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Merenstein & Gardner's Handbook of Neonatal Intensive Care - E-Book

Merenstein & Gardner's Handbook of Neonatal Intensive Care - E-Book

Sandra Lee Gardner | Brian S. Carter | Mary I Enzman-Hines | Jacinto A. Hernandez

(2015)

Additional Information

Book Details

Abstract

Merenstein & Gardner’s Handbook of Neonatal Intensive Care, 8th Edition, is the leading resource for collaborative, interprofessional critical care of newborns. Co-authored by physicians and nurses, it offers concise, comprehensive coverage with a unique multidisciplinary approach and real-world perspective that make it an essential guide for both neonatal nurses and physicians. The 8th edition features the latest neonatal research, evidence, clinical guidelines, and practice recommendations — all in a practical quick-reference format for easy retrieval and review of key information.

  • UNIQUE! Multidisciplinary author and contributor team consists of two physicians and two nurses, with each chapter written and reviewed by a physician-nurse team to ensure that information mirrors current, real-world practice in a neonatal intensive care unit.
  • Critical Findings boxes and tables outline symptoms and diagnostic findings that require immediate attention, helping you prioritize assessment data and steps in initial care.
  • UNIQUE! Clinical content highlighted in color allows you to quickly scan for information that directly affects patient care.
  • UNIQUE! Parent Teaching boxes highlight relevant information to share with a patient’s caregivers.
  • Clinical images, graphs, and algorithms illustrate clinically relevant concepts in neonatal intensive care.
  • Streamlined references include only the most current or classic sources.
  • NEW! Coverage of the latest neonatal research, evidence, clinical guidelines, and practice recommendations addresses topics such as: women with chronic illnesses becoming pregnant; maternal obesity; hypotension and shock in premature infants; pain and sedation; dedicated feeding sets vs. IVs for safety; MRSA; pediatric stroke; autism screening; discharge coordination; and more.
  • NEW! The latest AAP recommendations and guidelines for hypoglycemia, jaundice, herpes, respiratory syncytial virus, and neonatal transport team composition.
  • EXPANDED! Revised Evidence-Based Clinical Practice chapter focuses on evidence-based practice and quality improvement and the role of qualitative research in EBP.
  • EXPANDED! Updated Infection in the Neonate chapter features new GBS guidelines and CRP research.

