever rash | 91 | ||
| Erysipelas | 91 | ||
| Cellulitis | 92 | ||
| Folliculitis | 93 | ||
| Furuncle/carbuncle | 94 | ||
| Disorders caused by viral infections | 95 | ||
| Molluscum contagiosum | 95 | ||
| Verruca vulgaris (warts) | 96 | ||
| Erythema infectiosum (fifth disease) | 97 | ||
| Roseola | 97 | ||
| Hand, foot, and mouth disease (HFMD) | 97 | ||
| Herpes simplex (fever blisters) | 98 | ||
| Herpes zoster (shingles) | 99 | ||
| Varicella (chicken pox) | 100 | ||
| Disorders caused by fungal infection | 101 | ||
| Tinea | 101 | ||
| Onychomycosis | 102 | ||
| Disorders of pigmentation | 103 | ||
| Melasma | 103 | ||
| Lichen sclerosis | 104 | ||
| Vitiligo | 105 | ||
| Acanthosis nigrans | 105 | ||
| Skin lesions | 105 | ||
| Skin tags | 105 | ||
| Epidermoid cyst | 106 | ||
| Actinic keratosis | 106 | ||
| Keratocanthoma | 106 | ||
| Basal cell carcinoma (BCC) | 107 | ||
| Squamous cell carcinoma (SCC) | 107 | ||
| Melanoma | 107 | ||
| Wound care | 108 | ||
| Minor abrasions, scratches, superficial lacerations | 108 | ||
| Human bites | 108 | ||
| Punch biopsy | 109 | ||
| Lacerations and suturing (Table 5-7) | 109 | ||
| Incision and drainage (I&D) of an abscess | 111 | ||
| Things that bite and sting | 112 | ||
| Rattlesnake, water moccasin, and copperhead bites | 112 | ||
| Domestic animal bites | 113 | ||
| Feral or wild animal bites | 113 | ||
| Tick-borne diseases | 114 | ||
| Spider bites | 116 | ||
| Mosquito-borne diseases | 117 | ||
| Parasitic infestation | 118 | ||
| Stinging injuries | 121 | ||
| 6 Respiratory conditions | 123 | ||
| Specific tests for assessing pulmonary function | 123 | ||
| Asthma | 126 | ||
| Allergen control measures | 131 | ||
| Chronic obstructive pulmonary disease | 132 | ||
| Acute bronchitis | 135 | ||
| Community-acquired pneumonia (CAP) | 135 | ||
| Tuberculosis (TB) | 137 | ||
| Obstructive sleep apnea (OSA) | 138 | ||
| 7 Eye, ear, nose, and throat conditions | 140 | ||
| Ocular complaints | 140 | ||
| Common eye conditions | 142 | ||
| Common ENT conditions | 146 | ||
| 8 Cardiovascular conditions | 155 | ||
| Heart murmurs | 155 | ||
| Coronary heart disease (CHD) | 158 | ||
| 12-lead ECG | 165 | ||
| Heart failure | 165 | ||
| Ambulatory dysrhythmias | 170 | ||
| Fast rhythms | 170 | ||
| Slow rhythms (sinus bradycardia or AV blocks) | 172 | ||
| Premature ventricular complexes (PVCs) | 173 | ||
| Hyperlipidemia | 173 | ||
| Hypertension | 178 | ||
| Metabolic syndrome | 188 | ||
| Bacterial endocarditis antibiotic prophylaxis* | 189 | ||
| 9 Peripheral vascular and hematologic conditions | 191 | ||
| Chronic peripheral vascular diseases | 191 | ||
| Peripheral venous disease | 191 | ||
| Peripheral arterial disease | 194 | ||
| Calculation of ankle-brachial index (ABI) | 197 | ||
| Exercise program for peripheral arterial disease | 197 | ||
| Treatments and interventions for vascular disorders | 198 | ||
| Compression stocking therapy | 198 | ||
| Unna boot application | 199 | ||
| Ambulatory warfarin anticoagulant therapy | 200 | ||
| Chronic wound management | 205 | ||
| Chronic wound care | 205 | ||
| Differentiation of wounds | 206 | ||
| Wound staging and treatment | 208 | ||
| Anemia | 209 | ||
| Anemia secondary to blood loss | 213 | ||
| Anemia due to inadequate production | 214 | ||
| Anemia secondary to overdestruction | 217 | ||
| 10 Abdominal conditions | 220 | ||
| Focused abdominal examination | 220 | ||
| Abdominal pain (table 10-1) | 220 | ||
| Upper abdominal problems | 226 | ||
| Gastroesophageal reflux disease (GERD) | 226 | ||
| Peptic ulcer disease (PUD) | 230 | ||
