Additional Information
Book Details
Abstract
Ideal for any on-call professional, resident, or medical student, this popular reference covers the common problems you’ll encounter while on call without direct supervision in the hospital. On Call Pediatrics, 4th Edition, fits perfectly in your pocket, ready to provide key information in time-sensitive, challenging situations. You’ll gain speed, skill, and knowledge with every call - from diagnosing a difficult or life-threatening situation to prescribing the right medication.
- Features a logical, highly templated format so you can locate key information quickly.
- Reviews the indications for, and complications of, common neurodiagnostic tests.
- Delivers consistent, easy-to-follow coverage of the most common on-call problems and approaches, including what to do from the initial phone call, questions you should ask to assess the urgency of each situation, "Elevator Thoughts," how to immediately identify major threats to life, what to do at the bedside, and how to avoid common mistakes for every call.
- Provides updated content and references, as well as an up-to-date drug formulary, keeping you on the cutting edge of current, evidence-based information.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Inside Front Cover | ES2 | ||
| On Call Pediatrics | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| Contributors | vii | ||
| Preface | xi | ||
| Acknowledgments | xiii | ||
| Structure of the Book | xv | ||
| Contents | xxiii | ||
| Introduction | 1 | ||
| Chapter 1: The Diagnosis and Management of On-Call Problems | 2 | ||
| Phone call | 3 | ||
| Elevator thoughts | 4 | ||
| Major threat to life | 4 | ||
| Bedside | 4 | ||
| Chapter 2: Communicating With Colleagues and Families | 6 | ||
| Chapter 3: Common Mistakes | 10 | ||
| Chapter 4: Remembering Your ABCs | 12 | ||
| The ABCs | 12 | ||
| Elevator thoughts | 13 | ||
| Bedside | 13 | ||
| Quick-Look Test | 13 | ||
| A=Airway | 13 | ||
| B=Breathing | 13 | ||
| C=Circulation | 14 | ||
| Chapter 5: Teaching (and Learning) While On Call | 16 | ||
| Patient-Related Problems | 21 | ||
| Chapter 6: Abdominal Pain | 22 | ||
| Phone call | 22 | ||
| Questions | 22 | ||
| Orders | 23 | ||
| Inform Registered Nurse (RN) | 23 | ||
| Elevator thoughts | 23 | ||
| Major threat to life | 25 | ||
| Bedside | 26 | ||
| How Does the Patient Look? | 26 | ||
| Airway and Vital Signs | 26 | ||
| Selective History | 26 | ||
| Selective Physical Examination | 27 | ||
| Selective Chart Review | 29 | ||
| Management | 29 | ||
| Critically Ill Patients | 30 | ||
| 1. Volume | 30 | ||
| 2. Oxygenation | 30 | ||
| 3. Laboratory Studies | 30 | ||
| 4. Paracentesis | 31 | ||
| 5. Antibiotics | 31 | ||
| 6. Radiography | 31 | ||
| 7. Consultation | 31 | ||
| 8. Vasopressors | 31 | ||
| 9. Pain Control | 31 | ||
| Patients Who Are Uncomfortable but Do Not Have Cardiorespiratory Compromise | 32 | ||
| Patients With Mild Discomfort | 32 | ||
| Chapter 7: Altered Mental Status | 33 | ||
| Phone call | 33 | ||
| Questions | 33 | ||
| Orders | 34 | ||
| Inform RN | 35 | ||
| Elevator thoughts | 35 | ||
| Major threat to life | 37 | ||
| Bedside | 37 | ||
| Quick-Look Test | 37 | ||
| Airway and Vital Signs | 38 | ||
| Focused Physical Examination I | 38 | ||
| Management I | 40 | ||
| Increased Intracranial Pressure | 40 | ||
| Infection | 43 | ||
| Selective Physical Examination II | 43 | ||
| Selective History and Chart Review | 44 | ||
| Management II | 45 | ||
| Infection | 46 | ||
| Mass Lesion | 47 | ||
| Metabolic Disturbance | 47 | ||
| Drugs and Toxins | 47 | ||
| Psychosis | 47 | ||
| Chapter 8: Analgesics and Antipyretics | 48 | ||
| Analgesics | 48 | ||
| Phone call | 48 | ||
| Questions | 48 | ||
| Orders | 49 | ||
| Inform RN | 49 | ||
| Elevator thoughts | 49 | ||
| Remember | 51 | ||
| Antipyretics | 51 | ||
| Phone call | 51 | ||
| Questions | 51 | ||
| Orders | 52 | ||
| Inform RN | 52 | ||
| Remember | 52 | ||