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC IFC
Merenstein & Gardner's Handbook of Neonatal Intensive Care i
Copyright ii
Dedication iii
CONTRIBUTORS iv
REVIEWERS x
PREFACE xii
INTRODUCTION xiii
CONTENTS xv
UNIT ONE-EVIDENCE-BASED PRACTICE 1
1 - EVIDENCE-BASED CLINICAL PRACTICE 1
FINDING HIGH-QUALITY EVIDENCE 1
PRESSURES TO INTERVENE 3
EVALUATION OF THERAPIES 4
REFERENCES 10
TRANSLATING EVIDENCE INTO PRACTICE 10
CLINICAL PRACTICE GUIDELINES 10
REFERENCES 10.e1
UNIT TWO-SUPPORT OF THE NEONATE 11
2 - PRENATAL ENVIRONMENT: EFFECT ON NEONATAL OUTCOME 11
PHYSIOLOGY 11
COMPROMISED FETAL ENVIRONMENT 12
ENVIRONMENTAL EFFECTS OF LABOR ON THE FETUS 26
ASSESSMENT OF FETAL WELL-BEING 28
REFERENCES 31
REFERENCES 31.e1
RESOURCES FOR PARENTS 31.e3
3 - PERINATAL TRANSPORT AND LEVELS OF CARE 32
NEONATAL TRANSPORT 38
FAMILY-CENTERED CARE FOR TRANSPORT 45
FUTURE OF NEONATAL TRANSPORT 46
REFERENCES 46
REFERENCES 46.e1
4 - DELIVERY ROOM CARE 47
A GOLDEN OPPORTUNITY 47
PHYSIOLOGY 47
ASPHYXIA AND APNEA 48
CLAMPING OF THE UMBILICAL CORD 50
RESUSCITATION OF THE NEWBORN 50
DELIVERY ROOM EMERGENCIES 66
CARE OF THE FAMILY AND PERINATAL DECISION MAKING 69
REFERENCES 70
REFERENCES 70.e1
5 - INITIAL NURSERY CARE 71
ASSESSMENT AND CARE AT DELIVERY 71
PHYSICAL ASSESSMENT OF THE NEWBORN 76
LATE-PRETERM INFANT 85
CARE OF THE WELL NEWBORN INFANT 98
PARENT TEACHING 102
REFERENCES 104
REFERENCES 104.e1
6 - HEAT BALANCE 105
HISTORICAL MILESTONES18,58,62 105
PHYSIOLOGIC CONSIDERATIONS 106
ETIOLOGY OF HEAT IMBALANCES 110
PREVENTION OF HEAT/COLD STRESS 112
DATA COLLECTION 122
HYPOTHERMIA 123
HYPERTHERMIA 124
PARENT TEACHING 125
REFERENCES 125
REFERENCES 125.e1
7 - PHYSIOLOGIC MONITORING 126
PHYSIOLOGY 126
NONINVASIVE MONITORING 127
DATA COLLECTION 128
INTERVENTIONS 129
COMPLICATIONS 142
CONTROVERSIES 143
PARENT TEACHING 143
REFERENCES 144
REFERENCES 144.e1
8 - ACID-BASE HOMEOSTASIS AND OXYGENATION 145
PHYSIOLOGY 145
DATA COLLECTION 152
TREATMENT 155
COMPLICATIONS 156
REFERENCES 157
REFERENCES 157.e1
9 - DIAGNOSTIC IMAGING IN THE NEONATE 158
RADIOGRAPHY 158
FLUOROSCOPY 164
ULTRASONOGRAPHY 165
COMPUTED TOMOGRAPHY 168
MAGNETIC RESONANCE IMAGING 172
NUCLEAR SCINTIGRAPHY 175
POSITRON EMISSION TOMOGRAPHY 176
INTERVENTIONAL RADIOLOGY 177
PICTURE ARCHIVING AND COMMUNICATION SYSTEMS 178
FAMILY EDUCATION AND INVOLVEMENT 179
REFERENCES 180
10 - PHARMACOLOGY IN NEONATAL CARE 181
PHYSIOLOGY 181
DATA COLLECTION 187
DRUG CATEGORIES 189
PREVENTION OF THERAPEUTIC MISHAPS 192
METHODS OF ADMINISTRATION 194
PARENT TEACHING 198
REFERENCES 198
REFERENCES 198.e1
11 - DRUG WITHDRAWAL IN THE NEONATE 199
PHYSIOLOGY 200
ETIOLOGY OF NEONATAL ABSTINENCE SYNDROME 204
PREVENTION 206
DIAGNOSIS 207
TREATMENT AND INTERVENTION 209
PARENT TEACHING 217
REFERENCES 217
REFERENCES 217.e1
RESOURCES FOR PROFESSIONALS 217.e3
12 - PAIN AND PAIN RELIEF 218
PHYSIOLOGY AND PATHOPHYSIOLOGY 219
NEUROANATOMY 220