| Helicobacter pylori-induced gastritis | 231 | ||
| Cholecystitis | 232 | ||
| Acute gastroenteritis | 233 | ||
| Pancreatitis | 233 | ||
| Lower abdominal problems | 235 | ||
| Irritable bowel syndrome (IBS) | 235 | ||
| Diverticulitis | 237 | ||
| Appendicitis | 238 | ||
| Colon cancer | 238 | ||
| Celiac sprue disease (gluten intolerance enteropathy) | 239 | ||
| Inflammatory bowel diseases (IBD) | 240 | ||
| Crohn’s disease (regional enteritis) | 240 | ||
| Ulcerative colitis (UC) | 240 | ||
| Diarrhea | 241 | ||
| Hepatitis illnesses | 246 | ||
| Hepatitis A (HAV) illness | 246 | ||
| Hepatitis B (HBV) illness | 247 | ||
| Hepatitis C (HCV) | 248 | ||
| Liver disease | 249 | ||
| Cirrhosis of the liver | 250 | ||
| Bariatric surgery | 251 | ||
| 11 Gynecologic conditions | 253 | ||
| Screenings and pap smears | 253 | ||
| Screening guidelines for women’s services | 253 | ||
| Interpretation of abnormal pap smears | 254 | ||
| Contraception | 254 | ||
| Contraceptive methods | 254 | ||
| Tips on taking oral contraceptives | 257 | ||
| Conditions related to menstruation | 261 | ||
| Premenstrual syndrome (PMS)/premenstrual dysphoric disorder (PMDD) | 261 | ||
| Dysmenorrhea | 263 | ||
| Menstrual migraines | 263 | ||
| Abnormal bleeding patterns | 264 | ||
| Polycystic ovarian syndrome (PCOS) | 265 | ||
| Amenorrhea | 267 | ||
| Menopause | 270 | ||
| Breast conditions | 274 | ||
| Gynecologic conditions | 277 | ||
| Bacterial vaginitis | 277 | ||
| Atrophic vaginitis | 278 | ||
| Vulvovaginal candidiasis (VVC) | 278 | ||
| Vulvitis | 279 | ||
| Vulvar vestibulitis/vulvodynia | 279 | ||
| Sexually transmitted diseases | 280 | ||
| Pelvic inflammatory disease (PID) | 280 | ||
| Trichomoniasis vaginitis | 281 | ||
| Gonorrhea | 282 | ||
| Chlamydia | 282 | ||
| Syphilis | 283 | ||
| Herpes genitalis | 284 | ||
| Genital warts (condylomata acuminata) | 285 | ||
| 12 Common urinary tract conditions | 287 | ||
| Common urinary tract disorders in men and women | 288 | ||
| Interstitial cystitis (IC) (synonyms: Urethral syndrome, bladder pain syndrome) | 288 | ||
| Acute uncomplicated cystitis | 290 | ||
| Acute pyelonephritis | 291 | ||
| Acute glomerulonephritis | 293 | ||
| Bladder cancer | 293 | ||
| Renal calculi (kidney stones) | 294 | ||
| Urinary incontinence (UI) | 295 | ||
| Overactive bladder syndrome | 297 | ||
| Chronic kidney disease (CKD) | 298 | ||
| Common genitourinary tract disorders in men | 300 | ||
| Acute bacterial prostatitis | 300 | ||
| Benign prostatic hypertrophy (BPH) | 301 | ||
| Prostate cancer | 301 | ||
| Epididymitis | 302 | ||
| Testicular torsion | 302 | ||
| Testicular cancer | 302 | ||
| Erectile dysfunction | 303 | ||
| 13 Neurologic conditions | 305 | ||
| Equilibrium disturbances | 305 | ||
| Movement disorders | 308 | ||
| Seizures | 308 | ||
| Tremors | 308 | ||
| Idiopathic parkinson’s disease | 310 | ||
| Headaches | 311 | ||
| Neuromuscular disorders | 316 | ||
| Cns infections (meningitis) | 317 | ||
| Focal neurological deficit | 317 | ||
| 14 Musculoskeletal conditions | 319 | ||
| History | 319 | ||
| Location-specific musculoskeletal disorders | 320 | ||
| Neck | 320 | ||
| Shoulder pain | 322 | ||
| Elbow | 327 | ||
| WRIST and hand | 329 | ||
| Hip and low back pain | 331 | ||
| Knee | 334 | ||
| Foot and ankle | 338 | ||
| Strains and sprains | 342 | ||
| General musculoskeletal disorders | 343 | ||
| Osteoporosis (OP) | 343 | ||
| Common painful joint disorders | 345 | ||
| Fibromyalgia syndrome | 347 | ||
| Restless leg syndrome (RLS) | 350 | ||
| 15 Pain | 352 | ||
| Assessment of pain | 352 | ||
| Acute pain | 352 | ||