| Chapter 9: Bleeding | 53 | ||
| Phone call | 53 | ||
| Questions | 53 | ||
| Orders | 54 | ||
| Inform RN | 54 | ||
| Elevator thoughts | 54 | ||
| Major threat to life | 56 | ||
| Bedside | 56 | ||
| Quick-Look Test | 56 | ||
| Airway and Vital Signs | 56 | ||
| Selective Physical Examination I | 57 | ||
| Management I | 57 | ||
| Active Bleeding | 57 | ||
| Pulmonary Embolus | 58 | ||
| Pulmonary Hemorrhage | 58 | ||
| Sepsis | 59 | ||
| Intracranial Bleeding | 59 | ||
| Selective Physical Examination II | 59 | ||
| Selective History and Chart Review | 60 | ||
| Management II | 61 | ||
| Infections | 62 | ||
| Vasculitis | 62 | ||
| Coagulopathies | 62 | ||
| Chapter 10: Chest Pain | 63 | ||
| Phone call | 63 | ||
| Questions | 63 | ||
| Orders | 64 | ||
| Inform RN | 65 | ||
| Elevator thoughts | 65 | ||
| Major threat to life | 67 | ||
| Bedside | 67 | ||
| Quick-Look Test | 67 | ||
| Airway and Vital Signs | 67 | ||
| Selective Physical Examination | 68 | ||
| Selective History | 70 | ||
| Selective Chart Review | 71 | ||
| Management | 71 | ||
| Pericarditis With or Without Tamponade | 71 | ||
| Pneumothorax | 72 | ||
| Pneumomediastinum and Pneumopericardium | 73 | ||
| Aortic Dissection or Rupture | 74 | ||
| Myocardial Ischemia and Infarction | 74 | ||
| Stable and Unstable Dysrhythmias | 75 | ||
| Pulmonary Embolism | 75 | ||
| Pulmonary Infarction/Acute Chest Syndrome | 76 | ||
| Perforated or Hemorrhaging Gastrointestinal Viscus | 76 | ||
| Myocarditis | 77 | ||
| Severe Valvular Disease and HOCM | 77 | ||
| Pneumonia | 77 | ||
| Pleural Effusion | 78 | ||
| Pleuritis | 78 | ||
| Asthma Exacerbation | 78 | ||
| Foreign Body Aspiration | 78 | ||
| Esophagitis, Gastritis, or Peptic Ulcer | 78 | ||
| Diaphragmatic and Peridiaphragmatic Pathology | 79 | ||
| Chest Wall Musculoskeletal and Neurologic Pain | 79 | ||
| Psychogenic | 79 | ||
| Remember | 80 | ||
| Chapter 11: Constipation | 81 | ||
| Phone call | 81 | ||
| Questions | 81 | ||
| Orders | 82 | ||
| Elevator thoughts | 82 | ||
| Infant | 82 | ||
| Older Child | 83 | ||
| Major threat to life | 83 | ||
| Bedside | 84 | ||
| Quick-Look Test | 84 | ||
| Airway and Vital Signs | 84 | ||
| Selective History and Chart Review | 84 | ||
| Selective Physical Examination | 85 | ||
| Management | 85 | ||
| Bibliography | 87 | ||
| Chapter 12: Crying and the Irritable Infant | 88 | ||
| Phone call | 88 | ||
| Questions | 88 | ||
| Orders | 89 | ||
| Inform RN | 89 | ||
| Elevator thoughts | 89 | ||
| Major threat to life | 91 | ||
| Bedside | 91 | ||
| Quick-Look Test | 91 | ||
| Airway and Vital Signs | 91 | ||
| Comprehensive Physical Examination | 92 | ||
| Selective History and Chart Review | 93 | ||
| Management | 94 | ||
| Chapter 13: Cyanosis | 96 | ||
| Cyanosis in a Newborn | 97 | ||
| Phone call | 97 | ||
| Questions | 97 | ||
| Orders | 98 | ||
| Inform RN | 99 | ||
| Elevator thoughts | 99 | ||
| Major threat to life | 99 | ||
| Bedside | 99 | ||
| Quick-Look Test | 99 | ||
| Airway and Vital Signs | 99 | ||
| Selective Physical Examination | 101 | ||
| Selective History and Chart Review | 102 | ||
| Management | 103 | ||
| Abnormal Hyperoxia Test Result | 103 | ||
| Chest Radiograph | 103 | ||
| Electrocardiogram | 105 | ||
| Echocardiogram | 105 | ||
| Normal Hyperoxia Test Result | 105 | ||
| Treatment | 106 | ||
| Cyanotic Heart Disease | 106 | ||
| Pneumonia or Respiratory Distress | 106 | ||
| Sepsis | 107 | ||
| Hypoglycemia | 107 | ||
| Central Nervous System Disorders | 107 | ||
| Methemoglobinemia | 107 | ||
| Congenital Adrenal Hyperplasia | 107 | ||
| Cyanosis in an Older Child | 108 | ||
| Phone call | 108 | ||
| Questions | 108 | ||
| Orders | 108 | ||
| Inform RN | 109 | ||
| Elevator thoughts | 109 | ||
| Major threat to life | 109 | ||
| Bedside | 110 | ||
| Quick-Look Test | 110 | ||
| Airway and Vital Signs | 110 | ||
| Selective Physical Examination | 110 | ||
| Selective History and Chart Review | 111 | ||
| Management | 112 | ||