PHYSIOLOGIC RESPONSES 222
ETIOLOGY 224
PREVENTION 228
DATA COLLECTION 229
TREATMENT 243
END-OF-LIFE CARE 256
COMPLICATIONS 257
PARENT TEACHING 260
REFERENCES 261
REFERENCES 261.e1
13 - THE NEONATE AND THE ENVIRONMENT: IMPACT ON DEVELOPMENT 262
DEVELOPMENTAL TASKS OF THE NEONATE AND INFANT 262
ENDOWMENT 264
ENVIRONMENT 272
INTERVENTIONS 276
REFERENCES 314
REFERENCES 314.e1
UNIT THREE-METABOLIC AND NUTRITIONAL CARE OF THE NEONATE 315
14 - FLUID AND ELECTROLYTE MANAGEMENT 315
PHYSIOLOGY 315
ETIOLOGY 323
PREVENTION 323
DATA COLLECTION 326
TREATMENT 328
COMPLICATIONS 335
PARENT TEACHING 335
REFERENCES 336
REFERENCES 336.e1
15 - GLUCOSE HOMEOSTASIS 337
FETAL PHYSIOLOGY 337
NEONATAL PHYSIOLOGY 338
HYPOGLYCEMIA 339
HYPERGLYCEMIA 342
ETIOLOGY OF HYPOGLYCEMIA AND HYPERGLYCEMIA 343
DATA COLLECTION 350
TREATMENT 353
COMPLICATIONS 357
PARENT TEACHING 358
REFERENCES 359
REFERENCES 359.e1
16 - TOTAL PARENTERAL NUTRITION 360
PHYSIOLOGY 360
INDICATIONS 364
DATA COLLECTION 365
TREATMENT 366
COMPLICATIONS 372
PARENT TEACHING 375
REFERENCES 376
REFERENCES 376.e1
17 - ENTERAL NUTRITION 377
PHYSIOLOGY 377
NUTRITIONAL REQUIREMENTS 384
COMPOSITION OF ENTERAL FEEDINGS 396
FEEDING TECHNIQUES 402
FEEDING INTOLERANCE AND COMPLICATIONS 406
THE PRETERM INFANT 409
THE INTRAUTERINE GROWTH–RESTRICTED INFANT 414
CHANGES IN NUTRITIONAL REQUIREMENTS WITH ILLNESS 415
DEVELOPMENTAL SUPPORT 416
FAMILY SUPPORT 416
REFERENCES 418
REFERENCES 418.e1
18 - BREASTFEEDING THE NEONATE WITH SPECIAL NEEDS 419
PHYSIOLOGY OF BREASTFEEDING 421
PSYCHOLOGIC VALUES OF BREASTFEEDING 427
FACILITATING SUCCESSFUL BREASTFEEDING 428
PREVENTION OF BREASTFEEDING PROBLEMS 432
DATA COLLECTION AND INTERVENTION 442
COMPLICATIONS OF BREASTFEEDING 452
PARENT TEACHING 459
REFERENCES 463
REFERENCES 463.e1
RESOURCE MATERIALS FOR PROFESSIONALS 463.e9
RESOURCE MATERIALS FOR PARENTS 463.e9
19 - SKIN AND SKIN CARE 464
PHYSIOLOGY 464
ETIOLOGY 465
PREVENTION 468
DATA COLLECTION 473
TREATMENT 474
COMPLICATIONS 477
PARENT TEACHING 478
REFERENCES 478
REFERENCES 478.e1
UNIT FOUR-INFECTION AND HEMATOLOGIC DISEASES OF THE NEONATE 479
20 - NEWBORN HEMATOLOGY 479
RED BLOOD CELLS 479
POLYCYTHEMIA AND HYPERVISCOSITY 492
COAGULATION 494
THROMBOSIS 505
WHITE BLOOD CELLS 508
REFERENCES 510
REFERENCES 510.e1
21 - NEONATAL HYPERBILIRUBINEMIA 511
PATHOPHYSIOLOGY 511
ETIOLOGY OF HYPERBILIRUBINEMIA 514
MECHANISMS OF BILIRUBIN NEUROTOXICITY 520
PREVENTION OF HYPERBILIRUBINEMIA 521
EVALUATION OF THE INFANT WITH HYPERBILIRUBINEMIA 522
TREATMENT 525
PARENT TEACHING 534
HEALTH SYSTEMS APPROACH TO BILIRUBIN 535
REFERENCES 536
REFERENCES 536.e1
SELECTED READINGS 536.e2
22 - INFECTION IN THE NEONATE 537
PATHOPHYSIOLOGY AND PATHOGENESIS 537
ETIOLOGY 537
SPECIFIC INFECTIOUS DISEASES 537
PARENT TEACHING 562
REFERENCES 563
REFERENCES 564.e1
UNIT FIVE-COMMON SYSTEMIC DISEASES OF THE NEONATE 565
23 - RESPIRATORY DISEASES 565