| Chronic pain | 353 | ||
| Therapies for pain | 354 | ||
| Nonpharmacologic therapies | 354 | ||
| Pharmacologic therapies | 354 | ||
| 16 Endocrine conditions | 359 | ||
| Thyroid disorders | 359 | ||
| Goiter | 359 | ||
| Hypothyroidism | 359 | ||
| Hyperthyroidism | 360 | ||
| Thyroid cancer | 361 | ||
| Adrenal disorders | 362 | ||
| Acute adrenal insufficiency (adrenal crisis) | 362 | ||
| Chronic adrenal insufficiency (addison’s disease) | 362 | ||
| Cushing’s syndrome and disease | 363 | ||
| Pheochromocytoma | 363 | ||
| Diabetes mellitus | 364 | ||
| Categories (also see Table 16-2) | 364 | ||
| Screening | 364 | ||
| Diagnosis | 366 | ||
| Initial office evaluation | 366 | ||
| Goals | 367 | ||
| Current dietary recommendations | 369 | ||
| Exercise and diabetes | 371 | ||
| Monitoring | 373 | ||
| Children & adolescents with type 2 DM (differences from care of adults with type 2 DM) | 386 | ||
| Hypoglycemia | 387 | ||
| Hyperglycemia | 388 | ||
| Sick day management guidelines for patients with type 1 diabetes | 389 | ||
| Chronic complications of DM | 391 | ||
| Foot care instructions for people with diabetes | 393 | ||
| 17 Pediatric conditions | 395 | ||
| Fever in infants and children | 395 | ||
| Failure to thrive (FTT) | 400 | ||
| Upper respiratory tract disorders | 400 | ||
| Acute otitis media (AOM) | 400 | ||
| Aom complicated by perforated TM | 401 | ||
| Aom with tympanostomy tubes (TT) | 402 | ||
| Otitis media with effusion (OME) | 402 | ||
| Otitis externa (swimmer’s ear) | 402 | ||
| Allergic rhinitis | 403 | ||
| Common cold | 404 | ||
| Acute bacterial rhinosinusitis | 404 | ||
| Pharyngitis | 405 | ||
| Influenza | 406 | ||
| Lower respiratory tract disorders | 407 | ||
| Croup | 407 | ||
| Epiglotitis | 408 | ||
| Respiratory syncytial virus (RSV) infection | 409 | ||
| Community-acquired pneumonia | 409 | ||
| Abdominal disorders | 410 | ||
| Pyloric stenosis | 410 | ||
| Intussception | 410 | ||
| Gastroenteritis | 410 | ||
| Encopresis | 411 | ||
| Gastroesophageal reflux disease | 412 | ||
| Genitourinary tract disorders | 413 | ||
| Hypospadias | 413 | ||
| Cryptorchidism (undescended testicle) | 413 | ||
| Enuresis | 413 | ||
| Urinary tract infection | 414 | ||
| Musculoskeletal system disorders | 415 | ||
| Scoliosis | 415 | ||
| Limping child | 416 | ||
| Developmental dysplasia of the hip (DDH) | 417 | ||
| Congenital talipes equinovarus (club foot) | 418 | ||
| Patellofemoral pain syndrome (chondromalacia patellae) | 418 | ||
| Osgood-schlatter disease | 419 | ||
| Hematopoietic system disorders | 419 | ||
| Iron-deficiency anemia (IDA) (see chapter 9) | 419 | ||
| Gynecological disorders | 420 | ||
| Labial adhesions | 420 | ||
| Vulvovaginitis | 421 | ||
| Neurological disorders | 422 | ||
| Attention-deficit hyperactivity disorder (ADHD) and attention deficit disorder (ADD) | 422 | ||
| Cardiac disorders | 423 | ||
| Hypertension | 423 | ||
| 18 Psychiatric conditions | 424 | ||
| Initial office visit | 424 | ||
| Mood disorders | 425 | ||
| Depression | 425 | ||
| Serotonin syndrome | 431 | ||
| Bipolar disorder | 432 | ||
| Anxiety | 432 | ||
| Cognitive impairment | 437 | ||
| APPENDIX A Food sources for selected nutrients | 441 | ||
| Index | 443 | ||
| A | 443 | ||
| B | 444 | ||
| C | 444 | ||
| D | 446 | ||
| E | 447 | ||
| F | 447 | ||
| G | 448 | ||
| H | 448 | ||
| I | 449 | ||
| J | 450 | ||
| K | 450 | ||
| L | 450 | ||
| M | 450 | ||
| N | 451 | ||
| O | 451 | ||
| P | 451 | ||
| R | 453 | ||
| S | 454 | ||
| T | 455 | ||
| U | 455 | ||
| V | 456 | ||
| W | 456 | ||
| X | 456 | ||
| Y | 456 | ||
| IBC | IBC |