| Tetralogy of Fallot | 112 | ||
| Polycythemia | 112 | ||
| Arterial Thrombosis | 112 | ||
| Raynaud Phenomenon | 113 | ||
| Compartment Syndrome | 113 | ||
| Summary | 113 | ||
| Chapter 14: Delivery Room Problems | 114 | ||
| Phone call | 114 | ||
| Questions | 114 | ||
| Orders | 116 | ||
| Inform RN | 116 | ||
| Elevator thoughts | 116 | ||
| Major threat to life | 117 | ||
| Bedside | 117 | ||
| Quick-Look Test | 117 | ||
| Selective Maternal History | 117 | ||
| Fetal Vital Signs | 118 | ||
| Management I | 118 | ||
| Respiratory Failure | 119 | ||
| Shock | 121 | ||
| Physical Examination | 122 | ||
| Management II | 123 | ||
| Severe Anemia | 123 | ||
| Plethora (Polycythemia) | 123 | ||
| Seizures | 124 | ||
| Congenital Malformations | 125 | ||
| Chapter 15: Diarrhea and Dehydration | 126 | ||
| Phone call | 126 | ||
| Questions | 126 | ||
| Orders | 127 | ||
| Inform RN | 127 | ||
| Elevator thoughts | 127 | ||
| Infections | 127 | ||
| Malabsorption | 128 | ||
| Diarrhea in the Neonate | 128 | ||
| Miscellaneous Causes | 128 | ||
| Major threat to life | 129 | ||
| Bedside | 129 | ||
| Quick-Look Test | 129 | ||
| Airway and Vital Signs | 129 | ||
| Selective Physical Examination I | 130 | ||
| Selective History and Chart Review I | 130 | ||
| Management | 131 | ||
| Principles | 131 | ||
| Treatment | 133 | ||
| Isonatremic and Hyponatremic Dehydration | 134 | ||
| Hypernatremic Dehydration | 135 | ||
| Selective Physical Examination II | 136 | ||
| Selective History and Chart Review II | 136 | ||
| Remember | 137 | ||
| Chapter 16: Extremity Pain | 138 | ||
| Phone call | 138 | ||
| Questions | 138 | ||
| Orders | 139 | ||
| Inform RN | 139 | ||
| Elevator thoughts | 139 | ||
| Major threat to life | 140 | ||
| Bedside | 141 | ||
| Quick-Look Test | 141 | ||
| Airway and Vital Signs | 141 | ||
| Selective History and Chart Review | 141 | ||
| Selective Physical Examination | 143 | ||
| Management | 145 | ||
| Septic Arthritis | 145 | ||
| Osteomyelitis | 147 | ||
| Pyomyositis | 147 | ||
| Systemic Infections | 147 | ||
| Malignancy | 148 | ||
| Sickle Cell Crisis | 148 | ||
| Compartment Syndrome | 149 | ||
| Deep Venous Thrombosis | 149 | ||
| Arterial Thrombosis | 150 | ||
| Vasculitis | 150 | ||
| Rheumatic Fever | 150 | ||
| Guillain-Barré Syndrome | 150 | ||
| Remember | 151 | ||
| Chapter 17: Eye Problems and Visual Abnormalities | 152 | ||
| Phone call | 152 | ||
| Questions | 152 | ||
| Orders | 153 | ||
| Inform RN | 153 | ||
| Elevator thoughts | 153 | ||
| Major threat to life or vision | 153 | ||
| Bedside | 154 | ||
| Quick-Look Test | 154 | ||
| Airway and Vital Signs | 154 | ||
| Selective History and Chart Review | 154 | ||
| Selective Physical Examination | 155 | ||
| Management | 156 | ||
| Ophthalmia Neonatorum | 156 | ||
| Conjunctivitis in an Older Child | 156 | ||
| Herpetic Keratitis | 157 | ||
| Periorbital and Orbital Cellulitis | 157 | ||
| Trauma | 157 | ||
| Remember | 157 | ||
| Chapter 18: Fever | 158 | ||
| Phone call | 158 | ||
| Elevator thoughts | 159 | ||
| Major threat to life | 160 | ||
| Bedside | 160 | ||
| Quick-Look Test | 160 | ||
| Airway and Vital Signs | 161 | ||
| History and Physical Examination I | 161 | ||
| Management I | 162 | ||
| Selective Chart Review | 163 | ||
| Selective Physical Examination II | 163 | ||
| Management II | 164 | ||
| Remember | 165 | ||
| Chapter 19: Gastrointestinal Bleeding | 166 | ||
| Phone call | 166 | ||
| Questions | 166 | ||
| Orders | 167 | ||
| Inform RN | 167 | ||
| Elevator thoughts | 167 | ||
| Major threat to life | 168 | ||
| Bedside | 168 | ||
| Quick-Look Test | 168 | ||
| Airway and Vital Signs | 168 | ||
| Selective Physical Examination | 169 | ||
| Management | 169 | ||
| Upper Gastrointestinal Bleeding (Hematemesis or Melena) | 170 | ||
| Laboratory Data | 170 | ||
| Management | 170 | ||
| Lower Gastrointestinal Bleeding (Hematochezia and Occasionally Melena) | 171 | ||
| Laboratory Data | 171 | ||