GENERAL PHYSIOLOGY 565
GENERAL ETIOLOGIC FACTORS 567
GENERAL PREVENTION 569
GENERAL DATA COLLECTION 569
GENERAL TREATMENT STRATEGIES 571
GENERAL COMPLICATIONS 597
PARENT TEACHING 641
REFERENCES 643
REFERENCES 643.e1
24 - CARDIOVASCULAR DISEASES AND SURGICAL INTERVENTIONS 644
CONGENITAL HEART DISEASE: OVERVIEW 644
SPECIFIC CONDITIONS 656
PARENT TEACHING 685
FUTURE RESEARCH 687
REFERENCES 688
REFERENCES 688.e1
25 - NEONATAL NEPHROLOGY 689
NORMAL DEVELOPMENT 689
ACUTE KIDNEY INJURY 697
RENAL VEIN THROMBOSIS 705
HYDRONEPHROSIS 706
HYPERTENSION 707
ABDOMINAL MASSES 715
RENAL TUBULAR DISORDERS 717
URINARY TRACT INFECTION 718
NEUROGENIC BLADDER 719
NEPHROCALCINOSIS AND NEPHROLITHIASIS 719
CHRONIC RENAL FAILURE 720
REFERENCES 726
REFERENCES 726.e1
26 - NEUROLOGIC DISORDERS 727
CONGENITAL MALFORMATIONS 727
BIRTH INJURIES 736
SPECIFIC BIRTH INJURIES 737
HYPOTONIA 745
NEONATAL SEIZURES 745
HYPOXIC-ISCHEMIC ENCEPHALOPATHY 751
INTRAVENTRICULAR HEMORRHAGE 754
PEDIATRIC STROKE 759
REFERENCES 762
REFERENCES 762.e1
27 - GENETIC DISORDERS, MALFORMATIONS, AND INBORN ERRORS OF METABOLISM 763
GENETIC PRINCIPLES 763
ETIOLOGY 766
DATA COLLECTION 780
TREATMENT AND INTERVENTION 784
THE HUMAN GENOME PROJECT 784
PARENT TEACHING 785
REFERENCES 785
REFERENCES 785.e1
28 - NEONATAL SURGERY 786
DIAPHRAGMATIC HERNIA 786
CONGENITAL CHEST MASSES 793
INTESTINAL MALROTATION AND VOLVULUS 795
INTESTINAL ATRESIA 798
NECROTIZING ENTEROCOLITIS 801
MECONIUM ILEUS 803
HIRSCHSPRUNG’S DISEASE 806
ANORECTAL MALFORMATIONS 809
OMPHALOCELE AND GASTROSCHISIS27 812
NEONATAL TUMORS 816
MINIMALLY INVASIVE SURGERY 817
PARENT TEACHING 818
REFERENCES 819
REFERENCES 820.e1
UNIT SIX-PSYCHOSOCIAL ASPECTS OF NEONATAL CARE 821
29 - FAMILIES IN CRISIS: THEORETICAL AND PRACTICAL CONSIDERATIONS 821
NORMAL ATTACHMENT 821
PSYCHOLOGIC ADJUSTMENTS TO A SICK NEWBORN 827
POSTPARTUM MOOD DISORDERS 842
REFERENCES 864
REFERENCES 864.e1
RESOURCE MATERIALS FOR PROFESSIONALS 864.e6
RESOURCE MATERIALS FOR PARENTS 864.e6
WEBSITES FOR PARENTS OF PREMATURE INFANTS 864.e7
RESOURCE MATERIALS FOR POSTPARTUM DEPRESSION 864.e7
CHAPTER 30 - GRIEF AND PERINATAL LOSS 865
THE GRIEF PROCESS 865
PERINATAL SITUATIONS IN WHICH GRIEF IS EXPECTED 866
STAGES OF GRIEF 871
SYMPTOMS OF GRIEF 872
MALE–FEMALE DIFFERENCES 873
TIMING OF GRIEF RESOLUTION 875
INTERVENTIONS 876
CHILDREN AND GRIEF 897
PATHOLOGIC GRIEF 900
REFERENCES 902
REFERENCES 902.e1
31 - DISCHARGE PLANNING AND FOLLOW-UP OF THE NEONATAL INTENSIVE CARE UNIT INFANT 903
PLANNING FOR DISCHARGE 903
COMPLEX DISORDERS OF BRAIN DEVELOPMENT 912
REFERENCES 923
REFERENCES 923.e1
32 - ETHICS, VALUES, AND PALLIATIVE CARE IN NEONATAL INTENSIVE CARE 924
HISTORICAL OVERVIEW 924
DEFINITION OF BIOETHICS 926
THEORIES OF ETHICS 927
COMMUNICATING WITH FAMILIES 938
PALLIATIVE CARE IN THE INTENSIVE CARE SETTING 940
SOCIAL ETHICS 944
GLOSSARY 944
REFERENCES 945
REFERENCES 945.e1
INDEX 946
IBC IBC