| Management | 172 | ||
| Remember | 172 | ||
| Chapter 20: Genitourinary Problems | 173 | ||
| Dysuria | 173 | ||
| Phone call | 173 | ||
| Questions | 173 | ||
| Orders | 173 | ||
| Inform RN | 173 | ||
| Elevator thoughts | 174 | ||
| Major threat to life | 174 | ||
| Bedside | 174 | ||
| Quick-Look Test | 174 | ||
| Airway and Vital Signs | 174 | ||
| Selective Physical Examination | 175 | ||
| Selective History and Chart Review | 175 | ||
| Management | 175 | ||
| Urinary Tract Infection | 175 | ||
| Hemorrhagic Cystitis | 176 | ||
| Sexually Transmitted Infections | 176 | ||
| Scrotal Pain | 178 | ||
| Phone call | 178 | ||
| Questions | 178 | ||
| Orders | 178 | ||
| Inform RN | 178 | ||
| Elevator thoughts | 178 | ||
| Major threat to life | 178 | ||
| Bedside | 179 | ||
| Quick-Look Test | 179 | ||
| Airway and Vital Signs | 179 | ||
| Selective Physical Examination | 179 | ||
| Selective History and Chart Review | 179 | ||
| Management | 180 | ||
| Testicular Torsion | 180 | ||
| Torsion of the Appendix Testis | 180 | ||
| Incarcerated Hernia | 180 | ||
| Epididymitis | 180 | ||
| Fournier Gangrene | 180 | ||
| Vaginal Bleeding | 181 | ||
| Phone call | 181 | ||
| Questions | 181 | ||
| Orders | 181 | ||
| Inform RN | 181 | ||
| Elevator thoughts | 181 | ||
| Major threat to life | 182 | ||
| Bedside | 182 | ||
| Quick-Look Test | 182 | ||
| Airway and Vital Signs | 182 | ||
| Selective Physical Examination | 182 | ||
| Selective History and Chart Review | 183 | ||
| Management | 183 | ||
| Summary | 183 | ||
| Chapter 21: Headache | 184 | ||
| Phone call | 184 | ||
| Questions | 184 | ||
| Orders | 184 | ||
| Inform RN | 184 | ||
| Elevator thoughts | 185 | ||
| Acute Headache | 186 | ||
| Chronic (Recurrent) Headache | 187 | ||
| Progressive | 187 | ||
| Nonprogressive | 187 | ||
| Major Threat to Life | 188 | ||
| Bedside | 188 | ||
| Quick-Look Test | 188 | ||
| Airway and Vital Signs | 188 | ||
| Selective Physical Examination | 189 | ||
| Management I | 192 | ||
| Selective History and Chart Review | 193 | ||
| Management II | 193 | ||
| Tension Headaches | 193 | ||
| Migraine Headaches | 193 | ||
| Posttraumatic (Postconcussive) Headache | 194 | ||
| Complicated Migraines | 194 | ||
| Cluster Headaches | 194 | ||
| Brain Tumor Headaches | 194 | ||
| Hemorrhages and Effusions | 195 | ||
| Malignant Hypertension | 195 | ||
| Hydrocephalus | 195 | ||
| Summary | 195 | ||
| Chapter 22: Heart Rate and Rhythm Abnormalities | 197 | ||
| Rapid Heart Rates | 198 | ||
| Phone call | 198 | ||
| Orders | 198 | ||
| Inform RN | 198 | ||
| Elevator thoughts (causes of rapid heart rates) | 198 | ||
| Major threat to life | 199 | ||
| Bedside | 199 | ||
| Quick-Look Test | 199 | ||
| Airway and Vital Signs | 199 | ||
| Selective History and Chart Review | 203 | ||
| Management | 204 | ||
| Management of Hemodynamically Unstable Patient | 204 | ||
| Management of Hemodynamically Stable Reentrant Supraventricular Tachycardia | 204 | ||
| Management of Hemodynamically Stable Atrial Fibrillation and Atrial Flutter | 205 | ||
| Management of Hemodynamically Stable Ventricular Tachycardia | 206 | ||
| Slow Heart Rates | 206 | ||
| Phone call | 206 | ||
| Questions | 206 | ||
| Orders | 207 | ||
| Inform RN | 207 | ||
| Elevator thoughts (causes of slow heart rates) | 207 | ||
| Major threat to life | 210 | ||
| Bedside | 210 | ||
| Quick-Look Test | 210 | ||
| Airway and Vital Signs | 210 | ||
| Selective History and Chart Review | 210 | ||
| Selective Physical Examination | 211 | ||
| Management | 211 | ||
| Management of Hemodynamically Unstable Patient | 211 | ||
| Hemodynamically Stable Patient | 211 | ||
| Management of Hemodynamically Stable Sinus Bradycardia | 211 | ||
| Management of Hemodynamically Stable Second-Degree Atrioventricular Block Type I | 212 | ||
| Management of Hemodynamically Stable Second-Degree Atrioventricular Block Type II | 212 | ||
| Management of Hemodynamically Stable Third-Degree Atrioventricular Block | 212 | ||
| Remember | 212 | ||
| Chapter 23: Hematuria | 213 | ||
| Phone call | 213 | ||
| Questions | 213 | ||
| Orders | 213 | ||
| Inform RN | 214 | ||
| Elevator thoughts | 214 | ||
| Major threat to life | 214 | ||
| Bedside | 215 | ||
| Quick-Look Test | 215 | ||
| Airway and Vital Signs | 215 | ||
| Selective History and Chart Review | 215 | ||
| Selective Physical Examination | 215 | ||
| Initial Management | 215 | ||
| Laboratory Data | 216 | ||
| Management | 217 | ||
| Summary | 217 | ||
| Chapter 24: Hypertension | 218 | ||
| Phone call | 219 | ||
| Questions | 219 | ||
| Orders | 219 | ||
| Inform RN | 219 | ||
| Elevator thoughts | 219 | ||
| Major threat to life | 220 | ||
| Bedside | 220 | ||
| Quick-Look Test | 220 | ||
| Airway and Vital Signs | 221 | ||
| Selective History and Chart Review | 221 | ||
| Selective Physical Examination | 222 | ||
| Management | 222 | ||
| Hypertensive Encephalopathy | 223 | ||
| Malignant Hypertension | 224 | ||
| Preeclampsia and Eclampsia | 224 | ||
| Intracranial Hemorrhage | 224 | ||
| Catecholamine Crisis | 224 | ||
| Summary | 225 | ||
| Chapter 25: Hypotension and Shock | 226 | ||
| Phone call | 226 | ||
| Questions | 226 | ||
| Orders | 226 | ||
| Inform RN | 227 | ||
| Elevator thoughts | 227 | ||
| Major threat to life | 228 | ||
| Bedside | 228 | ||
| Quick-Look Test | 228 | ||
| Airway and Vital Signs | 228 | ||
| Assess the Circulation | 228 | ||
| Selective Physical Examination | 231 | ||
| Selective History and Chart Review | 232 | ||
| Management | 232 | ||
| Anaphylactic Shock | 233 | ||
| Cardiogenic Shock | 233 | ||
| Acute Pericardial Tamponade | 234 | ||
| Tension Pneumothorax | 235 | ||
| Pulmonary Embolism | 236 | ||
| Hypovolemia | 237 | ||
| Sepsis | 238 | ||
| Adrenal Crisis | 238 | ||
| Remember | 239 | ||
| Chapter 26: Lines, Tubes, and Drains | 240 | ||
| Intravenous Lines: Infiltrated Intravenous | 241 | ||
| Phone call | 241 | ||
| Questions | 241 | ||
| Orders | 241 | ||
| Inform RN | 241 | ||
| Elevator thoughts | 242 | ||
| Major threat to life or limb | 242 | ||
| Bedside | 242 | ||
| Quick-Look Test | 242 | ||
| Airway and Vital Signs | 242 | ||
| Management | 242 | ||
| Umbilical Catheters: Umbilical Arterial Catheter Placement | 243 | ||
| Umbilical Catheters: Umbilical Venous Catheter Placement | 246 | ||
| Umbilical catheters: obstructed umbilical arterial or venous catheter | 246 | ||
| Phone call | 246 | ||
| Questions | 246 | ||
| Orders | 247 | ||
| Inform RN | 247 | ||
| Elevator thoughts | 247 | ||
| Major threat to life | 247 | ||
| Bedside | 247 | ||
| Quick-Look Test | 247 | ||
| Airway and Vital Signs | 247 | ||
| Management | 247 | ||
| Central Venous Lines: Bleeding at the Entry Site | 247 | ||
| Phone call | 248 | ||
| Questions | 248 | ||
| Orders | 248 | ||
| Inform RN | 248 | ||
| Elevator thoughts | 248 | ||
| Major threat to life | 248 | ||
| Bedside | 248 | ||
| Quick-Look Test | 248 | ||
| Airway and Vital Signs | 248 | ||
| Selective Chart Review | 249 | ||
| Selective Physical Examination and Management | 249 | ||
| Central Venous Lines: Obstructed Central Line | 250 | ||
| Phone call | 250 | ||
| Questions | 250 | ||
| Orders | 250 | ||
| Inform RN | 250 | ||
| Elevator thoughts | 250 | ||
| Major threat to life | 250 | ||
| Bedside | 251 | ||
| Quick-Look Test | 251 | ||
| Airway and Vital Signs | 251 | ||
| Selective Physical Examination and Management | 251 | ||
| Nasogastric and Enteral Feeding Tubes: Placement of a Nasogastric Tube | 252 | ||
| Nasogastric and Enteral Feeding Tubes: Obstructed Nasogastric Tube or Enteral Feeding Tube | 253 | ||
| Phone call | 253 | ||
| Questions | 253 | ||
| Orders | 253 | ||
| Inform RN | 254 | ||
| Elevator thoughts | 254 | ||
| Major threat to life | 254 | ||
| Bedside | 254 | ||
| Quick-Look Test | 254 | ||
| Airway and Vital Signs | 254 | ||
| Management | 254 | ||
| Nasogastric and Enteral Feeding Tubes: Displaced Nasogastric Tube and Enteral Feeding Tube | 255 | ||
| Phone call | 255 | ||
| Questions | 255 | ||
| Orders | 255 | ||
| Inform RN | 255 | ||
| Elevator thoughts | 255 | ||
| Major threat to life | 256 | ||
| Bedside | 256 | ||
| Quick-Look Test | 256 | ||
| Airway and Vital Signs | 256 | ||
| Management | 256 | ||
| Urethral Catheters: Placement | 256 | ||
| Urethral Catheters: Obstructed Urethral Catheter | 257 | ||
| Phone call | 257 | ||
| Questions | 257 | ||
| Orders | 257 | ||
| Inform RN | 257 | ||
| Elevator thoughts | 257 | ||
| Major threat to life | 258 | ||
| Bedside | 258 | ||
| Quick-Look Test | 258 | ||
| Airway and Vital Signs | 258 | ||
| Management | 258 | ||
| Urethral Catheters: Gross Hematuria | 259 | ||
| Phone call | 259 | ||
| Questions | 259 | ||
| Orders | 259 | ||
| Inform RN | 259 | ||
| Elevator thoughts | 259 | ||
| Major threat to life | 259 | ||
| Bedside | 260 | ||
| Quick-Look Test | 260 | ||
| Airway and Vital Signs | 260 | ||
| Selective History and Chart Review | 260 | ||
| Management | 260 | ||
| Chest Tubes: Placement | 261 | ||
| Chest Tubes: Persistent Bubbling in the Water Seal (Air Leak) | 263 | ||
| Phone call | 263 | ||
| Questions | 263 | ||
| Orders | 264 | ||
| Inform RN | 264 | ||
| Elevator thoughts | 264 | ||
| Major threat to life | 265 | ||
| Bedside | 266 | ||
| Quick-Look Test | 266 | ||
| Airway and Vital Signs | 266 | ||
| Selective History and Chart Review | 267 | ||
| Selective Physical Examination and Management | 267 | ||
| Chest Tubes: Loss of Fluctuation of the Water Seal (Tube Obstruction) | 268 | ||
| Phone call | 268 | ||
| Questions | 268 | ||
| Orders | 268 | ||
| Inform RN | 268 | ||
| Elevator thoughts | 268 | ||
| Major threat to life | 268 | ||
| Bedside | 268 | ||
| Quick-Look Test | 268 | ||
| Airway and Vital Signs | 269 | ||
| Selective History and Chart Review | 269 | ||
| Selective Physical Examination and Management | 269 | ||
| Chest Tubes: Bleeding at the Chest Tube Entry Site | 270 | ||
| Phone call | 270 | ||
| Questions | 270 | ||
| Orders | 270 | ||
| Inform RN | 270 | ||
| Elevator thoughts | 270 | ||
| Major threat to life | 270 | ||
| Bedside | 271 | ||
| Quick-Look Test | 271 | ||
| Airway and Vital Signs | 271 | ||
| Selective History and Chart Review | 271 | ||
| Selective Physical Examination and Management | 271 | ||
| Chest Tubes: Drainage of Blood | 272 | ||
| Phone call | 272 | ||
| Questions | 272 | ||
| Orders | 272 | ||
| Inform RN | 272 | ||
| Elevator thoughts | 272 | ||
| Major threat to life | 272 | ||
| Bedside | 273 | ||
| Quick-Look Test | 273 | ||
| Airway and Vital Signs | 273 | ||
| Selective Chart Review and Management | 273 | ||
| Chest Tubes: Dyspnea | 274 | ||
| Phone call | 274 | ||
| Questions | 274 | ||
| Orders | 274 | ||
| Inform RN | 274 | ||
| Elevator thoughts | 274 | ||
| Major threat to life | 274 | ||
| Bedside | 274 | ||
| Quick-Look Test | 274 | ||
| Airway and Vital Signs | 275 | ||
| Selective Physical Examination | 275 | ||
| Management | 275 | ||
| Chest Tubes: Subcutaneous Emphysema | 275 | ||
| Phone call | 275 | ||
| Questions | 275 | ||
| Orders | 275 | ||
| Inform RN | 276 | ||
| Elevator thoughts | 276 | ||
| Major threat to life | 276 | ||
| Bedside | 276 | ||
| Quick-Look Test | 276 | ||
| Airway and Vital Signs | 276 | ||
| Selective Physical Examination and Management | 276 | ||
| Chest Tubes: Traumatic or Accidental Removal of a Chest Tube | 277 | ||
| Phone call | 277 | ||
| Questions | 277 | ||
| Orders | 277 | ||
| Inform RN | 277 | ||
| Major threat to life | 277 | ||
| Bedside | 278 | ||
| Quick-Look Test | 278 | ||
| Airway and Vital Signs | 278 | ||
| Selective Physical Examination and Management | 278 | ||
| Chapter 27: Rashes | 279 | ||
| Phone call | 279 | ||
| Questions | 279 | ||
| Orders | 279 | ||
| Inform RN | 280 | ||
| Elevator thoughts | 280 | ||
| Urticaria (Rare but Potentially Life Threatening) | 280 | ||
| Erythematous, Maculopapular (Morbilliform) Rashes | 280 | ||
| Vesicobullous Rashes | 281 | ||
| Petechiae or Purpura | 281 | ||
| Exfoliative Dermatitis (Erythroderma) | 281 | ||
| Fixed Drug Reaction | 281 | ||
| Major threat to life | 282 | ||
| Bedside | 282 | ||
| Quick-Look Test | 282 | ||
| Airway and Vital Signs | 282 | ||
| Selective Physical Examination | 282 | ||
| Selective History and Chart Review | 285 | ||
| Management | 285 | ||
| Remember | 286 | ||
| Chapter 28: Respiratory Distress | 287 | ||
| Phone call | 287 | ||
| Questions | 287 | ||
| Orders | 288 | ||
| Elevator thoughts | 288 | ||
| Major threat to life | 289 | ||
| Bedside | 289 | ||
| Quick-Look Test | 289 | ||
| Airway and Vital Signs | 289 | ||
| Selective Physical Examination | 290 | ||
| Management | 291 | ||
| Pulmonary Processes | 292 | ||
| Selective History | 292 | ||
| Selective Physical Examination | 292 | ||
| Chest Radiographic Findings | 292 | ||
| Laboratory Evaluation | 292 | ||
| Treatment | 293 | ||
| General measures | 293 | ||
| Specific measures | 293 | ||
| Antibiotics | 293 | ||
| Bronchodilators | 293 | ||
| Pulmonary Hygiene | 293 | ||
| Steroids | 294 | ||
| Antituberculosis Regimens | 294 | ||
| Airway Processes | 294 | ||
| Selective History | 294 | ||
| Selective Physical Examination | 294 | ||
| Airway Films | 294 | ||
| Laboratory Evaluation | 295 | ||
| Treatment | 295 | ||
| Cardiac Processes | 295 | ||
| Selective History | 295 | ||
| Selective Physical Examination | 295 | ||
| Chest Radiographic Findings | 296 | ||
| Laboratory Evaluation | 297 | ||
| Treatment | 297 | ||
| General measures | 297 | ||
| Specific measures | 298 | ||
| Space-Occupying Processes | 299 | ||
| Selective History | 299 | ||
| Selective Physical Examination | 299 | ||
| Chest Radiographic Findings | 299 | ||
| Laboratory Evaluation | 299 | ||
| Special Section on Asthma | 299 | ||
| Selective History | 300 | ||
| Selective Physical Examination | 300 | ||
| Chest Radiographic Findings | 300 | ||
| Laboratory Evaluation | 300 | ||
| Treatment | 300 | ||
| General measures | 300 | ||
| Specific measures | 300 | ||
| Warning Signs in Asthma | 301 | ||
| Respiratory Failure | 301 | ||
| Remember | 302 | ||
| Chapter 29: Seizures | 303 | ||
| Phone call | 303 | ||
| Questions | 303 | ||
| Orders | 304 | ||
| Inform Registered Nurse | 304 | ||
| Elevator thoughts | 304 | ||
| Major threat to life | 304 | ||
| Bedside | 306 | ||
| Quick-Look Test | 307 | ||
| Airway and Vital Signs | 307 | ||
| Management I | 308 | ||
| Selective Physical Examination I | 308 | ||
| Selective History and Chart Review | 308 | ||
| Selective Physical Examination II | 309 | ||
| Management II | 310 | ||
| Quick-Look Test | 311 | ||
| Airway and Vital Signs | 311 | ||
| Management I | 312 | ||
| Medications | 312 | ||
| Summary | 313 | ||
| Chapter 30: Urine Output Abnormalities | 315 | ||
| Phone Call | 315 | ||
| Questions | 315 | ||
| Orders | 315 | ||
| Inform RN | 316 | ||
| Elevator thoughts | 316 | ||
| Decreased Urine Output | 316 | ||
| Increased Urine Output | 317 | ||
| Major threat to life | 317 | ||
| Bedside | 317 | ||
| Quick-Look Test | 317 | ||
| Airway and Vital Signs | 318 | ||
| Selective Physical Examination | 318 | ||
| Selective Chart Review | 319 | ||
| Management I: Decreased Urine Output | 319 | ||
| Prerenal | 319 | ||
| Postrenal | 319 | ||
| Renal | 321 | ||
| Management II: Increased Urine Output | 323 | ||
| Remember | 323 | ||
| Chapter 31: Vomiting | 325 | ||
| Phone call | 325 | ||
| Questions | 325 | ||
| Orders | 325 | ||
| Inform RN | 326 | ||
| Elevator thoughts | 326 | ||
| Major threat to life | 328 | ||
| Bedside | 329 | ||
| Quick-Look Test | 329 | ||
| Airway and Vital Signs | 329 | ||
| Selective History and Chart Review | 330 | ||
| Selective Physical Examination | 331 | ||
| Management | 331 | ||
| Remember | 333 | ||
| Laboratory-Related Problems | 335 | ||
| Chapter 32: Acidosis and Alkalosis | 336 | ||
| Normal acid-base balance | 336 | ||
| Clinical assessment of acid-base disorders | 337 | ||
| Primary acid-base disorders | 339 | ||
| Metabolic Acidosis | 339 | ||
| Causes | 340 | ||
| Manifestations | 341 | ||
| Management | 341 | ||
| Metabolic Alkalosis | 342 | ||
| Causes | 342 | ||
| Manifestations | 343 | ||
| Management | 343 | ||
| Respiratory Acidosis | 343 | ||
| Causes | 344 | ||
| Manifestations | 344 | ||
| Management | 344 | ||
| Respiratory Alkalosis | 345 | ||
| Causes | 345 | ||
| Manifestations | 346 | ||
| Management | 346 | ||
| Chapter 33: Anemia, Thrombocytopenia, and Coagulation Abnormalities | 347 | ||
| Anemia | 348 | ||
| Causes | 348 | ||
| Low Reticulocyte Count: Inadequate production | 348 | ||
| Microcytic Anemias (Low Mean Corpuscular Volume) | 348 | ||
| Normocytic Anemias (Normal Mean Corpuscular Volume) | 348 | ||
| Macrocytic Anemias (High Mean Corpuscular Volume) | 348 | ||
| High Reticulocyte Count: Increased Loss or Red Blood Cell Destruction | 350 | ||
| RBC Losses: Bleeding | 350 | ||
| RBC Destruction: Hemolysis | 350 | ||
| Clinical manifestations | 350 | ||
| Management | 351 | ||
| Hypovolemia | 351 | ||
| Euvolemia | 352 | ||
| Thrombocytopenia | 353 | ||
| Causes | 353 | ||
| Clinical manifestations | 354 | ||
| Management | 355 | ||
| Idiopathic Thrombocytopenic Purpura | 355 | ||
| Thrombotic Thrombocytopenic Purpura | 355 | ||
| Coagulation abnormalities: prolonged prothrombin time and partial thromboplastin time | 356 | ||
| Causes | 356 | ||
| Clinical manifestations | 357 | ||
| Management | 357 | ||
| Factor Deficiencies | 357 | ||
| von Willebrand Disease | 358 | ||
| Vitamin K Deficiency | 358 | ||
| Liver Disease | 358 | ||
| Disseminated Intravascular Coagulopathy | 358 | ||
| Chapter 34: Electrolyte Abnormalities | 359 | ||
| Hypernatremia (serum sodium >150mEq/L) | 359 | ||
| Causes | 359 | ||
| Manifestations | 359 | ||
| Management | 360 | ||
| Hyponatremia (serum sodium <130mEq/L) | 360 | ||
| Causes | 360 | ||
| Manifestations | 362 | ||
| Management | 362 | ||
| Hypovolemic Patients | 362 | ||
| Euvolemic Patients | 363 | ||
| Hypervolemic Patients | 363 | ||
| Hyperkalemia (serum potassium >5.5mEq/L) | 364 | ||
| Causes | 364 | ||
| Manifestations | 364 | ||
| Management | 364 | ||
| Severe Hyperkalemia | 365 | ||
| Moderate Hyperkalemia | 365 | ||
| Mild Hyperkalemia | 365 | ||
| Hypokalemia (serum potassium <3.5mEq/L) | 366 | ||
| Causes | 366 | ||
| Manifestations | 366 | ||
| Management | 366 | ||
| Severe Hypokalemia | 366 | ||
| Moderate or Mild Hypokalemia | 367 | ||
| Hypercalcemia | 367 | ||
| Causes | 367 | ||
| Manifestations | 367 | ||
| Management | 368 | ||
| Severe Hypercalcemia | 368 | ||
| Mild or Moderate Hypercalcemia | 368 | ||
| Hypocalcemia | 369 | ||
| Causes | 369 | ||
| Manifestations | 369 | ||
| Management | 369 | ||
| Remember | 371 | ||
| Chapter 35: Glucose Disorders | 372 | ||
| Glucose Homeostasis | 372 | ||
| Hypoglycemia | 372 | ||
| Hyperglycemia | 373 | ||
| Type 1 Diabetes Mellitus | 375 | ||
| Type 2 Diabetes Mellitus | 377 | ||
| Monogenic Diabetes | 377 | ||
| Cystic Fibrosis-Related Diabetes | 378 | ||
| Discussion | 378 | ||
| Chapter 36: Hyperbilirubinemia | 379 | ||
| Phone call | 379 | ||
| Questions | 379 | ||
| Orders | 379 | ||
| Inform RN | 380 | ||
| Elevator thoughts | 380 | ||
| Major threat to life | 380 | ||
| Bedside | 380 | ||
| Quick-Look Test | 380 | ||
| Airway and Vital Signs | 384 | ||
| Selective Physical Examination | 384 | ||
| Management | 384 | ||
| Neonatal Hyperbilirubinemia | 384 | ||
| Acute Jaundice in Children | 388 | ||
| Summary | 391 | ||
| Appendices | 393 | ||
| Appendix A: Pediatric Procedures | 394 | ||
| Intravenous access | 395 | ||
| Lumbar Puncture | 397 | ||
| Appendix B: Resuscitation Calculations | 400 | ||
| Appendix C: Calculation of Creatinine Clearance | 401 | ||
| Appendix D: Calculation of Alveolar-Arterial Oxygen Gradient | 402 | ||
| Index | 403 | ||
| Inside Back Cover | ES3 |